Trauma Case Reports最新文献

{"title":"Thoracic outlet syndrome in patients with clavicle fracture: Case report and national analysis.","authors":"Randall R Rainwater, William Griffin, Tera A Scott, Regis L Renard","doi":"10.1016/j.tcr.2026.101392","DOIUrl":"10.1016/j.tcr.2026.101392","url":null,"abstract":"<p><strong>Background: </strong>Thoracic outlet syndrome (TOS) is a neurovascular condition caused by compression of the brachial plexus or subclavian vessels as they pass through the thoracic outlet. Since the clavicle border the thoracic outlet, injury to the clavicle and potentially post-traumatic callus formation, malunion, or scarring may precipitate compression and TOS. This study aims to determine the incidence and key predictors of TOS after clavicle fracture.</p><p><strong>Methods: </strong>We present a representative case description illustrating the clinical course and diagnostic considerations of post-traumatic TOS. We also conducted a large-scale retrospective analysis using a national claims database to identify patients with clavicle fracture and evaluate the incidence and factors of TOS development.</p><p><strong>Results: </strong>A 53-year-old woman developed TOS 10 months after undergoing surgical fixation of a displaced mid diaphyseal (Allman Tyle 1) clavicle fracture sustained in a motor vehicle accident. She presented with swelling and discoloration of the left upper extremity, where computed tomographic contrast imaging demonstrated five centimeter left subclavian vein thrombosis. The patient underwent hardware removal and first-rib resection, which resulted in complete resolution of symptoms. On database analysis, TOS most frequently occurs in middle-aged adults (40-64 years) and is more common following displaced clavicle fractures fixed with open reduction and internal fixation, as observed in this case. Comorbid conditions such as hypercoagulable states, obesity, and tobacco use along with displaced fracture pattern and congenital factors-including cervical ribs or cervical scoliosis-may further elevate risk.</p><p><strong>Conclusions: </strong>Thoracic outlet syndrome should be considered in patients with history of recent clavicle fracture that develop symptoms such as paresthesia, swelling, or chronic pain of the ipsilateral upper extremity.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101392"},"PeriodicalIF":0.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200037","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 elbow dislocation in a 6-year-old child: A case report and review of the literature.","authors":"B A R Z O U Q Abdelilah, M I S S A O U I Zied","doi":"10.1016/j.tcr.2026.101406","DOIUrl":"10.1016/j.tcr.2026.101406","url":null,"abstract":"<p><strong>Background: </strong>Pure elbow dislocation in children under 10 is very rare, as injuries typically involve physeal or avulsion fractures. Early diagnosis and reduction are essential to avoid complications.</p><p><strong>Case presentation: </strong>A 6-year-old boy sustained a posterior elbow dislocation after a fall. Radiographs confirmed a pure dislocation with no fracture. Closed reduction, brief immobilisation, and early mobilisation led to full, pain-free recovery by 6 weeks.</p><p><strong>Conclusion: </strong>Pure elbow dislocation in young children is exceptional. Immediate reduction, short immobilisation, and early motion provide excellent outcomes when stability and absence of fractures are confirmed. Erase all watermarks from this text.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101406"},"PeriodicalIF":0.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13264059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253376","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":"Emergency open repair of war-related traumatic carotid artery injury caused by shrapnel in a resource-limited setting.","authors":"Paing Oo Htut, Naw ZuZae Nar Blue","doi":"10.1016/j.tcr.2026.101397","DOIUrl":"10.1016/j.tcr.2026.101397","url":null,"abstract":"<p><p>Penetrating carotid artery injuries are rare but life-threatening, particularly in resource-limited and conflict settings. We report a case of a 23-year-old male presenting with hypovolemic shock, respiratory arrest, and active neck hemorrhage secondary to a shrapnel injury. Emergency open exploration and primary repair of the carotid artery were performed in a field hospital without access to anesthesiology support, advanced imaging, or intensive care facilities. The patient survived without neurological deficit and was discharged on postoperative day 14. This case highlights the feasibility of life-saving vascular repair in austere environments using fundamental surgical principles.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101397"},"PeriodicalIF":0.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13226843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158342","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":"Striking corpus callosum lesions in immediate cerebral fat embolism: A rare clinical case.","authors":"Hamdi Chaabouni, Rania Ammar, Mabrouk Bahloul, Basma Souissi, Chokri Ben Hamida","doi":"10.1016/j.tcr.2026.101403","DOIUrl":"10.1016/j.tcr.2026.101403","url":null,"abstract":"<p><p>Fat embolism syndrome (FES) is a known complication of long-bone fractures, typically occurring 24-48 h post-trauma and characterized by petechial rash, neurological symptoms, and pulmonary distress. Cerebral fat embolism (CFE), which can be fatal, can result from brain emboli. We report a case of a 17-year-old male who sustained bilateral closed femur fractures in a road traffic accident. The patient presented with immediate neurological distress, including coma, without respiratory symptoms. The brain's CT scan was normal initially. Still, an MRI later showed signs of FES, such as T2 and diffusion hyperintensities on the corpus callosum, a lipid peak on spectroscopy, and a microbleed. Delayed awakening and status epilepticus, treated with anticonvulsants, complicated the patient's course. This case highlights the diagnostic utility of MRI in detecting CFE. It emphasizes the need to consider FES in isolated neurological symptoms following long-bone fractures, even without respiratory distress. Early surgical fixation of fractures remains critical for prevention.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101403"},"PeriodicalIF":0.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13226785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158457","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":"Challenges and management of iliac-to-femoral artery injuries in endovascular aneurysm repair.","authors":"Antonio Marzano, Enrico Sbarigia, Carola D'Amico, Vincenzo Brizzi, Ombretta Martinelli, Simone Cuozzo","doi":"10.1016/j.tcr.2026.101405","DOIUrl":"10.1016/j.tcr.2026.101405","url":null,"abstract":"<p><strong>Background: </strong>Iatrogenic injuries to iliac-to-femoral arteries during complex endovascular procedures remain serious and potentially life-threatening. These events are influenced by adverse anatomy, procedural difficulties, and prolonged device manipulation. This report assesses the occurrence and risk factors associated with arterial disruption during endovascular thoracoabdominal aortic aneurysm (TAAA) repair and highlights adjunctive techniques that may optimize outcomes in challenging iliac anatomies.</p><p><strong>Case report: </strong>A 70-year-old woman underwent TEVAR and iB-EVAR with an <i>E</i>-nside stent-graft for a type I TAAA. Preoperative imaging confirmed anatomy suitable for an off-the-shelf device despite a narrow (6.8 mm) and tortuous (X = 1.48) external iliac artery (EIA). Because of comorbidities, a surgical conduit was reserved as a bailout if advancing the 24 F devices proved difficult. Adjunctive maneuvers, including retroperitoneal mobilization of the EIA to straighten the vessel and multiple serial dilations, were preferred. The EIA accommodated both the thoracic stent-graft and the <i>E</i>-nside system. Difficult catheterization of target vessels prolonged operative time and increased the duration of device presence within the artery. During sheath withdrawal, unexpected resistance caused hemodynamic instability due to EIA rupture, requiring emergent iliac-to-femoral bypass. Postoperative imaging showed loss of patency of the celiac trunk and left renal artery, prompting secondary occlusion of the corresponding side branches. Three-year follow-up confirmed aneurysm sac shrinkage without endoleaks.</p><p><strong>Conclusion: </strong>Well-documented risk factors increase the likelihood of EIA injury, highlighting the need to balance patient comorbidities, anatomical challenges, and therapeutic strategies. Standardized protocols are essential for managing large-bore access, and refinements in delivery system design may further enhance procedural safety and effectiveness.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101405"},"PeriodicalIF":0.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13234208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200129","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":"Retrospective analysis for skydiving injuries: A high-volume single-site case series.","authors":"Ravi Patel, Lorenzi Roberto, Wills Walter, Taylor Michael","doi":"10.1016/j.tcr.2026.101389","DOIUrl":"10.1016/j.tcr.2026.101389","url":null,"abstract":"","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101389"},"PeriodicalIF":0.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13234243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200122","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":"Fulminant bilateral upper limb thrombophlebitis following traumatic brain injury in a patient with chronic substance use: A fatal case of trauma-associated immunothrombosis.","authors":"Naman Jain, Minakshi Gadhire, Ashish Kumar Lallan Prasad Yadav, Kalyani Dnyaneshwar Aher","doi":"10.1016/j.tcr.2026.101396","DOIUrl":"10.1016/j.tcr.2026.101396","url":null,"abstract":"<p><strong>Background: </strong>Bilateral upper limb superficial thrombophlebitis is rare in trauma patients and typically indicates systemic thromboinflammatory activation rather than localized vascular injury. Trauma-associated immunothrombosis is increasingly recognized as distinct from classical disseminated intravascular coagulation (DIC).</p><p><strong>Case presentation: </strong>A 35-year-old male presented with severe traumatic brain injury (TBI) following an unwitnessed fall. On hospital day six, he developed progressive discoloration of the left hand, rapidly involving the right upper limb. Doppler ultrasonography confirmed bilateral cephalic and basilic vein thrombosis without deep venous involvement. Platelet count declined from 40,000/μL on day seven to 10,000/μL on day eight, while prothrombin time and INR remained normal and fibrinogen levels were elevated. Admission chest radiograph was normal; however, repeat imaging on day eight demonstrated diffuse bilateral alveolar opacities. HRCT revealed extensive multilobar consolidation with surrounding ground-glass opacities, radiologically suggestive of severe diffuse alveolar injury with features compatible with alveolar hemorrhage. CTPA showed no large central pulmonary embolism. Repeat CT brain demonstrated stable extradural hematoma with resolution of subarachnoid hemorrhage and partial resolution of subdural hematoma. Anticoagulation was withheld due to intracranial hemorrhage and profound thrombocytopenia. The patient developed refractory hypoxemic respiratory failure and died on hospital day eight.</p><p><strong>Conclusion: </strong>This case highlights a rare and catastrophic systemic thromboinflammatory complication following TBI. Early recognition and multidisciplinary management are essential in similar rapidly progressive cases.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101396"},"PeriodicalIF":0.0,"publicationDate":"2026-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362526","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":"Delayed sciatic nerve palsy due to a subepineural hematoma following a gluteal gunshot injury: A case report.","authors":"Fouad Assaf, Antoine Saber, Rita Saad, Georges Sakhat, Elie Makhoul","doi":"10.1016/j.tcr.2026.101401","DOIUrl":"10.1016/j.tcr.2026.101401","url":null,"abstract":"<p><p>Gunshot wounds (GSWs) to the lower extremities are common in civilian trauma and may lead to a spectrum of neurovascular complications. While acute sciatic nerve injury is frequently reported, delayed neuropathies-particularly those caused by intraneural or subepineural hematomas-are rare and often underrecognized. We present the case of a 25-year-old male who sustained a gluteal gunshot injury with no initial neurological deficit. The bullet was surgically removed, and the patient was discharged on neuropathic pain medication. Ten days later, he developed progressive paresthesia and new-onset motor weakness involving ankle and toe extension. Magnetic resonance imaging performed 20 days after injury revealed a 12 × 6 mm hematoma compressing the sciatic nerve along the ballistic tract. Surgical exploration confirmed a subepineural hematoma, which was evacuated through epineurotomy. The patient experienced gradual neurological improvement and achieved full motor and sensory recovery at two-year follow-up. Subepineural hematoma causing delayed sciatic nerve palsy represents an uncommon sequela of penetrating trauma. Early recognition of delayed neurological deterioration, prompt imaging, and timely surgical decompression are critical to prevent irreversible nerve damage. Increased awareness of this rare entity may facilitate earlier diagnosis and improve patient outcomes.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101401"},"PeriodicalIF":0.0,"publicationDate":"2026-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200095","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":"Delayed traumatic hemipelvectomy after crush injury in a pediatric patient: a case report.","authors":"Matthew S Linz, Theodore Wang, Julia Friberg, Arunachalam Thenappan","doi":"10.1016/j.tcr.2026.101394","DOIUrl":"10.1016/j.tcr.2026.101394","url":null,"abstract":"<p><strong>Introduction: </strong>Traumatic hemipelvectomy is a rare operation, often performed for injuries caused by a high force mechanism such as a traffic or industrial accident, and often fatal. Most often performed emergently, here we report a traumatic hemipelvectomy performed on a pediatric patient one month from initial injury.</p><p><strong>Case presentation: </strong>A 7-year-old healthy male was crushed between two motor vehicles while riding his bicycle. He was taken emergently to the nearest trauma center and underwent external fixation of his pelvis, exploratory laparotomy, abdominal packing, diverting colostomy, vesicostomy, and placement of an intra-arterial left iliac to femoral shunt. He was then transferred to our facility for further management. Following stabilization for severe hemorrhagic shock, his shunt was converted to an iliofemoral bypass. Despite good vascular in-flow and aggressive debridement of his left lower extremity, he continued to have ongoing muscle and pelvic necrosis and a persistent SIRS response. He subsequently underwent left hemipelvectomy approximately one month from time of initial injury. He then steadily recovered and was ultimately discharged to acute inpatient rehabilitation.</p><p><strong>Conclusion: </strong>We describe an unusual case of delayed pediatric traumatic hemipelvectomy. The patient not only survived the initial devastating injury but also received timely revascularization. The patient ultimately required hemipelvectomy despite a stepwise, multidisciplinary approach to limb salvage.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101394"},"PeriodicalIF":0.0,"publicationDate":"2026-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13234214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200084","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":"Ankle arthrodesis with non-vascularized fibular graft for neglected comminuted talar body fracture: A case report.","authors":"Asep Santoso, Bagus Iman Brilianto, Totok Siswanto, Hillan Akbar, Dykall Naf'an Dzikri","doi":"10.1016/j.tcr.2026.101375","DOIUrl":"10.1016/j.tcr.2026.101375","url":null,"abstract":"<p><p>Talus injuries present a diversified and distinct set of care issues, having a significant impact on the patient's short- and long-term functional outcomes. Talus fractures are extremely uncommon, accounting for only around 1% of all foot and ankle fractures. The degree of initial fracture displacement and the accuracy of fracture reduction are both factors that influence the result. This case report describes a case of a 30 year-old male patient with neglected close fracture talus on the left foot. The patient presented to the outpatient department with chief complaint of progressive pain over the left foot while walking for the past 4 months. The diagnosis was made based on radiograph, and managed with reconstruction and arthrodesis of the ankle with non-vascularized fibular graft. On 1-year follow up, the radiograph showed complete union and no neurovascular complication was reported. Ankle Arthrodesis with Non-vascularized fibular graft a can be viable options for managing neglected comminuted talar body fracture.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101375"},"PeriodicalIF":0.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13234241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200153","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}