Trauma Case Reports最新文献_第7页

Traumatic pseudoaneurysm of the peroneal artery following lower extremity fracture – A case report and review of the literature 下肢骨折后外伤性腓骨动脉假性动脉瘤1例报告及文献复习

Trauma Case Reports Pub Date : 2025-02-24 DOI: 10.1016/j.tcr.2025.101148

Christian Thomas Hübner, Philipp Vetter, Sandro-Michael Heining, Hans-Christoph Pape, Christian Hierholzer

引用次数: 0

Large bone defects in the tibia secondary to Aeromonas hydrophila infection in open fractures: Report of two cases 开放性骨折继发于嗜水气单胞菌感染的胫骨大面积骨缺损：附2例报告

Trauma Case Reports Pub Date : 2025-02-19 DOI: 10.1016/j.tcr.2025.101143

Juan Francisco Guio Oros , Estefanía Arias Cobos , Juanita Villalba Reyes , Jaime Andrés Leal

{"title":"Large bone defects in the tibia secondary to Aeromonas hydrophila infection in open fractures: Report of two cases","authors":"Juan Francisco Guio Oros , Estefanía Arias Cobos , Juanita Villalba Reyes , Jaime Andrés Leal","doi":"10.1016/j.tcr.2025.101143","DOIUrl":"10.1016/j.tcr.2025.101143","url":null,"abstract":"<div><div>This paper reports on two cases of post-traumatic osteomyelitis (OM) caused by <em>Aeromonas hydrophila</em> in immunocompetent patients, a rare but severe condition. <em>A. hydrophila</em>, a gram-negative bacterium typically found in aquatic environments, is seldom reported as a cause of OM. The first case involved a 42-year-old male with a Gustilo-Anderson grade II open tibial fracture exposed to sewer water, leading to persistent infection despite initial treatment. The second case described a 38-year-old male inmate with a gunshot-induced tibial fracture managed externally, later presenting with purulent discharge and bone exposure. Both cases required extensive surgical interventions, including multiple debridements, antibiotic therapy, and bone reconstruction using distraction osteogenesis techniques. This report emphasizes the importance of early suspicion of <em>A. hydrophila</em> infection in patients with open fractures and water exposure, noting that standard laboratory procedures may not routinely identify this pathogen. Effective management involves a combination of surgical and medical approaches, including targeted antibiotics and aggressive surgical debridement, with some cases necessitating amputation. The rarity of this infection and its challenging treatment underscore the need for further research to develop standardized protocols and improve clinical outcomes.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"56 ","pages":"Article 101143"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453882","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

Analysis of ECMO usage in trauma patients at a major level 1 trauma center 某大型一级创伤中心创伤患者ECMO使用分析

Trauma Case Reports Pub Date : 2025-02-17 DOI: 10.1016/j.tcr.2025.101142

April Miller , Megan Post , Crescens Pellecchia , John Bini

{"title":"Analysis of ECMO usage in trauma patients at a major level 1 trauma center","authors":"April Miller , Megan Post , Crescens Pellecchia , John Bini","doi":"10.1016/j.tcr.2025.101142","DOIUrl":"10.1016/j.tcr.2025.101142","url":null,"abstract":"<div><div>Extracorporeal membrane oxygenation (ECMO) has been used for decades in patients where adequate oxygenation could not be achieved using traditional efforts. Data is emerging regarding its use in trauma. Retrospective data was collected from the ECMO database at an urban Level 1 trauma center between 2020 and 2024. Inclusion data was age > 17 years, trauma, and ECMO utilization during admission. Outcomes extracted included patient demographics, mechanism and type of injury, type of ECMO, ECMO days, hospital length of stay (LOS), intensive care LOS, date of injury to ECMO time, P/F ratio, ISS, complications, co-morbidities, anticoagulation, and mortality. Of the included 24 patients, 23 received veno-venous (VV) ECMO and one veno-arterial (VA) ECMO. The overall group demographics were: <em>n</em> = 23 males vs. <em>n</em> = 1 female, age 38.6 (±16.1) years. Duration of ECMO was 8.38 (±7.0) days, inpatient LOS 32.67 (±19.3) days, ICU LOS 26.33 (±18.0) days, DOI to initiation of ECMO 6.25 (±7.8). The ISS average was 29. The most common injury noted was rib fractures, average 4.6 (0−13) per patient. Other injuries included pneumothoraces (50 %), hemothoraces (35 %), blunt cardiac/sternal fracture (33 %). Complications on ECMO included transfusion requirement (54 %), DVT (13 %), and DIC (8 %). Of those studied, 87.5 % survived ECMO, with 70.8 % surviving to discharge. When using Mann-Whitney U and chi-square tests, there was not a statistically significant difference when comparing ISS, age, or P/F ratio between survivors versus non-survivors. Future research with increased sample size will be invaluable for the continued understanding of the role of ECMO in trauma.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"56 ","pages":"Article 101142"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437219","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

Full-endoscopic assisted surgery using anterior double odontoid screw fixation in type II odontoid fractures: A clinical study of the surgical technique 全内镜辅助下双齿状突前路螺钉固定治疗II型齿状突骨折的临床研究

Trauma Case Reports Pub Date : 2025-02-17 DOI: 10.1016/j.tcr.2025.101139

Suthipas Pongmanee , Peem Sarasombath , Anuchit Chaiamporn , Sitthikorn Kaensuk , Korapuk Lerswanichwattana , Wongthawat Liawrungrueang

{"title":"Full-endoscopic assisted surgery using anterior double odontoid screw fixation in type II odontoid fractures: A clinical study of the surgical technique","authors":"Suthipas Pongmanee , Peem Sarasombath , Anuchit Chaiamporn , Sitthikorn Kaensuk , Korapuk Lerswanichwattana , Wongthawat Liawrungrueang","doi":"10.1016/j.tcr.2025.101139","DOIUrl":"10.1016/j.tcr.2025.101139","url":null,"abstract":"<div><div>The most common complication of an odontoid fracture type II according to the Anderson and D'Alonzo classification is nonunion. The current standard is to offer surgical treatment. Anterior odontoid screws with minimally invasive surgery can achieve an effective outcome. Full endoscopic assisted spine surgery is an option that provides good visualization for determining the correct the screw entry point. This clinical case study describes the treatment of an acute displaced fracture a 79-year-old male suffered in a motor vehicle accident using the double odontoid screw technique with full endoscopic assisted surgery. The patient had severe neck pain with ASIA grade E. Radiographic study showed a type II fracture. The patient received urgent surgical intervention using the endoscopic assisted double anterior odontoid screw fixation technique. Intraoperatively the fracture was reduced and compressed without complication using double anterior odontoid screws. Post operative radiographic analysis showed the screws were in good position and the patient participated in a rehabilitation program. The patient's symptoms were completely resolved and union of the fracture was complete at the 1-year follow up. The anterior odontoid screw technique is a challenging minimally invasive surgical technique. Full endoscopic assisted surgery is an effective and desirable technique for use with an anterior double odontoid screw. This technique could be a new option for spine surgery involving an odontoid type II fracture.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"56 ","pages":"Article 101139"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474478","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

Traumatic anterior tibiofemoral dislocation of mobile-bearing total knee arthroplasty: Two cases 可移动全膝关节置换术后外伤性胫股前脱位2例

Trauma Case Reports Pub Date : 2025-02-17 DOI: 10.1016/j.tcr.2025.101144

Carlijn Schoutens , Peter A. Nolte , Arthur van Noort

{"title":"Traumatic anterior tibiofemoral dislocation of mobile-bearing total knee arthroplasty: Two cases","authors":"Carlijn Schoutens , Peter A. Nolte , Arthur van Noort","doi":"10.1016/j.tcr.2025.101144","DOIUrl":"10.1016/j.tcr.2025.101144","url":null,"abstract":"<div><h3>Background</h3><div>Anterior tibiofemoral dislocation is a severe complication of a total knee arthroplasty. It is rare, and it is distinctly different from bearing spinout. Most tibiofemoral dislocations are posterior. Anterior dislocation has previously been described in various prosthesis designs, but not in mobile-bearing prostheses. We present two cases and provide recommendations for the management of this rare and severe injury.</div></div><div><h3>Case description</h3><div>Two cases of complete anterior tibiofemoral dislocation were brought on by trauma, fifteen and eight years after initial implantation of mobile-bearing total knee arthroplasties in 71-year-old and 73-year-old female patients. One was managed with closed reduction and made a full recovery. In the other, closed reduction failed, open reduction was performed, and there was a need for revision surgery for instability after her initial recovery. There were no neurovascular complications. Follow-up was 23 and 14 months respectively.</div></div><div><h3>Conclusion</h3><div>Anterior tibiofemoral dislocation is a severe injury with a risk of concomitant complications. Early management should include prompt reduction, serial neurovascular exams and CT angiography for all cases. Late management should include assessment of joint stability.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"56 ","pages":"Article 101144"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453883","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

A rare entity of carpal dislocation: A case report 罕见的腕关节脱位1例

Trauma Case Reports Pub Date : 2025-02-17 DOI: 10.1016/j.tcr.2025.101141

El Hassani Abdelkrim, Hicham Douma, Ramzi Zakaria, Belloughe Yacoub, Habbab Mohamed, El Kasseh Mostapha, Nassiri Mohamed, Abdessalam Achkoun, Hanane El Haoury, Mohamed Madhar, Rachid Chafik

{"title":"A rare entity of carpal dislocation: A case report","authors":"El Hassani Abdelkrim, Hicham Douma, Ramzi Zakaria, Belloughe Yacoub, Habbab Mohamed, El Kasseh Mostapha, Nassiri Mohamed, Abdessalam Achkoun, Hanane El Haoury, Mohamed Madhar, Rachid Chafik","doi":"10.1016/j.tcr.2025.101141","DOIUrl":"10.1016/j.tcr.2025.101141","url":null,"abstract":"<div><div>Isolated dislocations of the carpal scaphoid are extremely rare injuries, often associated with significant ligamentous disruptions. Consequently, treatment strategies can be conflicting and varied, ranging from closed reduction and percutaneous fixation to open reduction with internal fixation and/or ligamentous reconstruction.</div><div>Typically caused by high-energy trauma, these injuries frequently present alongside associated carpal fractures. As a result, only a few cases of isolated scaphoid dislocations have been reported in the literature.</div><div>We present the case of a 30-year-old male with an isolated scaphoid dislocation managed with open reduction, internal Kirschner wire fixation, and ligamentous repair. At the two-year follow-up, the patient had successfully returned to work and resumed all desired activities.</div><div>Early diagnosis and appropriate management are critical to improving the prognosis of isolated scaphoid dislocations.</div></div><div><h3>Level of evidence</h3><div>Level VI.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"56 ","pages":"Article 101141"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445163","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 Kienböck disease; a literature review and case presentation 双侧Kienböck疾病；文献回顾及个案报告

Trauma Case Reports Pub Date : 2025-02-13 DOI: 10.1016/j.tcr.2025.101138

Ahmadreza Afshar, Mohammad Javad Shariyate, Ali Tabrizi

引用次数: 0

Serious lower limb injuries following car gearbox explosion: A rare case report 汽车变速箱爆炸致下肢严重损伤一例罕见病例报告。

Trauma Case Reports Pub Date : 2025-02-01 DOI: 10.1016/j.tcr.2025.101130

Hassan Al-Thani , Ayman El-Menyar

引用次数: 0

A paradigm in panfacial fracture treatment to improved dental occlusion 改善牙合的全面骨折治疗范例。

Trauma Case Reports Pub Date : 2025-02-01 DOI: 10.1016/j.tcr.2025.101125

Dini Widiarni Widodo , Mirta Hediyati Reksodiputro , Fateha Putri Hakim , Syahrial Marsintha Hutauruk , Eky Nasuri , Raden Ayu Anatriera , Regina Talitha Rosa , Deta Hamida

{"title":"A paradigm in panfacial fracture treatment to improved dental occlusion","authors":"Dini Widiarni Widodo , Mirta Hediyati Reksodiputro , Fateha Putri Hakim , Syahrial Marsintha Hutauruk , Eky Nasuri , Raden Ayu Anatriera , Regina Talitha Rosa , Deta Hamida","doi":"10.1016/j.tcr.2025.101125","DOIUrl":"10.1016/j.tcr.2025.101125","url":null,"abstract":"<div><h3>Introduction</h3><div>The prevalence of maxillofacial fractures is rising due to increased road traffic accidents, necessitating prompt and effective management, especially in cases of panfacial fractures. The primary objective in treating such fractures is to restore occlusion and stabilize midface buttresses and pillars.</div></div><div><h3>Case report</h3><div>This article presents the case of a 56-year-old male who sustained panfacial fractures following a road accident, exhibiting symptoms including facial pain and nosebleeds. The treatment involved the use of arch bars for dental occlusion. Post-operative recovery was complicated by silent aspiration, successfully managed with a tracheostomy. After one month, the patient showed symmetrical facial features with no abnormalities.</div></div><div><h3>Conclusion</h3><div>It is crucial to weigh the benefits and limitations of Maxillomandibular Fixation in relation to the specific fracture types. This case underscores the potential of arch bars in improving outcomes for patients with complex facial fractures.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"55 ","pages":"Article 101125"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053405","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

Isolated scaphoid dislocation and repair of the scapholunate ligament in acute trauma: A case report 急性创伤孤立性舟骨脱位及舟月骨韧带修复1例

Trauma Case Reports Pub Date : 2025-02-01 DOI: 10.1016/j.tcr.2025.101131

Mehar Dhillon, M. Harshith, Ramesh Kalappagol Basappa, Deepak Kumar Negi

引用次数: 0