Trauma Case Reports最新文献

{"title":"From shoulder to spine: A rare case of K-wire migration after acromioclavicular fixation.","authors":"Y Sbihi, M El Hanbli, O El Adaoui, O Baba, Y Qadiri, Y El Andaloussi, A R Haddoun, M Fadili","doi":"10.1016/j.tcr.2026.101356","DOIUrl":"10.1016/j.tcr.2026.101356","url":null,"abstract":"<p><p>Acromioclavicular dislocation is frequently managed with temporary K-wire fixation, but wire migration remains a rare and serious complication. We report a case of intraspinal K-wire migration following acromioclavicular stabilization in a 58-year-old man. The wire was successfully removed through a supraclavicular approach, with postoperative pneumocephalus and pleural effusion both managed conservatively. This case highlights the potentially life-threatening risks of K-wire migration and the importance of correct fixation technique and regular follow-up.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"63 ","pages":"101356"},"PeriodicalIF":0.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13156548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869604","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":"Penetrating pancreatic injury treated with surgery and endoscopic pancreatic stenting: A case report.","authors":"Takahiro Terashi, Tetsuya Maeda, Eriko Shiona, Masanori Kawaguchi, Akihiko Yamamoto, Shoichi Inokuchi, Satoshi Tsutsumi, Masahiko Ikebe, Toshio Bandoh, Tohru Utsunomiya","doi":"10.1016/j.tcr.2026.101352","DOIUrl":"10.1016/j.tcr.2026.101352","url":null,"abstract":"<p><strong>Background: </strong>Traumatic pancreatic injury is associated with high morbidity and mortality. We present a rare case of penetrating pancreatic injury caused by a knife.</p><p><strong>Case presentation: </strong>A 57-year-old man who stabbed himself in the abdomen during a suicide attempt presented to our hospital. A contrast-enhanced computed tomography scan revealed free air in the abdomen, and penetrating pancreatic injury was suspected. Emergency laparotomy was performed. Perforation of the stomach and penetrating injury to the pancreas were observed. The gastric perforation was repaired. Due to the fact that no obvious bleeding or leakage of pancreatic juice was observed, pancreatic repair was not performed. The endoscopic retrograde pancreatography after the operation revealed no obvious injury to the main pancreatic duct. To prevent pancreatic fistula, a stent was placed in the main pancreatic duct, after which the fistula improved.</p><p><strong>Conclusion: </strong>We present a rare case of penetrating pancreatic injury, which was treated by surgery and endoscopic pancreatic stenting.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"63 ","pages":"101352"},"PeriodicalIF":0.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13141074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843216","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":"Acute spinal cord injury caused by high-voltage electrical burn requiring a multidisciplinary approach in a resource-limited setting: A case report.","authors":"Berhanu Shetie Sefene, Wondwosen Mengist Dereje, Shibabaw Fentahun, Abebe Gelaw, Hailemariam Yohannes Asefa, Andinet Azaje, Nebiyu Bekele","doi":"10.1016/j.tcr.2026.101347","DOIUrl":"10.1016/j.tcr.2026.101347","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Tissue damage from an electrical burn could result from either direct electrical current and/or its conversion from electric to thermal energy. Although loss of consciousness, altered mentation, and peripheral neuropathy are the common neurologic sequelae of electrical burns, spinal cord injury can also be the only neurological complication of high-voltage electrical burn injuries. In this case report we present scalp soft tissue defect and acute spinal cord injury following high voltage electrical burn in a 35 years old male patient. We aim to emphasize the importance of multidisciplinary management in improving patient outcomes.</p><p><strong>Case presentation: </strong>A 35-year-old soldier experienced a high-voltage power live burn injury to the right frontal area of the head. Eight hours after the injury, he developed bilateral lower-extremity weakness and a tingling sensation. Basic investigations like CBC, renal function test, and ECG readings were normal. Both brain CT and spinal MRI studies reveal normal. Concomitant with wound management, physiotherapy was initiated, and he had significant improvement in his weakness by the end of the third week.</p><p><strong>Clinical discussion: </strong>Despite accounting for less than 4% of burn case, electrical burn have special concerns including the potential for cardiac arrhythmias and compartment syndromes with concurrent rhabdomyolysis. Other types of burns include flame burn and scald burn.</p><p><strong>Conclusion: </strong>High-voltage electrical burn injuries are serious problems causing variable degrees and types of neurologic impairments. Acute spinal cord injuries are among the less commonly reported problems. Given the limited effective treatment options for neurologic complications, appropriate preventive measures, multidisciplinary management, and long-term neurologic follow-up are important.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"62 ","pages":"101347"},"PeriodicalIF":0.0,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843385","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":"Pathological fracture of the femur without surgical fixation in primary bone diffuse large B-cell lymphoma (DLBCL): A rare case with full recovery.","authors":"Mouncef Amahtil, Walid Bouziane, Khalil Ouda, Amine Hamazaoui, Mohamed Abartal, Mohamed Sadougui, Abdelkrim Daoudi","doi":"10.1016/j.tcr.2026.101353","DOIUrl":"10.1016/j.tcr.2026.101353","url":null,"abstract":"<p><strong>Background: </strong>Primary bone lymphoma (PBL) is a rare extranodal non-Hodgkin lymphoma that accounts for less than 5% of primary bone tumors and 1-3% of non-Hodgkin lymphomas. Diffuse large B-cell lymphoma (DLBCL) is the most common histologic subtype. Pathological fractures are an uncommon initial presentation.</p><p><strong>Case presentation: </strong>We report the case of a 24-year-old male of North African origin, with no prior medical history, presenting with acute pain and functional limitation of the left lower limb. Imaging revealed a bifocal pathological fracture of the distal femur with osteolytic changes and cortical destruction. MRI demonstrated bone marrow replacement, cortical disruption at two levels, and periosteal and muscle involvement. Histological and immunohistochemical analysis confirmed the diagnosis of PBL-DLBCL. No extraosseous disease was detected. Although surgical stabilization was proposed, the patient refused the operation, and a circular cast was applied. The patient subsequently underwent radiotherapy (30 Gy in 10 fractions) and six cycles of R-CHOP chemotherapy, achieving complete fracture healing and full functional recovery after four months.</p><p><strong>Conclusion: </strong>This case illustrates a rare presentation of PBL-DLBCL complicated by a pathological fracture, successfully managed without surgical fixation following the patient's refusal of surgery. The favorable clinical and functional outcome suggests that surgical intervention should be considered on a case-by-case basis, taking into account fracture risk, clinical stability, and the need to avoid delays in systemic therapy. Further studies are required to establish clear guidelines for managing pathological fractures in PBL.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"63 ","pages":"101353"},"PeriodicalIF":0.0,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989216","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":"Ovine forestomach matrix as a novel adjunct to promote healing of low output enterocutaneous fistulae in high-risk surgical patients.","authors":"Sophia Trinh, Joseph Mason, Paige Deville, Dhanushka Vitharana, John Hunt, Alan Marr, Lance Stuke, Patrick Greiffenstein, Alison Smith","doi":"10.1016/j.tcr.2026.101348","DOIUrl":"10.1016/j.tcr.2026.101348","url":null,"abstract":"<p><strong>Background: </strong>The development of enterocutaneous fistulas (ECF) after emergency laparotomies is not uncommon. Management is difficult and options limited. Studies suggest ovine forestomach matrix (OFM) grafts may be viable treatment options for complex wounds. The goal of this study was to investigate the use of OFM in the treatment of ECFs.</p><p><strong>Methods: </strong>Patients with ECFs as a result of emergency laparotomy were treated with OFM. Wounds were appropriately debrided and OFM was applied. A secondary dressing was applied and left on for a minimum of 7 days. Patients were followed at regular intervals to monitor progression of wound healing.</p><p><strong>Results: </strong>Three patients were included in the case series. One patient developed ECF after bowel resection secondary to gunshot wounds. OFM was applied and upon follow up, the wound was significantly healed. The second patient developed ECF after bowel resection secondary to being struck by a vehicle. OFM was applied and at two week follow up the fistula was closed. The third patient developed ECF after major small bowel resection secondary to acute mesenteric ischemia. OFM was applied and the ECF was fully closed at one month.</p><p><strong>Conclusion: </strong>This case series highlights the utilization of OFM to augment wound healing in patients with ECFs. This pilot study demonstrates the excellent results achieved with OFM as an adjunct for difficult wounds such as ECFs with the ability to accelerate healing.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"63 ","pages":"101348"},"PeriodicalIF":0.0,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843172","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":"Superficial vein thrombosis of the upper extremity after pectoralis major repair: An uncommon complication.","authors":"Bahaaldin Helal, Patrick J Carroll, Sultan Alsuhaim, Matthew Nakouzi, Amr Elmaraghy","doi":"10.1016/j.tcr.2026.101351","DOIUrl":"10.1016/j.tcr.2026.101351","url":null,"abstract":"<p><strong>Background: </strong>Superficial venous thrombosis (SVT) is traditionally considered a benign condition, yet recent evidence indicates there may be a clinically significant overlap with it and deep venous thrombosis (DVT) and/or pulmonary embolism (PE) in a significant proportion of cases. Despite the well-established low incidence of venous thrombo-embolism (VTE) following upper extremity orthopaedic procedures such as pectoralis major (PM) tendon repair, thrombotic complications remain clinically noteworthy and potentially serious.</p><p><strong>Case presentation: </strong>A 43-year-old active male presented with left shoulder pain following a skiing accident, and he was diagnosed clinically with a complete PM tendon rupture. Surgical repair was performed uneventfully eight weeks after injury without pharmacologic thromboprophylaxis, consistent with guidelines for low-risk upper extremity surgeries. Ten days postoperatively, the patient developed a painful, cord-like swelling along the ipsilateral cephalic vein. Duplex ultrasound confirmed an isolated thrombosis within the cephalic vein extending proximally along the arm. The patient was initiated on therapeutic anticoagulation with rivaroxaban, resulting in rapid symptomatic improvement and an uncomplicated recovery.</p><p><strong>Conclusion: </strong>This case underscores the importance of maintaining clinical vigilance for superficial vein thrombosis even in surgical contexts considered low risk for VTE. Prompt imaging to differentiate SVT from DVT is crucial, and anticoagulation therapy may be warranted in cases involving extensive superficial thrombosis or proximity to deep venous systems. Appropriate patient education, timely recognition, and tailored treatment strategies are key steps toward ensuring optimal outcomes.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"63 ","pages":"101351"},"PeriodicalIF":0.0,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13153601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869612","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":"When delay costs a limb: Severe chronic osteomyelitis in a patient with intravenous drug use.","authors":"Lucas Fontenelle Vieira, Paul Raymond Cardinal, Lauren Gibbs, Sharon M Henry, Marcelo Augusto Fontenelle Ribeiro","doi":"10.1016/j.tcr.2026.101354","DOIUrl":"10.1016/j.tcr.2026.101354","url":null,"abstract":"<p><strong>Introduction: </strong>Intravenous drug use (IVDU) is strongly associated with severe infections including abscesses, endocarditis, necrotizing fasciitis, and osteomyelitis. When untreated, acute osteomyelitis can progress to chronic disease with biofilm-mediated antimicrobial resistance, soft tissue necrosis, and eventual limb loss. Reports of extreme cases requiring major amputation remain uncommon in the literature.</p><p><strong>Case presentation: </strong>We report the case of a 32-year-old female with a history of substance use disorder who presented with a chronic right forearm wound after more than one year without definitive treatment. Despite prior medical recommendations for amputation, the patient declined intervention and was lost to follow-up. She re-presented with worsening pain, soft tissue necrosis, exposed bone, and a pathological fracture. Operative management included a transhumeral amputation with confirmation of acute osteomyelitis and osteonecrosis on pathology.</p><p><strong>Discussion: </strong>This case highlights the clinical and social challenges of managing chronic osteomyelitis in patients with IVDU, including delayed care, limited adherence, and high rates of antimicrobial resistance. Optimal management requires a multifaceted approach combining aggressive surgical debridement or amputation with systemic and local antibiotic therapy. Emerging treatment frameworks, such as the Philadelphia Treatment Algorithm for Xylazine-Associated Wounds, provide evidence-based guidance for similarly complex infections.</p><p><strong>Conclusion: </strong>Patients with substance use disorder are at increased risk for devastating complications of chronic osteomyelitis, including limb loss. Early recognition, structured treatment algorithms, multidisciplinary management, and integration of addiction treatment are critical to improving outcomes in this vulnerable population.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"62 ","pages":"101354"},"PeriodicalIF":0.0,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843511","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":"Persistent distal radioulnar joint dislocation after surgical treatment of Galeazzi fracture-dislocation: A case report and review of the literature.","authors":"Minh Ngoc Dinh, Thy Gia Anh Le, Phi Duong Nguyen","doi":"10.1016/j.tcr.2026.101349","DOIUrl":"10.1016/j.tcr.2026.101349","url":null,"abstract":"<p><p>Galeazzi fracture-dislocation is a complex injury involving a distal radius fracture and distal radioulnar joint (DRUJ) dislocation, typically treated through surgical intervention. However, persistent DRUJ dislocation remains a common complication following surgery. This report presents two cases of persistent DRUJ dislocation after surgical treatment of Galeazzi fractures. Both patients underwent initial radial fixation with plate and screws but developed limitations in forearm supination and pain due to residual DRUJ dislocation. Radiographs confirmed the dislocation, and subsequent surgeries addressed the causes, including radial malalignment, soft tissue entrapment, and untreated ulnar styloid fractures. Following reoperation, both patients achieved full recovery with pain relief and restored forearm mobility. This case report emphasizes the importance of comprehensive intraoperative evaluation and early detection of DRUJ dislocation to prevent long-term dysfunction and complications.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"62 ","pages":"101349"},"PeriodicalIF":0.0,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843533","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":"Anterior clamp-assisted reduction for retrograde nailing of infra-isthmic femoral fractures: technique and preliminary results on a short case series.","authors":"Ana Van-Breukelen-García, Marina Sabater-Jofre, Jordi Teixidor-Serra, Jordi Tomás-Hernández, Jordi Selga-Marsa, Carlos Alberto Piedra-Calle, Ferran Blasco-Casado, Yaiza García-Sanchez, José Vicente Andrés-Peiró","doi":"10.1016/j.tcr.2026.101338","DOIUrl":"10.1016/j.tcr.2026.101338","url":null,"abstract":"<p><p>Infra-isthmal femoral fractures in elderly patients are difficult to stabilize due to the broad metaphyseal anatomy. In the absence of consensus on optimal management, this study assesses a minimally invasive technique combining anterior clamp-assisted reduction with retrograde intramedullary nailing. A retrospective case series was conducted on ten patients treated between January 2023 and April 2024. All underwent percutaneous fracture reduction via a limited anterior approach, followed by retrograde nailing. The mean patient age was 84.9 ± 6.2 years. All fractures were caused by low-energy trauma. Six involved native bone and four were periprosthetic. All cases progressed to union without infection or wound complications. One peri-implant fracture occurred at the proximal tip of the nail and was successfully treated with overlapping plate fixation. This technique was safe and effective for infra-isthmal spiral femoral fractures in elderly, frail patients. It allowed accurate reduction, minimized soft tissue disruption, and resulted in reliable fracture healing.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"62 ","pages":"101338"},"PeriodicalIF":0.0,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843530","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":"Reverse total shoulder replacement after traumatic acute ischemia of the upper limb due to proximal humerus fracture.","authors":"Ilyesse Haichour, Kamal Benalia, Darraz Sohayb, Rifaai Sami, Najib Abdeljaouad, Hicham Yacoubi","doi":"10.1016/j.tcr.2026.101339","DOIUrl":"10.1016/j.tcr.2026.101339","url":null,"abstract":"<p><p>Proximal humerus fractures represent approximately 5% of all fractures, predominantly affecting elderly patients with osteoporotic bone. While many cases are minimally displaced and treated conservatively, complex fracture patterns-particularly those involving multiple fragments or head-splitting components-pose significant diagnostic and therapeutic challenges. One of the rare but serious complications of these injuries is vascular involvement, most notably affecting the axillary artery due to its anatomical proximity. Although uncommon, acute ischemia of the upper limb secondary to such trauma requires prompt diagnosis and urgent multidisciplinary management to avoid irreversible tissue damage or limb loss. We report the case of a 58-year-old man who presented with a complex four-part proximal humerus fracture with a head-split configuration following a fall from standing height. The trauma was complicated by acute limb ischemia caused by blunt injury to the axillary artery.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"64 ","pages":"101339"},"PeriodicalIF":0.0,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362580","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}