Sciatic palsy is a known complication of fracture-dislocation of the hip surgery [1]. It is a rare but serious complication, and often the cause of prolonged morbidity for patients. There are several posttraumatic, perioperative, and postoperative causes for sciatic nerve palsy. Its incidence is <0.2% [2]. The delayed appearance forms or diagnosed late may be responsible for irreversible neurological damage. Case presentation A 38-years-old man with no signifi cant pathological history, with a body weight of 70 kg, was hospitalized in our department for acetabular fracture with dislocation of the of the left hip without sciatic nerve defi cit (Figures 1,2). A surgical reduction under general anesthesia of the dislocation with reduction of the posterior wall of the acetabulum and its fi xation by a plate allowed a stable and anatomical reduction of the hip (Figure 3).
Pure open dislocation of the elbow remains a very rare entity, being associated with a complete rupture of the brachial artery make it more exceptional, the therapeutic strategy is very discussed. The vascular repair is essentially based on a venous graft which can be collected from different sites, the second challenge is to reduce and maintain the stability of the elbow.The course ofthis different operatory times represents the real challenge in front of that type of traumas. We report a case of a young man admitted in the emergency room with an open pure elbow dislocation with rupture of the brachial artery, treated by a venous graft and reparation of the elbow capsular with an elbow immobilization by an ulno-humeral pin and with a satisfactory evolution in a long term.
Primary hydatid disease of musculoskletal system represents 1–4 % of all locations, and can take on the appearance of a soft tissue tumor. We present here a case of 62 year old man who developped a soft swelling of Posterior aspect of the thigh with distal sciatica of the left lower limb. Ultrasonography reinforced by MRI suspected an hydatid cysts diagnosis. Serologic test (ELISA) was positive. Patient underwent total surgical removal of all cystic formations, with adjunctive postoperative Mebendazole chemotherapy (15 mg/kg/day) for three months. At 03 years follow-up, patient was free of pain and had total functional recovery without local recurrence of the disease.
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