Trauma Case Reports最新文献

{"title":"Perineal laceration treated with negative pressure wound therapy following colostomy","authors":"Kenta Mitsusada,&nbsp;Hisashi Dote,&nbsp;Shinichiro Irabu,&nbsp;Takahiro Atsumi","doi":"10.1016/j.tcr.2024.101059","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101059","url":null,"abstract":"<div><p>A male in his early 30s was transported to the emergency room after being hit by a vehicle while inebriated and lying in the street. His general condition was stable; however, he had a perineal laceration that extended to the coccyx. Due to the proximity of the wound margin to the anus, we were concerned regarding the potential contamination and opted not to suture it. Therefore, we refrained from suturing the wound and kept the wound open after irrigation and debridement. Additionally, we performed a transverse colostomy. On day 4, we initiated negative pressure wound therapy for 40 days, during which sufficient wound granulation occurred. The patient was discharged, and the colostomy was closed approximately 4 months after the injury. Our case illustrates the effectiveness of negative pressure wound therapy in managing perineal lacerations.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000827/pdfft?md5=d7737d09a6d92a0d3bfaa547e42ce958&pid=1-s2.0-S2352644024000827-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141291816","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":"Pediatric duodenal stenosis caused by posttraumatic mesenteric hematoma managed with a double elementary diet tube","authors":"Hirotaka Shibuya ,&nbsp;Keita Sato ,&nbsp;Natsuki Hashiba ,&nbsp;Yosuke Yamauchi ,&nbsp;Yoshihisa Tamura ,&nbsp;Shinya Sugimoto ,&nbsp;Koji Takahashi","doi":"10.1016/j.tcr.2024.101060","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101060","url":null,"abstract":"<div><p>A 6-year-old male child was admitted to the hospital because of abdominal trauma and acute stomach pain. Computed tomography scan revealed a jejunal mesenteric hematoma and an enhanced intestinal wall compressed by the hematoma. The patient presented with vomiting 10 days after the injury. He underwent upper endoscopy under tracheal intubation and general anesthesia 12 days after the injury. A double elementary diet tube was inserted endoscopically with the tip placed in the jejunum beyond the stenosis and the decompressed portion of the stomach. Stenosis was improving, and the patient was discharged on the 27th day after the injury. In conclusion, a double elementary diet tube can be effective for treating posttraumatic duodenal stenosis in pediatric patients.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000839/pdfft?md5=aad5dc615e708c5096693492387a87a6&pid=1-s2.0-S2352644024000839-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141290197","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":"Irreducible traumatic pure hip dislocation by the entrapment of the lateral rotator muscle group of the hip: A case report","authors":"Zied Mansi ,&nbsp;Saibi Firas ,&nbsp;Ben Mahmoud Aymen ,&nbsp;Tounsi Abdelkader ,&nbsp;Islem Chneti ,&nbsp;Hedi Rbai ,&nbsp;Wajdi Chermiti ,&nbsp;Ali Haggui ,&nbsp;Bacem Zaidi ,&nbsp;Wael Gazzah","doi":"10.1016/j.tcr.2024.101049","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101049","url":null,"abstract":"<div><h3>Introduction</h3><p>Irreducibility is a rare complication of pure posterior hip dislocation requiring surgical intervention.</p></div><div><h3>Case presentation</h3><p>We present a case of a 22-year-old female with posterior hip dislocation following a motor vehicle accident. Despite unsuccessful closed reduction attempts, open surgical reduction successfully released the incarcerated muscles and achieved reduction. Follow-up examinations showed excellent functional outcomes without complications.</p></div><div><h3>Clinical discussion</h3><p>Irreducibility remains a rare complication of traumatic posterior hip dislocation. Three possible entities can cause soft tissue incarceration: labral buttonholing, intra-articular osteochondral bodies, and entrapment of the piriformis muscle. The posterior-lateral approach provides excellent exposure of the posterior hip structures, but it carries the risk of injury to the medial circumflex artery. After successfully reducing the dislocation, it is essential to perform a computed tomography (CT) scan to detect any osteochondral lesions, including femoral head impaction. Functional outcomes are better with early mobilization and prompt resumption of weight-bearing. However, femoral head osteonecrosis complicates 52.9 % of hip dislocations reduced beyond 6 h, whereas it occurs in only 4.8 % of dislocations reduced within this timeframe.</p></div><div><h3>Conclusion</h3><p>This case underscores the importance of prompt recognition and appropriate surgical intervention for irreducible hip dislocations to prevent further complications and optimize patient outcomes.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000724/pdfft?md5=fc4a6699ef8af4dd8ce90f0305d6d332&pid=1-s2.0-S2352644024000724-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141291802","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":"Awake reduction of hangman's fracture: An era of dexmedetomidine","authors":"Monica Chhikara,&nbsp;Davender Chahal","doi":"10.1016/j.tcr.2024.101046","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101046","url":null,"abstract":"<div><p>Hangman's fracture is a kind of unstable cervical spine injury which should be treated promptly to avoid life threatening consequences. Advanced neurological monitoring is essential during surgical intrervention. Resource limited setting, where advanced monitors like SSEP and MEP are not available makes it challenging to assess proper reduction of cervical spine without neurological compromise. Dexmedetomidine proved to be very useful drug to assess the neurological status intra operatively by awake sedation.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000694/pdfft?md5=34062faa8d01d696f46c0a5c09488a48&pid=1-s2.0-S2352644024000694-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141291818","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":"Hemi-Masquelet technique and nailing in a circumferential bone defect of 7 cm after open femoral shaft fracture. A case report","authors":"Joffrey Boucly,&nbsp;André-Pierre Uzel","doi":"10.1016/j.tcr.2024.101066","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101066","url":null,"abstract":"<div><p>The treatment of Gustilo-Anderson type III open femoral fracture with large segmental bone defect remains a challenge for orthopedic trauma surgeons. The aims of management are first to prevent the risk of infection and then to reconstruct the bone loss with correct alignment and length. The induced membrane technique (or Masquelet technique) was initially described for tibia nonunion but became over the years an established procedure to treat any kind of large bone defect. The case of a 22-year old male who sustained an open femoral shaft fracture with a circumferential 7-cm bone defect after a car accident is presented. Given the critical size of the bone loss, we chose to manage this patient using a modified-Masquelet technique, in which we stabilized the fracture by an intramedullary femoral nail and filled only the lateral side of the defect with a cement spacer. He went on to have a full and successful union of his fracture 16-weeks after the second stage surgery. The final functional outcomes were excellent allowing the patient to resume all activities without restriction.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235264402400089X/pdfft?md5=dcc336c93f9a518576fb3b2adf74943e&pid=1-s2.0-S235264402400089X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141302537","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":"Subclavian line infiltration causing neck compartment syndrome and bradycardic arrest: A case report","authors":"Taylor B. Bucyk ,&nbsp;Caitlin R. Collins ,&nbsp;Jeffrey T. Macuja ,&nbsp;Marissa A. Boeck ,&nbsp;Jenson K. Wong","doi":"10.1016/j.tcr.2024.101065","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101065","url":null,"abstract":"<div><p>Unrecognized central venous catheter (CVC) infiltration is an uncommon but potentially life-threatening complication. For instance, a malpositioned subclavian line can infuse into the mediastinum, pleural cavity, or interstitial space of the neck. We present the case of a 30-year-old male with gunshot wounds to the right chest, resuscitated with an initially functional left subclavian CVC, which later infiltrated into the neck causing compression of the carotid sinus and consequent bradycardic arrest. Return of spontaneous circulation (ROSC) was achieved following intravenous epinephrine, cardiac massage, and emergency neck exploration and cervical fasciotomy. Our case highlights the importance of frequent reassessment of lines, especially those placed during fast-paced, high-intensity clinical situations. We recommend being mindful when using rapid transfusion devices as an interstitial catheter may not mount enough back pressure to trigger the system's alarm before significant tissue damage or compartment syndrome occurs.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000888/pdfft?md5=2b85276bd4c1dda3d99770fb91e7deb4&pid=1-s2.0-S2352644024000888-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141291817","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":"A rare fatal cerebral fat emboli syndrome with large vessel occlusion post intertrochanteric fracture plating in an older female: A case report","authors":"Radin H. Kamal, Faldha R. Ramadhan, M. D. Wibowo, Bimo Sasono","doi":"10.1016/j.tcr.2024.101057","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101057","url":null,"abstract":"","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141410186","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 case of damage control after polytrauma and bilateral femur fracture","authors":"Dana Avraham,&nbsp;Amir Herman,&nbsp;Maria Oulianski","doi":"10.1016/j.tcr.2024.101037","DOIUrl":"10.1016/j.tcr.2024.101037","url":null,"abstract":"<div><h3>Introduction</h3><p>Multi-trauma patients require a multidisciplinary team, especially in the presence of various body systems injuries. The evaluation focuses on the decision regarding the DCO and ETC approaches.</p></div><div><h3>Case presentation</h3><p>A 24-year-old male patient with Glasgow Coma Score 8, arrived at the emergency room, followed by ATLS protocol. Orthopedic trauma included D8 vertebra unstable burst fracture, right open femur shaft fracture, left closed midshaft femur fracture, and right tibial plateau fracture of the knee.</p></div><div><h3>Case summary</h3><p>A hemodynamically stable patient with bilateral femur fractures is directed toward the DCO approach.</p></div><div><h3>Discussion</h3><p>An initial treatment for an external fixator across the knee on the right leg and a spine fusion and decompression of D5–10 surgery was made on the day of admission. Definitive fixation and conversion to internal fixators were done on day 9 after the accident. Postoperative drop-foot injury was seen in the right leg. A Masquelet technique was applied for the right femur segmental fracture due to gaps.</p></div><div><h3>Conclusion</h3><p>DCO may be employed to temporarily stabilize fractures, allowing the patient to recover from other life-threatening injuries before definitive fixation. Further secondary procedures, such as the Masquelet technique, should be considered to optimize the results. Long-term follow-up and rehabilitation are part of recovery, aiming to optimize functional recovery and improve the patient's quality of life.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000608/pdfft?md5=4f0231f332351b152ac7fbb3b0387089&pid=1-s2.0-S2352644024000608-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141033125","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":"A pediatric terrible triad fracture of elbow with lateral epicondyle avulsion","authors":"Tazi Charki Mohammed,&nbsp;Jabri Hatim,&nbsp;Abdellaoui Hicham,&nbsp;Atarraf Karima,&nbsp;Afifi Moulay Abderrahmane","doi":"10.1016/j.tcr.2024.101036","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101036","url":null,"abstract":"<div><p>A terrible triad fracture of the elbow is defined as an elbow dislocation with associated fractures of the coronoid process and radial head. This injury is uncommon in adults and exceptional in immature skeletons. We report a rare case of a terrible triad in a 14-year-old boy with a lateral epicondyle fracture. The diagnosis was suspected by the X-ray and confirmed by a CT scan after a closed reduction of the elbow, which was unstable. After a lateral approach of the elbow, the radial head and the lateral epicondyle were fixed by K-wire, and the fragment of the coronoid process was fixed by a bone suture. At two years of follow-up, the clinical and radiological outcomes were good.</p><p>The terrible triad of the elbow is an exceptional trauma in children. Fracture avulsion of the lateral epicondyle is a particularity in the immature skeleton, equivalent to the lateral ligament injury in adults. A CT scan is mandatory after the reduction of the elbow to evaluate bone lesions. Open reduction by a single-lateral approach is indicated in cases of instability in extension.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000591/pdfft?md5=89fb2d6fc9efda8ac6d1bf566902008c&pid=1-s2.0-S2352644024000591-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140918089","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":"Intramedullary nailing for floating knee injury complicated by pulmonary fat embolism: A case report and literature review","authors":"Mei-Ren Zhang,&nbsp;Kui Zhao,&nbsp;Hai-Yun Chen,&nbsp;Jiang-Long Guo","doi":"10.1016/j.tcr.2024.101040","DOIUrl":"https://doi.org/10.1016/j.tcr.2024.101040","url":null,"abstract":"<div><p>A 28-year-old man involved in a serious motorcycle accident was admitted to our hospital with comminuted fractures of the ipsilateral femoral shaft and tibial shaft, as well as multiple fractures of the right lower limb, including the proximal fibula, medial malleolus, and the third and fourth distal metatarsals. In addition, the patient suffered a skin contusion and laceration of the right foot. On the first day of admission, this patient suddenly developed tachycardia, pyrexia, and tachypnoea, and was immediately transferred to the ICU for further treatment due to a CT-diagnosed pulmonary fat embolism (FE). As a symptomatic treatment, he received a prophylactic dose of low-molecular-weight heparin for 10 days, after which his condition improved. A Doppler ultrasound of the lower leg and a follow-up chest CT angiography were performed, which excluded any remaining thrombus and verified that the pulmonary FE had improved without deterioration. Closed-reduction and retrograde intramedullary nailing were performed for the femoral shaft fractures, while antegrade intramedullary nailing was performed for the tibial shaft fractures under general anaesthesia. In the three-year follow-up, the patient had recovered with good function of the right limb, without any respiratory discomfort. Both the femoral and tibial shaft fractures finally resolved without any further treatment. Ipsilateral femoral and tibial shaft fractures should undergo surgical stabilisation as early as possible to avoid pulmonary FEs. It is still controversial whether intramedullary nailing is suitable for floating knee injuries complicated by pulmonary FEs. However, if patients with pulmonary FEs require intramedullary nailing, we suggest that surgery should be performed after at least one week of anticoagulant use, when patient vital signs are stable and there is no sign of dyspnoea. In addition, patients should try to avoid reaming during the operation to prevent and decrease “second hit” for the lung.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000633/pdfft?md5=b1f4e81dc43baeea13338c6f5cfcc58f&pid=1-s2.0-S2352644024000633-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140918091","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}