The incidence of bone tuberculosis is less than 5% of all tuberculosis cases. Furthermore, multifocal bone tuberculosis is uncommon, which rarely occurs without primary foci. It is difficult to diagnose, particularly if it is localized in both humeral heads. On the other hand, the isolated iliac bone tuberculosis is exceptional; it constitutes, also, a challenging diagnosis, which requires a high index of clinical suspicion and advanced investigations. Herein, we first report a case of multifocal tuberculosis of both humeral heads with no primary foci, and we secondarily report a case of isolated iliac bone tuberculosis. At last, however, the histological exam and polymerase chain reaction for the Mycobacterium tuberculosis complex are not always positives; they are mandatory as tests to ascertain the diagnosis.
To the best of our knowledge, the case presented here is among the rare cases of simultaneous shoulder dislocation and ipsilateral pallet humeral fracture, and we discuss its mechanism and best management. We report a case of a 26-year-old male patient with a history of dislocation of the right shoulder 2 months prior to trauma, managed conservatively with a good outcome. The patient fell from a height of 2 m, which caused concomitant shoulder dislocation and ipsilateral humeral fracture, prompting him to undergo surgery. First, the shoulder dislocation was reduced, and second, a V-shaped olecranon osteotomy was performed. The fracture was then fixed using two compressing plates followed by adequate rehabilitation, which led to a good outcome. This rare combination, if it occurs, requires urgent management to save the functional prognosis of the limb.
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