Trauma Case Reports最新文献

{"title":"A rare consequence of snakebite: A case report and literature review","authors":"Fadi Aboud ,&nbsp;Micheal Assaf ,&nbsp;Haim Shtarker","doi":"10.1016/j.tcr.2025.101174","DOIUrl":"10.1016/j.tcr.2025.101174","url":null,"abstract":"<div><div>Snakebites can have a diverse array of symptoms, manifesting both locally and systemically. Local symptoms include mainly swelling and pain. Rarely some patients can develop compartment syndrome. The symptoms of a snakebite can mimic those of compartment, potentially causing a delay diagnosis and treatment which can lead to devastating and a long-lasting disability.</div><div>We present a case of an eight-year-old female who presented with systemic envenomation after a snakebite to her left lower leg. Upon arrival, she received supportive care, including antivenom, and demonstrated a good systemic response. However, her leg swelling and pain gradually worsened. She was examined daily by orthopedic surgeons. Clinical examinations initially showed no signs of compartment syndrome until 68 h after admission, when a passive stretch test became positive, and intra-compartmental pressure was found to be elevated. The patient was promptly taken to the operating room for compartment release. The muscles showed no ischemia and two weeks after the release primary closure was done. This case highlights the importance of clinician vigilance and awareness of the potential for delayed onset of compartment syndrome following a snakebite. Our patient was diagnosed and treated in a timely manner, resulting in complete recovery without permanent disability.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101174"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fixation of fibular head avulsion fractures with the proximal tibiofibular screw: Technique guide and clinical experience","authors":"Ryan A. Paul ,&nbsp;Shu Yang Hu ,&nbsp;Ananya Pathak ,&nbsp;Ryan Khan ,&nbsp;Daniel B. Whelan","doi":"10.1016/j.tcr.2025.101175","DOIUrl":"10.1016/j.tcr.2025.101175","url":null,"abstract":"<div><h3>Background</h3><div>Fibular head avulsion fractures are often associated with posterolateral corner injuries. Conventional fixation have consisted of transosseous or anchor-based suture techniques.</div></div><div><h3>Purpose</h3><div>This technique paper reports on the use of a cannulated screw for fixation of fibular head avulsion fractures by a single surgeon at a tertiary referral center.</div></div><div><h3>Methods</h3><div>Thirty-seven patients underwent open reduction and internal fixation of fibular head avulsion fractures between 2006 and 2022.</div></div><div><h3>Results</h3><div>At final follow up (mean 3.5 years ± 2.5) all fractures went on to bony union. All patients regained functional range of motion with mean extension of 1 degree (median 0 degrees, range 0 to −5 degrees) and mean flexion of 121 degrees (median 127.5 degrees, range 90 to 135 degrees).</div></div><div><h3>Conclusion</h3><div>Our results suggest that a cannulated screw across multiple cortices provides robust fixation and allows for early motion.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101175"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Esophageal stricture due to corrosive substance ingested and delayed management: A case report","authors":"Arival Yanuar Riswanto ,&nbsp;Budi Widodo ,&nbsp;Titong Sugihartono ,&nbsp;Nurike Setiyari Mudjari","doi":"10.1016/j.tcr.2025.101171","DOIUrl":"10.1016/j.tcr.2025.101171","url":null,"abstract":"<div><div>Corrosive substance ingestion is a medical emergency that can lead to poor outcomes, though prompt and adequate treatment has been carried out, particularly in cases of delayed management. An Indonesian man, 36 years old, complained of continually vomiting after meals caused by ingesting a corrosive substance 3 months earlier, which had an impact wight loss of 25 kg. Besides, he also experienced tenderness in the epigastric and left hypochondriac areas. The first endoscopic examination revealed esophageal stricture. In the second endoscopy, dilation was performed with balloon-controlled radial expansion (CRE) and showed a stricture in the pyloric sphincter and corrosive damage IIIA, according to Zargar's classification. Despite 14 times of endoscopic performed combined with dilation and Triamcinolone Acetonide injection, the esophageal and pyloric strictures recurrence occurred several times. Therefore, he was stenting into esophageal patent to keep the lumen diameter constant. Esophageal stricture is a complication of corrosive substance ingestion that requires lengthy treatment. Local steroids are less likely to cause challenges during esophageal dilatation than systemic or oral steroids. Corrosive substance ingestion negatively impacts the upper gastrointestinal system; one of the case is esophageal stricture, which requires lengthy management of lumen narrowing recurrence.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101171"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143911947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quadrimalleolar ankle fracture with syndesmosis disruption—a minimally invasive approach with arthroscopic repair of the anterior-inferior tibiofibular ligament (AITFL); a case report","authors":"Ming Hong Chau M.B.Ch.B., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed.,&nbsp;Ka Ki Stephanie Liu M.B.B.S., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed.","doi":"10.1016/j.tcr.2025.101173","DOIUrl":"10.1016/j.tcr.2025.101173","url":null,"abstract":"<div><div>We describe the case of a 61-year-old Chinese female who presented with a closed quadrimalleolar ankle fracture subluxation with avulsion fracture of anterolateral tibial rim along with disruption of the syndesmosis. The fibula fracture was fixed under minimally invasive approach with a fibula nail and the anterior-inferior tibiofibular ligament (AITFL) was repaired arthroscopically, together with fixation of the medial malleolus fracture. This is the first reported case in which a similar technique was used. At the 3-month follow-up, the fracture has healed completely with good cosmetic and clinical outcome.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101173"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bicycle impalement: A case series of penetrating handlebar injuries","authors":"Zoe Flyer ,&nbsp;John Schomberg ,&nbsp;Andreina Giron ,&nbsp;Laura F. Goodman","doi":"10.1016/j.tcr.2025.101163","DOIUrl":"10.1016/j.tcr.2025.101163","url":null,"abstract":"<div><h3>Introduction</h3><div>Bicycles are among the most common means of transportation and recreation in children, and significant contributor to trauma in the pediatric population. Handlebars remain the most common bicycle part responsible for injuries, though most are blunt trauma. Few studies exist about bicycle impalement, or penetrating handlebar injuries, in children. The objective of this study is an overview of the evaluation, treatment and associated outcomes of these rare injuries.</div></div><div><h3>Case presentations</h3><div>We review a total of 8 penetrating handlebar trauma cases in children at our pediatric trauma center over the course of 4 years. In the same time frame, our pediatric trauma center treated 2506 patients for bicycle-related trauma. Institutional review board (IRB) approval was obtained per protocol prior to the study. All 8 penetrating handlebar cases were secondary to impalement with the hand-brake portion of bicycle handlebars. Age, gender, immunization status, imaging, type of procedural intervention, medications given and outcomes at follow up visits are reviewed.</div></div><div><h3>Discussion</h3><div>All 8 cases reviewed were in male patients, median age 9. 6 patients presented with penetrating injuries to the lower extremity, and 2 patients with injuries to the abdomen. All 8 cases were up to date on immunizations and received a dose of intravenous antibiotics at presentation. Plain film radiographs and CT images were obtained based on patient's clinical findings, and type of procedural intervention pursued was ultimately provider-dependent. All 8 patients were discharged on oral antibiotics, and all were noted to be healing well without signs of infection at follow-up.</div></div><div><h3>Conclusion</h3><div>While rare, prompt recognition, evaluation and treatment of penetrating handlebar injuries in the pediatric population is imperative to improving clinical outcomes. Immediate evaluation includes patient's immunization status, decision to obtain imaging and operative intervention when indicated. Post-operative prophylactic antibiotics are not mandatory in cases of complete foreign body removal. Review of a larger number of penetrating handlebar cases could be pursued to further delineate best-practice protocols for this population.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101163"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing delayed union of fragility fractures of the pelvis successfully using romosozumab: A case report","authors":"K. Wada ,&nbsp;A. Tominaga ,&nbsp;M. Naruo ,&nbsp;K. Okazaki","doi":"10.1016/j.tcr.2025.101176","DOIUrl":"10.1016/j.tcr.2025.101176","url":null,"abstract":"<div><div>Fragility fractures of the pelvis (FFPs) are typically caused by minor trauma or without any trauma in older individuals with osteoporosis. In recent years, FFP incidence has increased considerably owing to the increasing number of individuals in the aging population as well as impaired daily life. Surgeries are the main treatment options for some types of FFPs; however, the potential of the use of romosozumab, an FDA-approved humanized monoclonal antibody that can bind and inhibit sclerostin, is yet to be evaluated. Romosozumab substantially increases bone mineral density (BMD) in the spine and the hip, improves bone strength, and prevents the occurrence of new fractures. Previous studies have demonstrated the efficacy of romosozumab in promoting fracture healing, including the healing of nonunion in some fractures. Herein, we present a case of a 61-year-old woman who had FFP delayed union, after falling 4 months before visiting our hospital. She presented with bilateral buttock and leg pain. Baseline BMD measured using dual-energy X-ray absorptiometry revealed a T-score of −3.8 and −3.2 for the lumbar spine and total hip, respectively. As the patient's BMD indicated a high risk of fractures, romosozumab was administered. Her pain improved 3 months after the medication. Computed tomography taken after 3 months revealed that the fracture had healed, suggesting that romosozumab is an effective medication for treating FFP delayed union and nonunion.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101176"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Augmented primary repair of chronic partial complex triceps brachii tear in a kabaddi player - a case report","authors":"Deepak Kumar Negi,&nbsp;Arjit Bansal,&nbsp;Tarkik Thami,&nbsp;Manoj Kumar Suthar,&nbsp;Tharun Teja Aduri","doi":"10.1016/j.tcr.2025.101169","DOIUrl":"10.1016/j.tcr.2025.101169","url":null,"abstract":"<div><div>Injury to the triceps brachii tendon is relatively rare (&lt;1 % of all tendon ruptures). Partial tears of triceps are seen in indirect injury mechanisms usually involving the superficial part of the muscle with intact deep medial head, which may require operative intervention in high-demand individuals.</div></div><div><h3>Case</h3><div>A 36-year-old right-handed athlete with chronic complex triceps tear with a history of anabolic steroid use managed operatively with augmented primary repair using fibre-wire with excellent outcome at 2-year follow-up. We describe a novel technique of using a transosseous fibre-wire to offload the repair and augment the repair by anconeus fascia transposition over the repair site.</div></div><div><h3>Conclusion</h3><div>Even with chronic triceps tear, primary repair with offloading is possible if ends can be approximated without tension and can give excellent outcomes.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101169"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A surgical technique of tibial tuberosity fracture fixation with one suture tape in a figure-of-eight configuration, as a tension band and a single cannulated partial-threaded screw","authors":"Angelo V. Vasiliadis ,&nbsp;Dimitrios Plakas ,&nbsp;Dimitrios Atmatzidis ,&nbsp;Rigas Santas","doi":"10.1016/j.tcr.2025.101179","DOIUrl":"10.1016/j.tcr.2025.101179","url":null,"abstract":"<div><div>Tibial tuberosity fractures are relatively uncommon injuries that typically present in adolescents with open physis and are caused by strong contraction of the quadriceps muscle. Isolated tibial tuberosity avulsion fractures are a rare type of fracture among adults, which can occur due to a direct blow to the tibial tuberosity. Existing literature on this fracture type is rich, with many techniques describing the effective fragment fixation of the tibial tuberosity including k-wires, cannulated screws, plates, tension band wire, knotless suture anchors, or a combination of these. The purpose of this technical note is to describe a technique for the treatment of small avulsion tibial tuberosity fractures using a suture tape in a figure-of-eight configuration as a tension band accompanying one cannulated partial-threaded screw. This technique provides a simple and reproducible method, which offers a stable construct, allowing early patient mobilization without risk of symptomatic hardware and possible re-operation.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101179"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abdominopelvic impalement with tree branch causing major vascular injury","authors":"Stevan Fairburn ,&nbsp;Adam Sturdivant ,&nbsp;James Hwang ,&nbsp;John B. Holcomb ,&nbsp;Jeffrey D. Kerby ,&nbsp;Janet Julson ,&nbsp;Jon Winkler ,&nbsp;W. Preston Hewgley","doi":"10.1016/j.tcr.2025.101181","DOIUrl":"10.1016/j.tcr.2025.101181","url":null,"abstract":"<div><div>This case report describes the management of a 45-year-old female who sustained an abdominopelvic impalement injury from a tree branch following a motor vehicle accident. The branch impaled the abdominal wall at the left lower quadrant and exited the patient's left posterior pelvis. The impaled object prevented supine positioning and disrupted the formulaic primary and secondary survey. While tempting to remove such an impaled object, surgical fundamentals dictate they be left in situ until surgical intervention. In this scenario, tamponade from the impaled object prevented catastrophic hemorrhage until vascular control was established in the operating room. The patient's physiology remained appropriate to begin reconstructive efforts at the index operation, minimizing the number of operations and ensuring the patient's long-term functionality. Management of this impaled object provides an example of how to manipulate the surrounding environment to optimize surgical approach when external factors prevent standard positioning.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101181"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Watch out your pins! Periprosthetic femoral fracture at tracking pin site early after robotic-assisted knee arthroplasty treated with dual nail-plate fixation","authors":"Jaime Sánchez del Saz ,&nbsp;Jaime Coderch Carretero ,&nbsp;Javier García Coiradas ,&nbsp;Rodrigo García Crespo","doi":"10.1016/j.tcr.2025.101182","DOIUrl":"10.1016/j.tcr.2025.101182","url":null,"abstract":"<div><div>Robotic-assisted orthopedic surgeries are gaining popularity due to several factors such as its potential for enhanced precision and alignment in prosthetic implant placement, as well as its better pain control and reduction in hospital stay time. However, complications such as pin-related periprosthetic fractures, though rare, highlight the importance of technical precision during pin placement and adequate postoperative monitoring.</div><div>We present the case of a 76-year-old obese female patient who presented to the Emergency Department with severe pain and deformity around the knee two months after robotic-assisted total knee arthroplasty following a fall from standing height. Radiographs revealed a displaced femoral periprosthetic fracture at tracking pin sites without associated implant instability. Surgical management involved combined nail-plate fixation, which promoted both early weight-bearing and functional recovery. At one year postoperatively, the patient achieved satisfactory fracture healing and functional outcomes, with a Knee Society Score of 92 and an EuroQol-5D index value of 0.78.</div><div>Combined nail-plate osteosynthesis, though more invasive compared to other fixation methods, could be an effective strategy for managing distal femoral fractures following robotic-assisted arthroplasty, especially in obese and elderly patients, due to its biomechanical advantages, supporting early mobilization and weight-bearing with reliable fracture healing.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101182"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}