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Tarsal rotation or “swivel” injury according to the classification of Main and Jowett among injuries of the midtarsal joint is uncommon. We experienced a case of subluxation of the talonavicular and talocalcaneal joints without fracture and reviewed it.The patient was a 33-year-old man who suffered injury at the moment of falling down on the floor in volleyball game. On physical examination, depressed deformity with intensive tenderness was seen in medial metatarsus region of the right foot. Radiologically there was medial subluxation of the talonavicular and talocalcaneal joint. Manual reduction was done under intravenous anesthesia and immobilization by plaster splint was followed The clinical course was favorable and the patient was now able to join the volleyball team again.

We reviewed 19 cases of so called “little league's shoulder” treated from 1981 to 1987. Follow-up period ranged from 5 months to 71 months (average, 26). Those cases were all boys and their age ranged from 10 to 15 years old (average, 12.2). Physical examination revealed no characteristic signs, but radiographic findings are important to make a diagnosis. Widening of the anterior and lateral physis is essential for this disease. In addition reactive bone formation such as bony spur and demineralization of the lateral half of the epiphysis are seen. Rest for 2 or 3 months led to rapid healing on X-ray examination and no pain on hard throwing is present at the final examination. We consider that the pathological feature of the little league's shoulder is separation of the proximal humeral physis, Very early diagnosis and treatment is stressed in this paper.

Two cases of delayed union of the hook of the hamate were satisfactorily treated by excisional surgery. The volar surgical approach through the palm is common, but to expose the hook some hypothenar muscles and cardinal ligaments must be divided. Care must be taken to avoid injury of the motor and sensory branches of the ulnar nerve that occur close to the hook. The lateral approach between the abductor digiti minimi muscle and the fifth metacarpal bone is easier and less traumatic. This approach is also safer for the ulnar neurovascular bundle, which is protected by volar retraction and the hypothenar muscles. The lateral approach is advantageous unless the injury is complicated by ulnar nerve palsy or flexor tendon injury.