Journal of Trauma and Injury最新文献_第2页

Contralateral pulmonary resection with drug-induced thrombocytopenia after previous lobectomy in chest trauma: a case report. 胸部外伤肺叶切除术后对侧肺切除合并药物性血小板减少1例。

IF 0.2

Journal of Trauma and Injury Pub Date : 2026-03-30 DOI: 10.20408/jti.2025.0157

Do Wan Kim, Kyo Seon Lee, Sang Yun Song, In-Seok Jeong

引用次数: 0

An obstinate intracranial bullet: a case report. 顽固性颅内子弹：1例报告。

IF 0.2

Journal of Trauma and Injury Pub Date : 2026-03-30 DOI: 10.20408/jti.2025.0139

Simon Tomala, Bernardo Bollen Pinto

引用次数: 0

Pneumatosis cystoides intestinalis misdiagnosed as pneumoperitoneum due to colon perforation in a patient with blunt trauma injuries: a case report. 钝性外伤患者结肠穿孔致肠囊性肺肿误诊为气腹1例。

IF 0.2

Journal of Trauma and Injury Pub Date : 2026-03-30 DOI: 10.20408/jti.2025.0155

So Ra Ahn, Joo Hyun Lee, Chan Yong Park

引用次数: 0

Iatrogenic cardiac injury following prehospital needle decompression: a case report. 院前针头减压后医源性心脏损伤1例报告。

IF 0.2

Journal of Trauma and Injury Pub Date : 2026-03-30 DOI: 10.20408/jti.2025.0136

Khalid Ahmed, Rabab Abdelrahman, Murad Alahmad, Ammara Bint I Bilal, Al-Jouhara Albaloshi, Mohamed H Ahmed, Husham Abdelrahman, Hafeez Ulla Lone, Sankar Balasubramanian, Ayman El-Menyar, Sandro Rizoli, Hassan Al-Thani, Talat Chughtai

{"title":"Iatrogenic cardiac injury following prehospital needle decompression: a case report.","authors":"Khalid Ahmed, Rabab Abdelrahman, Murad Alahmad, Ammara Bint I Bilal, Al-Jouhara Albaloshi, Mohamed H Ahmed, Husham Abdelrahman, Hafeez Ulla Lone, Sankar Balasubramanian, Ayman El-Menyar, Sandro Rizoli, Hassan Al-Thani, Talat Chughtai","doi":"10.20408/jti.2025.0136","DOIUrl":"https://doi.org/10.20408/jti.2025.0136","url":null,"abstract":"Tension pneumothorax is a life-threatening condition that necessitates prompt intervention, typically via prehospital needle thoracostomy. However, this procedure carries risks such as cardiac injury. We report the case of a 20-year-old man involved in an all-terrain vehicle accident who presented with a low Glasgow Coma Scale (GCS) score, respiratory distress, and hypotension. Prehospital intubation and left-sided needle thoracostomy were performed for suspected pneumothorax and depressed GCS score. Pulsatile bleeding from the catheter was noted. Imaging in the trauma bay revealed catheter penetration into the left ventricle. Pan computed tomography confirmed the cardiac injury and identified a severe traumatic brain injury. The patient underwent surgical repair of the heart via median sternotomy. He recovered well and was subsequently transferred for rehabilitation. This case highlights the risks associated with emergent, blind needle thoracostomy in the prehospital setting. Improved outcomes depend on refined technique, accurate anatomical identification, and appropriate needle selection.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A large foreign body removal from the anterior mediastinum using a minimally invasive method after a shrapnel wound to the neck: a case report. 颈部弹片伤后用微创方法从前纵隔取出大块异物：1例报告。

IF 0.2

Journal of Trauma and Injury Pub Date : 2026-03-03 DOI: 10.20408/jti.2025.0077

Igor Lurin, Eduard Khoroshun, Vitaliy Makarov, Volodymyr Nehoduyko, Hannah B Wild, Serhiy Tertishny, Yuriy Bunin

{"title":"A large foreign body removal from the anterior mediastinum using a minimally invasive method after a shrapnel wound to the neck: a case report.","authors":"Igor Lurin, Eduard Khoroshun, Vitaliy Makarov, Volodymyr Nehoduyko, Hannah B Wild, Serhiy Tertishny, Yuriy Bunin","doi":"10.20408/jti.2025.0077","DOIUrl":"https://doi.org/10.20408/jti.2025.0077","url":null,"abstract":"This case report describes the diagnosis and surgical management of a shrapnel wound to the neck with a retained foreign body (metal fragment) in the anterior mediastinum. A 44-year-old male service member was wounded in the neck during an air raid. Thirty minutes after sustaining the injury, the patient reached a forward surgical team, exhibiting hemodynamic instability responsive to resuscitation. After initial stabilization, the forward team performed primary surgical treatment of the wound, including hemostasis, irrigation and debridement, and drainage. Twelve hours later, the patient was transported by ground to the Military Medical Clinical Center of the Northern Region of the Military Medical Center of the Armed Forces of Ukraine and hospitalized in the surgical department. Diagnostic evaluation included computed tomography of the head, chest, abdomen, and pelvis along with esophagogastroduodenoscopy, which demonstrated fracture of left ribs 1 and 2, a 40×15-mm metal fragment in the anterior superior mediastinum with pneumomediastinum and hemomediastinum, and metal fragments in the soft tissues of the neck without contrast extravasation. Esophagogastroduodenoscopy revealed no evidence of esophageal injury. Surgical management included left video-assisted thoracoscopic surgery with opening of the anterior mediastinum and removal of the foreign body (metal shrapnel fragment) using a magnetic surgical instrument. The patient was discharged 2 weeks postoperatively. Gunshot wounds of the neck with a large foreign body in the anterior mediastinum are rare. The use of minimally invasive surgical techniques and modern magnetic surgical instruments can reduce surgical morbidity and may be used at tertiary care centers.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sequential bilateral hip fractures after conservative treatment of femoral neck fracture: a case report. 股骨颈骨折保守治疗后继发性双侧髋部骨折1例。

IF 0.2

Journal of Trauma and Injury Pub Date : 2026-03-03 DOI: 10.20408/jti.2025.0067

Panagiotis Karampinas, Athanasios Galanis, Evangelos Sakellariou, Evangelia Argyropoulou, Michail Vavourakis, Spyridon Karampitianis, Vasileios Marougklianis, Angelos Kaspiris, John Vlamis, Spiros Pneumaticos

{"title":"Sequential bilateral hip fractures after conservative treatment of femoral neck fracture: a case report.","authors":"Panagiotis Karampinas, Athanasios Galanis, Evangelos Sakellariou, Evangelia Argyropoulou, Michail Vavourakis, Spyridon Karampitianis, Vasileios Marougklianis, Angelos Kaspiris, John Vlamis, Spiros Pneumaticos","doi":"10.20408/jti.2025.0067","DOIUrl":"https://doi.org/10.20408/jti.2025.0067","url":null,"abstract":"Conservative treatment for valgus-impacted fractures can yield a high union rate; however, determining the ideal indications for this approach remains challenging. Older adults may sustain bilateral hip fractures from low-impact falls, typically presenting a symmetric fracture pattern. Nonetheless, asymmetric bilateral hip fractures, though extremely rare, have been documented. This report describes a case of a 78-year-old woman who presented after a low-impact fall at home. Her medical history included a previous fall 3 months earlier, resulting in a Garden I right femoral neck fracture treated conservatively in another department of our institution. Radiological examination revealed a left peritrochanteric fracture and a displaced (Garden IV) subcapital fracture of the right hip. Both fractures were treated surgically on the same day, with cephalomedullary nailing of the left femur followed by cemented bipolar hemiarthroplasty of the right femur. The postoperative course was uneventful, and the 1-year follow-up was satisfactory. The surgical sequence was chosen to facilitate intraoperative positioning, minimize the risk of prosthetic dislocation, and allow accurate restoration of leg length using the fixation as a reference point for hemiarthroplasty. This case highlights the importance of individualized treatment planning and careful consideration of surgical fixation for older adults with valgus-impacted femoral neck fractures who are at high risk of subsequent falls and hip fractures.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Walking on the blade: Frank C. Spencer and the courage to defy dogma in the Korean War. 在刀锋上行走：弗兰克·c·斯宾塞和朝鲜战争中反抗教条的勇气。

IF 0.2

Journal of Trauma and Injury Pub Date : 2026-03-01 Epub Date: 2026-03-30 DOI: 10.20408/jti.2025.0239

Kun Hwang

引用次数: 0

Bridging the gap: a successful interhospital transfer of a bleeding pelvic fracture patient using REBOA and the "doctor car" system: a case report. 弥合差距：使用REBOA和“医生车”系统成功地将骨盆骨折出血患者转院：一份病例报告。

IF 0.2

Journal of Trauma and Injury Pub Date : 2026-03-01 Epub Date: 2025-11-20 DOI: 10.20408/jti.2025.0059

Hanbyol Song, Gil Jae Lee, Byungchul Yu, Seung Hwan Lee, Min A Lee, Myung Jin Jang, Jeong Ho Kim, Kang Kook Choi

{"title":"Bridging the gap: a successful interhospital transfer of a bleeding pelvic fracture patient using REBOA and the \"doctor car\" system: a case report.","authors":"Hanbyol Song, Gil Jae Lee, Byungchul Yu, Seung Hwan Lee, Min A Lee, Myung Jin Jang, Jeong Ho Kim, Kang Kook Choi","doi":"10.20408/jti.2025.0059","DOIUrl":"10.20408/jti.2025.0059","url":null,"abstract":"Severe traumatic injuries, particularly unstable pelvic fractures, frequently result in life-threatening hemorrhagic shock, necessitating urgent transfer to specialized trauma centers. However, interhospital transport of hemodynamically unstable patients poses a significant risk of clinical deterioration. Resuscitative endovascular balloon occlusion of the aorta (REBOA) offers effective temporary hemodynamic stabilization before definitive care. Here, we describe the successful use of zone III REBOA by a surgeon-staffed emergency medical service (\"doctor car\") to rapidly stabilize and safely transfer a 62-year-old man with a severe bleeding pelvic fracture. Upon arrival at the trauma center, the patient underwent immediate definitive treatments, including preperitoneal pelvic packing and transarterial embolization. This case highlights the potential for integrating REBOA with physician-staffed emergency transport systems as a strategy to bridge critical gaps in regional trauma care networks and improve patient outcomes.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"80-84"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558424","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

Prognostic role of serum interleukin-6 levels in polytrauma patients: a comprehensive narrative review. 血清白细胞介素-6水平在多发性创伤患者中的预后作用：一项全面的叙事回顾。

IF 0.2

Journal of Trauma and Injury Pub Date : 2026-03-01 Epub Date: 2025-12-29 DOI: 10.20408/jti.2025.0081

Nicola Madani, Sereen Halayqeh, Hebah Almahariq, Ahmad Al-Badawi, Mohammad Alomari, Bassem Haddad

{"title":"Prognostic role of serum interleukin-6 levels in polytrauma patients: a comprehensive narrative review.","authors":"Nicola Madani, Sereen Halayqeh, Hebah Almahariq, Ahmad Al-Badawi, Mohammad Alomari, Bassem Haddad","doi":"10.20408/jti.2025.0081","DOIUrl":"10.20408/jti.2025.0081","url":null,"abstract":"Polytrauma triggers a complex systemic inflammatory response, and early identification of high-risk patients is essential for guiding timely interventions and improving outcomes. Interleukin-6 (IL-6), a rapidly induced proinflammatory cytokine, has emerged as a potential biomarker for prognosis in the trauma setting. This narrative review summarizes current evidence on the prognostic role of IL-6 in polytrauma patients, addressing its biological functions, kinetics after injury, and associations with clinical outcomes such as acute respiratory distress syndrome, multiple organ dysfunction syndrome, intensive care unit admission, and mortality. IL-6 levels have been shown to correlate with injury severity scores and to predict complications more reliably than many other inflammatory markers, largely due to its early elevation and sustained presence in circulation. Furthermore, IL-6 measurement may inform surgical decision-making, particularly in selecting candidates for damage control strategies versus definitive care. Compared to other cytokines and acute-phase reactants, IL-6 demonstrates superior temporal responsiveness and prognostic accuracy in the early postinjury phase. Despite variability in measurement methods and the influence of external confounding factors, IL-6 holds significant promise as a clinical tool for early triage, risk stratification, and potentially therapeutic targeting in trauma care. Standardized protocols and larger multicenter studies are needed to facilitate broader adoption and integration of IL-6 into clinical algorithms.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"4-13"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858874","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

Facial trauma and reconstructive surgery: insights from a case series of severe maxillofacial injuries. 颜面外伤及重建手术：从一系列严重颌面外伤病例的观察。

IF 0.2

Journal of Trauma and Injury Pub Date : 2026-03-01 Epub Date: 2026-02-04 DOI: 10.20408/jti.2025.0080

Harendra Kumar, Abdul Hakeem, Abdul Vakil Khan, Rachith Sridhar, Deepak Kumar, Majid Anwer

{"title":"Facial trauma and reconstructive surgery: insights from a case series of severe maxillofacial injuries.","authors":"Harendra Kumar, Abdul Hakeem, Abdul Vakil Khan, Rachith Sridhar, Deepak Kumar, Majid Anwer","doi":"10.20408/jti.2025.0080","DOIUrl":"10.20408/jti.2025.0080","url":null,"abstract":"Facial trauma is a complex and important contributor to trauma-related morbidity, often requiring multidisciplinary management due to intricate anatomy and the dual need for functional and aesthetic restoration. This case series describes a spectrum of maxillofacial injuries treated by trauma surgeons, including soft tissue degloving, zygomaticomaxillary complex fractures, mandibular fractures, and airway compromise. All patients were managed in accordance with Advanced Trauma Life Support (ATLS) principles. Surgical interventions included layered wound closure, open reduction and internal fixation, and airway management through endotracheal intubation, cricothyroidotomy, or tracheostomy. The series underscores the critical decision-making required in airway management, the surgical expertise necessary for fracture stabilization, and the importance of early reconstruction in optimizing outcomes. It further emphasizes the role of trauma surgeons in delivering comprehensive care and highlights the value of preventive strategies such as helmet use and road safety enforcement. These cases contribute to the growing evidence that timely, coordinated surgical intervention supports optimal recovery in patients with facial trauma.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"94-103"},"PeriodicalIF":0.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114922","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