Trauma Case Reports最新文献

{"title":"Delayed diagnosis of posterior tibialis tendon interposition in the distal tibiofibular and tibiotalar joints after open fracture-dislocation of the ankle joint: A case report with a 10-year follow-up","authors":"Shuya Nohmi,&nbsp;Taro Ogawa","doi":"10.1016/j.tcr.2025.101134","DOIUrl":"10.1016/j.tcr.2025.101134","url":null,"abstract":"<div><div>Irreducible ankle fracture–dislocations due to posterior tibialis tendon (PTT) interposition in the distal tibiofibular and tibiotalar joints are rarely reported, and their diagnoses are often missed and delayed. In addition, previous reports lacked a longer clinical follow-up period, and objective and subjective evaluations of such cases have not been reported.</div><div>A 22-year-old man sustained an open fracture–dislocation of the ankle joint associated with a distal third of the fibular shaft fracture and diastasis of the distal tibiofibular joint. After open reduction and fixation of the fibula and distal tibiofibular syndesmosis, malreduced distal tibiofibular syndesmosis and anterior subluxation of the talus persisted. Magnetic resonance imaging (MRI) revealed PTT interposition in the distal tibiofibular and tibiotalar joints. Open reduction of the PTT was performed, resulting in reduction of the distal tibiofibular syndesmosis and talus. At the 10-year follow-up, the patient showed a normal gait but complained of ankle pain. The clinical outcome using subjective evaluation showed a low score on a subscale related to sports activity compared to the other subscales.</div><div>It is difficult to diagnose PTT interposition in the distal tibiofibular and tibiotalar joints. However, based on the type of fracture and direction and degree of talar dislocation, a diagnosis can be made using computed tomography without MRI. It is important to evaluate clinical outcomes using both objective and subjective assessments because some disorders cannot be fully evaluated using conventional objective assessments.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"55 ","pages":"Article 101134"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053541","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":"A successful initial management of a penetrating head trauma in a rural district hospital: Case report","authors":"S. Kohpe Kapseu ,&nbsp;C.H. Esseme Ndjie ,&nbsp;V. Tchokonte-Nana","doi":"10.1016/j.tcr.2025.101128","DOIUrl":"10.1016/j.tcr.2025.101128","url":null,"abstract":"<div><div>Penetrating head trauma is the most fatal form of head injury. Although many cases of penetrating head trauma have been reported in the literature, its management remains complex, requiring a multidisciplinary team, which makes it a challenge in district hospitals where human resources and technical equipment are limited.</div><div>We aim to present a successful initial management of a case of penetrating head trauma in a rural district hospital before a transfer to a first category hospital. A 27-year-old man, smoker with no pathology history was involved in a road accident, falling from a motorbike without a helmet. In admission to our rural district hospital, the Glasgow Coma Scale during physical examination was 6/15 with bilateral mydriasis, haemodynamic distress and good saturation. A penetrating head injury was identified with profuse intracranial haemorrhage. Intracranial packing known in damage control neurosurgery to tamponade severe intracranial haemorrhage and which is a lifesaving neurosurgical manoeuvre was used. The patient was transferred unconscious to a first-category hospital, free of intubation and in a stable haemodynamic state. The post-operative period was marked by convulsive seizures, for which the patient was put on anticonvulsants with a good outcome. At rural district hospital level, when faced with a penetrating head trauma, the principles of neurosurgical damage control must be well-known in order to optimise the use of available resources.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"55 ","pages":"Article 101128"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053566","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":"A rare incidence of acute pulmonary embolism following surgical fixation of bilateral upper extremity fractures - A case report","authors":"Mohamed Zackariya ,&nbsp;Sanjana Nandakumar ,&nbsp;Dheenadhayalan Jayaramaraju ,&nbsp;Devendra Agraharam ,&nbsp;Rajasekaran Shanmuganathan","doi":"10.1016/j.tcr.2025.101133","DOIUrl":"10.1016/j.tcr.2025.101133","url":null,"abstract":"<div><h3>Case</h3><div>A 52-year-old male fell from his bike and sustained fractures of the right proximal humerus and the left distal radius, both of which were fixed in a single sitting a day after the injury. On postoperative day four, the patient developed features suggestive of acute pulmonary embolism.</div></div><div><h3>Conclusion</h3><div>Reports of acute pulmonary embolism developing after surgical fixation of bilateral upper extremity fractures are rare. A high index of suspicion especially in patients with predisposing risk factors is essential to identify the signs of a thromboembolic event and initiate appropriate intervention.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"55 ","pages":"Article 101133"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053564","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":"Revision quadriceps tendon repair: A case series and technique guide to a novel repair","authors":"Ellen Lutnick,&nbsp;Sophia Puertas,&nbsp;Mark Anders","doi":"10.1016/j.tcr.2025.101132","DOIUrl":"10.1016/j.tcr.2025.101132","url":null,"abstract":"<div><h3>Introduction</h3><div>Revision quadriceps tendon repair is a challenging problem. In this four-case series, novel quadriceps tendon revision resulted in improved range of motion and durable repair for patients with recurrent rupture.</div></div><div><h3>Methods</h3><div>Our technique includes a combination of a running locked #5 FiberWire or 2 mm SutureTape suture placed through parallel medial, lateral, and central drill holes in the patella with running Krackow-type quadriceps tendon repair medially and laterally resulting in four strands, delivering the vastus medialis and medial quadriceps tendon to an anatomic repair at the superior pole of the patella, with 2 sutures passed centrally and 1 each passed medially and laterally and then tied. Reinforcement is performed using a tibialis anterior tendon allograft with placement at the inferior pole of the patella starting superolaterally coursing lateral to medial through infrapatellar tendon. It is then threaded medially into the centrally repaired portion of the quadriceps tendon, and then back down to the lateral suprapatellar and lateral patellar retinaculum, giving three crossing strands. This is repaired with multiple interrupted 0 Vicryl mattress sutures. Immobilization postoperatively was dictated by patient's body habitus.</div></div><div><h3>Results</h3><div>Patient 1 was a 79-year-old obese man treated after two prior revision periprosthetic quadriceps repair procedures. He was immobilized in a knee immobilizer for 8 weeks postoperatively. He was revised for TKA instability at 6 months postoperatively, and one month later returned to the operating room for persistent hematoma; repair was noted to be intact. Patient 2 was a 39-year-old morbidly obese man who was revised after failure of one revision quadriceps repair. He was protected with an external fixator for 6 weeks. Patient 3 was a 49-year-old obese man who was treated with four revision quadriceps repair procedures over the course of 15 years. Postoperatively he was treated with a knee immobilizer. Patient 4 was a 71-year-old obese man who was treated after failure of one prior revision quadriceps repair procedure. He was casted postoperatively for one month. On final follow up, all patients were able to maintain straight leg raise, with functional range of motion and ambulation.</div></div><div><h3>Conclusion</h3><div>Revision quadriceps tendon repair using an anterior tibialis tendon allograft is a viable solution for obese patients with recurrent quadriceps tendon ruptures.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"55 ","pages":"Article 101132"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053544","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":"Breaking waves and cartilage: Surgical management of costal cartilage injuries in surfing-related trauma","authors":"Samy Bendjemil,&nbsp;Joseph D. Forrester","doi":"10.1016/j.tcr.2025.101129","DOIUrl":"10.1016/j.tcr.2025.101129","url":null,"abstract":"<div><div>Blunt thoracic trauma, often leading to rib fractures and costal cartilage injuries, is a significant cause of morbidity and mortality in trauma patients. Rib fractures, occurring in up to 40 % of cases, frequently accompany other injuries and are commonly diagnosed. Conversely, costal cartilage fractures are challenging to diagnose, often necessitating advanced imaging techniques, exist on a spectrum from a simple fracture to complete costal margin disruption, and are likely underreported. The mainstay of therapy for costal cartilage injuries is pain management, although for more displaced or symptomatic fractures open reduction and internal fixation may offer benefit. Our paper presents a case series of two patients with costal cartilage injuries resulting from surfing-related trauma. These cases describe a unique injury pattern in surfing and successful surgical intervention for mal-union and ossification of fractured costal cartilage. Our observations contribute to a growing body of literature describing this injury pattern and treatment of these costal cartilage injuries.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"55 ","pages":"Article 101129"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143178553","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":"Blunt thoracic aortic injury treated with thoracic endovascular aortic repair in hybrid emergency room: A case report","authors":"Mayo Kondo,&nbsp;Takeshi Nishimura,&nbsp;Saki Maemura,&nbsp;Shinichi Ijuin,&nbsp;Haruki Nakayama,&nbsp;Shigenari Matsuyama,&nbsp;Satoshi Ishihara","doi":"10.1016/j.tcr.2025.101124","DOIUrl":"10.1016/j.tcr.2025.101124","url":null,"abstract":"<div><h3>Background</h3><div>Hybrid emergency rooms (ERs) allow computed tomography (CT) scanning, interventional radiology, and surgery all in the same suite. Severe trauma patients with blunt thoracic aortic injury (BTAI) require rapid diagnosis and treatment. Hybrid ERs allow the potential for clinicians to implement multiple therapeutic procedures, including thoracic endovascular aortic repair (TEVAR), for these types of conditions without the need to transport the patients.</div></div><div><h3>Case presentation</h3><div>A 35-year-old man sustained multiple injuries after a motor vehicle accident and was transferred to our hospital in shock status. CT revealed a grade IV BTAI rupturing into the thoracic cavity and pelvic fracture. Soon after preperitoneal pelvic packing and transcatheter arterial embolization for pelvic fracture, TEVAR was performed in the hybrid ER without transporting the patient. The patient was transferred to a rehabilitation hospital on postoperative day 41.</div></div><div><h3>Conclusion</h3><div>Hybrid ERs enable clinicians to perform all life-saving procedures, including stent grafting for traumatic patients with aortic injuries, in the same place.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"55 ","pages":"Article 101124"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053538","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":"Ultrathin silver multilayer coating for cementless hip prostheses shows successful clinical outcome with good osseointegration after bilateral destructive septic arthritis of the hip - A case report","authors":"Alexander Grüner,&nbsp;Florian Baumann,&nbsp;Markus Rupp,&nbsp;Volker Alt","doi":"10.1016/j.tcr.2025.101126","DOIUrl":"10.1016/j.tcr.2025.101126","url":null,"abstract":"<div><div>This case report is about a 61-year-old patient with rapid destruction of both hip joints due to septic arthritis that was successfully treated with a staged implantation of silver-coated hip prostheses with an ultrathin silver multilayer coating. At a three-year follow-up, there were no signs of infection, a good state of all prosthetic components was noted and the functional outcome was excellent.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"56 ","pages":"Article 101126"},"PeriodicalIF":0.0,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429183","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":"A customized dynamic hip screw for valgus osteotomy in femoral neck nonunion with remarkable anatomy: A case report","authors":"Posatorn Suwanpongsai,&nbsp;Kongkhet Riansuwan","doi":"10.1016/j.tcr.2024.101119","DOIUrl":"10.1016/j.tcr.2024.101119","url":null,"abstract":"<div><div>We report the treatment of femoral neck nonunion in an adult female who has remarkable femoral neck anatomy. The initial fracture was treated by closed reduction and multiple screws incorporated pin fixation. Eventually, nonunion with implant loosening developed after about 10 following months. Therefore, trochanteric valgus osteotomy and dynamic hip screw fixation was determined to treat the nonunion. As a result of implant-anatomy mismatching, the customized lag screw was designed to compromise both of the particular anatomy and the ordinary side plate. The implant was manufactured using a Computer Numerical Control (CNC) machine. Finally, the nonunion and osteotomy site completely healed without complication.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"54 ","pages":"Article 101119"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747472","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":"Blunt trauma-induced complete esophageal avulsion: A case report on surgical intervention and clinical insights","authors":"Nathaniel Grabill ,&nbsp;Mena Louis ,&nbsp;Nicole Redenius ,&nbsp;Mariah Cawthon ,&nbsp;Brian Gibson","doi":"10.1016/j.tcr.2024.101117","DOIUrl":"10.1016/j.tcr.2024.101117","url":null,"abstract":"<div><div>Blunt esophageal injury is an exceptionally rare condition, with complete esophageal avulsion being almost unprecedented in adults. This case study details the clinical presentation, surgical management, and postoperative course of a 50-year-old male who sustained a complete esophageal avulsion following blunt abdominal trauma. The patient presented with increasing abdominal pain two hours after falling while stepping up onto a high truck step, striking his upper abdomen on the step. CT imaging revealed pneumomediastinum and pneumoperitoneum. Emergent exploratory laparotomy and thoracotomy uncovered a complete avulsion of the esophagus from the gastroesophageal junction. The surgical repair involved resection of the damaged esophagus and gastric cardia, an esophagogastric anastomosis using a 25 mm EEA stapler, and the creation of an omental pedicle flap. Postoperative management included antibiotic prophylaxis and intensive care monitoring.</div><div>Blunt traumatic esophageal injuries, although rare, pose significant diagnostic and therapeutic challenges due to their potential for severe complications such as mediastinitis, sepsis, and multi-organ failure. Prompt recognition of the injury through imaging and clinical assessment is essential for initiating timely surgical intervention. The surgical approach must be meticulously planned to address the complexity of the injury, often requiring a combination of thoracic and abdominal procedures. Additionally, the role of a multidisciplinary team, including surgeons, intensivists, and gastroenterologists, is crucial in managing both the immediate and long-term aspects of patient care. This case emphasizes the necessity for a comprehensive and coordinated treatment strategy to optimize outcomes. It highlights the importance of continued research and education in managing such rare and severe injuries.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"54 ","pages":"Article 101117"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747471","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":"13-year-old-male with a left open humerus fracture with concomitant intramuscular mid-substance biceps rupture: A case report","authors":"Neil Pathak,&nbsp;Xuan Luo,&nbsp;Matthew D. Riedel","doi":"10.1016/j.tcr.2024.101118","DOIUrl":"10.1016/j.tcr.2024.101118","url":null,"abstract":"<div><div>A 13-year-old male presented with an open left humeral shaft fracture with intramuscular distal biceps rupture after being struck by a car. He underwent washout, humerus fixation, and open biceps repair. Immediate postoperative course was complicated by deep infection and failure of biceps repair. He subsequently required two additional surgeries. One year later, he exhibited full, painless elbow range of motion and biceps strength. This case is the first to report an open humeral shaft fracture with concomitant intramuscular, mid-substance biceps rupture in a pediatric patient. This was successfully treated with a full functional recovery.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"54 ","pages":"Article 101118"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847675","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}