{"title":"Secondary removal of intramedullary metal debris from a defective Reamer-Irrigator-Aspirator (RIA) reamer head: A case report","authors":"","doi":"10.1016/j.tcr.2024.101112","DOIUrl":"10.1016/j.tcr.2024.101112","url":null,"abstract":"<div><p>The Reamer-Irrigator-Aspirator (RIA) device represents a safe and efficient method to harvest autologous bone for grafting. However, hardware failure may occur, for example by breakage of the reamer head with metal debris remaining in the intramedullary canal.</p><p>This case report describes the uncomplicated secondary removal of femoral intramedullary metal debris from a broken RIA reamer head; three weeks after the final surgery of a two-stage Masquelet procedure for the treatment of posttraumatic segmental bone loss at the tibia.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024001353/pdfft?md5=0748436553d07af343e34237bbd4f590&pid=1-s2.0-S2352644024001353-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142240073","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 suspensory fixation technique for calcaneal tuberosity avulsion fractures using the TightRope Attachable Button System","authors":"","doi":"10.1016/j.tcr.2024.101096","DOIUrl":"10.1016/j.tcr.2024.101096","url":null,"abstract":"<div><div>Displaced avulsion fractures of the calcaneal tuberosity generally occur as a result of osteoporotic insufficiency or high-energy injuries. Conventional methods of fixation may be complicated by wound breakdown, metalwork failure, or symptomatic hardware. This is particularly relevant in elderly patients and those with comorbidities, including osteoporosis or diabetes. We describe an innovative technique using the TightRope Attachable Button System (ABS; Arthrex, Naples, FL, USA), adapted from suspensory cortical fixation in anterior cruciate ligament reconstruction, to treat displaced Beavis type II ‘beak’ calcaneal fractures in such patients. We present the case of a 67 year old female with multiple comorbidities, who successfully underwent this procedure, with no complications at 4 years follow-up.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024001195/pdfft?md5=757d0f261f2bda1fc6e33a6caccee752&pid=1-s2.0-S2352644024001195-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142312019","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":"An isolated mesenteric hematoma following blunt abdominal trauma - case report and literature review","authors":"","doi":"10.1016/j.tcr.2024.101104","DOIUrl":"10.1016/j.tcr.2024.101104","url":null,"abstract":"","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024001274/pdfft?md5=79be2546491e413fae7bdb637ac62eb7&pid=1-s2.0-S2352644024001274-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142240071","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":"Comprehensive management of severe crush injury in a pediatric patient: A case report","authors":"","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":null,"pages":null},"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}
{"title":"Pubic symphysis tethering technique under endoscopic approach for treatment of pelvic open-book injury: A cadaver study","authors":"","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":null,"pages":null},"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}
{"title":"Bilateral patellar tendon repair with suture bridge augmentation: A case report","authors":"","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":null,"pages":null},"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}
{"title":"Bladder inflation to reduce hemorrhage secondary to a pelvic fracture","authors":"","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":null,"pages":null},"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}
{"title":"Delayed bladder rupture following blunt trauma: A case report and literature review","authors":"","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":null,"pages":null},"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":"","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":null,"pages":null},"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}
{"title":"Periprosthetic radius fracture after total wrist arthroplasty: A case report","authors":"","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":null,"pages":null},"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}