Trauma Case Reports最新文献

{"title":"The impact of different imaging modalities in diagnosis and management of patient with dural arteriovenous fistula: A rare case report","authors":"Nagwan Elhussein ,&nbsp;Mohammed A. AlHarbi ,&nbsp;Zuhal Y. Hamd ,&nbsp;Amal I. Alorainy ,&nbsp;Mansour Elshanawani ,&nbsp;Eyas Alsuhabani ,&nbsp;Bader Alhariqi ,&nbsp;Basim Abdullah Alhomida ,&nbsp;Abdoelrahman Hassan A. B.","doi":"10.1016/j.tcr.2024.101044","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101044","url":null,"abstract":"<div><p>In vascular neurosurgery, dural arteriovenous fistulas (DAVFs) are a difficult, challenging condition whose natural history and therapy are still debated. This case report presented a 30-year-old male patient who experienced intermittent headaches for two months, along with gradual weakness in all four limbs, resulting in quadriplegia. Magnetic resonance imaging (MRI), computed tomography (CT), and digital subtraction angiography (DSA) played a significant role in the diagnosis of the patient, in which the final diagnosis was vascular myelopathy due to Dural arteriovenous fistula (DAVF). A successful embolization procedure of arteriovenous fistula using balloon-assisted liquid embolic agents, through branches of the right occipital artery was performed, resulting in complete obliteration of the fistula. In order to improve the neurovascular symptoms that had previously been reported, the patient was effectively undergoing rehabilitation, with notable progress.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"52 ","pages":"Article 101044"},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000670/pdfft?md5=1445a3625f69a26a7e25b5579579aa2c&pid=1-s2.0-S2352644024000670-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141303593","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":"Multifragment fracture of the patellar apex with extensive loss of skin: A case report","authors":"Mohammed Barrached,&nbsp;Aboubacar Lawan Abdou,&nbsp;Achraf Tebbaa el Hassali,&nbsp;Adnane Lachkar,&nbsp;Najib Abdeljaouad,&nbsp;Hicham Yacoubi","doi":"10.1016/j.tcr.2024.101051","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101051","url":null,"abstract":"<div><h3>Introduction</h3><p>Patella fractures account for 1 % of all skeletal fractures, and can interrupt the knee's extensor apparatus. They can also be serious if associated with a cutaneous opening. We report the case of a fracture of the tip of the patella with a large loss of cutaneous substance.</p></div><div><h3>Case report</h3><p>A 22-year-old man was admitted for the management of a left knee trauma following a motorcycle accident. Clinical examination revealed a large loss of skin substance on the anteromedial aspect of the knee, with exposed bone, pain and lack of extension of the left knee. Standard X-ray of the left knee showed an avulsion fracture of the tip of the patella. The patient underwent patellar tendon reconstruction using transosseous stitches, reinforced by a quadricipital tendon reversal plasty, and protected by steel-wire patellotibial cerclage. A medial gastrocnemius flap was used to cover the loss of skin substance. After a functional rehabilitation protocol, the functional results were satisfactory, with a full return to activity after six months.</p></div><div><h3>Conclusion</h3><p>The stability of osteosynthesis using quadricipital tendon reversal plasty and patellotibial cerclage allows mobilization and immediate weight-bearing. This may lead to better clinical results.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"52 ","pages":"Article 101051"},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000748/pdfft?md5=94099c7f9411b840171af8c5f8a361f3&pid=1-s2.0-S2352644024000748-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141291819","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":"Pure traumatic unstable radiocarpal dislocation over pre-existing ulnar impingement syndrome, extensively arched carpus and medially rotated scaphoid: An exceptional and complex case report","authors":"Chabihi Zakaria ,&nbsp;Tariq Aalil ,&nbsp;Brahim Demnati ,&nbsp;Yassine Fath El Khir ,&nbsp;Benhima Mohamed Amine ,&nbsp;Abkari Imad","doi":"10.1016/j.tcr.2024.101056","DOIUrl":"10.1016/j.tcr.2024.101056","url":null,"abstract":"<div><h3>Introduction and importance</h3><p>Radiocarpal dislocation is a rare and severe injury that demands urgent diagnosis and treatment. In this case report, we present the unique scenario of a 32-year-old male who suffered a traumatic pure unstable radiocarpal dislocation. This dislocation was associated with ulnar impingement syndrome, an extensively arched carpus, and a medially rotated scaphoid. The complexity of this injury underscores the importance of timely intervention and comprehensive management.</p></div><div><h3>Case presentation</h3><p>The patient had a pre-existing short ulnar head with radial-sided deformity, radioulnar convergence, negative ulnar variance, erosive scalloping of the distal radius, subchondral sclerosis of the ulnar head, scapholunate diastasis, and distal radioulnar joint (DRUJ) diastasis. Following a high-velocity motor vehicle accident, the initial treatment involved closed reduction and radio-metacarpal external fixation. Additionally, surgical intervention was required for an open dislocation of the metatarsophalangeal (MTP) joint of the left hallux.</p></div><div><h3>Clinical discussion</h3><p>The subsequent management of this complex case included the Sauvé-Kapandji procedure, ulnolunate and ulnotriquetral ligamentoplasty using the palmaris longus tendon, and scapholunate fusion. The patient reported no prior wrist instability or injury upon awakening, but mild mechanical wrist pain persisted after exertion. Follow-up assessments revealed residual pain during prono-supination, along with slightly limited radial inclination. This exceptional case highlights the biomechanical challenges and the need for a multidisciplinary approach in treating such injuries.</p></div><div><h3>Conclusion</h3><p>To the best of our knowledge, this is the first documented instance of a traumatic pure unstable radiocarpal dislocation associated with ulnar impingement syndrome, an extensively arched carpus, and a medially rotated scaphoid. Despite the complexity, proper bone healing and favorable functional outcomes were achieved through meticulous surgical management. This case underscores the importance of individualized treatment strategies for rare and challenging wrist injuries.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"53 ","pages":"Article 101056"},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000797/pdfft?md5=4cd9695c378149700a54416700cdbd2e&pid=1-s2.0-S2352644024000797-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141413072","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":"Limb salvage versus amputation: Experience of a young patient at a university hospital","authors":"Juan Guillermo Ortiz Martínez,&nbsp;Edgar Manuel Bodu Lamberti,&nbsp;Pablo Ricardo Patarroyo Perea,&nbsp;Angela María Rico Avendaño,&nbsp;María Juliana Neira Barrero","doi":"10.1016/j.tcr.2024.101062","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101062","url":null,"abstract":"<div><p>Decision-making regarding limb amputation represents a significant clinical challenge, especially when the initial evaluation does not coincide with the criteria established in scales used worldwide, as is the case of the MESS scale. This article presents the case of a 24-year-old female patient who was transferred to a university hospital after a road traffic accident with severe and large lesions in the left lower limb. Despite a poor initial prognosis and in-hospital complications, including multiple surgical procedures and foot drop, a favorable recovery was achieved with complete anatomical salvage of the limb at risk. The multidisciplinary approach and intensive rehabilitation were instrumental in achieving a satisfactory functional recovery. This case highlights the importance of considering factors beyond amputation scale scores, as well as the need for comprehensive care to improve outcomes in patients with complex extremity injuries.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"52 ","pages":"Article 101062"},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000852/pdfft?md5=5d35d8d01a225e3df5d37e260de96dce&pid=1-s2.0-S2352644024000852-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141291813","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":"‘PRUT’ – A cadaveric study to understand the mechanism of this rare paediatric elbow injury with a comprehensive review of literature","authors":"Swapnil Keny ,&nbsp;Nihar Modi ,&nbsp;Murtaza Haidermota ,&nbsp;Nikhil Gokhale ,&nbsp;Seema Khambatta ,&nbsp;Aryan Keny","doi":"10.1016/j.tcr.2024.101067","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101067","url":null,"abstract":"<div><h3>Introduction</h3><p>Proximal radio-ulnar translocation (PRUT) with elbow dislocation, without a fracture, is an extremely unusual injury.</p></div><div><h3>Case</h3><p>A 6-year-old female child presented to us with posterior elbow dislocation, PRUT and incomplete ulnar nerve palsy. A hematoma aspiration and reduction of the elbow joint were done with a hyper-supination manoeuvre to reverse the translocation. She was managed with an above-elbow cast for 4 weeks and showed good radiological and functional outcomes on subsequent follow-ups until 1 year.</p></div><div><h3>Conclusion</h3><p>Early recognition of PRUT and a thorough clinico-radiological assessment are mandatory when dealing with paediatric elbow injuries. Our cadaveric study with illustrations defines the mechanism of this rare injury for better understanding.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"52 ","pages":"Article 101067"},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000906/pdfft?md5=6cea7a5e32a7522f2da4cc382f99284d&pid=1-s2.0-S2352644024000906-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141308353","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":"Accidental compression of the thoracic wall. Mechanical asphyxia rather than trauma is the main culprit","authors":"Christos Voucharas,&nbsp;Angeliki Vouchara,&nbsp;Fani Tsolaki,&nbsp;Ioannis Tagarakis,&nbsp;Georgios Tagarakis","doi":"10.1016/j.tcr.2024.101064","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101064","url":null,"abstract":"<div><p>We present three cases of traumatic asphyxia after thoracic compression. All victims were Caucasian males aged 22–50 years. One man was crushed by a truck trailer, another was crushed by an overturned vehicle, and the last was crushed by a large heavy stone slab. None of the patients survived the accident. There was no evidence of trauma or only minor trauma from the bones or vital organs of the thoracic cavity and abdomen.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"52 ","pages":"Article 101064"},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000876/pdfft?md5=b523d3e652835db5481a7705ef9935bc&pid=1-s2.0-S2352644024000876-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141290943","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 novel variant of type-II Monteggia equivalent in an adult: A case report with a 6-year follow-up","authors":"Zackariya Mohamed ,&nbsp;Owais Ahmed ,&nbsp;Devendra Agraharam ,&nbsp;Jafri Sayyadshadab Shahidali ,&nbsp;Muthukumar Soundararajan ,&nbsp;Dheenadhyalan Jayaramaraju ,&nbsp;Shanmuganathan Rajasekaran","doi":"10.1016/j.tcr.2024.101061","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101061","url":null,"abstract":"<div><h3>Case</h3><p>An 18-year-old right-handed male student presented after a road-traffic-accident; he had type-II Monteggia fracture dislocation associated with ipsilateral type-I capitellum fracture and comminuted lateral condyle avulsion fracture. He underwent open reduction and fixation of ulna with 3.5 DCP with autologous olecranon bone grafting and fixation of capitellum using Herbert screw along with lateral collateral ligament (LCL) repair using fiber wire. At 6-years follow-up good outcome was seen without functional restrictions despite 15 degrees of restriction in pronation.</p></div><div><h3>Conclusion</h3><p>Monteggia type-II variant with type-I capitellum fracture and LCL avulsion is a unique combination that represents a novel variant of type-II Monteggia equivalent, which adds to the existing classification of Monteggia equivalents.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"52 ","pages":"Article 101061"},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000840/pdfft?md5=3bc9862afa7da1c18c6427bf679b8cd9&pid=1-s2.0-S2352644024000840-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141298156","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":"Limited ilioinguinal approach for unstable pelvic fractures in children aged <3 years","authors":"C. Gonzalez-Cancino,&nbsp;M. Gonzalez","doi":"10.1016/j.tcr.2024.101054","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101054","url":null,"abstract":"<div><h3>Background</h3><p>Pelvic fractures in pediatric trauma account for 0.5–1 % of total hospital admissions, whereas acetabular fracture occurs at a rate of one case per 100,000 children; the low presentation rate is due to its unique characteristics. Standardized management for this age group is impossible. Conservative treatment has been commonly used but surgical correction has gained popularity. The purpose of this study was to report the authors' experience using a limited ilioinguinal approach for unstable pelvic fracture in two toddlers.</p></div><div><h3>Methods</h3><p>Description of case studies.</p></div><div><h3>Results</h3><p>Herein, we describe the treatment of two patients: a male patient struck by a vehicle (aged 1 year and 7 months) and a female patient ejected from a motor vehicle (aged 2 years and 1 month). They sustained an unstable type IV fracture in the modified Torode and Zieg classification. Surgical treatment was performed using a limited ilioinguinal approach, and stabilization was achieved using 3.5-mm reconstruction plate. There were no iatrogenic nerve injuries or infection. The female patient had left hip dislocation 2 months post-surgery and was unfortunately lost to follow-up. The male patient achieved radiological bone union without discrepancy, with no loss of reduction or evidence of pain during the mean follow-up period of 18 months.</p></div><div><h3>Conclusion</h3><p>Pelvic fracture in children is rare. Based on fracture patterns, surgical stabilization may be necessary to prevent major complications in the short, medium, or long term. The limited ilioinguinal approach was proven to be a viable alternative for managing unstable pelvic fracture in children aged &lt;3 years with minimal blood lo and shorter operative time, allowing more anatomical and stable reduction.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"52 ","pages":"Article 101054"},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000773/pdfft?md5=1609e907161d7a49d1f2d8f7eaac1654&pid=1-s2.0-S2352644024000773-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141291814","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":"Use of ABTHERA™ for an extensive abdominal wall defect caused by entrapment in a noodle stirring machine: a case report","authors":"Yoshitaka Ooya,&nbsp;Shuji Takahira","doi":"10.1016/j.tcr.2024.101058","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101058","url":null,"abstract":"<div><p>An extensive abdominal wall defect is rare but severe trauma. Here, we have described the case of a male patient in his 20s who sustained extensive abdominal wall injury and intra-abdominal organ damage after being caught in a noodle stirring machine. We used ABTHERA as a substitute for a defective abdominal wall, achieved open abdominal management and temporary closure of a wide abdominal wall defect, and performed staged reconstruction surgery.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"52 ","pages":"Article 101058"},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000815/pdfft?md5=4714fb63bdff8e282e75bed03ecc9535&pid=1-s2.0-S2352644024000815-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141290941","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":"Central slip defect reconstruction utilizing partial ulnar side of flexor digitorum superficial tendon for chronic boutonniere deformity: A case report","authors":"Andriessanto Ceelvin Lengkong ,&nbsp;Albertus Djarot Noersasongko ,&nbsp;Haryanto Sunaryo ,&nbsp;R. Tommy Suharso ,&nbsp;Rangga B.V. Rawung ,&nbsp;Stefan A.G.P Kambey ,&nbsp;Alfons Datui","doi":"10.1016/j.tcr.2024.101047","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101047","url":null,"abstract":"<div><h3>Background</h3><p>Post-traumatic central slip injuries, resulting in boutonniere deformity, are a complex issue that can significantly impact hand function and quality of life. The deformity should be easily reducible in the acute phase, but if left untreated, it shortens the oblique retinacular ligament, leading to chronic contracture. This is a challenging issue in hand surgery, as chronic central slip defects cannot be sutured like other tendon. Various methods for reconstructing central slips have been discussed, but the best method for subacute or chronic injuries remains unclear. This case presents a case of chronic traumatic boutonniere deformity with central slip defect reconstruction.</p></div><div><h3>Case report</h3><p>A 65-year-old male patient presented with swelling and boutonniere deformity on the digiti III of the right hand. The patient had previously fallen from a motorcycle, and the patient's right middle finger got was by a motorcycle six months ago. After the incident, the patient's right middle finger cannot be fully extended. The patient's right hand showed edema with flexion of the interphalangeal (PIP) joint and hyperextension of the distal interphalangeal (DIP) joint. The Range of Motion (ROM) of the PIP joint right middle finger was 45–110 degrees. The X-ray of the right hand AP/oblique showed no bone involvement in the deformity. The patient underwent central slip defect reconstruction utilizing the partial ulnar side of the flexor digitorum superficial tendon. A PIP joint extension splint was applied for 2 weeks. Active and passive exercise of the ROM of the PIP joint began after 2 weeks of PIP extension joint splinting. The patient's ROM of the PIP joint (0–90 degrees) significantly improved 1 month after surgery. The patient's ROM of the PIP joint returned to normal after 2 months after surgery. The function of the patient's right hand is evaluated with the DASH score, which improves significantly from 50 to 4.2.</p></div><div><h3>Conclusion</h3><p>Central slip defect reconstruction utilizing the partial ulnar side of the flexor digitorum superficial tendon is a reliable method for traumatic chronic boutonniere deformity and results in great functional outcomes after 2 months of follow-up. Central slip defect reconstruction utilizing the partial ulnar side of the flexor digitorum superficial tendon is a simple and cost-effective method compared to other methods.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"53 ","pages":"Article 101047"},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000700/pdfft?md5=32ddb27f8ab9598a7fc1da2859a167dc&pid=1-s2.0-S2352644024000700-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141323621","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}