Trauma Case Reports最新文献_第2页

Step-by-step reduction utilizing a one-third tubular plate in surgery for distal femur fracture with severe metaphyseal comminution: A case report 采用1 / 3管状钢板逐步复位治疗股骨远端骨折伴严重干骺端粉碎1例

Trauma Case Reports Pub Date : 2025-07-10 DOI: 10.1016/j.tcr.2025.101226

Kazuki Abe , Toru Iga

引用次数: 0

Increased awareness of medial brachial compartment syndrome is mandatory following endovascular arterial repair 在血管内动脉修复后，必须提高对内侧肱筋膜室综合征的认识

Trauma Case Reports Pub Date : 2025-07-09 DOI: 10.1016/j.tcr.2025.101225

Elizabeth Roderick , Jonathan Gates , Jane Keating

引用次数: 0

Isolated renal pelvis rupture due to blunt trauma presenting with low-density fluid accumulation around kidney on initial CT: A case report 钝性创伤引起的孤立性肾盂破裂，在初始CT上表现为肾周围低密度液体积聚1例

Trauma Case Reports Pub Date : 2025-07-09 DOI: 10.1016/j.tcr.2025.101220

Yukiko Asanuma , Motoo Fujita , Tomomi Sato , Takuma Sato , Shigeki Kushimoto

{"title":"Isolated renal pelvis rupture due to blunt trauma presenting with low-density fluid accumulation around kidney on initial CT: A case report","authors":"Yukiko Asanuma , Motoo Fujita , Tomomi Sato , Takuma Sato , Shigeki Kushimoto","doi":"10.1016/j.tcr.2025.101220","DOIUrl":"10.1016/j.tcr.2025.101220","url":null,"abstract":"<div><h3>Back ground</h3><div>Renal pelvis rupture due to trauma is commonly diagnosed in an excretory phase CT scan, which is not be applied in substantial proportion of trauma patients during initial evaluation. Since renal pelvis rupture has no specific findings, there is no clear indication to perform an excretory phase CT scan in the evaluation of trauma patients. We experienced a case presented with low-density fluid accumulation around kidney on plain CT imaging, subsequently diagnoses as having isolated renal pelvis injury.</div></div><div><h3>Case presentation</h3><div>68-year-old male fell from the second floor and referred to our institution. He had pain in his left buttock with a subcutaneous hematoma. He presented as blood pressure of 155 mmHg, heart rate of 145 beats/min, and blood test showed no specific abnormalities. Plain CT showed fluid accumulation around the left kidney, and following a contrast-enhanced CT scan at equilibrium phase showed no urinary extravasation. On the 4th hospital day, he complained of worsening back pain, and excretion phase of contrast-enhanced CT revealed left renal pelvic rupture. We placed a double-J ureteral stent for urinary drainage. Thereafter, disappearance of urinary extravasation without ureteral stricture was confirmed.</div></div><div><h3>Conclusion</h3><div>In patients with blunt trauma, perirenal effusion collection inconsistent with hemorrhage on CT imaging could be considered as a sign of isolated renal pelvic rupture.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101220"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hip dislocation in a 3-year old girl after minor trauma: A rare case report 3岁女童轻微外伤后髋关节脱位一例罕见病例报告

Trauma Case Reports Pub Date : 2025-07-09 DOI: 10.1016/j.tcr.2025.101223

Mirza Sivro , Đemil Omerović

{"title":"Hip dislocation in a 3-year old girl after minor trauma: A rare case report","authors":"Mirza Sivro , Đemil Omerović","doi":"10.1016/j.tcr.2025.101223","DOIUrl":"10.1016/j.tcr.2025.101223","url":null,"abstract":"<div><div>Traumatic hip dislocations in children are rare injuries. They are mostly sustained after low-energy trauma in younger children, and after high-energy trauma in older children and adolescents. In 90 % of cases dislocation is posterior. Since this condition is an orthopedic emergency, it requires urgent reduction in order to avoid complications such as recurrent or habitual dislocation or avascular necrosis (AVN) of the femoral head.</div><div>A 3-year old girl presented sustained posterior dislocation of the right hip after twisting injury. Clinically, the right leg was shortened, and in the position of adduction, with limited passive motion of the right hip joint. Plain pelvis X-ray revealed right hip joint dislocation. Emergency closed reduction was made after sedation by Allis maneuver, and one and a half hip spica cast was applied. After three weeks, the cast was removed and patients referred to physical therapy with allowed weight-bearing on the injured leg. At 8-month follow-up, clinical and radiographic findings were normal.</div><div>Careful evaluation, complete history, thorough clinical exam and imaging are required in rare cases of pediatric traumatic hip joint dislocation, with prompt closed reduction, in order to achieve favorable clinical outcomes.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101223"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144596622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

One case report: Surgical treatment of a flail chest caused by a wedge-shaped avulsion fracture of manubrium sterni 报告一例胸骨柄楔形撕脱性骨折致连枷胸的外科治疗

Trauma Case Reports Pub Date : 2025-07-09 DOI: 10.1016/j.tcr.2025.101216

Song Xuantong, Shi Jing, Guo Jincheng, Zhang Boyi, Liu Yongqiang

{"title":"One case report: Surgical treatment of a flail chest caused by a wedge-shaped avulsion fracture of manubrium sterni","authors":"Song Xuantong, Shi Jing, Guo Jincheng, Zhang Boyi, Liu Yongqiang","doi":"10.1016/j.tcr.2025.101216","DOIUrl":"10.1016/j.tcr.2025.101216","url":null,"abstract":"<div><h3>Objective</h3><div>The surgical treatment experience of one case of sternal manubrium wedge-shaped avulsion fracture combined with multiple costal cartilage fractures resulting in anterior flail chest is summarized.</div></div><div><h3>Methods</h3><div>A 53-year-old male patient with sternal manubrium avulsion fracture and costal cartilage fractures caused by a bull goring injury was treated with a multi-material combined fixation strategy (wire cerclage reduction + titanium plate and screw fixation + memory alloy embracing device). The wire threading technique and flexible costal cartilage fixation technique were optimized during the surgery.</div></div><div><h3>Results</h3><div>The surgery successfully achieved stable fixation of the sternum and costal cartilage, with postoperative CT showing good alignment and disappearance of paradoxical breathing. The patient did not undergo any loosening of the internal fixation, recovering smoothly.</div></div><div><h3>Conclusion</h3><div>The combined application of wire cerclage, plate fixation, and memory alloy internal fixation can effectively treat sternal manubrium avulsion fractures combined with flail chest.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101216"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reimagining Sugioka Osteotomy: A Paradigm Shift in the Treatment of Avascular Necrosis of the Femoral Head 重新构想杉冈截骨术：股骨头缺血性坏死治疗的范式转变

Trauma Case Reports Pub Date : 2025-07-09 DOI: 10.1016/j.tcr.2025.101229

Hrishikesh Saodekar , Yogesh Salphale , Gopal Shinde , Sushrut Babhulkar

引用次数: 0

An intensive non-invasive protocol combining non-surgical spinal decompression and supportive physiotherapeutic modalities in the treatment of double-level disc herniation at L4-L5 and L5-S1: A case report 强化非侵入性方案结合非手术脊柱减压和支持物理治疗方式治疗L4-L5和L5-S1双水平椎间盘突出：1例报告

Trauma Case Reports Pub Date : 2025-06-05 DOI: 10.1016/j.tcr.2025.101214

Vincenzo Di Modica , Giuseppe J. Sciarrone

{"title":"An intensive non-invasive protocol combining non-surgical spinal decompression and supportive physiotherapeutic modalities in the treatment of double-level disc herniation at L4-L5 and L5-S1: A case report","authors":"Vincenzo Di Modica , Giuseppe J. Sciarrone","doi":"10.1016/j.tcr.2025.101214","DOIUrl":"10.1016/j.tcr.2025.101214","url":null,"abstract":"<div><h3>Background</h3><div>Given the low prevalence of multi-level disc herniations, robust clinical evidence for their management remains limited, particularly concerning non-invasive treatments, where data is nearly non-existent. However, an intensive therapeutic regimen centered on non-surgical spinal decompression (NSSD)<span><span><sup>1</sup></span></span>, augmented with supportive physiotherapy modalities, demonstrates promise in the non-invasive management of significant lumbar disc herniations, even when affecting multiple spinal levels concurrently.</div></div><div><h3>Case report</h3><div>A 46-year-old female patient presented with double-level disc herniations at the L4-L5 and L5-S1 segments. Following the failure of two conventional physiotherapy regimens, surgical intervention was advised as the sole treatment option. The patient, however, declined invasive surgery and opted for an intensive six-month program predominantly based on NSSD therapy. Magnetic resonance imaging scans taken after the initial onset of symptoms, prior to and two months after initiating the program, and one month following its completion, revealed significant improvements across all monitored parameters, including canal anteroposterior (AP)<sup>1</sup> length and area, disc AP length and area, and herniation index. These structural changes indicated an almost complete restoration of the canal surface and substantial reduction of herniation at both affected levels.</div></div><div><h3>Conclusions</h3><div>Even in patients with significant herniations at two different levels, substantial improvement can be achieved through a non-invasive approach. These findings underscore the effectiveness of an intensive treatment program utilizing NSSD therapy and offer a viable alternative for patients who are unable or unwilling to undergo surgical intervention.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101214"},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Continuous post-operative intra-compartmental pressure monitoring after tibial plateau fracture osteosynthesis under regional anesthesia during pregnancy: a case report 妊娠期区域麻醉下胫骨平台骨折植骨术后持续室内压监测1例

Trauma Case Reports Pub Date : 2025-06-04 DOI: 10.1016/j.tcr.2025.101211

Benoît Borner, Vanessa Morello, Axel Gamulin

引用次数: 0

Reconstruction with transiliac-transsacral screws and spinopelvic fixation for combined lumbar and sacral fractures: Two case reports 经髂-经骶螺钉重建及脊柱-骨盆内固定治疗腰椎骶骨合并骨折2例报告

Trauma Case Reports Pub Date : 2025-06-04 DOI: 10.1016/j.tcr.2025.101212

Ryo Ugawa , Tadashi Komatsubara , Yoshihiro Fujiwara , Yasuaki Yamakawa , Toshiyuki Matsumoto

{"title":"Reconstruction with transiliac-transsacral screws and spinopelvic fixation for combined lumbar and sacral fractures: Two case reports","authors":"Ryo Ugawa , Tadashi Komatsubara , Yoshihiro Fujiwara , Yasuaki Yamakawa , Toshiyuki Matsumoto","doi":"10.1016/j.tcr.2025.101212","DOIUrl":"10.1016/j.tcr.2025.101212","url":null,"abstract":"<div><div>We report two cases of combined lumbar vertebral and sacral fractures treated with minimally invasive reconstructive surgery comprising transiliac-transsacral (TITS) screws and spinopelvic fixation (SPF). Case 1 involved a 32-year-old Japanese male patient who fell and sustained multilevel vertebral and sacral fractures with anterior displacement and kyphosis and right pubic fracture. The patient was placed in the supine position and underwent closed reduction in the hyperextended supine position. A TITS screw was inserted at S1 and a cannulated screw was inserted in the right pubic ramus under navigation. The patient's body was then changed to the prone position. Two iliac screws were inserted on each side and percutaneous pedicle screws (PPS) were inserted from Th11 to L4 under navigation. We performed percutaneous rod placement and connected the screws. Postoperative computed tomography (CT) showed no deviation of the screws from the bone and acceptable sacral deformity reduction. Case 2 involved an 83-year-old Japanese female patient who fell and sustained L5 vertebral and fragile sacral fractures. The patient was placed in the prone position, and TITS screw insertion was performed at S1 and S2 under navigation. Iliac screws were inserted on each side and PPS were inserted at the L3 and L4 vertebrae under navigation. Postoperative CT revealed no deviation of the screws from the bone. TITS screw placement and SPF allow minimally invasive reduction and reconstruction of unstable pelvic ring injuries with lower lumbar vertebral and sacral fractures.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101212"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of traumatic degloving injury of the dorsal aspect of the midfoot and ankle: A case report 中足和踝关节背侧外伤性脱手套损伤的处理：1例报告

Trauma Case Reports Pub Date : 2025-06-04 DOI: 10.1016/j.tcr.2025.101213

Omar Mourafiq , Abdellatif Benbouha , Hicham Salahi , Omar Mergad

{"title":"Management of traumatic degloving injury of the dorsal aspect of the midfoot and ankle: A case report","authors":"Omar Mourafiq , Abdellatif Benbouha , Hicham Salahi , Omar Mergad","doi":"10.1016/j.tcr.2025.101213","DOIUrl":"10.1016/j.tcr.2025.101213","url":null,"abstract":"<div><div>Traumatic degloving injuries of the foot and ankle are severe, relatively rare lesions often resulting from high-energy mechanisms such as ejections in road traffic accidents. These injuries present significant challenges in both immediate management and long-term functional and aesthetic reconstruction. The involvement of severe soft tissue damage, neurovascular compromise, and potential joint involvement increases the risk of complications that can negatively impact clinical outcomes and patient quality of life. This case report details the management of a 32-year-old male who sustained extensive degloving injuries to the left foot and ankle following a motor vehicle ejection. Initial assessment revealed soft tissue damage, mediotarsal dislocation, and bone loss. Despite considering amputation due to the severity of the injury, a limb-salvage approach was chosen. Emergency surgical intervention included wound debridement, bone stabilization with Kirschner wires, and a rotational flap for soft tissue coverage. Postoperative complications included necrosis, which required negative pressure wound therapy and skin grafting. Two years after the accident, the injury site had fully healed, with the patient achieving satisfactory functional and aesthetic outcomes. The patient was able to walk independently for two kilometers with minimal discomfort and had an AOFAS Midfoot Score of 72/100. This case underscores the importance of early multidisciplinary management, careful therapeutic decision-making, and comprehensive long-term follow-up to optimize recovery in complex traumatic foot and ankle injuries.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101213"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0