Chinese Journal of Traumatology最新文献

{"title":"Global trend of publications in orthopaedics and sports medicine: 1996 – 2021","authors":"Raju Vaishya,&nbsp;Abhishek Vaish","doi":"10.1016/j.cjtee.2023.10.006","DOIUrl":"10.1016/j.cjtee.2023.10.006","url":null,"abstract":"<div><div>We studied the publication trend in the field of orthopaedics and sports medicine over the last 25 years (1996 − 2021), by various countries, and regions of the world. There was an increasing trend in publications, across the globe. Some of the Asian countries like China and India have shown a substantial growth in their research output. Europe continent has contributed the most publications in the last 25 years, whereas the United States as a country has been on the top of the list of contributors. Most research-publications came from high-income countries and disproportionately less from low- and middle-income countries.</div></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"27 6","pages":"Pages 368-371"},"PeriodicalIF":1.8,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138471195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Total hip arthroplasty for post-firearm hip arthritis complicated by coloarticular fistula: A case report","authors":"Ahmed M. Abdelaal ,&nbsp;Mohammad Kamal Abdelnasser ,&nbsp;Mohamed MA. Moustafa ,&nbsp;Ahmed Mohamed Ali ,&nbsp;Haisam Atta ,&nbsp;Ahmed A. Khalifa","doi":"10.1016/j.cjtee.2023.04.004","DOIUrl":"10.1016/j.cjtee.2023.04.004","url":null,"abstract":"<div><p>Hip firearm injuries are rare injuries that could lead to serious complications, such as posttraumatic hip arthritis and coloarticular fistula. We report a case of a 25-year-old male who sustained a pelvic injury caused by a single bullet which led to a bilateral acetabular fracture, concomitant with a colon injury treated on an emergency basis by a diverting colostomy; acetabular fractures were treated conservatively by traction. After the patient recovered from the abdominal injury, he was presented with bilateral hip pain and limited motion; plain radiographs showed bilateral hip arthritis with proximal migration of the femoral head and bilateral acetabular defect classified as Paprosky type ⅢA. Reconstruction of the hips was performed using the same technique: impaction bone grafting for acetabular defect reconstruction and a reversed hybrid total hip arthroplasty (THA) 6 months apart. The patient presented with loosening of the left THA acetabular cup 3 years later, which was revised; then he presented with a discharging sinus from the left THA with suspicion of coloarticular fistula, which was confirmed using CT with contrast material. A temporary colostomy and fistula excision were performed, and a cement spacer was applied to the hip. After clearing the infection, a final revision THA for the left hip was performed. Treating post-firearm hip arthritis by THA is challenging, especially in the situation of neglected cases with the presence of an acetabular defect. Concomitant intestinal injury increases the risk of infection with the possibility of coloarticular fistula formation, which could present later. Working with a multidisciplinary team is paramount.</p></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 6","pages":"Pages 369-374"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1008127523000287/pdfft?md5=69a45889b216b0dc64db343ff40d5405&pid=1-s2.0-S1008127523000287-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9422265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Achilles tendon thickening does not affect elasticity and functional outcome after surgical repair of Achilles rupture: A retrospective study","authors":"Chen-Xi Wu ,&nbsp;Chang-Yue Xiong ,&nbsp;Lu Bai ,&nbsp;Su-Meng Chen ,&nbsp;Yu-Xin Yan ,&nbsp;Lu Wang ,&nbsp;Xin-Tao Zhang","doi":"10.1016/j.cjtee.2023.10.002","DOIUrl":"10.1016/j.cjtee.2023.10.002","url":null,"abstract":"<div><h3>Purpose</h3><p>Previous studies have confirmed that Achilles tendon occurs Achilles thickening after repair surgery of the rupture. Although this mechanism has been elucidated in the laboratory, there are few reports on its impact on clinical function. We designed a retrospective study to investigate the Achilles thickening after Achilles tendon rupture repair and its correlation between the elasticity and postoperative function.</p></div><div><h3>Methods</h3><p>In this retrospective analysis, patients who underwent surgical treatment for acute Achilles tendon rupture from April 2016 to April 2020 were included. All the patients were regularly followed up at 3 months, 1 year, and 2 years after surgery. American Orthopaedic Foot Ankle Surgeon (AOFAS) scale and Leppilahti score were used to evaluate functional outcomes. Achilles elasticity was measured by ultrasound shear wave of elasticity. Achilles thickening was calculated as maximal transverse and longitudinal diameter in cross-sectional plane of magnetic resonance scan. Sample <em>t</em>-tests was used for different follow-up periods. Correlation between Achilles thickening and other factors were analyzed using Pearson's method. <em>p</em> &lt; 0.05 indicates a statistically significant difference.</p></div><div><h3>Results</h3><p>AOFAS scale and Leppilahti score at 1 year were significantly higher than at 3 months postoperatively (both <em>p</em> &lt; 0.001). These functional scales were also improved at 2-year follow-up significantly (both <em>p</em> &lt; 0.001). The dorsiflexion difference showed gradually recovery in each follow-up period (<em>t</em> = −17.907, <em>p</em> &lt; 0.001). The elasticity of the Achilles appeared to continuously decreases during the postoperative follow-up period in all position sets (<em>p</em> &lt; 0.001). In thickening evaluation, the cross-sectional area of the thickest plane of Achilles was significantly higher at 1 year postoperatively (310.5 ± 25.2) mm² than that at 3 months postoperatively ((278.0 ± 26.2) mm², <em>t</em> = −8.219, <em>p</em> &lt; 0.001) and became thinner in 2-year magnetic resonance scan ((256.1 ± 15.1) mm², <em>t</em> = 16.769, <em>p</em> &lt; 0.001). The correlations between Achilles thickening, elasticity, and functional outcome did not show statistical significance (<em>p</em> &gt; 0.05) in every follow-up period.</p></div><div><h3>Conclusion</h3><p>Achilles tendon thickens after surgery in the 1st year, but begins to gradually return to thinning about 2 years after surgery. There was no significant correlation between the increase and decrease of thickening and the patients' clinical function scores, Achilles elasticity, and bilateral ankle dorsiflexion difference.</p></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 6","pages":"Pages 323-328"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1008127523000998/pdfft?md5=4b8ef356272622e50603197679bed55f&pid=1-s2.0-S1008127523000998-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complicated Bosworth fracture-dislocation: A case report and review of the literature","authors":"Dong-Peng Tu,&nbsp;Li-Jun Cai,&nbsp;Hong-Yong Zhao,&nbsp;Li-Gang Huang,&nbsp;Jing Nie","doi":"10.1016/j.cjtee.2023.07.003","DOIUrl":"10.1016/j.cjtee.2023.07.003","url":null,"abstract":"<div><p>Bosworth fracture and dislocation is relatively rare, accounting for about 1% of ankle fractures. It is characterized by the proximal fibula fracture embedded in the posterolateral distal tibia. Due to an insufficient understanding of this fracture, it is easy to cause missed diagnosis and misdiagnosis in clinical practice. Due to the insertion of the fracture, it is challenging to perform closed reduction, and improper treatment is easy to cause complications. Surgical treatment is recommended for this type of fracture. In order to improve the understanding of orthopedic surgeons about Bosworth fracture and dislocation, this paper reports the diagnosis and treatment of 2 cases of Bosworth fracture and dislocation, and reviews the literature on Bosworth fracture's mechanism, diagnosis, classification, complications, and treatment options in recent years.</p></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 6","pages":"Pages 344-350"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S100812752300069X/pdfft?md5=d4209e8beadc3b028c65e7f06aa86cb9&pid=1-s2.0-S100812752300069X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91430896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FM1-Editorial board","authors":"","doi":"10.1016/S1008-1275(23)00105-0","DOIUrl":"https://doi.org/10.1016/S1008-1275(23)00105-0","url":null,"abstract":"","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 6","pages":"Page i"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1008127523001050/pdfft?md5=dcde07636ae8eea616e014ae31a086b6&pid=1-s2.0-S1008127523001050-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138501051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electric scooter injuries: Incidence and injury patterns at a level I trauma center","authors":"Nina D. Fisher ,&nbsp;Ekenedilichukwu Nwakoby ,&nbsp;Hunter Hernandez ,&nbsp;Toni M. McLaurin","doi":"10.1016/j.cjtee.2023.02.003","DOIUrl":"10.1016/j.cjtee.2023.02.003","url":null,"abstract":"<div><h3>Purpose</h3><p>Electric scooters (e-scooters) have become an increasingly popular mode of public transportation in recent years. As the incidence of related injuries rises, it is important to understand specific fracture patterns unique to e-scooters and electric bikes (e-bikes) to help guide management. The purpose of this study was to review the prevalence and describe specific fracture patterns of e-scooter and e-bike related injuries at the busiest level 1 trauma center in the borough of Manhattan.</p></div><div><h3>Methods</h3><p>Chart review to determine mechanism of injury was performed on all patients for whom an orthopedic consult was requested from 1/1/2021 to 12/31/2021. All patients whose injuries were sustained due to an e-scooter or e-bike were further reviewed for demographics, injury characteristics including fracture pattern, and definitive injury management. Any patients who had an orthopedic consult placed for a reason other than an acute injury were excluded. Descriptive statistics are reported as frequency (percentage) for categorical variables and means for continuous variables.</p></div><div><h3>Results</h3><p>Of the 1815 orthopedic consults requested, 1357 (74.8%) were for acute injury management. Of those with acute injuries, 119 (8.8%) sustained 136 e-scooter or e-bike related injuries. There were 92 (77.3%) males at an average age of (33.8 ± 15.7) years. Approximately one-fifth of all patients presented in June 2021 (26, 21.8%). There was a 9.2% rate of open fractures. The 136 injuries were evenly split between the upper and lower extremities, with 57 (47.9%) upper extremity, 57 (47.9%) lower extremity injuries, and 5 (4.2%) concomitant upper and lower extremity injuries. The most common fracture patterns were ankle fractures (16, 11.7%), followed by tibial shaft (14, 10.2%), tibial plateau (13, 9.5%), and radial head fractures (11, 8.0%). There was a 33.3% incidence of associated posterior malleolar fractures in the spiral tibial shaft fractures, 31.0% of posterior malleolar involvement and 18.8% of isolated vertical medial malleolar fractures in the ankle fractures, and 61.5% of posterior comminution in the tibial plateau fractures.</p></div><div><h3>Conclusion</h3><p>E-scooter and e-bike related injuries have a high incidence of tibial shaft fractures, ankle fractures, tibial plateau fractures, and radial head fractures. There should be a high index of suspicion for posterior and medial involvement in lower extremity fractures sustained due to e-scooter or e-bikes. Identifying specific fracture patterns seen in e-scooter and e-bike related mechanisms will help guide management of these injuries.</p></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 6","pages":"Pages 334-338"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1008127523000172/pdfft?md5=35310fab465a03ef3e757783f7e4296f&pid=1-s2.0-S1008127523000172-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9123212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Excess mortality in elderly hip fracture patients: An Indian experience","authors":"Jaiben George,&nbsp;Vijay Sharma,&nbsp;Kamran Farooque,&nbsp;Vivek Trikha,&nbsp;Samarth Mittal,&nbsp;Rajesh Malhotra","doi":"10.1016/j.cjtee.2023.06.004","DOIUrl":"10.1016/j.cjtee.2023.06.004","url":null,"abstract":"<div><h3>Purpose</h3><p>Hip fractures in elderly have a high mortality. However, there is limited literature on the excess mortality seen in hip fractures compared to the normal population. The purpose of this study was to compare the mortality of hip fractures with that of age and gender matched Indian population.</p></div><div><h3>Methods</h3><p>There are 283 patients with hip fractures aged above 50 years admitted at single centre prospectively enrolled in this study. Patients were followed up for 1 year and the follow-up record was available for 279 patients. Mortality was assessed during the follow-up from chart review and/or by telephonic interview. One-year mortality of Indian population was obtained from public databases. Standardized mortality ratio (SMR) (observed mortality divided by expected mortality) was calculated. Kaplan-Meir analysis was used.</p></div><div><h3>Results</h3><p>The overall 1-year mortality was 19.0% (53/279). Mortality increased with age (<em>p</em> &lt; 0.001) and the highest mortality was seen in those above 80 years (aged 50 – 59 years: 5.0%, aged 60 – 69 years: 19.7%, aged 70 – 79 years: 15.8%, and aged over 80 years: 33.3%). Expected mortality of Indian population of similar age and gender profile was 3.7%, giving a SMR of 5.5. SMR for different age quintiles were: 3.9 (aged 50 – 59 years), 6.6 (aged 60 – 69 years), 2.2 (aged 70 – 79 years); and 2.0 (aged over 80 years). SMR in males and females were 5.7 and 5.3, respectively.</p></div><div><h3>Conclusions</h3><p>Indian patients sustaining hip fractures were about 5 times more likely to die than the general population. Although mortality rates increased with age, the highest excess mortality was seen in relatively younger patients. Hip fracture mortality was even higher than that of myocardial infarction, breast cancer, and cervical cancer.</p></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 6","pages":"Pages 363-368"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1008127523000652/pdfft?md5=0d1d584ee1350fcc77868f95fb627f00&pid=1-s2.0-S1008127523000652-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10383292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A new method of anterior talofibular ligament reconstruction: Arthroscopically artificial ligament reconstruction with tensional remnant-repair","authors":"Qiu Huang ,&nbsp;Xiao-Xi Ji ,&nbsp;Wen-Hui Zhu ,&nbsp;Ye-Hua Cai ,&nbsp;Lie-Hu Cao ,&nbsp;Yong-Cai Wang","doi":"10.1016/j.cjtee.2023.10.001","DOIUrl":"10.1016/j.cjtee.2023.10.001","url":null,"abstract":"<div><h3>Purpose</h3><p>To investigate the clinical effects of arthroscopically artificial ligament reconstruction with tensional remnant-repair in patients who are obese, and/or with demand for highly intensive sports, and/or with poor-quality ligament remnants.</p></div><div><h3>Methods</h3><p>A retrospective case series study was performed on patients treated by arthroscopically anterior talofibular ligament (ATFL) reconstruction with tensional remnant repair technique from January 2019 to August 2021. General data, including demographics, surgical time, and postoperative adverse events, were recorded. The American Orthopaedic Foot and Ankle Society score (AOFAS), foot and ankle ability measure (FAAM), visual analog scale (VAS), and anterior talar translation were measured preoperatively and at 6 weeks, 3 months, and 2 years postoperatively. Ultrasonography examination was performed preoperatively and 2 years postoperatively to evaluate the ATFL. Data were analyzed using SPSS 19.0. <em>F</em> test was used to analyze the pre- and postoperative VAS, FAAM, and AOFAS scores. The significance was set at <em>p</em> &lt; 0.05.</p></div><div><h3>Results</h3><p>There were 20 males and 10 females among the patients with a mean age of (30.71 ± 5.81) years. The average surgical time was (40.21 ± 8.59) min. No adverse events were observed after surgery. At 2 years postoperatively, the anterior talar translation test showed grade 0 laxity in all patients. VAS score significantly decreased from preoperatively to 6 weeks, 3 months, and 2 years postoperatively (<em>p</em> &lt; 0.001). Improvement of FAAM score and the AOFAS score from preoperatively to 6 weeks, 3 months, and 2 years postoperatively was statistically significant (<em>p</em> &lt; 0.001). At 3 months postoperatively, most patients (23/30) could return to their pre-injured activities of daily living status. At 2 years postoperatively, all patients were able to return to their pre-injured activities of daily living status, and almost every patient (18/19) who expected highly intensive sports returned to sports with only 1 obese patient failing to achieve the goal. The ultrasonography examination at 2 years postoperatively showed that there was a linear band structure of soft tissue on the tension-rich fiber tape image from the fibular to the talar attachment sits of ATFL.</p></div><div><h3>Conclusion</h3><p>The novel arthroscopically artificial ligament reconstruction with tensional remnant-repair technique for ATFL achieved satisfactory clinical outcomes in the short and medium term after operation, and allowed early return to pre-injured activities, which could be a reliable option for patients with chronic lateral ankle instability.</p></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 6","pages":"Pages 317-322"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1008127523000986/pdfft?md5=c8c0d75636d267d69ed73fb90e39b205&pid=1-s2.0-S1008127523000986-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the predictive value of the Helsinki, Rotterdam, and Stockholm CT scores in predicting 6-month outcomes in patients with blunt traumatic brain injuries","authors":"Nushin Moussavi Biuki ,&nbsp;Hamid Reza Talari ,&nbsp;Mohammad Hossein Tabatabaei ,&nbsp;Masoumeh Abedzadeh-Kalahroudi ,&nbsp;Hossein Akbari ,&nbsp;Mahsa Masjedi Esfahani ,&nbsp;Reihaneh Faghihi","doi":"10.1016/j.cjtee.2023.04.002","DOIUrl":"10.1016/j.cjtee.2023.04.002","url":null,"abstract":"<div><h3>Purpose</h3><p>Despite advances in modern medicine, traumatic brain injuries (TBIs) are still a major medical problem. Early diagnosis of TBI is crucial for clinical decision-making and prognosis. This study aims to compare the predictive value of Helsinki, Rotterdam, and Stockholm CT scores in predicting the 6-month outcomes in blunt TBI patients.</p></div><div><h3>Methods</h3><p>This cohort study was conducted on blunt TBI patients of 15 years or older. All of them were admitted to the surgical emergency department of Shahid Beheshti Hospital in Kashan, Iran from 2020 to 2021 and had abnormal trauma-related findings on brain CT images. The patients’ demographic data such as age, gender, history of comorbid conditions, mechanism of trauma, Glasgow coma scale, CT images, length of hospital stay, and surgical procedures were recorded. The Helsinki, Rotterdam, and Stockholm CT scores were simultaneously determined according to the existing guidelines. The included patients' 6-month outcome was determined using the Glasgow outcome scale extended. M Data were analyzed by SPSS software version 16.0. Sensitivity, specificity, negative/positive predictive value and the area under the receiver operating characteristic curve were calculated for each test. The Kappa agreement coefficient and Kuder Richardson-20 were used to compare the scoring systems.</p></div><div><h3>Results</h3><p>Altogether 171 TBI patients met the inclusion and exclusion criteria, with the mean age of (44.9 ± 20.2) years. Most patients were male (80.7%), had traffic related injuries (83.1%) and mild TBIs (64.3%). Patients with lower Glasgow coma scale had higher Helsinki, Rotterdam, and Stockholm CT scores and lower Glasgow outcome scale extended scores. Among all the scoring systems, the Helsinki and Stockholm scores showed the highest agreement in predicting patients’ outcomes (kappa = 0.657, <em>p</em> &lt; 0.001). The Rotterdam scoring system had the highest sensitivity (90.1%) in predicting death of TBI patients, whereas the Helsinki scoring system had the highest sensitivity (89.8%) in predicting the 6-month outcome in TBI patients.</p></div><div><h3>Conclusion</h3><p>The Rotterdam scoring system was superior in predicting death in TBI patients, whereas the Helsinki scoring system was more sensitive in predicting the 6-month outcome.</p></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 6","pages":"Pages 357-362"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1008127523000263/pdfft?md5=04cf6e193aa69f46ba7ea9e4051a2b3f&pid=1-s2.0-S1008127523000263-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9718535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A quantitative study of airway ultrasound in predicting difficult laryngoscopy: A prospective study","authors":"Lin Ning ,&nbsp;Xing Zhu ,&nbsp;Hong-Chao Li ,&nbsp;Shi-Jie Zhou ,&nbsp;Qi-Wei Zhang ,&nbsp;Hong-Yu Zou ,&nbsp;Qing-Xiang Mao ,&nbsp;Hong Yan","doi":"10.1016/j.cjtee.2023.09.005","DOIUrl":"10.1016/j.cjtee.2023.09.005","url":null,"abstract":"<div><h3>Purpose</h3><p>As common clinical screening tests cannot effectively predict a difficult airway, and unanticipated difficult laryngoscopy remains a challenge for physicians. We herein used ultrasound to develop some point-of-care predictors for difficult laryngoscopy.</p></div><div><h3>Methods</h3><p>This prospective observational study included 502 patients who underwent laryngoscopy and a detailed sonographic assessment. Patients under 18 years old, or with maxillofacial deformities or fractures, limited mouth opening, limited neck movement or history of neck surgery were excluded from the study. Laryngoscopic views of all patients were scored and grouping using the modified Cormack-Lehane (CL) scoring system. The measurements acquired comprised tongue width, the longitudinal cross-sectional area of the tongue, tongue volume, the mandible-hyoid bone distance, the hyoid bone-glottis distance, the mandible-hyoid bone-glottis angle, the skin-thyrohyoid membrane distance, the glottis-superior edge of the thyroid cartilage distance (DGTC), the skin-hyoid bone distance, and the epiglottis midway-skin distance. ANOVA and Chi-square were used to compare differences between groups. Logistic regression was used to identify risk factors for difficult laryngoscopy and it was visualized by receiver operating characteristic curves and nomogram. R version 3.6.3 and SPSS version 26.0 were used for statistical analyses.</p></div><div><h3>Results</h3><p>Difficult laryngoscopy was indicated in 49 patients (CL grade Ⅲ – Ⅳ) and easy laryngoscopy in 453 patients (CL grade Ⅰ – Ⅱ). The ultrasound-measured mandible-hyoid bone-glottis angle and DGTC significantly differed between the 2 groups (<em>p</em> &lt; 0.001). Difficult laryngoscopy was predicted by an area under the curve (AUC) of 0.930 with a threshold mandible-hyoid bone-glottis angle of 125.5° and by an AUC of 0.722 with a threshold DGTC of 1.22 cm. The longitudinal cross-sectional area of the tongue, tongue width, tongue volume, the mandible-hyoid distance, and the hyoid-glottis distance did not significantly differ between the groups.</p></div><div><h3>Conclusion</h3><p>Difficult laryngoscopy may be anticipated in patients in whom the mandible-hyoid bone-glottis angle is smaller than 125.5° or DGTC is larger than 1.22 cm.</p></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 6","pages":"Pages 351-356"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1008127523000950/pdfft?md5=4d6f8cd8e11043fb961c3ee7db01c078&pid=1-s2.0-S1008127523000950-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41221793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}