This study aimed to evaluate the shoulder Dislocation following tramadol-induced seizure and its potential difference with other shoulder Dislocations. We evaluated six cases that used tramadol tablets and some of them had a history of seizure. All of the cases had shoulder Dislocation. According to the findings, tramadol use and tramadol-induced seizure may increase the risk of shoulder Dislocation.

First carpometacarpal (CMC1) joint Dislocations are uncommon injuries. However, they can limit hand functions and lead to serious complications. Herein, we report the case of a multiple trauma man with dorsal Dislocation of thumb CMC joint that was successfully treated with closed reduction and casting. The patient was a 47-year-old male with multiple traumas complaining of right wrist pain. Tenderness, deformity, and reduced range of motion of the right thumb CMC joint were observed. X‑ ray showed dorsal Dislocation of the CMC1 joint. Closed reduction of the dislocated joint was performed under general anesthesia, and the joint was immobilized by a thumb‑ spica cast for 14 days. The patient was eventually discharged in good condition and had no complications or manual dysfunction after a 1‑ month follow‑ up. The optimal management of the CMC1 joint Dislocations is controversial. The closed reduction seems adequate for these injuries. However, patients whose joints remain unstable after closed reduction, especially those with manual activities, should be considered for open reduction and surgical ligament repair.

Fracture-Dislocation of lumbosacral junction is rare. It usually affects the patients with multiple trauma. In all reported cases, anterior or posterior displacement of L5 on S1 have been reported, but anterolateral displacement has not been reported yet. Herein, we report delayed diagnosis of fracture-Dislocation of L5-S1 with anterolateral displacement of L5 on S1, which was treated successfully with surgery (open reduction, posterior fusion, and instrumentation).      

This case is a 19-year-old soldier who suffered a combined elbow Dislocation and posterior Monteggia fracture and Dislocation (type II). The ulna fracture was managed by GRIP. The elbow Dislocation was managed by closed reduction and immobilization in 90° flexion. The posteriorly dislocated radial head was kept reduced by a transarticular pin. After 6 months elbow and forearm motion was restricted and X-ray revealed heterotopic ossification around the radial head. In further follow up there was no improvement in his range of motion. Treatment of these combined elbow injuries remains challenging.

Introduction: Unilateral anterior shoulder Dislocation is one of the most common problems encountered in orthopedic practice. However, simultaneous bilateral anterior Dislocation of the shoulders is quite rare.Case Presentation: We report a case of a 75-year-old woman presented with simultaneous bilateral anterior shoulder Dislocation following a trauma, complicated with a traction injury to the posterior cord of the brachial plexus. Conclusions: Bilateral anterior shoulder Dislocation is very rare. The excessive traction force during closed reduction may lead to nerve palsy. Clear documentation of neurovascular status and adequate imaging before and after a reduction should be performed.

Introduction: Complete Dislocation of the tarsal navicular without fracture is an uncommon injury. The rarity of this injury can be attributed to the rigid bony and ligamentous support surrounding the navicular, which usually undergoes fracture and Dislocation rather than the pure Dislocation of the navicular. Case presentation: This manuscript reports a case with isolated navicular Dislocation following a fall and successful treatment via open reduction and fixation with K-wire. Conclusion: Although pure navicular Dislocation is uncommon, it should be considered in patients with foot trauma, and treatment decreases complications.