Trauma Case Reports最新文献_第4页

Epiphyseal separation of the trochlea due to stress-throwing injury in a pediatric baseball player: A case report and review of the literature 儿童棒球运动员因应力性投掷损伤导致滑车骨骺分离：一例报告及文献回顾

Trauma Case Reports Pub Date : 2025-05-26 DOI: 10.1016/j.tcr.2025.101187

Yusuke Hattori , Yohei Kawaguchi , Yuji Joyo , Sanshiro Yasuma , Hiroo Shiraga , Hideki Okamoto , Hideki Murakami , Yuko Waguri-Nagaya

引用次数: 0

That's a wrap – the use of an Esmarch bandage to treat compartment syndrome of the forearm in a paediatric patient 这是一个包裹-使用Esmarch绷带治疗小儿科患者的前臂筋膜室综合征

Trauma Case Reports Pub Date : 2025-05-26 DOI: 10.1016/j.tcr.2025.101202

Ben Murphy , Patrick Carroll , Jacques Noel

{"title":"That's a wrap – the use of an Esmarch bandage to treat compartment syndrome of the forearm in a paediatric patient","authors":"Ben Murphy , Patrick Carroll , Jacques Noel","doi":"10.1016/j.tcr.2025.101202","DOIUrl":"10.1016/j.tcr.2025.101202","url":null,"abstract":"<div><div>A 13 year old boy presented to our emergency department after a fall from his bicycle and sustained a left radius & ulna fracture. The boy had paraesthesia and reduced sensation in his digits. AIN and PIN were intact. He underwent MUA & casting in theatre. He had significant swelling, paraesthesia and severe pain with passive movement of his digits post-op. A diagnosis of compartment syndrome with suspected acute carpal tunnel syndrome was made. Flexor compartment pressure was 68 mmHg and 16 mmHg in the extensor compartment. An Esmarch bandage was temporarily applied in a retrograde fashion from distal to proximal on the elevated limb. The technique was repeated 4 times and final flexor compartment pressure was 23 mmHg. Based on these measurements, carpal tunnel release and distal radius fixation was performed, but no fasciotomy. He remained asymptomatic throughout follow-up and was subsequently discharged from the fracture clinic. We have described a successful case of treating forearm compartment syndrome in the setting of a paediatric forearm fracture conservatively, without the need for a fasciotomy. We demonstrated an objective improvement in compartment pressures with repeated applications of the Esmarch bandage technique. It is quick to implement and safe for the patient. We advocate its use in those patients where a fasciotomy is already planned as that remains the gold standard treatment. This technique should be used to potentially avoid a fasciotomy and the subsequent morbidity associated with that surgical procedure. It should be used in conjunction with sound clinical judgment and examination technique.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101202"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138498","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

Acute appendicitis after motor vehicle collision 机动车碰撞后急性阑尾炎

Trauma Case Reports Pub Date : 2025-05-26 DOI: 10.1016/j.tcr.2025.101207

Sean M. DuBois , Lauryn A. Ullrich

引用次数: 0

Anatomic variation of the superficial peroneal nerve in the operative field during direct lateral approach for distal fibula fracture 腓骨远端骨折直接外侧入路手术野腓浅神经的解剖变化

Trauma Case Reports Pub Date : 2025-05-26 DOI: 10.1016/j.tcr.2025.101209

Seungyup Shin, Seong-Tae Kim, Gyeonggyu Choi, Sungho Lee

引用次数: 0

Isolated mesocolon injury and sigmoid colon necrosis secondary to abdominal blunt trauma 腹部钝性创伤继发的孤立性结肠系膜损伤和乙状结肠坏死

Trauma Case Reports Pub Date : 2025-05-26 DOI: 10.1016/j.tcr.2025.101208

Imen Ben Ismail , Mohamed Karim Tounsi , Marwen Sghaier , Mohamed Boujemaa , Hakim Zenaidi , Ayoub Zoghlami

{"title":"Isolated mesocolon injury and sigmoid colon necrosis secondary to abdominal blunt trauma","authors":"Imen Ben Ismail , Mohamed Karim Tounsi , Marwen Sghaier , Mohamed Boujemaa , Hakim Zenaidi , Ayoub Zoghlami","doi":"10.1016/j.tcr.2025.101208","DOIUrl":"10.1016/j.tcr.2025.101208","url":null,"abstract":"<div><h3>Introduction</h3><div>Blunt abdominal trauma from road traffic crashes can lead to a range of injuries, including those to the mesocolon. While solid organ injuries are common, mesocolon injuries resulting in bowel necrosis are rare but potentially life-threatening. This case report describes a 47-year-old male involved in a high-impact road traffic crash, who developed mesocolon injury with subsequent bowel necrosis.</div></div><div><h3>Case presentation</h3><div>A 47-year-old male, a drunk driver, was admitted following a high-impact road traffic crash. Initial examination revealed hemodynamic instability and significant abdominal tenderness. A contrast-enhanced CT scan showed hemoperitoneum and signs of mesenteric injury. Surgery revealed generalized hemoperitoneum with blood clots and a ruptured sigmoid mesocolon, resulting in necrosis of approximately 20 cm of bowel. The patient underwent Hartmann's procedure, and his postoperative recovery was uneventful.</div></div><div><h3>Discussion</h3><div>Mesocolon injuries are rare, accounting for 1–5 % of blunt abdominal trauma cases. Symptoms often overlap with other abdominal pathologies, complicating diagnosis. Imaging, especially CT, is crucial in identifying the extent of injury. Surgical intervention is required for cases involving bowel necrosis, with Hartmann's procedure being the treatment of choice. Early diagnosis and prompt surgical management are critical for favorable outcomes.</div></div><div><h3>Conclusion</h3><div>This case highlights the importance of considering mesocolon injuries in trauma patients, especially in the context of abdominal tenderness and hemodynamic instability. Timely imaging and surgical intervention are essential for managing these rare but serious injuries.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101208"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167027","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

Iliac wing fractures: Utilizing a novel classification system for tailored surgical management in three case studies 髂翼骨折：在三个病例研究中运用一种新颖的分类系统进行量身定制的手术管理

Trauma Case Reports Pub Date : 2025-05-26 DOI: 10.1016/j.tcr.2025.101188

Edgar Barros Prieto , Eduardo Noboa , Carlos Peñaherrera Carrillo , Francisco Endara , Paul Vaca Perez , Alejandro Barros Castro , Armando Sánchez

{"title":"Iliac wing fractures: Utilizing a novel classification system for tailored surgical management in three case studies","authors":"Edgar Barros Prieto , Eduardo Noboa , Carlos Peñaherrera Carrillo , Francisco Endara , Paul Vaca Perez , Alejandro Barros Castro , Armando Sánchez","doi":"10.1016/j.tcr.2025.101188","DOIUrl":"10.1016/j.tcr.2025.101188","url":null,"abstract":"<div><div>Iliac wing fractures have long been regarded as relatively benign injuries in the context of pelvic fractures, often not requiring surgical intervention. However, this perception underestimates their complexity and potential complications. In this study, we review the literature and present three clinical cases managed surgically to highlight the challenges and nuances in treating iliac wing fractures. Although these fractures may seem less severe, they can lead to significant functional impairments and long-term complications if not managed appropriately. Through a careful analysis of injury mechanisms, fracture classification, and the use of surgical strategies, this study aims to provide a framework for improved management and outcomes. Clear criteria for surgical intervention, particularly in cases involving displaced fragments, are crucial for reducing pain and restoring function. The application of the latest classification system, based on the concept of the iliac ring, has demonstrated its efficacy in guiding treatment decisions and improving patient quality of life.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101188"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213333","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

Hypertrophic cardiomyopathy in the trauma patient: A case report and review of the literature 创伤患者的肥厚性心肌病：1例报告及文献复习

Trauma Case Reports Pub Date : 2025-05-26 DOI: 10.1016/j.tcr.2025.101204

Andrew Hendrix , Thomas Crafton , Logan Carlyle , Jacob Hessey

{"title":"Hypertrophic cardiomyopathy in the trauma patient: A case report and review of the literature","authors":"Andrew Hendrix , Thomas Crafton , Logan Carlyle , Jacob Hessey","doi":"10.1016/j.tcr.2025.101204","DOIUrl":"10.1016/j.tcr.2025.101204","url":null,"abstract":"<div><h3>Introduction</h3><div>Hypertrophic cardiomyopathy (HCM), a prevalent genetic cardiac condition characterized by myocardial thickening, poses unique challenges in trauma care. Sparse evidence seems to agree that HCM patients have worse outcomes following non-cardiac surgeries, particularly emergent procedures. However, despite a prevalence of 1 in 500 in the US population, the intersection of HCM and Advanced Trauma Life Support (ATLS) remains undiscussed in current literature.</div></div><div><h3>Case presentation</h3><div>A 54-year-old female with unknown past medical history presented as a level 2 trauma alert following a motor vehicle collision. Due to persistent hypotension and transient bradycardia in the trauma bay a further cardiologic evaluation was performed and found severe hypertrophic obstructive cardiomyopathy (HOCM).</div></div><div><h3>Clinical discussion</h3><div>We report a case of a polytrauma patient found to have severe HOCM as well as provide a review of the literature including pathophysiological considerations in the management of the trauma patient with HCM.</div></div><div><h3>Conclusions</h3><div>Caring for the trauma patient with HCM requires a multidisciplinary strategy that integrates advanced cardiac imaging and cautious hemodynamic management, underlining the necessity for heightened awareness.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101204"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144146972","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

Surgical multidisciplinary approach to a complex war case with urological, colorectal and orthopaedics lesions 外科多学科方法处理泌尿、结直肠及骨科病变的复杂战争病例

Trauma Case Reports Pub Date : 2025-05-26 DOI: 10.1016/j.tcr.2025.101200

Francesco Quaglino , Antonella Evangelista , Marta Breda , Sara Ruscio , Gianluca Collo , Luca Cestino , Maria Antonucci , Stefania Soncini , Beatrice Degan , Salome Pfannkuche , Elisa Berdondini

{"title":"Surgical multidisciplinary approach to a complex war case with urological, colorectal and orthopaedics lesions","authors":"Francesco Quaglino , Antonella Evangelista , Marta Breda , Sara Ruscio , Gianluca Collo , Luca Cestino , Maria Antonucci , Stefania Soncini , Beatrice Degan , Salome Pfannkuche , Elisa Berdondini","doi":"10.1016/j.tcr.2025.101200","DOIUrl":"10.1016/j.tcr.2025.101200","url":null,"abstract":"<div><div>We present the case of a 21 years-old male who suffered major multiple injuries as the result of a mine explosion occurred on 19/09/23 in Armenia. They included shrapnel wounds involving the penile urethra, the bladder, the rectum, the anal canal and the upper and lower extremities and multiple fractures of the pelvis. Initially he underwent a stabilizing surgery at the field hospital; he was then transferred to the Astghik Medical Center where a new emergency surgery was performed with the creation of a lateral colostomy and the placement of a midline cystostomy drainage.</div><div>On 08/10/23, the patient was admitted to the Department of Surgery at Maria Vittoria Hospital in Turin, Italy, with signs of sepsis. Broad-spectrum intravenous antibiotic therapy was promptly initiated. A week later, due to the persistence of the septic state, we performed a surgical abdominal revision consisting of a drainage of multiple intraperitoneal abscesses and resection of the injured rectal tract with conversion of the lateral colostomy into a terminal one, a direct repair of a leakage found in the bladder and a replacement of the cystostomy dreinage. The patient was discharged in good conditions 45 days after surgery.</div><div>Five months later, the patient underwent a Hartmann's reversal with a Knight-Griffen anastomosis combined with urethral and perineal reconstruction, pubectomy, cystorrhaphy and placement of a new lateral cystostomy. The patient was discharged 45 days after surgery in good clinical conditions. The cystocath and the bladder catheter were removed in outpatient setting two weeks later.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101200"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167025","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

Intramedullary implant exchange and adequate soft tissue coverage in exposed implants following fracture related infection in operatively treated ankle fractures 在手术治疗的踝关节骨折骨折相关感染后，髓内植入物置换和充分的软组织覆盖暴露的植入物

Trauma Case Reports Pub Date : 2025-05-26 DOI: 10.1016/j.tcr.2025.101206

R.B. Beks , P. van Oosten , D. van Embden , M. Botman , T. Schepers

引用次数: 0

The use of the induced membrane technique in an open fracture of the first phalangeal column of the thumb 诱导膜技术在拇指第一指骨开放性骨折中的应用

Trauma Case Reports Pub Date : 2025-05-26 DOI: 10.1016/j.tcr.2025.101203

Sohayb Darraz, Amine El Farhaoui, Mohammed Lamziraa, Llyesse Haichour, Omar Mokhtari, Adnane Lachkar, Najib Abdeljaouad, Hicham Yacoubi

{"title":"The use of the induced membrane technique in an open fracture of the first phalangeal column of the thumb","authors":"Sohayb Darraz, Amine El Farhaoui, Mohammed Lamziraa, Llyesse Haichour, Omar Mokhtari, Adnane Lachkar, Najib Abdeljaouad, Hicham Yacoubi","doi":"10.1016/j.tcr.2025.101203","DOIUrl":"10.1016/j.tcr.2025.101203","url":null,"abstract":"<div><div>The case involves a 53-year-old patient admitted for trauma to the right hand following an accident with a grinder. The 4 cm wound on the first ray caused a tendon deficit without vascular or nerve damage. An open fracture of the first metacarpal with a 2 cm bone loss was diagnosed. Initial treatment included wound irrigation, debridement, suturing, and osteosynthesis using biological cement and a Bone fixation using Iselin pinning with two K-wires. A second procedure, six weeks later, involved a bone graft using the Masquelet technique, showing bone consolidation after five months. This technique is proving increasingly effective for complex open fractures, promoting vascularization and cortication through the release of growth factors like BMP-2 and VEGF. Studies confirm the presence of osteoclasts and osteoblasts in the induced membrane, aiding osteointegration. Initially developed for the lower limb, the technique has successfully been extended to the hand, providing a viable option for bone substance loss.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101203"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167028","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