Trauma Case Reports最新文献

{"title":"Complete gastric transection after blunt force trauma.","authors":"Sydney Parker, Sophia Jimenez, Riley Blanton, Samprit Karra, Alejandro Garcia","doi":"10.1016/j.tcr.2026.101313","DOIUrl":"10.1016/j.tcr.2026.101313","url":null,"abstract":"<p><p>The present case report examines an isolated incident of a relatively uncommon consequence of blunt abdominal trauma - a complete gastric transection. These injuries have an occurrence rate of about 1% and are usually associated with other concomitant injuries and frequently require complex foregut reconstruction due to disruption of neurovascular supply. Our patient did not have any major concomitant injuries and was able to be repaired primarily without any digestive disruption.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"61 ","pages":"101313"},"PeriodicalIF":0.0,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13030982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575535","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":"Symphysiodesis with silver-coated plates for the treatment of traumatic symphyseal instability in complex pelvic trauma.","authors":"Moritz Riedl, Florian Baumann, Volker Alt","doi":"10.1016/j.tcr.2026.101312","DOIUrl":"10.1016/j.tcr.2026.101312","url":null,"abstract":"<p><strong>Background: </strong>Pelvic ring fractures represent a challenging injury pattern, particularly when accompanied by abdominal trauma and soft tissue disruption, increasing the risk of fracture-related infection (FRI). This report highlights the role of silver-coated implants in the staged management of a complex pelvic injury complicated by abdominal infection for prevention of FRI.</p><p><strong>Clinical case: </strong>A 55-year-old male sustained a bilateral Type C pelvic ring fracture and multiple associated intraabdominal injuries following high-energy trauma. Initial management included C-clamp stabilization, laparotomy, and urogenital reconstruction. Due to severe abdominal soft tissue infection, a staged fixation strategy was applied: minimally invasive posterior ring fixation and temporary anterior external fixation. After abdominal infection control, a xenogenic mesh was used to reconstruct the abdominal wall. Secondary, symphysiodesis was indicated due to persistent instability of the symphysis. The procedure was ultimately performed using autologous bone graft and double plating with silver-coated implants.</p><p><strong>Results: </strong>Initially, the patient sustained multiple infectious complications, including bacteremia and urogenital infections, requiring prolonged antimicrobial therapy. At long-term follow-up, a stable fusion of the symphysis was achieved without further infection or mechanical complication.</p><p><strong>Conclusion: </strong>This case demonstrates that silver-coated implants can serve as an effective adjunct in managing pelvic injury patients at high-risk for infection.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"61 ","pages":"101312"},"PeriodicalIF":0.0,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13030969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575474","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 isolated traumatic anterior pisiform dislocation in an adult: A case report.","authors":"Devansh Shukla, Jannik Engelhardt, Philipp Eckardt, Philipp Kobbe, Stefan Delank, Matthias Aurich","doi":"10.1016/j.tcr.2026.101317","DOIUrl":"10.1016/j.tcr.2026.101317","url":null,"abstract":"<p><p>Isolated pisiform dislocation without associated carpal bone injuries is a rare clinical entity, with few reported cases. This report describes a 23-year-old, right-handed male who presented in March 2024 with acute anterior pisiform dislocation following indirect trauma while lifting furniture. The patient experienced pain, mild swelling, and tenderness in the distal ulnar region of the right hand, with initial radiographs confirming the dislocation. Spontaneous repositioning occurred during transfer to a trauma hospital after cast immobilization, eliminating the need for further imaging or invasive treatment. The patient had no history of hypermobility syndrome. Early physiotherapy facilitated full recovery of range of motion. After one-year follow-up, the patient showed a Quick-DASH score of 0, indicating complete functional recovery; therefore, no control radiographs were performed to avoid unnecessary radiation exposure in this young patient. The Quick-DASH (Disabilities of the Arm, Shoulder and Hand) score of 0/100 confirms excellent objective and subjective outcome with no residual disability. The injury likely resulted from wrist hyperextension and forceful flexor carpi ulnaris contraction. Diagnosis typically relies on clinical findings and radiographs, though advanced imaging may be required in ambiguous cases. Treatment options include immobilization, closed reduction, open reduction with internal fixation, or pisiform excision, depending on the case. This report underscores the importance of considering isolated pisiform dislocation in young patients with ulnar-sided wrist pain post-trauma and highlights the efficacy of conservative management when spontaneous reduction occurs.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"61 ","pages":"101317"},"PeriodicalIF":0.0,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12991944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481605","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":"Behind the fracture: An unusual suspect of mechanical bowel.","authors":"Chirantan Suhrid, Sundaresh Prabhakar, Dnyaneshwar Kashinath Mohare, Jayashri Sanjay Pandya","doi":"10.1016/j.tcr.2026.101318","DOIUrl":"10.1016/j.tcr.2026.101318","url":null,"abstract":"<p><p>Polytrauma with associated pelvic fractures involves significant morbidity and mortality. If they are linked with injuries involving other systems within the body, the order of morbidity and mortality rises severalfold. Isolated pelvic fractures due to trauma are rare and their association with bowel injury is even rarer. Our case, a traumatic pelvic fracture resulting in ileal obstruction due to herniation and entrapment at the fracture site, is one of these rare cases. This case may also be considered as a Traumatic Abdominal Wall Hernia (TAWH) - essentially the herniation of bowel secondary to abdominal trauma - an entity first coined in 1906. If so, our case qualifies as the 21st such case in recorded history. Low-energy force is sufficient to cause pelvic fractures in the elderly population while high-energy forces are required for similar conditions among younger patients. Thus, the multitude of risk factors that determine falls in the elderly population have to be minimized as even a small mishap may result in something grave. Damage Control Surgery was performed. Our patient's entrapped bowel was reduced and the same area was fashioned into a double-barrel ileostomy. While the protocol to be followed in cases of bowel involvement is uncomplicated, the dilemma that exists is whether to subject the patient to operative intervention or adopt a conservative approach vis-a-vis the pelvic bone fracture. In cases of isolated pelvic fractures, a non-operative line may be taken, although a significantly higher survival rate has been seen with those undergoing operative intervention.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"61 ","pages":"101318"},"PeriodicalIF":0.0,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12954182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356516","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":"Posterior acetabular wall fracture while playing basketball in a young Hispanic male: A case series.","authors":"Rafael Baella Anzalota, José J Aponte Reyes, Alexandra Claudio-Marcano, Marcantonio V Pinci, José J Martinez Ramos, Patricia S Serrano Boett, José I Acosta Julbe, Norman Ramirez Lluch, Luis Lojo-Sojo","doi":"10.1016/j.tcr.2026.101316","DOIUrl":"10.1016/j.tcr.2026.101316","url":null,"abstract":"<p><strong>Case: </strong>We report two cases of young Hispanic males with posterior acetabular fractures sustained during low-energy basketball injuries, a mechanism rarely described in the literature. Both patients underwent open reduction and internal fixation within 24 h of admission. Detailed evaluations, surgical procedures, and follow-up outcomes are provided.</p><p><strong>Conclusion: </strong>These cases highlight an unusual presentation of acetabular fractures in young males from low-energy sports injuries. The findings emphasize the need for further research into the mechanisms, management, and natural history of low-energy acetabular fractures in young patients.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"61 ","pages":"101316"},"PeriodicalIF":0.0,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12992491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481618","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":"Concurrent proximal and distal fibular fracture with twisting ankle injury: a 'Double Maisonneuve' case report.","authors":"Stephen Christopher Murphy, Gareth Murray, Adeel Memon, Anas El-Sibaei","doi":"10.1016/j.tcr.2026.101319","DOIUrl":"10.1016/j.tcr.2026.101319","url":null,"abstract":"<p><strong>Background: </strong>Ankle fractures are a commonly encounter orthopaedic injury, with lateral malleolar fractures being the most common fracture pattern seen. Proximal fibular fracture with ankle twisting injuries, termed the Maisonneuve fracture, are much rarer, and are thought to account for 5% of surgical treated ankle fractures. Fracture of both proximal and distal fibular following twisting ankle injury is an extremely rare occurrence, with little reported cases in existing literature.</p><p><strong>Case presentation: </strong>We present one such case of a 45-year-old male who sustained both a proximal and distal fibular fracture following a twisting ankle injury with associated posterior malleolar fracture and anterolateral distal tibial tubercle (Tillaux-Chaput fracture). Both proximal and distal fractures were identified on presentation, and he underwent open reduction internal fixation with single cortical screw fixation of anterolateral distal tibial tubercle, lag screw to lateral malleolar and neutralization plate, and two tricortical syndesmotic screws. His post operative course was unremarkable, and he returned to work after nine weeks.</p><p><strong>Conclusion: </strong>Concurrent proximal and distal fibular fractures following ankle twisting injury is an extremely rare fracture pattern. This case highlights the necessity for thorough physical examination and radiological imaging for all ankle injuries while also highlighting the importance of preoperative computed tomography on surgical planning for ankle fractures.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"61 ","pages":"101319"},"PeriodicalIF":0.0,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13080678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699772","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":"Stabilization of distal humerus pathologic fracture with IlluminOss®: A case series.","authors":"Ellen Lutnick, Sophia Puertas, Abigail Contello, Joseph B Kuechle","doi":"10.1016/j.tcr.2026.101320","DOIUrl":"10.1016/j.tcr.2026.101320","url":null,"abstract":"<p><p>Achieving stabilization of fractures involving structurally compromised bone can present a challenging surgical problem. The IlluminOss® photodynamic bone stabilization system (PBBS) includes insertion of a light-curable polymer to achieve medullary stabilization of fractures via expandable ballon catheter. There exist few reports of PBSS for successful treatment of fractures involving the distal humerus, with varying results. We present four cases after surgical repair for pathologic distal humerus fractures using the IlluminOss® PBBS, with an additional posterior extra-articular plate, resulting in stable fixation and satisfactory patient outcomes.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"61 ","pages":"101320"},"PeriodicalIF":0.0,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12962104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147378673","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":"Salvage articular reconstruction of the distal radius using a 3D simulation-guided distal clavicle osteochondral autograft after fracture-related infection: A case report.","authors":"Whee Sung Son","doi":"10.1016/j.tcr.2026.101314","DOIUrl":"10.1016/j.tcr.2026.101314","url":null,"abstract":"<p><p>A male patient developed a severe articular defect of the distal radius following treatment for fracture-related infection caused by methicillin-resistant <i>Staphylococcus aureus</i>. Full functional recovery was achieved with articular reconstruction using a distal clavicular osteochondral autograft guided by three-dimensional (3D) simulation and 3D-printing, with concomitant palmar radiocarpal ligament reconstruction using the acromioclavicular joint capsule.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"61 ","pages":"101314"},"PeriodicalIF":0.0,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12969799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147435951","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":"Trifocal femur fracture: Where should one begin? A case report and literature review.","authors":"Gianluca Cera, Giovanni Longo, Michele Dell'Orfano, Daniele De Meo, Francesco Maria Milella, Roberta Pica, Filippo Laurenti","doi":"10.1016/j.tcr.2026.101321","DOIUrl":"10.1016/j.tcr.2026.101321","url":null,"abstract":"<p><strong>Introduction: </strong>Ipsilateral, non-contiguous femoral fractures involving the femoral neck, shaft, and distal articular region are extremely rare and typically result from high-energy trauma. Their complex nature and rarity contribute to a lack of consensus regarding optimal surgical management.</p><p><strong>Case report: </strong>We report the case of a 72-year-old male involved in a high-energy motor vehicle accident who sustained a trifocal femoral fracture: an intracapsular femoral neck fracture (AO/OTA 31-B2, Pauwels type 3), a displaced diaphyseal fracture (AO/OTA 32-A2), and a complete intra-articular distal femoral fracture (AO/OTA 33-C2). Initial management included transtibial traction under a Damage Control Orthopaedics (DCO) protocol, followed by definitive fixation 10 days later using a single-stage stepwise surgical approach. Fixation consisted of an antegrade intramedullary nail (providing stabilization of the femoral neck and shaft fractures), 6.5-mm cannulated screws used exclusively for the intra-articular distal femoral fracture, and a LISS plate for the distal metaphyseal component.</p><p><strong>Results: </strong>Postoperative recovery was uneventful, with radiographic evidence of full fracture union and no signs of post-traumatic osteoarthritis at final follow-up. Clinical recovery was excellent.</p><p><strong>Discussion: </strong>This is one of the few reported cases in the literature involving a trifocal femoral fracture with this specific combination. Our surgical strategy allowed absolute stability of the distal articular fracture and relative stability for the shaft and femoral neck. A qualitative literature review revealed no standardized algorithm for implant selection or fixation sequence in such cases. Our experience supports a tailored approach based on fracture pattern, emphasizing the preservation of femoral head vascularity and anatomical reduction of joint surfaces.</p><p><strong>Conclusion: </strong>Trifocal ipsilateral femoral fractures require individualized surgical planning. The described combination of implants-used here for the first time-proved effective and may serve as a reference in similar complex trauma cases.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"61 ","pages":"101321"},"PeriodicalIF":0.0,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12996269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487550","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":"Combined ipsilateral fracture of the tibial shaft, lateral malleolus, and talar neck: A case report.","authors":"Süleyman Kasım Taş, Abdurrahman Aydın","doi":"10.1016/j.tcr.2026.101315","DOIUrl":"10.1016/j.tcr.2026.101315","url":null,"abstract":"<p><strong>Background: </strong>Talar fractures, accounting for approximately 2% of all lower extremity injuries and 5%-7% of foot injuries, are common and typically involve the talar head and neck. Avascular necrosis of the talus is one of the most challenging complications encountered in post-traumatic hindfoot reconstruction.</p><p><strong>Case presentation: </strong>A 21-year-old man presented to the emergency department with an open wound, deformity, and multiple traumatic injuries to the right lower limb following a motorcycle accident. Examination of the right lower extremity revealed a 3-cm open wound on the distal third of the lateral cruris, deformity upon inspection, normal vascular status in all extremities, and hypoesthesia on the dorsal aspect of the left foot.</p><p><strong>Conclusions: </strong>This study emphasizes that talar fractures can occur along with tibial and fibular shaft fractures in high-energy trauma cases. However, owing to their association with complex injuries, talar fractures may be overlooked during initial assessments.</p>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"61 ","pages":"101315"},"PeriodicalIF":0.0,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13030983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575564","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}