Chinese Journal of Traumatology最新文献

{"title":"Deep learning-based automated segmentation and quantification of glenoid and humeral head defects.","authors":"Haonan Hou, Jingchao Fang, Mengqi Li, Shuying Sun, Jin Guo, Zhenlong Liu","doi":"10.1016/j.cjtee.2026.01.006","DOIUrl":"https://doi.org/10.1016/j.cjtee.2026.01.006","url":null,"abstract":"<p><strong>Purpose: </strong>Humeral head and glenoid bone defects resulting from recurrent shoulder dislocation significantly compromise joint stability and complicate surgical planning. Conventional manual assessment is subjective and labor-intensive. This study aims to develop and validate an automated, deep learning-based deep defect detection network for the simultaneous segmentation and precise quantification of these defects using edge-global MRI.</p><p><strong>Methods: </strong>A retrospective study was conducted using 800 glenoid and 792 humeral head MRI scans from a single clinical center between June 2024 and August 2025. The proposed deep defect detection network architecture utilizes you only look once version 8-segment as a shared backbone, integrating specialized modules: an edge-global attention module for boundary refinement, an ASFFHead for multi-scale feature fusion, an optimized vision transformer block for efficient feature extraction, and a dynamic mask generation module to handle complex defect morphologies. The dataset was partitioned into training, validation, and test sets (8:1:1 ratio). Performance was evaluated using intersection over union, dice similarity coefficient, precision, and Hausdorff distance. Statistical comparisons were performed against established models, including U-Net, region-based convolutional neural network region-based convolutional neural network, U-NeXt, you only look once version 8, and you only look once version 11.</p><p><strong>Results: </strong>The proposed model achieved superior segmentation performance, with a mean IoU of 89.77% and a dice score of 94.71%. In boundary delineation, the model recorded a Hausdorff distance of 2.3 mm, significantly outperforming the baseline you only look once version 8 (2.6 mm) and U-Net (3.1 mm). Ablation studies confirmed that the dynamic mask generation module and edge-global attention module provided the highest gains in accuracy, particularly for small-scale and irregular defect regions. The defect area calculation algorithm demonstrated high consistency with expert annotations, facilitating the classification of defect severity (mild, moderate, severe) based on clinical thresholds.</p><p><strong>Conclusion: </strong>The deep learning-based joint diagnostic network provides an efficient and precise tool for automated shoulder defect quantification. By integrating edge-sensitive attention and dynamic weight adjustment, the model effectively addresses the challenges of low contrast and morphological complexity in MRI. This approach offers robust support for personalized surgical planning and objective clinical assessment in orthopedic diagnostics.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The injury site of severe acute polytrauma complicated by Vibrio vulnificus infection determines clinical outcomes in Beagle models.","authors":"Haoru Liu, Hao Zhang, Yang Huang, Jinzhong Fei, Wei Ma, Junjie Shu, Huaping Liang, Xia Yang","doi":"10.1016/j.cjtee.2026.03.002","DOIUrl":"https://doi.org/10.1016/j.cjtee.2026.03.002","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;This study aimed to evaluate the role of the injury site in polytrauma in determining outcomes following challenge with the same inoculum.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;In this experimental animal study, 19 adult male Beagle dogs weighing 8.2 - 10.0 kg were used. Adult male Beagles were randomly assigned to groups: V1 (limb amputation), V2 (blunt costal trauma combined with penetrating abdominal injury), V3 (tracheal rupture suture with small intestinal injury), and a control group. Following an 8 h baseline period for physiological monitoring, all animals received a standardized inoculum of Vibrio vulnificus (V. vulnificus) directly at the injury site. Organ function, respiratory performance, and blood gas parameters were assessed at 14 h post-infection, with reference to the time of onset of clinical symptoms. Longer observation was precluded by mortality. At the end of the observation period, all animals were euthanized. Serum and organ samples were collected for subsequent analysis. All statistical analyses were performed using GraphPad Prism 9.4. Quantitative data were expressed as mean ± standard errors of the means. Intergroup comparisons were conducted using two-tailed unpaired Student's t-tests or one-way analysis of variance with Tukey's multiple comparisons test.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Following injury, all Beagles exhibited the classic \"traumatic death triad\" (hypothermia, acidosis, and coagulopathy) and developed fever after V. vulnificus challenge. Compared with the trauma-only control group, the V1 and V3 groups showed decreased red blood cell parameters (group V1: (6.630 ± 0.452) vs. (7.867 ± 0.274) × 10&lt;sup&gt;12&lt;/sup&gt;/L; group V3: (7.250 ± 0.278) vs. (8.110 ± 0.370) × 10&lt;sup&gt;12&lt;/sup&gt;/L), elevated lymphocyte counts (group V1: (1.460 ± 0.473) vs. (1.137 ± 0.068); group V3: (1.640 ± 0.431) vs. (0.767 ± 0.084) × 10&lt;sup&gt;9&lt;/sup&gt;/L), and pCO&lt;sub&gt;2&lt;/sub&gt; (group V1: (57.667 ± 2.728) vs. (51.667 ± 1.333) mmHg; group V3: (60.667 ± 3.712) vs. (50.667 ± 3.180) mmHg). In contrast, the V2 group presented with acidosis and compensatory imbalance. Critically, functional and histologic assessments revealed that the V2 group sustained the most severe lung injury, characterized by reduced respiratory movement, hemorrhage, and marked inflammation, and carried the highest pulmonary bacterial load (174.00 ± 153.70) CFU. While the V1 and V3 groups demonstrated predominantly hepatic involvement, the V2 group exhibited broader multi-organ impairment affecting the liver, kidney, and muscles. The highest muscle bacterial load was recorded in the V3 group (357.34 ± 206.31) CFU.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The site and type of polytrauma during the acute phase influence both the severity and organ tropism of subsequent V. vulnificus infection. For instance, even minor chest trauma combined with V. vulnificus infection (the V2 group) led to significantly worse outcomes, including impaired pulmonary function, more se","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and radiological outcomes for percutaneous reduction and fixation of symphyseal diastasis.","authors":"Wael Salama, Hossam Hosny, Elshazly Mousa, Moustafa Elsayed","doi":"10.1016/j.cjtee.2025.05.010","DOIUrl":"https://doi.org/10.1016/j.cjtee.2025.05.010","url":null,"abstract":"<p><strong>Purpose: </strong>Symphysis pubis diastasis constitutes 13% to 16% of pelvic ring disruptions. The conventional standard procedure for treating symphysis diastasis is symphyseal plating using a Pfannenstiel approach. Recently, percutaneous techniques have been applied to manage a variety of acetabular and pelvic injuries. The study aims to evaluate the clinical and radiological outcomes of treating symphysis pubis diastasis using percutaneous screws.</p><p><strong>Methods: </strong>This prospective study was conducted at a level I trauma university center from September 2020 to July 2022. Twenty patients with symphyseal diastasis were included. Two partially cancellous screws 7.3 mm in size were used for percutaneous fixation of all cases with symphysis pubis diastasis. Posterior pelvic injuries were fixed based on the existing pathology. Symphysis pubis distance was measured in millimeters on preoperative, immediate postoperative, and the last follow-up visit using anteroposterior plain radiographs of the pelvis. All patients had a minimum of 1 year of follow-up. Clinical evaluation was done at the last follow-up using the visual analogue scale to assess pain at the symphysis pubis, while functional evaluation was done using the Majeed grading method.</p><p><strong>Results: </strong>The injury patterns included AO/OTA 61C1.3 (n = 8), 5 AO/OTA 61C1.2 (n = 5), AO/OTA 61C1.1 (n = 3), and AO/OTA 61B1.2 (n = 4). According to the Majeed scoring system, 15 patients had excellent scores, 4 had good scores, and 1 had poor scores. The mean preoperative symphyseal distance was 3.3 cm, the mean immediate distance was 0.42 cm, and the mean distance at 1-year follow-up was 0.65 cm.</p><p><strong>Conclusion: </strong>Percutaneous fixation of the symphysis pubis showed favorable results with acceptable clinical and radiological outcomes. It is a safe technique, but it requires technical expertise.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of minimum legal drinking age law with later-life alcohol use and alcohol-attributable mortality from disease and injury: An ecological study.","authors":"Jie Li, Peishan Ning, Wanhui Wang, David C Schwebel, Li Li, Zhenzhen Rao, Peixia Cheng, Dan Tian, Guoqing Hu","doi":"10.1016/j.cjtee.2026.01.007","DOIUrl":"https://doi.org/10.1016/j.cjtee.2026.01.007","url":null,"abstract":"<p><strong>Purpose: </strong>To examine associations of minimum legal drinking age (MLDA) laws with later-life alcohol use and alcohol-attributable mortality.</p><p><strong>Methods: </strong>An ecological study was performed using the free-access data from the United States. Five outcome measures were considered: (1) drinking rate, (2) alcohol consumption per capita, and alcohol-attributable mortality for (3) all diseases and injuries, (4) non-injury diseases, and (5) injuries. Univariate statistical tests compared differences in 5 outcome measures during 1990-2021 across 3 types of states, classified based on different MLDA beer laws in 1970-1988. Multivariable regression examined MLDA laws' associations with 5 outcome variables, adjusting for covariates. Sensitivity analyses used MLDA classifications for wine and spirits.</p><p><strong>Results: </strong>Based on MLDA beer laws of 1970-1988, the 50 states and the District of Columbia were classified as Type 1 (increasing MLDA), Type 2 (fluctuating MLDA), and Type 3 (steady MLDA of 21). For all years combined, Type 1 and Type 2 states had lower and higher drinking rates (51.05% and 55.20% vs. 53.23%) and alcohol consumption per capita (463.25 and 511.57 vs. 483.92 standard drinks). Compared to Type 2 and Type 3 states, Type 1 states had the highest alcohol-attributable injury mortality for Americans aged 30 years and older (4.30 vs. 3.93 and 3.87 per 100,000). After adjusting for the included covariates, 3 types of states demonstrated differing trends in drinking rate and alcohol-attributable injury mortality but highly similar trends in the other 3 outcome measures. Sensitivity analyses generated similar findings.</p><p><strong>Conclusions: </strong>MLDA was associated with later-life alcohol use and alcohol-attributable mortality.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of gene therapy in neural injury repair.","authors":"Jiayi Liu, Annie Yuan, Zi-Ling Tang, Ke Ning","doi":"10.1016/j.cjtee.2025.11.003","DOIUrl":"https://doi.org/10.1016/j.cjtee.2025.11.003","url":null,"abstract":"<p><p>Neural injuries, including spinal cord injury, traumatic brain injury, and peripheral nerve injury, remain among the most challenging conditions in regenerative medicine due to the central nervous system's inherent limited capacity for self-repair. Traditional therapeutic approaches often struggle to effectively address the complex cellular and molecular barriers to neural regeneration. In recent years, gene therapy has rapidly emerged as a transformative strategy in neural repair, capable of precisely and persistently modulating the neuro-regenerative microenvironment. This review provides a comprehensive overview of recent advances in gene therapy for neural injury repair. We delve into fundamental genetic intervention strategies, including gene replacement, gene silencing, and clustered regularly interspaced short palindromic repeats/CRISPR-associated protein 9 (CRISPR/Cas9)-based gene editing technologies-alongside recent progress in both viral and non-viral vector delivery systems, such as adeno-associated virus capsid engineering and biomaterial-facilitated platforms. Mechanistically, gene therapy contributes to neural repair through multifaceted approaches: promoting axonal regeneration, inhibiting endogenous growth suppressors, enhancing neuroprotection, and modulating inflammatory responses and glial scar formation. Special emphasis is placed on circuit-specific targeting methods, spatially and temporally precise gene expression strategies, and combinatorial therapies that integrate gene delivery with biomaterials, stem cells, or physical stimuli. We further highlight preclinical in vivo findings across central and peripheral nerve injury models, as well as emerging insights from clinical trials in neurodegenerative disorders. Concurrently, this review critically evaluates key challenges currently faced, including immunogenicity, delivery specificity, and barriers to clinical translation. Finally, we will explore future directions in gene editing, RNA modulation, smart biomaterials, and multimodal therapeutic strategies, aiming to position gene therapy as a cornerstone of next-generation neuro-regenerative medicine.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adapting international clinical practice guidelines for rehabilitation management of acute spinal cord injury in Iran.","authors":"Seyed Behnam Jazayeri, Seyed Farzad Maroufi, Judith Aarabi, Ahmad Pour-Rashidi, Maryam Shabani, Heshamtollah Ghawami, Sobhan Pourmasjedi, Mohammad Sadeghian, Maryam Kheyri, Roya Habibi Arejan, Farzin Farahbakhsh, Amir Hassan Kohan, Mohsen Sadeghi-Naini, Khatereh Naghdi, Sina Azadnajafabad, Samuel Berchi Kankam, Zahra Ghodsi, Vafa Rahimi-Movaghar","doi":"10.1016/j.cjtee.2025.01.006","DOIUrl":"https://doi.org/10.1016/j.cjtee.2025.01.006","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to adapt international clinical practice guidelines for the rehabilitation of acute spinal cord injury (SCI) in Iran.</p><p><strong>Methods: </strong>This study was conducted based on guideline adaptation methods (the ADAPTE (ADaptation and eVALuation of a prE-existing guideline) framework). After an organizing committee was created and health topics selected, we searched PubMed, Scopus, and Cochrane Library from January 2011 to April 2021 to find guidelines regarding acute/subacute rehabilitation of SCI patients. The quality of the clinical practice guidelines was examined using the Appraisal of Clinical Guidelines for Research & Evaluation II. Recommendations were made by the committee and categorized according to population, intervention, professions, outcomes, and health care setting. The decision-making process was based on a systematic evaluation of each recommendation, utilizing a combination of quality for supporting evidence or against each recommendation, as well as consideration of feasibility, acceptance, and adoptability for the healthcare context of Iran.</p><p><strong>Results: </strong>Our selection yielded 1 high-quality guideline containing 4 recommendations that underwent an adaptation process. Rehabilitation should be implemented as soon as patients are hemodynamically and neurologically stable and can tolerate the intensity. We suggest establishing specialized rehabilitation centers with trained personnel and proper equipment, providing tele-rehabilitation, education, and encouraging caregivers to help with early rehabilitation. Negotiating with insurance companies is imperative to cover the cost of long-term occupational therapy and rehabilitation. We suggest conventional over-ground training rather than treadmill training due to the lack of facilities. Individuals with acute/subacute cervical SCI should be offered functional electrical therapy. We find that additional training in unsupported sitting has no clear benefit associated with it when compared to the current standard rehabilitation.</p><p><strong>Conclusions: </strong>Implementation of international guidelines for SCIs and rehabilitation is a process that involves feasibility, acceptability, relevance, and adaptability when considering developing countries. The recommendations presented in this study have the potential to significantly improve the care provided to patients with SCI, not only in Iran but also could help guide developing countries in the healthcare arena.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in orthopaedic surgical procedures in post-war Afghanistan: A retrospective review of internal fixation procedures at Lashkar-Gah non-governmental organization hospital (2020 - 2023).","authors":"Giacomo Fiorio, Nunan Deirdre, Kushal Ibrahimi, Marcello Zavatta, Massoud Afghan, Luigi Falzetti, Juan Carlos Perdomo-Lizarraga","doi":"10.1016/j.cjtee.2025.03.007","DOIUrl":"https://doi.org/10.1016/j.cjtee.2025.03.007","url":null,"abstract":"<p><strong>Purpose: </strong>Following 2 decades of conflict in Afghanistan, the withdrawal of international forces and the Taliban's return to power in August 2021 led to reduced war trauma cases. This study aims to analyze the changes in injury patterns and the trends in internal fixation procedures (IFPs) in a non-governmental organization (NGO) hospital in Afghanistan.</p><p><strong>Methods: </strong>Retrospective study including patients treated with IFPs between January 2020 and December 2023 at the Surgical Centre for War Victims-Lashkar-Gah Emergency NGO Hospital. Type of injury, fracture characteristics, orthopaedic implants, temporary fixation, and fracture-related infection (FRI) rate were evaluated. Non-categorical variables are presented as median (Q_1, Q₃). Group differences were assessed using the Mann-Whitney U test, and categorical variables were analyzed using the Chi-square test.</p><p><strong>Results: </strong>A total of 2801 IFPs were analyzed. Non-war injuries (NWI) represented 2500 (89.3%), while war injuries (WI) represented 301 (10.7%). Post-conflict, there was a significant increase in IFPs, and a 275% increase in IFPs for NWI. We found 2085 closed fractures (74.4%), and 716 open fractures (25.6%). Among the NWI cases, 2036 (81.4%) were identified as closed fractures. In contrast, 252 (83.7%) WI cases involved open fracture (p < 0.001). The distal humerus was the most affected site in 736 (26.3%) cases. Kirschner wires were the most frequently used implant in 1561 (55.7%) procedures. The overall fracture-related infection rate was 2.3% (64 cases), significantly lower for NWI 2% (51 of 2500 cases) than WI 4.3% (13 of 301 cases), p = 0.010.</p><p><strong>Conclusions: </strong>These findings demonstrate that the end of the conflict brought a significant increase in orthopaedic IFPs facilitated by the reduced severity of trauma in post-conflict Afghanistan. This study highlights the need for tailored training and specific implant availability to meet the evolving healthcare demands of the Afghan population in NGO settings.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prophylactic use of extracorporeal membrane oxygenation for complete traumatic tracheal rupture: A case report.","authors":"Yuan Yuan, Huifang Wang, Junjie Zhou, Yiyu Deng","doi":"10.1016/j.cjtee.2025.07.004","DOIUrl":"https://doi.org/10.1016/j.cjtee.2025.07.004","url":null,"abstract":"<p><p>Traumatic tracheal rupture is a rare, critical, and life-threatening injury, which could quickly result in asphyxia, even cardiac and respiratory arrest. We managed the case of a 19-year-old female student who suffered a neck injury due to an impact with a bulldozer. A CT scan revealed a complete rupture of the trachea. Tracheal intubation was performed due to respiratory failure. Fiberoptic bronchoscopy showed that the tracheal tube's tip was completely obstructed by soft tissue, allowing ventilation only through the tube's side port. After the prophylactic use of veno-venous extracorporeal membrane oxygenation, the patient was safely transferred to a higher-level hospital for early tracheal reconstruction surgery, resulting in satisfactory postoperative tracheal recovery. This case underscores the critical need for early diagnosis of tracheal rupture, the significance of evaluating airway patency, and the importance of early surgical intervention. Prophylactic use of veno-venous extracorporeal membrane oxygenation is advocated to maintain adequate oxygen supply for safe undergoing early tracheal reconstruction surgery.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical treatment of locked posterior shoulder dislocations with modified McLaughlin procedure: Case series and review of treatment possibilities of reverse Hill-Sachs defect.","authors":"Ilja Chandoga, Dávid Debnár, Katarína Chandogová, Miroslav Kilian","doi":"10.1016/j.cjtee.2024.09.010","DOIUrl":"https://doi.org/10.1016/j.cjtee.2024.09.010","url":null,"abstract":"<p><p>The aim is to draw attention to the presence of posterior traumatic glenohumeral dislocations of the shoulder joint, which may sometimes present as missed injuries. The retrospective study reports a cohort of 9 patients operated on between 2010 and 2020 due to locked posterior traumatic dislocation of the shoulder joint with the reverse Hill-Sachs defect. The modified McLaughlin procedure was performed in all cases. No failure of the reconstruction was observed. Removal of fixation screws was performed in one patient due to migration. The average Constant-Murley score during the mean follow-up period of 5.7 years resulted in 76 points. Comparing the relationship between angles characterising the location of the reverse Hill-Sachs defect, the defects enlarge toward the anterior margin. Non-anatomical reconstruction with lesser tubercle transfer results in satisfactory outcomes in reverse Hill-Sachs defects involving up to 35% of the articular surface of the humeral head.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression is a risk factor for traumatic brain injury: Evidence from the National Health and Nutrition Examination Survey and Mendelian randomization analysis.","authors":"Jian-Xing Ma, Hong-Dan Wang, Zheng Wang, Yun-Peng Dong, Mao-Jun Liao, Jing-Ping Zhang, Tao Zhang, Liang Yi","doi":"10.1016/j.cjtee.2025.12.002","DOIUrl":"https://doi.org/10.1016/j.cjtee.2025.12.002","url":null,"abstract":"<p><strong>Purpose: </strong>Previous studies have suggested an increased risk of post-traumatic depression in patients with traumatic brain injury (TBI). However, the pre-injury depression status of some included TBI patients remains unclear. This study aimed to investigate whether pre-existing depression increases the risk of TBI occurrence, thereby reassessing the causal relationship between depression and TBI.</p><p><strong>Methods: </strong>A cross-sectional analysis was conducted using the National Health and Nutrition Examination Survey database for the periods 2011-2012 and 2013-2014. Multivariate-adjusted logistic regression was employed to evaluate the association between depression and TBI. Additionally, Mendelian randomization analysis was performed to examine potential causality.</p><p><strong>Results: </strong>Among 5773 eligible the National Health and Nutrition Examination Survey participants, a subset of TBI patients exhibited pre-injury depression. After adjusting for covariates, multivariate logistic regression revealed positive correlations between TBI risk and depression severity: moderate (log^OR = 0.67, 95% confidence interval (CI): 0.18-1.20; p = 0.015), moderate-to-severe (log^OR = 1.10, 95% CI: 0.62-1.20; p = 0.001), and severe depression (log^OR = 1.2, 95% CI: 0.32-2.10; p = 0.015). Mendelian randomization analysis further supported a causal link, with inverse-variance weighted estimates indicating that depression was associated with higher TBI incidence (odds ratio = 1.02, 95% CI: 1.00-1.03; p = 0.006). Sensitivity analyses confirmed the robustness of these findings.</p><p><strong>Conclusion: </strong>The pre-existing depressive state in patients with TBI is a risk factor contributing to the occurrence of TBI. Preventive measures against TBI should be strengthened in depressive patients. Additionally, the impact of the pre-injury depression on the statistical analysis of neuropsychiatric complications following TBI warrants careful consideration.</p>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}