Fracture of the proximal humerus associated with vascular injury has rarely been reported in children, and only two cases have been reported in the literature. In adults this combination has been reported more frequently. We present the case of a 14 year old boy with proximal humeral epiphyseal separation and axillary artery injury. 

A single left coronary artery with right coronary artery arising from either left main stem (LMS) or left anterior descending artery (LAD) or circumflex artery (Cx) is an extremely rare coronary anomaly. This is the first report of separate origins of proximal and distal RCA from LAD and circumflex arteries respectively in a patient with a single left coronary artery. This 57 year old patient p...

OBJECTIVE Internal impingement is a condition that occurs in athletes in which the shoulder is put in extreme abduction and external rotation during overhead movements. During this motion, the posterior fibers of the supraspinatus tendon, anterior fibers of the infraspinatus tendon, or both can get impinged between the humeral head and the posterior glenoid. The purpose of this study was to eva...

BACKGROUND The groin flap, based on the superficial circumflex iliac artery, was the first successful free flap. However, its popularity was lost essentially due to variable arterial anatomy. Clinical applications of perforator flap based on superficial circumflex iliac artery suggest that a dominant perforator based on his deep branch is enough to supply a large groin flap. METHODS Fresh cad...

INTRODUCTION A computer model quantified and compared muscle lengths and moment arms of two different reverse shoulder arthroplasty humeral tray designs during two different motions. METHODS The computer model simulated internal/ external rotation and abduction in the scapular plane for the normal shoulder, the 38 mm non-offset, and the 38 mm posterior-superior offset reverse shoulders. Muscl...

A 59-year-old woman had been treated at another hospital for unstable angina for 5 days. One day after discharge , she returned with prolonged chest pain, and an electrocardiogram was recorded (Figure 1). The most notable features of the electrocardiogram are ST and T changes in leads V 1 through V 4. Superficially, these changes suggest a left anterior descending lesion with anterior subendoca...

UNLABELLED Coronary artery anomalies are rare in population and most of them are found incidentally during coronary angiography. Percutaneous treatment of critical lesions on anomalous arteries may lead to difficulties due to their abnormal origin or course. Herein, we report a 65-year-old male patient presented with recent onset chest pain. Electrocardiogram and transthoracic echocardiography ...

A 78-year-old woman was referred for coronary angiography with the chief complaint of exertional angina and dyspnea of a very long duration during routine daily physical activities. She had a history of poorly controlled hypertension and dyslipidemia. Coronary angiography revealed diffuse three-vessel disease. Interestingly, an unusual branch was noted originating from the mid shaft of the left...

A 59 year old woman presented with chest tightness radiating to her back and shortness of breath. The ECG and cardiac enzymes were consistent with an acute apical inferior myocardial infarction. Her past medical history was significant for a 47 year history of four episodes of pneumonia with haemoptysis. She carried a diagnosis of a ‘‘lung scar’’. A previous CT scan of the thorax showed cystic ...

©2004 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.86B3. 14985 $2.00 J Bone Joint Surg [Br] 2004;86-B:324-32. Posterior dislocation of the shoulder is a rare but clinically and radiologically well-defined entity. It accounts for less than 2% of all dislocations of the shoulder,1,2 but is of diagnostic and therapeutic interest because most are missed on the initial e...