Trauma Case Reports最新文献

{"title":"Pledgets infection and persistent bile leak following severe blunt liver trauma treated by partial liver resection: A case report","authors":"Yoshiro Kobe,&nbsp;Misaki Murasaki,&nbsp;Masaya Ushio,&nbsp;Takayuki Tohma","doi":"10.1016/j.tcr.2025.101198","DOIUrl":"10.1016/j.tcr.2025.101198","url":null,"abstract":"<div><h3>Introduction</h3><div>Persistent bile leakage is a known complication following surgery to control bleeding from severe liver injuries.</div></div><div><h3>Case presentation</h3><div>A 51-year-old Japanese man presented to our hospital in shock following a collision between his motorcycle and a car. He underwent immediate surgery, in which a liver laceration was repaired with pledgeted sutures. Persistent bile leakage from the sutured hepatic site could be controlled post-operatively with stents, but the sutured hepatic site was found to be infected. A partial liver resection was eventually performed to successfully manage the infection.</div></div><div><h3>Conclusion</h3><div>Clinicians should consider surgical intervention for cases of persistent infection after failed conservative treatment for severe liver injury.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101198"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134365","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":"Displaced intra-articular calcaneal fracture with comminuted calcaneocuboid depression fracture: case report","authors":"Motoyuki Takaki ,&nbsp;Akira Yoshino ,&nbsp;Hirono Ojima ,&nbsp;Takuya Yuki ,&nbsp;Asami Morimoto ,&nbsp;Narutaka Katoh","doi":"10.1016/j.tcr.2025.101205","DOIUrl":"10.1016/j.tcr.2025.101205","url":null,"abstract":"<div><h3>Background</h3><div>Although it is well known that some calcaneal fractures extend to the calcaneocuboid joint, there have been no reports detailing the techniques of reduction in calcaneal fractures with severe displaced depressed calcaneocuboid joint fractures.</div></div><div><h3>Purpose</h3><div>We experienced a case of calcaneal fracture with severe displaced comminuted calcaneocuboid joint depression fracture. The purpose of this report is to introduce reduction and fixation techniques.</div></div><div><h3>Case</h3><div>51-Year-old male. He was injured after falling from a height of 6 m while pruning trees at his workplace. He was carried to his previous hospital and was urgently hospitalized with a diagnosis of left calcaneus comminuted fracture, left ankle lateral malleolar fracture, 1st lumbar compression fracture, and sacral fracture.</div><div>The patient presented with a depression type calcaneal fracture including an intraarticular depression fracture of the calcaneocuboid joint. At surgery, the depression fracture of the calcaneocuboid joint was directly molded to the cuboid, before the posterior talocalcaneal fracture was reduced and temporarily fixed to the cuboid bone with a Kirshner wire. The lateral column was opened using a spreader and shortening of the lateral column was reconstructed when the posterior talocalcaneal intra-articular fracture was reduced.</div></div><div><h3>Discussion</h3><div>In calcaneal fractures involving the calcaneocuboid joint, those with minor displacement are often reduced indirectly by posterior facet reduction. In cases of depression fractures of the calcaneocuboid joint with severe displacement, there is a risk of shortening of the lateral column, so length of the lateral column must be restored sufficiently. We think that dissection of the fracture site and temporary joint fixation is required for reduction.</div></div><div><h3>Conclusion</h3><div>For calcaneal fractures with intra-articular depression fractures of the calcaneocuboid joint, reduction techniques to reconstruct the length of the lateral column using a lamina spreader are useful, such as temporary joint fixation after reduction of the calcaneocuboid joint using Kirshner wire.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101205"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167029","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":"Survival of a patient with an acute traumatic subdural hematoma and high-grade liver injury with associated IVC injury without surgical intervention","authors":"Patrick T. Lee ,&nbsp;Elliot Jessie ,&nbsp;David T. Efron","doi":"10.1016/j.tcr.2025.101194","DOIUrl":"10.1016/j.tcr.2025.101194","url":null,"abstract":"<div><div>Blunt trauma can often result in multi-organ injury. Traumatic brain injury with significant intracranial hemorrhage is usually addressed with surgical intervention to prevent further injury, particularly in the presence of midline shift. Concurrent liver injury and hemorrhage can present challenges in management. Here, we discuss the case of a 46-year-old male who presented after a motor vehicle crash and was found to have a subdural hematoma (SDH) with midline shift and herniation, which was determined to be non-survivable by neurosurgery. On cross-sectional imaging, the patient was additionally found to have a Grade V liver injury with extension into the inferior vena cava. No surgical interventions were performed for the intracranial hemorrhage or intra-abdominal injuries. The patient did not succumb to these injuries, but had a decrease in the size of the intracranial hemorrhage, and eventually regained consciousness during the hospital course, surviving to discharge.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"58 ","pages":"Article 101194"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167114","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":"A rare consequence of snakebite: A case report and literature review","authors":"Fadi Aboud ,&nbsp;Micheal Assaf ,&nbsp;Haim Shtarker","doi":"10.1016/j.tcr.2025.101174","DOIUrl":"10.1016/j.tcr.2025.101174","url":null,"abstract":"<div><div>Snakebites can have a diverse array of symptoms, manifesting both locally and systemically. Local symptoms include mainly swelling and pain. Rarely some patients can develop compartment syndrome. The symptoms of a snakebite can mimic those of compartment, potentially causing a delay diagnosis and treatment which can lead to devastating and a long-lasting disability.</div><div>We present a case of an eight-year-old female who presented with systemic envenomation after a snakebite to her left lower leg. Upon arrival, she received supportive care, including antivenom, and demonstrated a good systemic response. However, her leg swelling and pain gradually worsened. She was examined daily by orthopedic surgeons. Clinical examinations initially showed no signs of compartment syndrome until 68 h after admission, when a passive stretch test became positive, and intra-compartmental pressure was found to be elevated. The patient was promptly taken to the operating room for compartment release. The muscles showed no ischemia and two weeks after the release primary closure was done. This case highlights the importance of clinician vigilance and awareness of the potential for delayed onset of compartment syndrome following a snakebite. Our patient was diagnosed and treated in a timely manner, resulting in complete recovery without permanent disability.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101174"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895854","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":"Fixation of fibular head avulsion fractures with the proximal tibiofibular screw: Technique guide and clinical experience","authors":"Ryan A. Paul ,&nbsp;Shu Yang Hu ,&nbsp;Ananya Pathak ,&nbsp;Ryan Khan ,&nbsp;Daniel B. Whelan","doi":"10.1016/j.tcr.2025.101175","DOIUrl":"10.1016/j.tcr.2025.101175","url":null,"abstract":"<div><h3>Background</h3><div>Fibular head avulsion fractures are often associated with posterolateral corner injuries. Conventional fixation have consisted of transosseous or anchor-based suture techniques.</div></div><div><h3>Purpose</h3><div>This technique paper reports on the use of a cannulated screw for fixation of fibular head avulsion fractures by a single surgeon at a tertiary referral center.</div></div><div><h3>Methods</h3><div>Thirty-seven patients underwent open reduction and internal fixation of fibular head avulsion fractures between 2006 and 2022.</div></div><div><h3>Results</h3><div>At final follow up (mean 3.5 years ± 2.5) all fractures went on to bony union. All patients regained functional range of motion with mean extension of 1 degree (median 0 degrees, range 0 to −5 degrees) and mean flexion of 121 degrees (median 127.5 degrees, range 90 to 135 degrees).</div></div><div><h3>Conclusion</h3><div>Our results suggest that a cannulated screw across multiple cortices provides robust fixation and allows for early motion.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101175"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895855","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":"Esophageal stricture due to corrosive substance ingested and delayed management: A case report","authors":"Arival Yanuar Riswanto ,&nbsp;Budi Widodo ,&nbsp;Titong Sugihartono ,&nbsp;Nurike Setiyari Mudjari","doi":"10.1016/j.tcr.2025.101171","DOIUrl":"10.1016/j.tcr.2025.101171","url":null,"abstract":"<div><div>Corrosive substance ingestion is a medical emergency that can lead to poor outcomes, though prompt and adequate treatment has been carried out, particularly in cases of delayed management. An Indonesian man, 36 years old, complained of continually vomiting after meals caused by ingesting a corrosive substance 3 months earlier, which had an impact wight loss of 25 kg. Besides, he also experienced tenderness in the epigastric and left hypochondriac areas. The first endoscopic examination revealed esophageal stricture. In the second endoscopy, dilation was performed with balloon-controlled radial expansion (CRE) and showed a stricture in the pyloric sphincter and corrosive damage IIIA, according to Zargar's classification. Despite 14 times of endoscopic performed combined with dilation and Triamcinolone Acetonide injection, the esophageal and pyloric strictures recurrence occurred several times. Therefore, he was stenting into esophageal patent to keep the lumen diameter constant. Esophageal stricture is a complication of corrosive substance ingestion that requires lengthy treatment. Local steroids are less likely to cause challenges during esophageal dilatation than systemic or oral steroids. Corrosive substance ingestion negatively impacts the upper gastrointestinal system; one of the case is esophageal stricture, which requires lengthy management of lumen narrowing recurrence.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101171"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143911947","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":"Case report: Zone 3 gunshot wound to the left neck treated with combined Foley catheter balloon tamponade and interventional radiology stent placement","authors":"Rebekah L. Bjorklund ,&nbsp;Luis Fernandez ,&nbsp;Gary Spiegel ,&nbsp;Brittany Wagner ,&nbsp;Austin Eagleton","doi":"10.1016/j.tcr.2025.101159","DOIUrl":"10.1016/j.tcr.2025.101159","url":null,"abstract":"<div><div>In the trauma and military setting, catheter balloon tamponade has been successfully used as an effective tool for the management of exsanguination secondary to penetrating injuries. This maneuver may improve outcomes in patients with uncontrolled bleeding, particularly in penetrating neck injuries (PNI), thorax, axillae, and groin. We describe a case of a stab wound to the left neck that led to surgical left neck exploration utilizing Foley catheter balloon tamponade (FCBT) for initial control of massive hemorrhage and a subsequent interventional radiology (IR) endovascular stent placement for a zone 3 internal carotid artery injury.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101159"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143927559","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":"Quadrimalleolar ankle fracture with syndesmosis disruption—a minimally invasive approach with arthroscopic repair of the anterior-inferior tibiofibular ligament (AITFL); a case report","authors":"Ming Hong Chau M.B.Ch.B., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed.,&nbsp;Ka Ki Stephanie Liu M.B.B.S., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed.","doi":"10.1016/j.tcr.2025.101173","DOIUrl":"10.1016/j.tcr.2025.101173","url":null,"abstract":"<div><div>We describe the case of a 61-year-old Chinese female who presented with a closed quadrimalleolar ankle fracture subluxation with avulsion fracture of anterolateral tibial rim along with disruption of the syndesmosis. The fibula fracture was fixed under minimally invasive approach with a fibula nail and the anterior-inferior tibiofibular ligament (AITFL) was repaired arthroscopically, together with fixation of the medial malleolus fracture. This is the first reported case in which a similar technique was used. At the 3-month follow-up, the fracture has healed completely with good cosmetic and clinical outcome.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101173"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851471","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":"Bicycle impalement: A case series of penetrating handlebar injuries","authors":"Zoe Flyer ,&nbsp;John Schomberg ,&nbsp;Andreina Giron ,&nbsp;Laura F. Goodman","doi":"10.1016/j.tcr.2025.101163","DOIUrl":"10.1016/j.tcr.2025.101163","url":null,"abstract":"<div><h3>Introduction</h3><div>Bicycles are among the most common means of transportation and recreation in children, and significant contributor to trauma in the pediatric population. Handlebars remain the most common bicycle part responsible for injuries, though most are blunt trauma. Few studies exist about bicycle impalement, or penetrating handlebar injuries, in children. The objective of this study is an overview of the evaluation, treatment and associated outcomes of these rare injuries.</div></div><div><h3>Case presentations</h3><div>We review a total of 8 penetrating handlebar trauma cases in children at our pediatric trauma center over the course of 4 years. In the same time frame, our pediatric trauma center treated 2506 patients for bicycle-related trauma. Institutional review board (IRB) approval was obtained per protocol prior to the study. All 8 penetrating handlebar cases were secondary to impalement with the hand-brake portion of bicycle handlebars. Age, gender, immunization status, imaging, type of procedural intervention, medications given and outcomes at follow up visits are reviewed.</div></div><div><h3>Discussion</h3><div>All 8 cases reviewed were in male patients, median age 9. 6 patients presented with penetrating injuries to the lower extremity, and 2 patients with injuries to the abdomen. All 8 cases were up to date on immunizations and received a dose of intravenous antibiotics at presentation. Plain film radiographs and CT images were obtained based on patient's clinical findings, and type of procedural intervention pursued was ultimately provider-dependent. All 8 patients were discharged on oral antibiotics, and all were noted to be healing well without signs of infection at follow-up.</div></div><div><h3>Conclusion</h3><div>While rare, prompt recognition, evaluation and treatment of penetrating handlebar injuries in the pediatric population is imperative to improving clinical outcomes. Immediate evaluation includes patient's immunization status, decision to obtain imaging and operative intervention when indicated. Post-operative prophylactic antibiotics are not mandatory in cases of complete foreign body removal. Review of a larger number of penetrating handlebar cases could be pursued to further delineate best-practice protocols for this population.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101163"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860254","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":"Managing delayed union of fragility fractures of the pelvis successfully using romosozumab: A case report","authors":"K. Wada ,&nbsp;A. Tominaga ,&nbsp;M. Naruo ,&nbsp;K. Okazaki","doi":"10.1016/j.tcr.2025.101176","DOIUrl":"10.1016/j.tcr.2025.101176","url":null,"abstract":"<div><div>Fragility fractures of the pelvis (FFPs) are typically caused by minor trauma or without any trauma in older individuals with osteoporosis. In recent years, FFP incidence has increased considerably owing to the increasing number of individuals in the aging population as well as impaired daily life. Surgeries are the main treatment options for some types of FFPs; however, the potential of the use of romosozumab, an FDA-approved humanized monoclonal antibody that can bind and inhibit sclerostin, is yet to be evaluated. Romosozumab substantially increases bone mineral density (BMD) in the spine and the hip, improves bone strength, and prevents the occurrence of new fractures. Previous studies have demonstrated the efficacy of romosozumab in promoting fracture healing, including the healing of nonunion in some fractures. Herein, we present a case of a 61-year-old woman who had FFP delayed union, after falling 4 months before visiting our hospital. She presented with bilateral buttock and leg pain. Baseline BMD measured using dual-energy X-ray absorptiometry revealed a T-score of −3.8 and −3.2 for the lumbar spine and total hip, respectively. As the patient's BMD indicated a high risk of fractures, romosozumab was administered. Her pain improved 3 months after the medication. Computed tomography taken after 3 months revealed that the fracture had healed, suggesting that romosozumab is an effective medication for treating FFP delayed union and nonunion.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101176"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834905","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}