Trauma Case Reports最新文献_第5页

Monteggia equivalent fracture associated with Salter-Harris I fracture of the radial head. Monteggia等效骨折合并Salter-Harris I型桡骨头骨折。

Trauma Case Reports Pub Date : 2026-05-20 eCollection Date: 2026-08-01 DOI: 10.1016/j.tcr.2026.101368

Angelos Ndakuninahaza, Xinggang Lu, Adrien Mons, André Pierre Uzel

{"title":"Monteggia equivalent fracture associated with Salter-Harris I fracture of the radial head.","authors":"Angelos Ndakuninahaza, Xinggang Lu, Adrien Mons, André Pierre Uzel","doi":"10.1016/j.tcr.2026.101368","DOIUrl":"10.1016/j.tcr.2026.101368","url":null,"abstract":"Background: Monteggia fracture is an uncommon lesion, which associates ulnar shaft fracture and radial head dislocation. Equivalent Monteggia fracture can occur by associated lesions such as olecranon fracture or radial neck or head fracture.Case presentation: We present the case of a five-year-old girl, right handed, involved in domestic accident falling off a bed and sustained an isolated trauma of the left upper limb. Radiograph showed an unusual case of Monteggia equivalent lesion associating a fracture of the proximal third of the ulna shaft and a growth plate fracture Salter I of the proximal radial physis and anterior displacement of the proximal metaphysis. Management consisted of surgical care by open reduction with intramedullary pinning of the ulnar shaft fracture and osteosuture of the fracture line associated with non-operative management by closed reduction of radial growth plate fracture. Outcome after 24 months was very good without pain, full range of motion and very good healing.Conclusion: Diagnosing rare injuries, such as equivalent Monteggia fracture, necessitates a high index of suspicion and scrutiny of the findings to don't miss the radial head fracture. Anatomic surgical reduction can yield optimal functional outcomes.","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101368"},"PeriodicalIF":0.0,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13223520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151479","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}

引用次数: 0

Bilateral traumatic testicular dislocation associated with an unstable pelvic ring injury: a rare case report and literature review. 双侧外伤性睾丸脱位合并不稳定骨盆环损伤：罕见病例报告及文献复习。

Trauma Case Reports Pub Date : 2026-05-20 eCollection Date: 2026-08-01 DOI: 10.1016/j.tcr.2026.101364

Peter V Giannoudis, Konstantinos Giatroudakis, Spyridon P Galanakos, Theodoros K Kateros, Konstantinos Kateros

{"title":"Bilateral traumatic testicular dislocation associated with an unstable pelvic ring injury: a rare case report and literature review.","authors":"Peter V Giannoudis, Konstantinos Giatroudakis, Spyridon P Galanakos, Theodoros K Kateros, Konstantinos Kateros","doi":"10.1016/j.tcr.2026.101364","DOIUrl":"10.1016/j.tcr.2026.101364","url":null,"abstract":"Traumatic testicular dislocation is a rare complication of high-energy blunt trauma, most commonly occurring in motorcycle collisions. When associated with pelvic ring injuries, diagnosis may be delayed due to haemodynamic instability, soft-tissue swelling and distracting injuries. We report a 20-year-old man who sustained an unstable anteroposterior compression pelvic ring injury following a motorcycle accident, complicated by bilateral extra-scrotal testicular dislocation. Initial clinical assessment was limited by extensive scrotal haematoma. Cross-sectional imaging and Doppler ultrasonography demonstrated bilateral displacement of the testes into the superficial inguinal regions with reduced perfusion. The patient underwent combined orthopaedic and urological surgical management, including definitive pelvic fixation and bilateral orchidopexy. Postoperative imaging confirmed restoration of normal testicular position and blood flow. At 12-month follow-up, normal urogenital, endocrine and sexual function were preserved.","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101364"},"PeriodicalIF":0.0,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13217837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139066","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}

引用次数: 0

Intercostal nerve cryoablation for control of pain after sternal fracture repair: A case series. 肋间神经冷冻消融术控制胸骨骨折修复后疼痛：一个病例系列。

Trauma Case Reports Pub Date : 2026-05-20 eCollection Date: 2026-08-01 DOI: 10.1016/j.tcr.2026.101369

Laurel Foster, Colin L Doyle

{"title":"Intercostal nerve cryoablation for control of pain after sternal fracture repair: A case series.","authors":"Laurel Foster, Colin L Doyle","doi":"10.1016/j.tcr.2026.101369","DOIUrl":"10.1016/j.tcr.2026.101369","url":null,"abstract":"Introduction: Sternal fractures resulting from blunt chest trauma, can present with significant pain and respiratory compromise, particularly in patients with polytrauma. While isolated, nondisplaced fractures are typically managed conservatively, displaced or painful fractures are higher risk and may warrant surgical intervention. Intercostal cryoneurolysis (IC) has emerged as a promising adjunct, offering enhanced pain control in thoracic procedures. However, no studies have characterized the role of IC in the management of traumatic sternal fractures.Case report: We present two cases of patients with displaced sternal fractures following motor vehicle collisions who underwent surgical fixation with adjunctive IC. Both patients reported severe preoperative sternal pain unrelieved by multimodal analgesia. Intraoperative IC was performed bilaterally at the level of the fracture and adjacent intercostal spaces using a cryoanalgesia probe. Postoperatively, both patients experienced immediate and sustained pain relief, with complete insensate status over the sternal region and no complications. One patient was discharged the day after surgery and resumed normal activities, while the other remained hospitalized until postoperative day 7 for management of associated orthopedic injuries.Discussion: These cases demonstrate that IC, when used alongside sternal fixation, can provide rapid, effective, and durable pain relief, potentially reducing reliance on opioids and facilitating early mobilization. While further research is needed to establish standardized protocols, these findings support the integration of IC into the surgical management of traumatic sternal fractures.","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101369"},"PeriodicalIF":0.0,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13217833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139060","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}

引用次数: 0

Ligamentum teres tear with hyaline body formation: A rare cause of mechanical hip pain. 圆韧带撕裂伴透明体形成：机械性髋关节疼痛的罕见原因。

Trauma Case Reports Pub Date : 2026-05-20 eCollection Date: 2026-08-01 DOI: 10.1016/j.tcr.2026.101365

Mahmoud Kortibi, Qusai Razzouk, Mohammad Issa, Mostafa Sagheer, Hamza Khaiata, Firas Berro

{"title":"Ligamentum teres tear with hyaline body formation: A rare cause of mechanical hip pain.","authors":"Mahmoud Kortibi, Qusai Razzouk, Mohammad Issa, Mostafa Sagheer, Hamza Khaiata, Firas Berro","doi":"10.1016/j.tcr.2026.101365","DOIUrl":"10.1016/j.tcr.2026.101365","url":null,"abstract":"Introduction: Traumatic injuries of the ligamentum teres (LT) are an underrecognized cause of hip pain and instability. Diagnosis is often delayed due to nonspecific symptoms and normal radiographs. Complete LT rupture associated with intra-articular hyaline body formation is rare and may result in chronic mechanical symptoms.Case presentation: A 38-year-old female presented with progressive right hip pain and limping over two years following direct blunt trauma. Symptoms evolved into mechanical pain, instability, and restricted motion despite conservative management. Clinical examination revealed an antalgic gait, positive Trendelenburg sign, and reduced hip rotation. Radiographs were unremarkable, while magnetic resonance imaging suggested LT injury with joint effusion. Open surgical exploration via a modified Gibson approach revealed a complete LT rupture with multiple intra-articular hyaline bodies within the acetabular fossa, contributing to femoral head instability. Surgical management included excision of loose bodies, reduction, and capsular stabilization.Discussion: This case highlights a rare post-traumatic combination of complete LT rupture and hyaline body formation leading to chronic instability. It emphasizes the importance of maintaining clinical suspicion in patients with persistent mechanical symptoms despite normal imaging. In resource-limited settings, open surgical approaches provide effective diagnosis and treatment when arthroscopy is unavailable.Conclusion: Post-traumatic LT rupture with hyaline bodies is a rare but treatable cause of chronic hip instability. Early recognition and appropriate surgical management can lead to excellent functional outcomes.","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101365"},"PeriodicalIF":0.0,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13217891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139093","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}

引用次数: 0

Missed achilles tendon injury in superficial laceration: A diagnostic pitfall. 浅表撕裂伤漏诊跟腱损伤：一个诊断缺陷。

Trauma Case Reports Pub Date : 2026-05-06 eCollection Date: 2026-08-01 DOI: 10.1016/j.tcr.2026.101345

Jeffrey Byrd, Sreenivasulu Metikala, Madana Vallem, Khalid Hasan

引用次数: 0

From pitch to palsy: A rare case of acute brachial plexopathy following medial clavicle fracture in women's rugby. 从球场到瘫痪：一个罕见的病例急性臂丛病后内侧锁骨骨折的女子橄榄球。

Trauma Case Reports Pub Date : 2026-04-29 eCollection Date: 2026-05-01 DOI: 10.1016/j.tcr.2026.101333

Imad Mirza, P J O'Donoghue, Nicholas Stratford, Emma Carr, Roisin Dolan, Kieran O'Shea

{"title":"From pitch to palsy: A rare case of acute brachial plexopathy following medial clavicle fracture in women's rugby.","authors":"Imad Mirza, P J O'Donoghue, Nicholas Stratford, Emma Carr, Roisin Dolan, Kieran O'Shea","doi":"10.1016/j.tcr.2026.101333","DOIUrl":"10.1016/j.tcr.2026.101333","url":null,"abstract":"Background: Medial third clavicle fractures represent less than 5% of all clavicle fractures and are rarely associated with acute brachial plexus injury. Early recognition is critical, as timely surgical intervention may influence neurological recovery.Case: A 17-year-old elite rugby player sustained a closed, displaced medial third clavicle fracture following a high-energy tackle, confirmed on radiographs. Within 48 h, she developed profound C5-C6 sensorimotor deficits. CT angiography excluded vascular injury. MRI demonstrated focal T2 hyperintensity and enlargement of the upper trunk consistent with nerve oedema and axonal injury. The posteriorly displaced medial clavicle fragment compressed the brachial plexus, the sharp edges raised concern for a focal injury. A dual-level injury involving traction at the root and focal injury at the trunk could not be excluded. Nerve conduction studies revealed conduction block without axonal disruption. At two weeks, she underwent open reduction, internal fixation, and brachial plexus exploration. The C5-C6 roots were in continuity, and the upper trunk was contused; external neurolysis was performed. Sensory symptoms resolved by week 3; motor recovery began at week 4; complete functional recovery and return-to-play was achieved at 6-month follow-up.Conclusion: Early imaging and decompression are essential to optimise recovery in medial clavicle fractures with acute brachial plexopathy.","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"63 ","pages":"101333"},"PeriodicalIF":0.0,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13191642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017573","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}

引用次数: 0

Management of periprosthetic humeral fractures after shoulder arthroplasty: A case report on open reduction and internal fixation with strut allograft. 肩关节置换术后肱骨假体周围骨折的处理：开放复位异体支架内固定一例报告。

Trauma Case Reports Pub Date : 2026-04-27 eCollection Date: 2026-05-01 DOI: 10.1016/j.tcr.2026.101350

Alexis Kapitanov, Alain Akiki, Geoffroi Lallemand

{"title":"Management of periprosthetic humeral fractures after shoulder arthroplasty: A case report on open reduction and internal fixation with strut allograft.","authors":"Alexis Kapitanov, Alain Akiki, Geoffroi Lallemand","doi":"10.1016/j.tcr.2026.101350","DOIUrl":"10.1016/j.tcr.2026.101350","url":null,"abstract":"Introduction: This case report details the management of a periprosthetic humeral shaft fracture treated by open reduction and internal fixation (ORIF) with a strut allograft. To date, only 50 patients treated with strut allografts for periprosthetic humeral fractures are documented in the literature. Four case series, two retrospective reviews, and one prospective review have been analyzed. Of these, four studies (40 patients) used strut allografts with plates, and three studies (10 patients) used strut allografts with cerclage alone. Fracture union occurred between 3 and 7 months postoperatively. This is the first case report of such a fracture treated with a strut allograft and documented follow-up nearing two years.Case report: A 77-year-old man with multiple prior right shoulder surgeries, including reverse shoulder arthroplasty in 2017, sustained a proximal periprosthetic humeral fracture in 2023 after a fall. Initial ORIF with a long plate failed due to early loss of reduction. A revision procedure was performed using a longitudinally split fibular strut allograft, with halves placed medially and anteriorly, secured by fiber wires and plate fixation. At two years post-op, the patient was pain-free and functional, with radiographs showing fracture consolidation and graft integration.Conclusion: Seven studies have reported outcomes of strut allografts in periprosthetic humeral fractures. Only one compared ORIF with and without allograft, finding no outcome difference. Strut allografts are a valuable option for failed ORIF, providing both biological and mechanical stability.Level of evidence: Level IV.","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"63 ","pages":"101350"},"PeriodicalIF":0.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13145393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843191","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}

引用次数: 0

Simultaneous multiple carpometacarpal joint dislocations with trapezium fracture and trapezoid dislocation: A case report. 多发手掌关节脱位合并斜方骨折和斜方脱位1例。

Trauma Case Reports Pub Date : 2026-04-27 eCollection Date: 2026-05-01 DOI: 10.1016/j.tcr.2026.101355

Yuhei Mogi, Kinya Nishida, Maeda Akane, Uesugi Kazuhiro, Irifune Hideto, Che Yong Ho, Takahiro Iida

引用次数: 0

Spinal cord infarction without radiologic evidence of trauma complicated by cerebellar infarction due to vertebral artery thrombosis: A case report. 创伤后无影像学证据的脊髓梗死合并椎动脉血栓所致的小脑梗死1例。

Trauma Case Reports Pub Date : 2026-04-27 eCollection Date: 2026-04-01 DOI: 10.1016/j.tcr.2026.101358

Kazuki Hirose, Yuichi Saisaka, Ryo Ugawa, Yoshihiro Fujiwara, Maki Fukuda, Atsushi Morizane, Kouhei Miyashita, Toshiyuki Matsumoto

{"title":"Spinal cord infarction without radiologic evidence of trauma complicated by cerebellar infarction due to vertebral artery thrombosis: A case report.","authors":"Kazuki Hirose, Yuichi Saisaka, Ryo Ugawa, Yoshihiro Fujiwara, Maki Fukuda, Atsushi Morizane, Kouhei Miyashita, Toshiyuki Matsumoto","doi":"10.1016/j.tcr.2026.101358","DOIUrl":"10.1016/j.tcr.2026.101358","url":null,"abstract":"Background: Spinal cord injury without radiographic evidence of trauma (SCIWORET) is a rare condition but remains relevant in elderly patients. Herein, we report the rare case of a 78-year-old woman who sustained a spinal cord injury after falling from a bicycle.Case report: Computed tomography (CT) at admission revealed an absence of bony abnormalities; however, motor and sensory deficits were observed below the C4 level, corresponding to Frankel grade B. Magnetic resonance imaging (MRI) demonstrated T2-weighted hyperintensity at levels C4-C7, indicative of spinal cord edema. Notably, axial MRI images revealed a loss of flow voids in the right vertebral artery, while contrast-enhanced CT identified a thrombotic occlusion accompanied by subsequent cerebellar infarction. Decompression surgery and coil embolization of the vertebral artery were accordingly performed. Despite early surgical intervention, no change in neurological status was observed, indicating complete spinal cord injury. The patient is consequently undergoing management in an intensive rehabilitation program focusing on optimizing respiratory function and preventing secondary complications.Conclusion: This case underscores the diagnostic value of flow void loss on axial MRI, which serves as a crucial indicator in the evaluation of patients with SCIWORET.","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"62 ","pages":"101358"},"PeriodicalIF":0.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843508","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}

引用次数: 0

Surgical management of supracondylar humerus fracture in a child with severe hemophilia A: A case report. 严重血友病患儿肱骨髁上骨折的手术治疗：1例报告。

Trauma Case Reports Pub Date : 2026-04-27 eCollection Date: 2026-08-01 DOI: 10.1016/j.tcr.2026.101357

Karthick Rangasamy, Arjit Bansal, Nirmal Raj Gopinathan, Srinivasan Peyam, Pebam Sudesh

引用次数: 0