Phi Duong Nguyen, Tien Minh Nguyen, Phuoc Thien Mai, Dinh Quang Truong
{"title":"Comprehensive management of severe crush injury in a pediatric patient: A case report","authors":"Phi Duong Nguyen, Tien Minh Nguyen, Phuoc Thien Mai, Dinh Quang Truong","doi":"10.1016/j.tcr.2024.101098","DOIUrl":"10.1016/j.tcr.2024.101098","url":null,"abstract":"<div><p>This case report presents the management of a severe crush injury in a 7-year-old male patient. The injury occurred following entrapment in a concrete mixer, resulting in extensive soft tissue trauma and vascular compromise. Prompt surgical intervention, including meticulous debridement and vascular reconstruction, was undertaken to optimize outcomes. Postoperative care involved serial debridement, negative pressure wound therapy, and subsequent skin grafting. Reconstructive procedures aimed to enhance hand function, yielding satisfactory outcomes at the three-month follow-up. This case underscores the importance of a multidisciplinary approach in managing pediatric crush injuries and highlights the role of collaborative care in optimizing outcomes.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"54 ","pages":"Article 101098"},"PeriodicalIF":0.0,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024001213/pdfft?md5=f4a1c10f330f07136ef252438a82cac1&pid=1-s2.0-S2352644024001213-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142232278","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}
Pierre Emmanuel Moreau, Ali Bokhari, Sarah El Yahiouni, Quentin Manach, Peter Upex, Guillaume Riouallon
{"title":"Pubic symphysis tethering technique under endoscopic approach for treatment of pelvic open-book injury: A cadaver study","authors":"Pierre Emmanuel Moreau, Ali Bokhari, Sarah El Yahiouni, Quentin Manach, Peter Upex, Guillaume Riouallon","doi":"10.1016/j.tcr.2024.101107","DOIUrl":"10.1016/j.tcr.2024.101107","url":null,"abstract":"<div><h3>Purpose</h3><p>Pubic symphysis disruption is common in pelvic trauma. Open reduction and internal fixation with a plate is the gold standard technique. Despite increasing interest in an endoscopic approach, the challenges of specific endoscopic instrumentation, reduction and fixation remains. In this feasibility cadaveric study, we aimed to describe a novel endoscopic technique of fixation of pubic symphysis disruption with a spinal vertebral tethering system.</p></div><div><h3>Methods</h3><p>Endoscopic pubic symphysis fixation with the tethering method was performed on a female cadaver specimen as well as an artificial pelvic model.</p></div><div><h3>Results</h3><p>We describe a step-by-step technique where three abdominal portals were utilized in order to insert screws in the pubic body and superior pubic ramus under endoscopic visualization. The synthetic tether ligament was introduced through a lateral portal and fixed and tensioned to reduce and compress the pubic symphysis.</p></div><div><h3>Conclusions</h3><p>While open plate fixation is the current gold standard of pubic symphysis disruption there is increasing interest in the minimally invasive endoscopic approach. In this feasibility cadaveric study, we present a new minimally invasive endoscopic fixation method to treat pubic symphysis disruption with a synthetic ligament.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"54 ","pages":"Article 101107"},"PeriodicalIF":0.0,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024001304/pdfft?md5=61a0cc1ecadae6e6131fc93bd082767b&pid=1-s2.0-S2352644024001304-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142232487","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}
Mark Fitzgerald , Tuan Phan , Sarah Fitzgerald , Yuewei Xiao , Madeline Green , Cecil Johnny , Joseph Mathew , Robert Gocentas , Warren Clements
{"title":"Bladder inflation to reduce hemorrhage secondary to a pelvic fracture","authors":"Mark Fitzgerald , Tuan Phan , Sarah Fitzgerald , Yuewei Xiao , Madeline Green , Cecil Johnny , Joseph Mathew , Robert Gocentas , Warren Clements","doi":"10.1016/j.tcr.2024.101105","DOIUrl":"10.1016/j.tcr.2024.101105","url":null,"abstract":"<div><div>Bladder inflation may be a temporizing measure to tamponade pelvic bleeding in select trauma cases to bridge the patient to definitive interventions. Ultrasonographic confirmation of an intact bladder with an adjacent pelvic haematoma in a shocked adult with pelvic fracture is used for subject selection. An illustrative example of physiologic and interventional radiological control of pelvic bleeding following bladder inflation with sterile saline is presented.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"54 ","pages":"Article 101105"},"PeriodicalIF":0.0,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024001286/pdfft?md5=3ef6c3c077a8bf5d3f7c55c79c468a37&pid=1-s2.0-S2352644024001286-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311608","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}
Brett Biedermann, Will Hill, William J. Karakash, Ioanna K. Bolia, George F. Rick Hatch III
{"title":"Bilateral patellar tendon repair with suture bridge augmentation: A case report","authors":"Brett Biedermann, Will Hill, William J. Karakash, Ioanna K. Bolia, George F. Rick Hatch III","doi":"10.1016/j.tcr.2024.101097","DOIUrl":"10.1016/j.tcr.2024.101097","url":null,"abstract":"<div><p>We describe the case of a 37-year-old male who presented with simultaneous bilateral patellar tendon rupture without any associated risk factors. Additionally, this is the first reported use of the suture bridge technique with patellar and tibial suture anchors in repairing bilateral proximal patellar tendon rupture. At 12-month follow-up, the patient had normal alignment, no effusion, and symmetric quadriceps strength.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"54 ","pages":"Article 101097"},"PeriodicalIF":0.0,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024001201/pdfft?md5=1b200dd570597092c4fa75a02e906291&pid=1-s2.0-S2352644024001201-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233635","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}
Jordyn D. Williams , Jonathan D. Gates , Alfred J. Croteau
{"title":"Rapid-onset cerebral fat embolism syndrome leading to brain death: A case report","authors":"Jordyn D. Williams , Jonathan D. Gates , Alfred J. Croteau","doi":"10.1016/j.tcr.2024.101109","DOIUrl":"10.1016/j.tcr.2024.101109","url":null,"abstract":"<div><h3>Background</h3><div>Fat Embolism Syndrome (FES) is a rare clinical phenomenon attributed to fat droplet embolization and subsequent multisystem organ failure, typically following traumatic orthopedic injury. It classically presents with hypoxemia, transient neurologic deficits, and skin changes that appear a day or more after the initial insult. Its exact mechanism remains unclear, although the mechanical obstruction of capillaries or production of toxic intermediaries following fat hydrolysis and extravasation of marrow have been described. Here, we present a new case of cerebral FES with symptom onset within 12 h and brain death within 48 h.</div></div><div><h3>Patient</h3><div>A 22-year-old male with multiple orthopedic fractures developed Fat Embolism Syndrome with neurological and respiratory symptoms within 12 h of presentation.</div></div><div><h3>Results</h3><div>The patient developed intractable cerebral edema and hypernatremia leading to brain death within 48 h.</div></div><div><h3>Conclusion</h3><div>Diffuse fat emboli can lead to rapid development of fatal cerebral edema even in the absence of anatomical shunts. MRI is the superior modality to detect FES and should be pursued early in patients with risk factors or clinical signs of neurologic involvement.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"54 ","pages":"Article 101109"},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142425232","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}
Vo Anh Vinh Trang , Nguyen Hai Dang Le , Dai Thanh Sang Nguyen , Phuc Hai Duong , Thien Tan Tri Tai Truyen , Vu Phuong Do
{"title":"Delayed bladder rupture following blunt trauma: A case report and literature review","authors":"Vo Anh Vinh Trang , Nguyen Hai Dang Le , Dai Thanh Sang Nguyen , Phuc Hai Duong , Thien Tan Tri Tai Truyen , Vu Phuong Do","doi":"10.1016/j.tcr.2024.101110","DOIUrl":"10.1016/j.tcr.2024.101110","url":null,"abstract":"<div><p>Delayed bladder rupture, rare condition following trauma, can result from primary laceration or secondary rupture at the lesion site in the bladder wall. Delayed treatment increases mortality. We report the case of a 43-year-old female who presented with an 8-day history of blunt trauma and a 2-day abdominal discomfort. After using point-of-care ultrasound for abdominal paracentesis to confirm the diagnosis, the patient was transferred to the operating room to suture the ruptured bladder. After nine days, she was discharged free of symptoms. This case report and literature review stress the importance of prompt and appropriate intervention for delayed bladder rupture.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"54 ","pages":"Article 101110"},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235264402400133X/pdfft?md5=3d83b9f708ea85fee9f327d7aacec7cf&pid=1-s2.0-S235264402400133X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142240703","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":"Traumatic thyrohyoid membrane rupture with hyolaryngeal separation due to strangulation injury","authors":"Anna Lawrence , Shannon Kraft","doi":"10.1016/j.tcr.2024.101085","DOIUrl":"10.1016/j.tcr.2024.101085","url":null,"abstract":"<div><h3>Background</h3><p>Cervical injuries due to hanging have a high mortality rate. Survivors may present for care with subtle symptoms that belie potentially life-threatening injuries to vital structures of the neck.</p></div><div><h3>Case report</h3><p>We report a case of a 39-year-old male admitted to the Intensive Care Unit following attempted self-strangulation. Alert and clinically stable, his primary symptoms were pain and voice changes. His external exam was remarkable only for a cervical ligature mark and subcutaneous emphysema on palpation. CT imaging demonstrated disruption of the infrahyoid strap muscles and displacement of the hyoid and epiglottis superiorly. Subsequent flexible laryngoscopy by the Otolaryngology-Head & Neck Surgery (OTO-HNS) team revealed avulsion of the epiglottis from the thyroid cartilage and disruption of the aryepiglottic folds/false cord mucosa, resulting in an open wound into the soft tissues of the anterior neck. The airway was secured in the operating room via fiberoptic nasotracheal intubation. A tracheostomy was performed. Neck exploration revealed transection of the anterior strap muscles and thyrohyoid membrane. The wound was repaired in layers via a modified thyrohyoidopexy. At one-month follow-up, the patient was successfully decannulated and tolerating a regular diet.</p></div><div><h3>Conclusion</h3><p>Evaluation and management of head and neck trauma requires a systematic approach and thorough evaluation, as potentially life-threatening injuries can present subtly. Swift establishment of safe airway, when needed, and prompt repair of laryngeal injuries is essential to optimal functional recovery.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"53 ","pages":"Article 101085"},"PeriodicalIF":0.0,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024001080/pdfft?md5=70d32b7b35ba1f47b9fc92e58bbdb826&pid=1-s2.0-S2352644024001080-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141962324","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}
Alfonso Queipo-de-Llano , Jorge Mariscal Lara , Antonio Leiva Gea , Borja Delgado-Rufino
{"title":"Femoral component retention in Rorabeck type III periprosthetic knee fracture with plating fixation and bone cement augmentation. A new surgical technique and four cases reported","authors":"Alfonso Queipo-de-Llano , Jorge Mariscal Lara , Antonio Leiva Gea , Borja Delgado-Rufino","doi":"10.1016/j.tcr.2024.101084","DOIUrl":"10.1016/j.tcr.2024.101084","url":null,"abstract":"<div><p>Although dual implant constructs have recently been explored with promising results in very distal periprosthetic femur fractures (PPKF), the gold standard treatment of Rorabeck and Taylor type III PPKF remains a distal femur replacement or a highly constrained rotating hinge implant. However, this surgery is very aggressive and expensive for functionally low-demanding elderly patients. A new surgical technique using locking plates with polymethyl methacrylate cement augmentation is described to retain the femoral component avoiding its replacement. Four patients were treated and followed up for more than one year postoperative without any complications, their femoral component was retained without any loosening and the mobility in the Barthel Index remained unchanged.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"53 ","pages":"Article 101084"},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024001079/pdfft?md5=6b9a33dd33598b71d7a76491a90a22c8&pid=1-s2.0-S2352644024001079-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141950015","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":"Periprosthetic radius fracture after total wrist arthroplasty: A case report","authors":"Ryan Quinn, Matthew Robinson","doi":"10.1016/j.tcr.2024.101089","DOIUrl":"10.1016/j.tcr.2024.101089","url":null,"abstract":"<div><p>Total wrist arthroplasty (TWA) is indicated in select low demand patients with pan-carpal arthritis to decrease pain and preserve motion. Complications of TWA are well described including aseptic loosening, superficial and deep infection, wound issues, component dislocation, stiffness, and both intraoperative and post-operative fracture. With 4th generation implant designs, the incidence of many of these complications have decreased, but these complications remain challenging to address. In particular, sparse literature is available for the treatment of periprosthetic radius fractures after TWA. This report describes the management of an open, periprosthetic distal third radius fracture 18 months after index TWA in a medically complex 53-year-old female with lag screw fixation and a dorsal wrist spanning plate (DSP).</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"53 ","pages":"Article 101089"},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024001122/pdfft?md5=efe22d07523188f6059fe3eeeaf03fcb&pid=1-s2.0-S2352644024001122-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141952848","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}
Diego de Francisco Jiménez Cortes, Edgar Manuel Bodu Lamberti
{"title":"Femoral alloprosthesis in bone defect of 30 cm as extremity salvage","authors":"Diego de Francisco Jiménez Cortes, Edgar Manuel Bodu Lamberti","doi":"10.1016/j.tcr.2024.101082","DOIUrl":"10.1016/j.tcr.2024.101082","url":null,"abstract":"<div><p>Defects in femoral bone segments represent a reconstructive challenge; they are caused secondary to multiple and extensive debridement in cases of patients with infections, tumors or high-energy trauma. Different treatments have been proposed to address this problem, however, these are limited when it comes to large defects that generate instability of the implants in the native bone as well as loss of functionality and length of the extremities. In the proximal femur, allograft prosthesis composites have been described in the management of extensive tumor resections, but they are not yet widely used in the management of bone defects due to osteomyelitis. The case of a 51-year-old male patient with post-traumatic pan-osteomyelitis of the femur Cierny-Mader IV with a 30-centimeter defect in whom limb salvage was achieved through the application of a femoral alloprosthesis is presented, exhibiting this surgical technique as an alternative in ample resections secondary to infectious processes in young patients, furthermore, offering a solution to the shortage of some prosthetic components in our surrounding.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"53 ","pages":"Article 101082"},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024001055/pdfft?md5=1021c0483229cd30ab4e24aa26ba5ef0&pid=1-s2.0-S2352644024001055-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141950033","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}