Trauma Case Reports最新文献

An intensive non-invasive protocol combining non-surgical spinal decompression and supportive physiotherapeutic modalities in the treatment of double-level disc herniation at L4-L5 and L5-S1: A case report 强化非侵入性方案结合非手术脊柱减压和支持物理治疗方式治疗L4-L5和L5-S1双水平椎间盘突出：1例报告

Trauma Case Reports Pub Date : 2025-06-05 DOI: 10.1016/j.tcr.2025.101214

Vincenzo Di Modica , Giuseppe J. Sciarrone

{"title":"An intensive non-invasive protocol combining non-surgical spinal decompression and supportive physiotherapeutic modalities in the treatment of double-level disc herniation at L4-L5 and L5-S1: A case report","authors":"Vincenzo Di Modica , Giuseppe J. Sciarrone","doi":"10.1016/j.tcr.2025.101214","DOIUrl":"10.1016/j.tcr.2025.101214","url":null,"abstract":"<div><h3>Background</h3><div>Given the low prevalence of multi-level disc herniations, robust clinical evidence for their management remains limited, particularly concerning non-invasive treatments, where data is nearly non-existent. However, an intensive therapeutic regimen centered on non-surgical spinal decompression (NSSD)<span><span><sup>1</sup></span></span>, augmented with supportive physiotherapy modalities, demonstrates promise in the non-invasive management of significant lumbar disc herniations, even when affecting multiple spinal levels concurrently.</div></div><div><h3>Case report</h3><div>A 46-year-old female patient presented with double-level disc herniations at the L4-L5 and L5-S1 segments. Following the failure of two conventional physiotherapy regimens, surgical intervention was advised as the sole treatment option. The patient, however, declined invasive surgery and opted for an intensive six-month program predominantly based on NSSD therapy. Magnetic resonance imaging scans taken after the initial onset of symptoms, prior to and two months after initiating the program, and one month following its completion, revealed significant improvements across all monitored parameters, including canal anteroposterior (AP)<sup>1</sup> length and area, disc AP length and area, and herniation index. These structural changes indicated an almost complete restoration of the canal surface and substantial reduction of herniation at both affected levels.</div></div><div><h3>Conclusions</h3><div>Even in patients with significant herniations at two different levels, substantial improvement can be achieved through a non-invasive approach. These findings underscore the effectiveness of an intensive treatment program utilizing NSSD therapy and offer a viable alternative for patients who are unable or unwilling to undergo surgical intervention.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101214"},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254960","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}

引用次数: 0

Continuous post-operative intra-compartmental pressure monitoring after tibial plateau fracture osteosynthesis under regional anesthesia during pregnancy: a case report 妊娠期区域麻醉下胫骨平台骨折植骨术后持续室内压监测1例

Trauma Case Reports Pub Date : 2025-06-04 DOI: 10.1016/j.tcr.2025.101211

Benoît Borner, Vanessa Morello, Axel Gamulin

引用次数: 0

Reconstruction with transiliac-transsacral screws and spinopelvic fixation for combined lumbar and sacral fractures: Two case reports 经髂-经骶螺钉重建及脊柱-骨盆内固定治疗腰椎骶骨合并骨折2例报告

Trauma Case Reports Pub Date : 2025-06-04 DOI: 10.1016/j.tcr.2025.101212

Ryo Ugawa , Tadashi Komatsubara , Yoshihiro Fujiwara , Yasuaki Yamakawa , Toshiyuki Matsumoto

{"title":"Reconstruction with transiliac-transsacral screws and spinopelvic fixation for combined lumbar and sacral fractures: Two case reports","authors":"Ryo Ugawa , Tadashi Komatsubara , Yoshihiro Fujiwara , Yasuaki Yamakawa , Toshiyuki Matsumoto","doi":"10.1016/j.tcr.2025.101212","DOIUrl":"10.1016/j.tcr.2025.101212","url":null,"abstract":"<div><div>We report two cases of combined lumbar vertebral and sacral fractures treated with minimally invasive reconstructive surgery comprising transiliac-transsacral (TITS) screws and spinopelvic fixation (SPF). Case 1 involved a 32-year-old Japanese male patient who fell and sustained multilevel vertebral and sacral fractures with anterior displacement and kyphosis and right pubic fracture. The patient was placed in the supine position and underwent closed reduction in the hyperextended supine position. A TITS screw was inserted at S1 and a cannulated screw was inserted in the right pubic ramus under navigation. The patient's body was then changed to the prone position. Two iliac screws were inserted on each side and percutaneous pedicle screws (PPS) were inserted from Th11 to L4 under navigation. We performed percutaneous rod placement and connected the screws. Postoperative computed tomography (CT) showed no deviation of the screws from the bone and acceptable sacral deformity reduction. Case 2 involved an 83-year-old Japanese female patient who fell and sustained L5 vertebral and fragile sacral fractures. The patient was placed in the prone position, and TITS screw insertion was performed at S1 and S2 under navigation. Iliac screws were inserted on each side and PPS were inserted at the L3 and L4 vertebrae under navigation. Postoperative CT revealed no deviation of the screws from the bone. TITS screw placement and SPF allow minimally invasive reduction and reconstruction of unstable pelvic ring injuries with lower lumbar vertebral and sacral fractures.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101212"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242234","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}

引用次数: 0

Management of traumatic degloving injury of the dorsal aspect of the midfoot and ankle: A case report 中足和踝关节背侧外伤性脱手套损伤的处理：1例报告

Trauma Case Reports Pub Date : 2025-06-04 DOI: 10.1016/j.tcr.2025.101213

Omar Mourafiq , Abdellatif Benbouha , Hicham Salahi , Omar Mergad

{"title":"Management of traumatic degloving injury of the dorsal aspect of the midfoot and ankle: A case report","authors":"Omar Mourafiq , Abdellatif Benbouha , Hicham Salahi , Omar Mergad","doi":"10.1016/j.tcr.2025.101213","DOIUrl":"10.1016/j.tcr.2025.101213","url":null,"abstract":"<div><div>Traumatic degloving injuries of the foot and ankle are severe, relatively rare lesions often resulting from high-energy mechanisms such as ejections in road traffic accidents. These injuries present significant challenges in both immediate management and long-term functional and aesthetic reconstruction. The involvement of severe soft tissue damage, neurovascular compromise, and potential joint involvement increases the risk of complications that can negatively impact clinical outcomes and patient quality of life. This case report details the management of a 32-year-old male who sustained extensive degloving injuries to the left foot and ankle following a motor vehicle ejection. Initial assessment revealed soft tissue damage, mediotarsal dislocation, and bone loss. Despite considering amputation due to the severity of the injury, a limb-salvage approach was chosen. Emergency surgical intervention included wound debridement, bone stabilization with Kirschner wires, and a rotational flap for soft tissue coverage. Postoperative complications included necrosis, which required negative pressure wound therapy and skin grafting. Two years after the accident, the injury site had fully healed, with the patient achieving satisfactory functional and aesthetic outcomes. The patient was able to walk independently for two kilometers with minimal discomfort and had an AOFAS Midfoot Score of 72/100. This case underscores the importance of early multidisciplinary management, careful therapeutic decision-making, and comprehensive long-term follow-up to optimize recovery in complex traumatic foot and ankle injuries.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101213"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230597","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}

引用次数: 0

Proximal tibiofibular dislocation with multiligament-knee injury: a case report 胫腓骨近端脱位伴多韧带膝关节损伤1例

Trauma Case Reports Pub Date : 2025-06-04 DOI: 10.1016/j.tcr.2025.101210

Daniel Gaitan Vargas, Cristian Camilo Fajardo Cantillo, Oriana Pérez Gibson

{"title":"Proximal tibiofibular dislocation with multiligament-knee injury: a case report","authors":"Daniel Gaitan Vargas, Cristian Camilo Fajardo Cantillo, Oriana Pérez Gibson","doi":"10.1016/j.tcr.2025.101210","DOIUrl":"10.1016/j.tcr.2025.101210","url":null,"abstract":"<div><div>Proximal tibiofibular dislocations are extremely rare, accounting for less than 1 % of knee injuries. They can present in isolation as a result of athletic participation or in combination with bony or ligamentous injuries, frequently associated with tibial shaft or proximal tibial fractures caused by high-energy trauma, such as motor vehicle accidents. A cohort study with a sample of 129 knees reports a 9 % incidence of proximal tibiofibular instability in patients with multiligament-knee injurie. Multiligament-knee injuries are also uncommon, primarily resulting from high-energy trauma, posing a challenge for the surgeon, and requires a meticulous clinical evaluation and surgical planning to achieve satisfactory outcomes. This is a retrospective descriptive study based on the collection of clinical data from a patient who was a victim of a motor vehicle accident with proximal tibiofibular dislocation involving the posterior cruciate ligament and posterolateral corner, who underwent a single-stage surgical intervention to ensure early functional rehabilitation. The significance of this case lies in the fact that it represents the second reported case of a proximal tibiofibular dislocation with multiligament-knee injury without other associated injuries, in addition to being a recent case reported ten years after the last similar publication.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101210"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518553","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}

引用次数: 0

Anaesthesia for proximal femoral nailing in a patient with “Rosai Dorfman disease” with prior laryngotracheal reconstruction - Not all rosy as it seems 曾进行喉气管重建的“Rosai Dorfman病”患者股骨近端髓内钉麻醉-并非所有的麻醉都像看起来那样美好

Trauma Case Reports Pub Date : 2025-05-30 DOI: 10.1016/j.tcr.2025.101197

Ashna Shetty, Megha Thaleppady, Priyanka Mahanta, Shilpa A Naik, Akanksha Chouhan

引用次数: 0

An Indian Gaur (Bos gaurus) Gores in the Western Ghats-A case report 一只印度野牛在西高止山脉栖息——一例报告

Trauma Case Reports Pub Date : 2025-05-28 DOI: 10.1016/j.tcr.2025.101201

Freston Marc Sirur , Priya Dugani , Neeraja A. Nair , Sudiksha , Vrinda Lath

引用次数: 0

Osteotomy for distal tibial varus secondary to physeal arrest: A case report 截骨术治疗继发骨骺停止的胫骨远端内翻1例

Trauma Case Reports Pub Date : 2025-05-28 DOI: 10.1016/j.tcr.2025.101190

Omar Bensitel, Yousra Nabili, Saad El Adaoui, Abdeljebbar Messoudi, Mohammed Rahmi, Mohammed Rafai