Trauma Case Reports最新文献

{"title":"“Preventing nail migration by stack nailing in forearm fractures” - A technical note","authors":"Yogesh Sharad Salphale ,&nbsp;Aman Tomar ,&nbsp;Vikrant G. Salphale ,&nbsp;Atharva R. Sharma ,&nbsp;Gopal Shinde","doi":"10.1016/j.tcr.2024.101003","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101003","url":null,"abstract":"<div><p>Diaphyseal forearm fractures are typically treated with open reduction and plate fixation, which has been proven to be the most effective method in numerous trials. However, the risk of periosteal stripping, haemorrhage evacuation, nonunion, and infection is always present and may cause a delayed union and other surgical consequences. Although intramedullary nails have been mentioned in the literature for forearm bone fractures, issues regarding their common complication of nail migration, especially of the ulnar fracture, before the fracture has been consolidated is an issue, and has not been addressed.</p><p>We describe a case of IM nail migration of Ulna who presented to us, during the follow up, before the fracture had consolidated.</p><p>The procedure described is short and consistent with the outstanding cosmetic and functional results.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000268/pdfft?md5=0fb33dd05232d58c19de283641c175b8&pid=1-s2.0-S2352644024000268-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140534961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Closed medial subtalar dislocation: A case report and literature review","authors":"Amine El Farhaoui,&nbsp;Mohamed Maroc,&nbsp;Zakaria Khatab,&nbsp;Anass Sefti,&nbsp;Mbainaidara Debonheur,&nbsp;Adnane Lachkar,&nbsp;Najib Abdeljaouad,&nbsp;Hicham Yacoubi","doi":"10.1016/j.tcr.2024.101009","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101009","url":null,"abstract":"<div><p>Subtalar dislocation is characterized by simultaneous dislocation of the subtalar (talocalcaneal) and talonavicular joints, hence the name talocalcaneonavicular. These lesions can be grouped into four distinct categories: anterior and posterior, which are exceptional, lateral and medial. Medial subtalar dislocations are more frequent, are due to low-energy trauma and generally have good functional results. Anatomical reduction and stabilization of the subtalar joint and optimal management of all associated foot injuries are the key to good results.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000323/pdfft?md5=5f7e62068284593c2e1b7a71b03fcabe&pid=1-s2.0-S2352644024000323-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140540658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suspected gluteal compartment syndrome: Etiology predicts clinical course, outcomes and resource utilization","authors":"Alicia M. Williams,&nbsp;Suman Medda,&nbsp;Meghan K. Wally,&nbsp;Rachel B. Seymour,&nbsp;Alexander Hysong,&nbsp;Amber Stanley,&nbsp;Givenchy Manzano,&nbsp;Joseph R. Hsu","doi":"10.1016/j.tcr.2024.101017","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101017","url":null,"abstract":"<div><h3>Background</h3><p>Gluteal Compartment Syndrome (GCS) is a rare subtype of acute compartment syndrome (ACS), complex to diagnose and potentially fatal if left untreated. The incidence of ACS is estimated to be 7.3 per 100,000 in males and 0.7 per 100,000 in females [1–3]. Given its rare occurrence, the incidence of GCS is not well reported. In the case of GCS, the most common etiologies are surgical positioning, prolonged immobilization secondary to substance use or loss of consciousness, and traumatic injury. Clinical findings are pulselessness, pallor, parasthesia, paralysis, and most notably pain out of proportion. Swift diagnosis and treatment are imperative to reduce morbidity and mortality, however the ideal management of GCS is difficult to ascertain given the rare occurrence and variable presentation.</p></div><div><h3>Methods</h3><p>Orthopaedic trauma database at a level 1 trauma center was reviewed to identify patients for whom the orthopaedic service was consulted due to suspicion of gluteal compartment syndrome. This yielded 11 patients between 2011 and 2019. Patients with a measured ΔP greater than 30 upon initial consultation and with a concerning exam requiring monitoring were included. Patient demographics, comorbidities, GCS etiology, laboratory values, physical exam findings, pain scores (0−10) and patient outcomes were collected via chart review. Patient demographic and injury characteristics were summarized using descriptive statistics.</p></div><div><h3>Results</h3><p>Prolonged immobilization patients had worse outcomes including longer hospital stays (40.5 days) compared to trauma patients (4.5 days). All adverse medical outcomes recorded including acute renal failure, prolonged neuropathic pain, cardiopulmonary dysfunction were exclusively experienced by prolonged immobilization patients.</p></div><div><h3>Conclusions</h3><p>Our descriptive study demonstrates the bimodal distribution of GCS patients based on etiology. Prolonged immobilization patients have a longer hospital course and more complications. Our study confirms prior reports and provides information that can be used to counsel patients and families appropriately about treatment and recovery following GCS.</p></div><div><h3>Level of evidence</h3><p>IV.</p></div><div><h3>Study type</h3><p>Epidemiological.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000402/pdfft?md5=c06d227a765c4c397fa3e24afafadc3c&pid=1-s2.0-S2352644024000402-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140344984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transabdominal impalement injury by an iron pipe - A case report","authors":"Yuki Itagaki ,&nbsp;Nagato Sato ,&nbsp;Ritsu Ohmine ,&nbsp;Takuya Ikushima ,&nbsp;Tsukasa Kaneko ,&nbsp;Tomohide Shirosaki ,&nbsp;Hironori Tanaka ,&nbsp;Hirofumi Morimoto ,&nbsp;Naoya Fukuda ,&nbsp;Yasuaki Iimura ,&nbsp;Satoshi Hirano","doi":"10.1016/j.tcr.2024.101010","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101010","url":null,"abstract":"<div><p>Impalement injuries are rare and complex problems, often involving multiple organ injuries. An 18-year-old male was admitted to our emergency department after a car accident. Positioned in the right-side recumbent position, he had a 4.5 cm diameter pipe penetrating from his left abdomen to his back. Given the pipe's length exceeding the CT gantry's capacity, further imaging tests were not feasible. Consequently, the patient proceeded directly to the operating room without preoperative imaging. Before laparotomy, a left thoracotomy was conducted for aortic cross-clamping, anticipating uncontrollable bleeding during pipe removal. The subsequent laparotomy, with the patient in the right-side recumbent position, revealed the pipe impaling through the mesentery of the descending colon without evident major vessel injury. The pipe was cautiously extracted. The patient was subsequently discharged on day 26. The absence of imaging feasibility emphasized that current hemodynamic stability does not rule out the potential for significant vessel injury. Therefore, the sequential approach of left thoracotomy for aortic cross-clamping followed by laparotomy emerges as a potentially beneficial strategy in cases of transabdominal impalement. The impalement injury requires our preparedness and flexibility, which should be tailored to the individual case.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000335/pdfft?md5=99f32d85ad98237bb2266f24b98e68b5&pid=1-s2.0-S2352644024000335-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140346798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transdiaphragmatic intercostal herniation in the setting of trauma","authors":"Joshua Ho,&nbsp;Abigail W. Cheng,&nbsp;Noam Dadon,&nbsp;Paul J. Chestovich","doi":"10.1016/j.tcr.2024.101016","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101016","url":null,"abstract":"<div><p>Transdiaphragmatic intercostal herniation is a rare injury that can be associated with blunt trauma. Since its first documentation within the literature in 1946, there have been less than 50 cases reported. We present a case involving a 56-year old female who presented to our Trauma Center with transdiaphragmatic intercostal herniation caused by blunt trauma from a high-velocity T-bone vehicular collision. Upon presentation, she exhibited bilateral breath sounds; however, with labored breathing, chest pain, and hypoxia. The initial chest radiograph interpretation indicated the presence of “left lower lobe infiltrates”, and subsequent computed tomography imaging identified “a small lateral hernia along the left mid abdomen”. After initial resuscitation, her condition deteriorated, exhibiting respiratory distress and becoming increasingly hypercarbic, requiring intubation. Review of the imaging showed disruption of the left hemidiaphragm with intrathoracic herniation of colon and stomach through the thoracic wall between the ninth and tenth ribs. Consequently, a thoracotomy was performed in the operating room, revealing a large defect between the two ribs with disruption of the intercostal muscles and inferior displacement of rib space. Lung and omentum had herniated through the disrupted rib space and the diaphragmatic rupture was attenuated anteriorly, measuring 11x6cm. After reduction of the herniated organs, a biologic porcine mesh was placed and an intermediate complex closure of the thoracic wall hernia was performed. The patient was later extubated, recovered from her injuries with no complications and was discharged. With the low incidence of transdiaphragmatic intercostal herniation, there is no standardized surgical management. Recent literature suggests that these injuries should be managed with mesh, rather than sutures only, due to high rates of recurrence. Furthermore, diaphragmatic injuries may suffer a delay in diagnosis. Therefore, a high index of suspicion should be maintained in patients with respiratory distress following a blunt trauma, with close review of computed tomography.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000396/pdfft?md5=514d1e67486899345dc229f8f81c67ac&pid=1-s2.0-S2352644024000396-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140545823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stepping into the Unknown: Unveiling the Rarity of PCL Fracture-Avulsions","authors":"Yassine Ben Bouzid,&nbsp;Rida-Allah Bassir,&nbsp;Monsef Boufettal,&nbsp;Jalal Mekkaoui,&nbsp;Mohamed Kharmaz,&nbsp;Moulay Omar Lamrani,&nbsp;Mohamed Saleh Berrada","doi":"10.1016/j.tcr.2024.101012","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101012","url":null,"abstract":"<div><p>Tears of the posterior cruciate ligament (PCL) are rare, and avulsion fracture of the tibial attachment of the posterior cruciate ligament is even rarer. These injuries usually occur in accidents such as car crashes, causing acute pain, swelling as well as total functional impotence of the knee. Studies on the incidence of these injuries show variable results, but there appears to be an upward trend. The surgical management of PCL avulsion fracture is not clearly established, although arthroscopic techniques are becoming more popular due to their potential benefits. However, some medical centers may have limited access to these methods, thus preferring open surgery options. A case of LCP avulsion fracture in a 36-year-old female patient was reported, and surgery was successfully performed, leading to full recovery after six months with full knee mobility and posterior stability.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000359/pdfft?md5=89119655e39427b656d80f2e1ac6fdb5&pid=1-s2.0-S2352644024000359-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140346799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-traumatic pseudoaneurysm of the descending aorta","authors":"Izadmehr Ahmadinejad ,&nbsp;Mojtaba Ahmadinejad ,&nbsp;Ali Soltanian ,&nbsp;Yasmina Ahmadinejad ,&nbsp;Alireza Shirzadi ,&nbsp;Pouria Chaghamirzayi","doi":"10.1016/j.tcr.2024.101011","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101011","url":null,"abstract":"<div><p>High-energy deceleration injuries of the thoracic aorta are associated with high mortality. But among long term survivors, just 2 %–5 % of traumatic aortic injuries fail initial detection and are discovered later (Pozek et al., 2012 [1]). We present a rare case of pseudoaneurysm of the descending aorta in a female with a history of chest blunt trauma 45 days before who presented with chronic severe cough and vocal hoarseness that was treated with endovascular intervention in our center.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000347/pdfft?md5=9e0635312ab92b7f360a7fa32eec74e1&pid=1-s2.0-S2352644024000347-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140350265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thoracolumbar fracture-dislocation in a two-year-old female child following child abuse: A case report and literature review","authors":"Nilesh Barwar,&nbsp;Param Jit Singh,&nbsp;Tarun Goyal,&nbsp;Pankaj Kumar Sharma,&nbsp;Sanjay Jain,&nbsp;Lakshman Das","doi":"10.1016/j.tcr.2024.101014","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101014","url":null,"abstract":"<div><p>Child abuse is a matter of serious concern that can often result in devastating injuries. Incidence of spinal injuries from child abuse has been reported in &lt;1–3 % of spinal injury cases. In the present study, a case of thoracolumbar translational injury (AO type C) is presented following an incidence of child abuse in a 2-year-old female. After successful management with operative fixation, the child showed a remarkable recovery in her neurological function with ambulatory power.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000372/pdfft?md5=ad6116d03490eddf1dbeca06dc71b08b&pid=1-s2.0-S2352644024000372-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140540659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Induced membrane technique using beta-tricalcium phosphate for reconstruction of clavicle bone defect after fracture related infection - A case report","authors":"Kunihiko Arakawa,&nbsp;Yoshinobu Watanabe,&nbsp;Gen Sasaki,&nbsp;Hirotaka Matsuura,&nbsp;Mari Nishizawa,&nbsp;Akifumi Honda,&nbsp;Natsumi Saka,&nbsp;Hirotaka Kawano","doi":"10.1016/j.tcr.2024.101013","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101013","url":null,"abstract":"<div><p>The induced membrane technique (IMT) is among the most innovative reconstructive methods for clavicle defects after fracture-related infection (FRI). Herein, we report a case in which a clavicle bone defect after FRI was reconstructed with an autogenous cancellous bone graft mixed with β-tricalcium phosphate (β-TCP) in the second stage of the IMT. A 62-year-old male patient with left clavicle fracture underwent open reduction and internal fixation. Refracture occurred immediately after the implant was removed. The patient was diagnosed with FRI after reopen reduction and internal fixation and was then referred to our hospital. The surgery was performed using the IMT. In the second stage of the IMT, the bone defect was filled with an autogenous cancellous bone mixed with wool-type β-TCP. At 8 months after surgery, the nonunion area had fused, and the patient had no restrictions in activities of daily living. The IMT with β-TCP can be a reconstructive method for bone defects after clavicular nonunion.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000360/pdfft?md5=eabbbf8d03e116aa6fbd6f17f7216b98&pid=1-s2.0-S2352644024000360-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140346800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isolated anterior dislocation of the radial head (case report)","authors":"ZIED MANSI ,&nbsp;Chamakh Mohsen ,&nbsp;Saadana Jacem ,&nbsp;Chermiti Wajdi ,&nbsp;Zaidi Bacem ,&nbsp;Haggui Ali","doi":"10.1016/j.tcr.2024.101015","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101015","url":null,"abstract":"<div><p>We report the case of an isolated post traumatic radial head dislocation in a 5 year old child. Clinical examination and the X ray results allow the diagnosis which can be unnoticed. The reduction by external maneuvers avoids the surgical treatment which remains the gold standard for chronic dislocation.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000384/pdfft?md5=b27f7cd483a60e6286086e1dfabf2444&pid=1-s2.0-S2352644024000384-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140350885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}