A traumatic elbow dislocation that remains unreduced for more than three weeks is considered a neglected elbow dislocation. We report a case of a patient with a neglected elbow dislocation combined with a terrible triad injury (elbow dislocation with fractures of the coronoid process and radial head). Initially, the patient was managed with three weeks of cast immobilization followed by physiotherapy. However, six months after the trauma, he presented to our clinic with severe heterotopic ossification, significant pain, and nearly complete elbow stiffness. An open surgical intervention was performed, involving excision of the heterotopic bone, reduction in the dislocation, and suturing of the anterior capsule to the coronoid process. Given the irreparable fracture of the radial head, radial head arthroplasty was also performed. At 18-month follow-up, the elbow was stable and pain-free, with flexion–extension of 80°, pronation of 85°, and supination of 80°. This case underscores the critical importance of early diagnosis and intervention to prevent long-term complications in neglected elbow dislocations.

Radio-ulnar synostosis is a rare complication which develops following forearm trauma, the main manifestation being stiffness and leading to the loss of pronation and supination. For the patient, it is a very frustrating experience due to the impairment of the normal function of the forearm, whereas for the surgeon the treatment is difficult as, unfortunately, there is no consensus regarding the best way to approach it. Many surgical techniques and other kinds of adjuvant therapies have been developed in an effort to solve this disability. This paper presents an overview of the principal factors which contribute to the development of synostosis and the best therapeutic approach methods found in the literature.

A traumatic elbow dislocation that remains unreduced for more than three weeks is classified as a neglected elbow dislocation. This condition is sometimes accompanied by a coronoid fracture and a radial head fracture. The standard approach involves reducing the dislocation, addressing the as-sociated fractures, and stabilizing the elbow. In this case, we report on a patient with a neglected elbow dislocation and a radial head fracture. Initially, the patient was treated with immobilization in a cast for three weeks, followed by physiotherapy. However, six months after the initial trauma, he presented to our clinic with severe heterotopic ossification, accompanied by pain and significant elbow stiffness. An open surgical procedure was required, during which the heterotopic bone was excised, the dislocation was reduced, and the anterior capsule was sutured to the coronoid process. Due to the irreparable nature of the radial head fracture, radial head arthroplasty was performed. At 18 months follow-up, the elbow was stable and pain-free, with a range of motion (flexion-extension) 80 degrees. Pronation was 85 degrees, and supination was 80 degrees. This case highlights the importance of early diagnosis and intervention to prevent long-term complications in neglected elbow dislocations.

Arthroscopic treatment of acromioclavicular (AC) joint separations has evolved significantly over the past two decades. Modern anatomical repair methods frequently rely on suspensory fixation devices to reconstruct the coracoclavicular ligaments and, in some cases, to stabilize the AC joint itself. Background/Objectives: Arthroscopy offers a minimally invasive option that ensures excellent visualization of the joint, facilitates management of concomitant intra-articular injuries, and provides direct access to the undersurface of the coracoid process for implant placement. Methods: Over the past seven years, we have managed 30 AC separation cases using this arthroscopic approach. Results: The distinctive feature of our technique is the use of only two portals—one posterior and one anterosuperior—which proved adequate for optimal visualization and accurate implant positioning. Conclusions: In this article, we outline the benefits and limitations of the technique, identify current knowledge gaps, and propose avenues for future clinical research.

Arthroscopy offers numerous benefits in the management of various shoulder conditions. One such condition is acromioclavicular joint separation, which is more commonly seen in young individuals who engage in sports. This injury involves the separation of the clavicle from the acromion, typically due to the rupture of the acromioclavicular and coracoclavicular ligaments. Modern anatomical repair techniques often utilize suspensory fixation devices to reconstruct the coracoclavicular ligaments and, in some cases, address the acromioclavicular joint as well. Arthroscopy provides minimally invasive access to the joint, allowing for comprehensive visualization and treatment of associated intra-articular pathologies, including direct access to the underside of the coracoid process where implants are placed. This approach is achieved with small incisions and minimal disruption to surrounding tissues. Despite its clear advantages, arthroscopy also has drawbacks, such as increased costs due to the advanced technology used and the requirement for specialized surgical expertise. Nevertheless, surgeons trained in shoulder arthroscopy are now able to manage this condition with relative ease and high precision.