Trauma Case Reports最新文献_第6页

Augmented primary repair of chronic partial complex triceps brachii tear in a kabaddi player - a case report 卡巴迪球员慢性部分复杂肱三头肌撕裂的增强初级修复-一例报告

Trauma Case Reports Pub Date : 2025-04-15 DOI: 10.1016/j.tcr.2025.101169

Deepak Kumar Negi, Arjit Bansal, Tarkik Thami, Manoj Kumar Suthar, Tharun Teja Aduri

引用次数: 0

A surgical technique of tibial tuberosity fracture fixation with one suture tape in a figure-of-eight configuration, as a tension band and a single cannulated partial-threaded screw 一种胫骨粗隆骨折的手术技术，用一根八字形缝合带作为张力带和一根空心部分螺纹螺钉固定

Trauma Case Reports Pub Date : 2025-04-15 DOI: 10.1016/j.tcr.2025.101179

Angelo V. Vasiliadis , Dimitrios Plakas , Dimitrios Atmatzidis , Rigas Santas

{"title":"A surgical technique of tibial tuberosity fracture fixation with one suture tape in a figure-of-eight configuration, as a tension band and a single cannulated partial-threaded screw","authors":"Angelo V. Vasiliadis , Dimitrios Plakas , Dimitrios Atmatzidis , Rigas Santas","doi":"10.1016/j.tcr.2025.101179","DOIUrl":"10.1016/j.tcr.2025.101179","url":null,"abstract":"<div><div>Tibial tuberosity fractures are relatively uncommon injuries that typically present in adolescents with open physis and are caused by strong contraction of the quadriceps muscle. Isolated tibial tuberosity avulsion fractures are a rare type of fracture among adults, which can occur due to a direct blow to the tibial tuberosity. Existing literature on this fracture type is rich, with many techniques describing the effective fragment fixation of the tibial tuberosity including k-wires, cannulated screws, plates, tension band wire, knotless suture anchors, or a combination of these. The purpose of this technical note is to describe a technique for the treatment of small avulsion tibial tuberosity fractures using a suture tape in a figure-of-eight configuration as a tension band accompanying one cannulated partial-threaded screw. This technique provides a simple and reproducible method, which offers a stable construct, allowing early patient mobilization without risk of symptomatic hardware and possible re-operation.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101179"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834906","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

Abdominopelvic impalement with tree branch causing major vascular injury 伴树枝的腹盂穿刺造成大血管损伤

Trauma Case Reports Pub Date : 2025-04-15 DOI: 10.1016/j.tcr.2025.101181

Stevan Fairburn , Adam Sturdivant , James Hwang , John B. Holcomb , Jeffrey D. Kerby , Janet Julson , Jon Winkler , W. Preston Hewgley

{"title":"Abdominopelvic impalement with tree branch causing major vascular injury","authors":"Stevan Fairburn , Adam Sturdivant , James Hwang , John B. Holcomb , Jeffrey D. Kerby , Janet Julson , Jon Winkler , W. Preston Hewgley","doi":"10.1016/j.tcr.2025.101181","DOIUrl":"10.1016/j.tcr.2025.101181","url":null,"abstract":"<div><div>This case report describes the management of a 45-year-old female who sustained an abdominopelvic impalement injury from a tree branch following a motor vehicle accident. The branch impaled the abdominal wall at the left lower quadrant and exited the patient's left posterior pelvis. The impaled object prevented supine positioning and disrupted the formulaic primary and secondary survey. While tempting to remove such an impaled object, surgical fundamentals dictate they be left in situ until surgical intervention. In this scenario, tamponade from the impaled object prevented catastrophic hemorrhage until vascular control was established in the operating room. The patient's physiology remained appropriate to begin reconstructive efforts at the index operation, minimizing the number of operations and ensuring the patient's long-term functionality. Management of this impaled object provides an example of how to manipulate the surrounding environment to optimize surgical approach when external factors prevent standard positioning.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101181"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843724","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

Watch out your pins! Periprosthetic femoral fracture at tracking pin site early after robotic-assisted knee arthroplasty treated with dual nail-plate fixation 小心你的别针！机器人辅助膝关节置换术后早期股骨假体周围骨折伴双钢板固定

Trauma Case Reports Pub Date : 2025-04-15 DOI: 10.1016/j.tcr.2025.101182

Jaime Sánchez del Saz , Jaime Coderch Carretero , Javier García Coiradas , Rodrigo García Crespo

{"title":"Watch out your pins! Periprosthetic femoral fracture at tracking pin site early after robotic-assisted knee arthroplasty treated with dual nail-plate fixation","authors":"Jaime Sánchez del Saz , Jaime Coderch Carretero , Javier García Coiradas , Rodrigo García Crespo","doi":"10.1016/j.tcr.2025.101182","DOIUrl":"10.1016/j.tcr.2025.101182","url":null,"abstract":"<div><div>Robotic-assisted orthopedic surgeries are gaining popularity due to several factors such as its potential for enhanced precision and alignment in prosthetic implant placement, as well as its better pain control and reduction in hospital stay time. However, complications such as pin-related periprosthetic fractures, though rare, highlight the importance of technical precision during pin placement and adequate postoperative monitoring.</div><div>We present the case of a 76-year-old obese female patient who presented to the Emergency Department with severe pain and deformity around the knee two months after robotic-assisted total knee arthroplasty following a fall from standing height. Radiographs revealed a displaced femoral periprosthetic fracture at tracking pin sites without associated implant instability. Surgical management involved combined nail-plate fixation, which promoted both early weight-bearing and functional recovery. At one year postoperatively, the patient achieved satisfactory fracture healing and functional outcomes, with a Knee Society Score of 92 and an EuroQol-5D index value of 0.78.</div><div>Combined nail-plate osteosynthesis, though more invasive compared to other fixation methods, could be an effective strategy for managing distal femoral fractures following robotic-assisted arthroplasty, especially in obese and elderly patients, due to its biomechanical advantages, supporting early mobilization and weight-bearing with reliable fracture healing.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101182"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838693","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

Recurrent myelitis secondary to peripheral nerve root stretching: A case report and review of the literature 继发于周围神经根伸展的复发性脊髓炎1例报告及文献复习

Trauma Case Reports Pub Date : 2025-04-15 DOI: 10.1016/j.tcr.2025.101178

Abbas Rahimi Jaberi , Ghazanfar Rafiee

{"title":"Recurrent myelitis secondary to peripheral nerve root stretching: A case report and review of the literature","authors":"Abbas Rahimi Jaberi , Ghazanfar Rafiee","doi":"10.1016/j.tcr.2025.101178","DOIUrl":"10.1016/j.tcr.2025.101178","url":null,"abstract":"<div><div>Stretching a nerve more than 5% of its resting length for an extended period can result within changes dysfunction and ischemia. Nerve damage known as neuropathy can range from minor sensory changes like tingling or numbness to more severe injuries such as paralysis. 55-year-old male without significant past medical history experienced numbness, pain, and tingling in his left arm and forearm while lifting weights. An Electromyography-Nerve Conduction Study indicated multiple active root irritations on the left side at levels C5-C8. A Magnetic Resonance Image of the cervical spine showed a hyperintense signal lesion in the area of the cervical spinal cord from C2-C5 vertebrae, ruling out cervical myelitis. His symptoms gradually improved and were relieved for approximately 5 months with minimal signs, but recurred during daily activities. This second episode has lasted 12 months with ongoing treatment. After 12 months of follow-up, his issue has diminished but remains unresolved. It is uncommon to observe peripheral or peripheral-like symptoms in patients with recurrent peripheral neuritis and myelitis affecting only the left upper extremity. The study was approved by the ethics committee of Shiraz University of Medical Sciences with the code of IR.Sums.Med.Rec.1403.154. The patient signed the written informed consent form to document this case and include the accompanying images. It is unusual to see peripheral or peripheral-like symptoms in patients experiencing recurrent myelitis and peripheral neuritis and specifically affecting the left upper extremity. The exacerbation of symptoms when lying down on the affected side and stretching nerves is also significant. This unique presentation may be attributed to the reduced muscle mass in the proximal muscles of the upper extremity, making the nerve roots more susceptible to damage during weightlifting.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101178"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843722","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

Proximal Humerus Allogenic Transplant for Treatment of a Complex Proximal Humerus Fracture-Dislocation 肱骨近端同种异体移植治疗复杂的肱骨近端骨折-脱位

Trauma Case Reports Pub Date : 2025-04-15 DOI: 10.1016/j.tcr.2025.101180

Lucas Armada , Pedro Amaro , Raul Alonso , Luís Pires

引用次数: 0

Saphenous nerve compression in the differential diagnosis of knee pain. Case study and a review of the literature 隐神经压迫在膝关节疼痛的鉴别诊断中的应用。个案研究及文献回顾

Trauma Case Reports Pub Date : 2025-04-15 DOI: 10.1016/j.tcr.2025.101183

Timo Jokela, Pekka Löppönen

{"title":"Saphenous nerve compression in the differential diagnosis of knee pain. Case study and a review of the literature","authors":"Timo Jokela, Pekka Löppönen","doi":"10.1016/j.tcr.2025.101183","DOIUrl":"10.1016/j.tcr.2025.101183","url":null,"abstract":"<div><div>A 17-year old male athlete presented with right knee and lower extremity pain that was resistant to traditional physical therapy and pain management for almost two years. He had played ice hockey as a goalie since childhood but was unable to return to play because of the pain. He had to a history of several different injuries to the same knee and had several MRI scans and physician visits without any help. Pain was aggravated by physical activity especially when the knee was extended but there was no major problem in the knee itself. Palpation of the adductor canal greatly aggravated the pain radiating below the knee. As local anaesthetic to the adductor canal eased the pain saphenous nerve impingement was suspected. Successful decompression of the nerve was performed and pain disappeared right after surgery. He was able to return to play ice hockey as a goalie three months after surgery. Even though iatrogenic injuries to saphenous nerve are common after orthopaedic operations, compression of the nerve in adductor canal is a rare condition that can cause problems in the differential diagnosis of knee pain. If needed, surgical treatment seems to yield a good outcome.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101183"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860263","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

Primary diaphyseal tuberculosis of the tibia, presenting as a pathological fracture – A case report 原发性胫骨骨干结核，表现为病理性骨折1例

Trauma Case Reports Pub Date : 2025-04-15 DOI: 10.1016/j.tcr.2025.101161

Cheuk Kin Kwan , Stephanie Wing Sum Tso , Wing Hong Liu , Chi Yin Tso , Wing Hoi Cheung , Ronald Man Yeung Wong , Ning Tang

{"title":"Primary diaphyseal tuberculosis of the tibia, presenting as a pathological fracture – A case report","authors":"Cheuk Kin Kwan , Stephanie Wing Sum Tso , Wing Hong Liu , Chi Yin Tso , Wing Hoi Cheung , Ronald Man Yeung Wong , Ning Tang","doi":"10.1016/j.tcr.2025.101161","DOIUrl":"10.1016/j.tcr.2025.101161","url":null,"abstract":"<div><h3>Background</h3><div>Isolated involvement of the shaft of a long bone is a rare presentation of skeletal tuberculosis (TB). To our knowledge, primary skeletal TB of the tibia manifesting as a pathological fracture has not been widely reported. We report a case of primary TB of the right tibia in an immunocompetent 85-year-old woman.</div></div><div><h3>Case presentation</h3><div>An immunocompetent 85-year-old woman with tuberculosis osteomyelitis of her right tibia and fibula, presenting as pathological fracture. Fibular ostectomy was performed followed by application of a bioabsorbable bone substitute and an Ilizarov external fixator. The patient was pain-free and ambulating with a walking frame one year post-operatively.</div></div><div><h3>Conclusions</h3><div>Tuberculosis osteomyelitis is challenging to diagnose due to the absence of distinctive clinical and radiographic features. This case highlights the potential of a bioabsorbable bone substitute in achieving osteoconduction and providing sustained local antimicrobial release in tuberculous osteomyelitis.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101161"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843723","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

Lower limb preservation after severe degloving injury: a case report 严重脱手套损伤后下肢保存1例

Trauma Case Reports Pub Date : 2025-04-15 DOI: 10.1016/j.tcr.2025.101162

Zoltan Cibula , Maros Hrubina , Marian Melisik , Peter Lisy , Monika Cervencova

引用次数: 0

A case involving a bovine aortic arch contributing to blunt thoracic aortic injury of triple rupture close to the pericardial reflection 一例涉及牛主动脉弓导致钝性胸主动脉损伤三重破裂靠近心包反射

Trauma Case Reports Pub Date : 2025-04-15 DOI: 10.1016/j.tcr.2025.101164

Takuma Aoki , Hidetoshi Oka , Naohiko Oki , Hirofumi Kasahara

引用次数: 0