Trauma Case Reports最新文献

{"title":"Forefoot amputation and free flap reconstruction for fracture-dislocations of the Lisfranc joint associated with plantar soft tissue defects: A report of two cases","authors":"Shuya Nohmi ,&nbsp;Ryo Wakamoto ,&nbsp;Taro Ogawa","doi":"10.1016/j.tcr.2025.101165","DOIUrl":"10.1016/j.tcr.2025.101165","url":null,"abstract":"<div><div>Fracture-dislocations of the Lisfranc joint associated with plantar soft tissue defects are difficult to reconstruct because both the Lisfranc joint and plantar soft tissue defects must be repaired. Inadequate reduction and fixation of the Lisfranc joint causes persistent weight-bearing foot pain, and an inappropriate choice of soft tissue reconstruction for plantar weight-bearing areas causes ulcers.</div></div><div><h3>Case 1</h3><div>A 48-year-old man sustained a fracture-dislocation of the Lisfranc joint. Soft tissue defects occurred in the dorsal and plantar parts beyond the forefoot, exposing the metatarsal heads. The Lisfranc joint was reduced and fixed using screws, and the dorsal and plantar soft tissue defects were covered with a free latissimus dorsi myocutaneous flap. Three years postoperatively, debulking surgery was performed, and the patient was able to walk without an orthosis and wear regular shoes, and no equinovarus deformity was observed; however, plantar ulcers occasionally occurred. Plain radiographs showed a reduced Lisfranc joint and malunited metatarsal bones.</div></div><div><h3>Case 2</h3><div>A 55-year-old man sustained an open fracture-dislocation of the Lisfranc joint. Soft tissue defects occurred in the dorsal and plantar parts distal to the midfoot. After transmetatarsal amputation, the Lisfranc joint was reduced and fixed using a screw and staples, and the dorsal and plantar soft tissue defects were covered with a free latissimus dorsi myocutaneous flap. Two years postoperatively, the patient was able to walk without an orthosis and wear regular shoes, and no equinovarus deformity was observed. Plain radiographs showed a reduced Lisfranc joint</div><div>For fracture-dislocations of the Lisfranc joint associated with plantar soft tissue defects, anatomical reduction and fixation of the Lisfranc joint, free flap reconstruction of the plantar weight-bearing area, and forefoot amputation help prevent equinovarus foot deformities and preserve gait function.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101165"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835042","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}

{"title":"Abdominal reconstruction after propeller injury with massive loss of domain","authors":"April Miller ,&nbsp;Nicholas Flugstad ,&nbsp;Megan Post","doi":"10.1016/j.tcr.2025.101160","DOIUrl":"10.1016/j.tcr.2025.101160","url":null,"abstract":"","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101160"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847305","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}

{"title":"Traumatic popliteal artery injury required total gastrocnemius muscle resection: A case report","authors":"Yuta Izawa ,&nbsp;Hiroko Murakami ,&nbsp;Kazuo Sato ,&nbsp;Mizuki Minegishi ,&nbsp;Yoshihiko Tsuchida","doi":"10.1016/j.tcr.2025.101166","DOIUrl":"10.1016/j.tcr.2025.101166","url":null,"abstract":"<div><div>Popliteal artery injury (PAI) is one of the challenging trauma because it requires prompt revascularization and appropriate management for the associated injuries. Blood flow to the muscles may be interrupted due to injury to branches from the main trunk of the popliteal artery. Muscles with interrupted blood flow require early debridement to prevent infection; however, extensive resection of the lower leg muscles can lead to functional impairment.</div><div>We have experienced the treatment of a patient who required total gastrocnemius muscle resection because blood flow to the gastrocnemius muscle was interrupted due to traumatic popliteal artery injury. One year after the injury, the patient was able to walk without any problems and returned to his work. Although sprinting is difficult, jogging was possible. In addition, the patient was able to stand on tiptoe on the affected limb. Range of motion of knee and ankle, and functional score of knee joint was good. If the patient is young and intensive training for soleus muscle strength is performed, there may be no persistent major functional impairment.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101166"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835041","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}

{"title":"Atypical presentation of forearm compartment syndrome in a child","authors":"P.A. Saxena ,&nbsp;M. Veylamuthen ,&nbsp;L. Kitsi ,&nbsp;A. Crawford ,&nbsp;A.P. Dekker ,&nbsp;N. Ashwood","doi":"10.1016/j.tcr.2025.101170","DOIUrl":"10.1016/j.tcr.2025.101170","url":null,"abstract":"<div><h3>Background</h3><div>Compartment syndrome (CS) in children is rare in the paediatric population and diagnosis is challenging. Atypical or delayed management of CS has been known to have poor outcomes. We report an 8-year-old girl with an atypical presentation of CS and her management.</div></div><div><h3>Case report</h3><div>In this case report, we discuss the case of an 8-year-old girl with an open fracture of the midshaft radius and ulna fracture managed with Titanium elastic nailing system (TENS). She presented 2 weeks post injury with significant pain, flexed fingers and agitated. Following an urgent forearm fasciotomy and carpal tunnel decompression, her symptoms improved. 72 hours later, her fasciotomy wounds were closed and her symptoms continued to improve. 9 weeks post injury her forearm fracture had radiological union. 6 months post injury her TENS nails were removed.8 months post injury, she had no functional motor deficit but residual sensory deficit in median nerve distribution.</div></div><div><h3>Conclusion</h3><div>CS requires a high index of suspicion in the paediatric population. In addition to cardinal 5P's signs of CS, a triad of 3A's has been proposed for diagnosis of CS in children. Long term outcomes are favourable in atypical presentations or delayed diagnosis cases.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101170"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838692","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}

{"title":"Outcomes of tibiotalocalcaneal (TTC) nailing in ankle fractures in diabetic patients with Charcot neuropathy","authors":"Sayed Mohamed Elgoyoushi,&nbsp;Ahmed Nabawy Morrah,&nbsp;Ahmed Mahmoud Kholeif,&nbsp;Ahmad Amr Elbadry","doi":"10.1016/j.tcr.2025.101158","DOIUrl":"10.1016/j.tcr.2025.101158","url":null,"abstract":"<div><div>This study aimed to evaluate the clinical and radiographic outcomes of tibiotalocalcaneal (TTC) nailing in diabetic patients with Charcot neuropathy and ankle fractures. A total of 84 patients underwent TTC nailing between December 2022 and June 2024. Functional outcomes were assessed using the Foot and Ankle Outcome Score (FAOS). Significant improvement was observed, increasing from a preoperative mean of 19.9 ± 3.81 to 72.6 ± 11.66 at six months postoperatively (<em>p</em> &lt; 0.001). Union was achieved in 75 % of patients, with delayed union in 17.9 % and nonunion in 7.1 %. Postoperative complications included superficial infections (7.1 %) and deep infections (3.6 %). No significant correlations were found between final FAOS scores and patient demographics or diabetes-related factors. TTC nailing is a reliable treatment option for this high-risk population.</div><div>Clinical trial number: not applicable.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101158"},"PeriodicalIF":0.0,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834904","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}

{"title":"Quadruple bilateral fracture-dislocation of the elbow and the wrist: A rare and complex case report","authors":"Zakaria Chabihi ,&nbsp;Brahim Demnati ,&nbsp;Abdelwahed Soleh ,&nbsp;Yassine Fath El Khir ,&nbsp;El Mehdi Boumediane ,&nbsp;Mohamed Amine Benhima ,&nbsp;Imad Abkari","doi":"10.1016/j.tcr.2025.101147","DOIUrl":"10.1016/j.tcr.2025.101147","url":null,"abstract":"<div><div>We report an exceptionally rare and complex case of quadruple bilateral fracture dislocation of the elbow and the wrist in a 39-year-old construction worker, who sustained the injury after falling from a scaffold of 9 m secondary to a 6.9 magnitude earthquake. The patient was treated with a combination of closed and open reduction, internal fixation, and radial head arthroplasty, and had a good functional outcome at 12 months follow-up, with no complications or instability. This case illustrates the challenges and the possibilities of managing such complex injuries, and adds to the scarce literature on this topic.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101147"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610491","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":"Presentation, management and outcome of thoracic trauma in a resource-limited environment: A case series","authors":"Danielle Benjamin ,&nbsp;Patrick Charlorin ,&nbsp;Gérald Jonacé ,&nbsp;Jude Milcé","doi":"10.1016/j.tcr.2025.101155","DOIUrl":"10.1016/j.tcr.2025.101155","url":null,"abstract":"<div><h3>Background</h3><div>Trauma is a major public health problem, causing the death of &gt;5 million people each year. One-fifth of these deaths are related to thoracic trauma (TT). This study aims to provide data on the presentation, management, and outcome of TT at the State University Hospital of Haiti (HUEH).</div></div><div><h3>Methods</h3><div>This is a retrospective, single-center, formal case series of 35 cases of TT admitted to the General Surgery Department of HUEH from January 2013 to December 2017. Data analyzed included sociodemographic, preoperative (etiology and clinical presentation), management, and outcomes. The Exact Fischer, Welch and Mann-Whitney <em>U</em> tests were used. A <em>P</em>-value <em>p</em> &lt; 0.05 was considered significant. The case series was reported according to PROCESS criteria.</div></div><div><h3>Results</h3><div>Of our sample of 35 patients, there was a male predominance (<em>n</em> = 27, 77.1 %), and the median age was 40 years. Most patients (<em>n</em> = 33, 94.3 %) presented with penetrating TT. The principal etiology was assaults (<em>n</em> = 30, 85.7 %), committed mostly by strangers (<em>n</em> = 19) and mainly with firearms (<em>n</em> = 18). Topping the list of common thoracic injuries were hemopneumothorax, diaphragmatic tear and open pneumothorax. There were extrathoracic associated injuries in 16 patients (45.7 %) with abdominal involvement in 10 cases (28.6 %). Principal specific management was tube thoracostomy for 33 patients (94.3 %) with additional laparotomy for 12 patients (34.3 %) for a median hospital stay of 6 days. There were 2 deaths due to massive hemorrhage without the possibility of massive transfusion. Estimated blood loss was significantly related to short-term survival outcome (<em>p</em> = 0.02).</div></div><div><h3>Conclusion</h3><div>This is a rare study in the Haitian environment that explores TT. Rather than road traffic accidents, assaults caused mainly by firearms were the chief cause of TT and testify to the current climate of violence and insecurity in the country. Although most of the TT cases were manage by tube thoracostomy, one third needed additional laparotomy. Increased blood loss associated with poorer patient outcomes highlights the need for more transfusion services and the establishment of standard of care for TT in Haiti.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"56 ","pages":"Article 101155"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550779","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":"Ipsilateral supracondylar humerus fracture and Monteggia fracture–dislocation with distal radius physeal fracture in a pediatric patient: A case report","authors":"Ryu Igaki ,&nbsp;Tomohiro Yasuda ,&nbsp;Yuki Samejima ,&nbsp;Yuto Murakami ,&nbsp;Shinsuke Takagi ,&nbsp;Keikichi Kawasaki","doi":"10.1016/j.tcr.2025.101151","DOIUrl":"10.1016/j.tcr.2025.101151","url":null,"abstract":"<div><div>In pediatric patients, supracondylar humerus fractures concurrent with Monteggia fracture–dislocation and Monteggia fracture–dislocation concurrent with distal radius fracture are rare and have only been reported in case reports. We present the case of a 10-year-old girl with concurrent ipsilateral arm supracondylar humerus fracture with Monteggia fracture–dislocation and distal radius physeal fracture, which were treated with closed reduction and percutaneous pinning. The Monteggia fracture-dislocation was addressed with open reduction via a posterior approach and fixation using titanium elastic nails. The postoperative recovery was favorable. At 1-year postoperative follow-up, the Mayo Elbow Performance score was 100 points, and no limitations in joint range of motion were noted.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"56 ","pages":"Article 101151"},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579204","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 11-month-old infant with laryngeal and pharyngeal injuries due to aspiration of an L-shaped metal fragment: A case report","authors":"Kyohei Sakurai ,&nbsp;Yoshimatsu Ehama ,&nbsp;Naomasa Shimizu ,&nbsp;Makoto Kobayashi","doi":"10.1016/j.tcr.2025.101153","DOIUrl":"10.1016/j.tcr.2025.101153","url":null,"abstract":"<div><div>Airway foreign bodies require urgent removal owing to their life-threatening risks. Symptoms such as coughing and wheezing typically appear immediately after aspiration, although symptom improvement can delay diagnosis and treatment. This report describes a rare case of aspiration of an L-shaped metal fragment that injured the larynx and pharynx. The patient was an 11-month-old girl who developed a persistent cough while eating baby food. Her primary care physician initial discharged her with mild hoarseness, but persistent hoarseness led to an emergency room visit. Although her vital signs were stable, crying revealed hoarseness and inspiratory wheezing. Suspecting an airway foreign body, a chest X-ray revealed a metal object in the neck. Computed tomography showed that the fragment's edges were in the larynx and pharynx, spanning the arytenoid cartilages. The pharyngeal end of the fragment had punctured the posterior pharyngeal wall, and submucosal free air was observed. The foreign body—a thin and 2-cm-long L-shaped metal fragment—was removed under intravenous anesthesia using video laryngoscopy. Owing to the risks of emphysema, hematoma, and edema from inflammation of the posterior pharyngeal wall, the patient was intubated for 3 days and recovered well. As demonstrated, aspiration of irregularly shaped foreign objects can cause severe injury to surrounding structures. Careful diagnostic attention is crucial, and for suspected emphysematous lesions in the pharynx or mediastinum, endotracheal intubation and ventilatory support should be considered.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"56 ","pages":"Article 101153"},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550781","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":"Veno-venous extracorporeal membrane oxygenation application for patient with acute lung injury due to rhabdomyolysis; a case report","authors":"Dongsub Noh ,&nbsp;Yong Han Cha","doi":"10.1016/j.tcr.2025.101154","DOIUrl":"10.1016/j.tcr.2025.101154","url":null,"abstract":"<div><div>A 47-year-old male patient, who underwent open reduction and internal fixation with plate for a Gustilo-Anderson type II open proximal tibiofibular fracture of the right lower leg, experienced rhabdomyolysis. Rapid progression of acute respiratory distress syndrome and acute renal failure occurred due to rhabdomyolysis. After veno-venous extracorporeal membrane oxygenation, he exhibited a relatively smooth clinical recovery. Our case report suggests that circulating cytotoxic substances from rhabdomyolysis resulted in concomitant acute respiratory distress syndrome and acute renal failure. This case was successfully treated after applying extracorporeal membrane oxygenation.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101154"},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620235","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}