Journal of Trauma and Injury最新文献_第3页

Treatment of placental abruption following blunt abdominal trauma: a case report. 钝性腹部创伤后胎盘早剥的治疗：1例报告。

Journal of Trauma and Injury Pub Date : 2025-03-01 Epub Date: 2024-12-04 DOI: 10.20408/jti.2024.0050

Jinjoo Kim, Seokyung Kim, Dongwook Kwak, Donghwan Choi

引用次数: 0

Heterodigital flap as a solution for a thumb defect: a case report. 用异位腓骨皮瓣治疗拇指缺损：病例报告。

Journal of Trauma and Injury Pub Date : 2025-03-01 Epub Date: 2024-11-18 DOI: 10.20408/jti.2024.0049

Bontor Daniel Sinaga, Dwi Purnomo Setyo Budi, Mochamad Sadabaskara

{"title":"Heterodigital flap as a solution for a thumb defect: a case report.","authors":"Bontor Daniel Sinaga, Dwi Purnomo Setyo Budi, Mochamad Sadabaskara","doi":"10.20408/jti.2024.0049","DOIUrl":"10.20408/jti.2024.0049","url":null,"abstract":"Thumb traumatic injuries are incredibly common in hand injuries. The thumb is essential to hand function in order to do daily tasks like gripping, holding, opposing, circumducting, and movements. As a result, compared to injuries to other fingers, a thumb injury significantly impairs hand function. Traumas can cause soft tissue loss linked to vascular injuries that require revascularization. Replantation is the surgical treatment most frequently suggested to patients who have had their thumbs amputated in an attempt to restore function and attractiveness. There are alternative reconstructive techniques, such as skin grafting or local, distal, and free flaps, when replantation of the severed segment is not feasible. Reconstruction techniques vary depending on where the amputation occurred and include transfer site reconstruction and homodigital and heterodigital flaps. We reported a case of a woman who has a right traumatic thumb injury due to blender accident. Primary suturing and debridement were done to save the thumb. But after several days, the thumb was necrotic and not viable. Heterodigital island flap from the right middle finger was chosen. Radial forearm skin was grafted to cover the middle finger defect. This gave satisfactory results. Wound healing was quite good, but there were signs of scar tissue growth after several months of follow-up. The function and mobility of the thumb and hand were also achieved well through the QuickDASH (quick Disability of the Arm, Shoulder and Hand) score. Heterodigital flap provides satisfactory results both aesthetically and functionally in traumatic thumb injury cases.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"56-60"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649506","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

Differentiation of antimicrobial toxicity and sepsis-induced disseminated intravascular coagulation in an orthopedic burn patient in India: a case report. 印度一名骨科烧伤患者的抗菌药物中毒与败血症引起的弥散性血管内凝血的鉴别：病例报告。

Journal of Trauma and Injury Pub Date : 2025-03-01 Epub Date: 2024-11-18 DOI: 10.20408/jti.2024.0040

Parampreet Singh Saini, Ankita Aggarwal, Tarunpreet Saini

{"title":"Differentiation of antimicrobial toxicity and sepsis-induced disseminated intravascular coagulation in an orthopedic burn patient in India: a case report.","authors":"Parampreet Singh Saini, Ankita Aggarwal, Tarunpreet Saini","doi":"10.20408/jti.2024.0040","DOIUrl":"10.20408/jti.2024.0040","url":null,"abstract":"Drug-induced thrombocytopenia, hemolytic anemia, and leukopenia are serious, and sometimes fatal, complications of common medications. These conditions are challenging to diagnose in patients with polytrauma injuries due to the presence of multiple potential etiologies. In such clinical scenarios, sepsis-induced disseminated intravascular coagulation is a more frequent diagnosis. The clinical manifestations of these conditions can be indistinguishable. We present the case of a 32-year-old man who sustained a left open grade 2 leg fracture and 18% to 20% second-degree superficial electrical flash burns on his right leg. Following primary management, skin testing for antibiotic sensitivity was performed, and prophylactic therapy with ceftriaxone, gentamycin, and metronidazole was initiated for the grossly contaminated wounds. On the second day of emergency admission, the patient developed hepatorenal dysfunction accompanied by severe thrombocytopenia (<30×103/mm3). The suspected antimicrobial agents were discontinued by the third day. Within 48 hours, the patient's hepatorenal function markedly improved; however, the blood dyscrasia progressed to severe pancytopenia over the next few days. Despite worsening parameters, the patient's vitals were maintained, and he exhibited no overt bleeding. On the fourth day, the patient developed opportunistic fungal bronchopneumonia, indicated by bilateral lower lobe infiltrates on chest x-ray and an elevated serum galactomannan level. He received supportive care, broad-spectrum antibiotics, and antifungal treatment, with a full recovery within 2 weeks. Antibiotic toxicity must be distinguished from other medical conditions to ensure appropriate management and a favorable prognosis.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"44-50"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649505","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

Successful treatment of hemophagocytic lymphohistiocytosis in a trauma patient: a case report. 创伤患者噬血细胞淋巴组织细胞病的成功治疗一例报告。

Journal of Trauma and Injury Pub Date : 2025-03-01 Epub Date: 2025-03-25 DOI: 10.20408/jti.2024.0093

Young Soo Chung, Jihoon Kim

{"title":"Successful treatment of hemophagocytic lymphohistiocytosis in a trauma patient: a case report.","authors":"Young Soo Chung, Jihoon Kim","doi":"10.20408/jti.2024.0093","DOIUrl":"10.20408/jti.2024.0093","url":null,"abstract":"Hemophagocytic lymphohistiocytosis (HLH) is a rare, life-threatening hyperinflammatory syndrome characterized by excessive activation of the immune system. This case report describes an unusual presentation of HLH triggered by severe trauma from a motorcycle accident, which is a departure from traditional associations with infections, malignancies, or autoimmune conditions. A 40-year-old man with multiple traumatic injuries developed persistent fever, pancytopenia, and elevated inflammatory markers following orthopedic surgery. Despite empiric antibiotic therapy, his condition deteriorated, exhibiting high fever, skin rash, hepatic dysfunction, and marked elevation of ferritin levels (32,901 ng/mL). Bone marrow biopsy confirmed the diagnosis of HLH, and treatment was initiated according to the HLH-2004 protocol, which included methylprednisolone, intravenous immunoglobulin, and immunosuppressive therapy. The patient demonstrated significant clinical improvement and was discharged after 37 days, with no recurrence observed during the follow-up period. This case underscores the need to consider HLH in trauma patients presenting with unexplained inflammatory responses and illustrates that prompt diagnosis and aggressive treatment can lead to successful outcomes.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"66-70"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702215","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

Changes in the clinical features and demographics of donors after brain death, before and after the establishment of a regional trauma center: 20 years of experience at a single center in Korea. 脑死亡后、区域创伤中心建立前后供体临床特征和人口统计学的变化：韩国单一创伤中心20年的经验

Journal of Trauma and Injury Pub Date : 2025-03-01 Epub Date: 2025-03-31 DOI: 10.20408/jti.2024.0068

Myung Jin Jang, Sang Tae Choi, Gil Jae Lee, Doo Jin Kim, Won Suk Lee

{"title":"Changes in the clinical features and demographics of donors after brain death, before and after the establishment of a regional trauma center: 20 years of experience at a single center in Korea.","authors":"Myung Jin Jang, Sang Tae Choi, Gil Jae Lee, Doo Jin Kim, Won Suk Lee","doi":"10.20408/jti.2024.0068","DOIUrl":"10.20408/jti.2024.0068","url":null,"abstract":"Purpose: Organ transplantation is considered the definitive treatment for end-stage organ disease. However, the scarcity of donor organs compared to the number of patients awaiting transplants is a major barrier. This study aimed to assess the impact of a regional trauma center on organ procurement and to provide a basis for future collaboration between regional trauma centers and transplant centers.Methods: This retrospective study analyzed organ donors after brain death over a 20-year period from January 1, 2003, to December 31, 2022. It compared patients before and after the establishment of the regional trauma center, as well as trauma and nontrauma patients. The study investigated general patient characteristics and the number and types of donated organs.Results: The average age of patients significantly increased from 37.75 years before the trauma center was established to 46.72 years after (t=-4.32, P<0.001). The organ acquisition rate significantly increased from 3.03 before to 3.47 after (t=-2.96, P=0.003). Suicide (t=6.52, P=0.011) and cardiopulmonary resuscitation cases were more common among nontrauma patients than among trauma patients (t=8.34, P=0.004). However, the organ acquisition rate was significantly higher among trauma patients than among nontrauma patients (3.53 vs. 3.21; t=2.04, P=0.004).Conclusions: This study identified changes in the characteristics and donor organs of patients diagnosed with brain death after the establishment of a regional trauma center. Given the increase in the proportion of trauma patients and the rate of organ acquisition per capita post-establishment, efforts should be made to encourage organ donation from patients diagnosed with brain death through close collaboration between regional trauma centers and organ transplant centers.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":"38 1","pages":"14-21"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774860","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

The remarkable growth and international recognition of the Journal of Trauma and Injury. 《创伤与损伤杂志》的显著发展和国际认可。

Journal of Trauma and Injury Pub Date : 2025-03-01 Epub Date: 2025-03-31 DOI: 10.20408/jti.2025.0058

Gil Jae Lee

引用次数: 0

Patients with intentional punch injuries in the emergency department: a retrospective cohort study. 急诊科故意拳击伤患者：一项回顾性队列研究

Journal of Trauma and Injury Pub Date : 2025-03-01 Epub Date: 2025-03-31 DOI: 10.20408/jti.2025.0022

İbrahim Toker, Ömer Salt, Taner Şahin, Mükerrem Altuntaş, İrfan Gökçek, Murat Eşlik, İbrahim Tüysüz, Baycan Kuş, Muhammed İslam Özer

{"title":"Patients with intentional punch injuries in the emergency department: a retrospective cohort study.","authors":"İbrahim Toker, Ömer Salt, Taner Şahin, Mükerrem Altuntaş, İrfan Gökçek, Murat Eşlik, İbrahim Tüysüz, Baycan Kuş, Muhammed İslam Özer","doi":"10.20408/jti.2025.0022","DOIUrl":"10.20408/jti.2025.0022","url":null,"abstract":"Purpose: Hand and wrist injuries represent some of the most common traumatic conditions encountered in the emergency department (ED). Our study aimed to elucidate the demographic and clinical characteristics of patients sustaining intentional punch injuries.Methods: This single-center retrospective study involved patients aged 16 years and older who presented to the ED with intentional punch injuries in 2023.Results: A total of 405 patients were included in the study. The median patient age was 30 years (interquartile range, 22-40 years), and 363 (89.6%) were male. Among the patients, a total of 389 fractures were identified in 362 patients (89.4%). Metacarpal bone fractures were the most common, with 372 fractures (95.6%). The fifth metacarpal was the most frequently injured (67.4%), followed by the fourth (10.0%) and third (7.7%) metacarpals. Although the most common base fracture occurred in the first metacarpal, shaft fractures were most prevalent in the second, third, fourth, and fifth metacarpals. Overall, 259 patients (71.5%) had nondisplaced fractures. Additionally, 31 patients (7.7%) had previously been admitted to the ED for punching, 17 (4.2%) had prior ED visits for trauma resulting in a fracture, and 63 (15.6%) reported a history of psychiatric drug use.Conclusions: Young men represent the majority of intentional punch injury patients. The fifth metacarpal and its shaft fractures were most commonly observed. A history of prior ED visits for punching or trauma, as well as psychiatric medication use, may serve as potential risk factors.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":"38 1","pages":"32-37"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774865","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

Acute irreducible anterior shoulder dislocation due to interposition of the subscapularis muscle and the lesser tuberosity: a case report. 肩胛下肌与小结节之间的夹层导致的急性不可恢复性肩关节前脱位：病例报告。

Journal of Trauma and Injury Pub Date : 2025-03-01 Epub Date: 2024-10-21 DOI: 10.20408/jti.2024.0044

Nazim Sifi, Ahmad Madani, Mahdi Zeghdoud

{"title":"Acute irreducible anterior shoulder dislocation due to interposition of the subscapularis muscle and the lesser tuberosity: a case report.","authors":"Nazim Sifi, Ahmad Madani, Mahdi Zeghdoud","doi":"10.20408/jti.2024.0044","DOIUrl":"10.20408/jti.2024.0044","url":null,"abstract":"Efforts to reduce an anterior shoulder dislocation can fail due to numerous mechanical obstructions caused by soft tissue interposition (long head of the biceps, rotator cuff muscles, labrum, musculocutaneous nerve) and/or bony elements (displaced fragment of a greater tuberosity or glenoid fracture, bone impaction such as a Hill-Sachs lesion fixed on the glenoid rim, a bony Bankart lesion). Herein, we report the case of a 35-year-old man who sustained an anterior shoulder fracture-dislocation of his left shoulder after a fall. Despite a postreduction radiological examination that appeared misleadingly reassuring, subtle signs of persistent subluxation raised concerns. A computed tomography (CT) scan revealed subscapularis muscle entrapment along with avulsion of its bony insertion from the lesser tuberosity of the humerus, and a comminuted avulsion fracture of the greater tuberosity of the humerus. The patient underwent surgery using a deltopectoral approach. This involved releasing the entrapped subscapularis muscle and fixing the two fractured fragments. The lesser tuberosity was reduced and secured with two cannulated screws, and the comminuted fragment of the greater tuberosity was reattached using transosseous sutures. At 12-month follow-up, the patient achieved a Constant-Murley score of 85 of 100, with limitation in internal rotation at L3 but no signs of instability or new dislocation episode. This case underscores the importance of confirming shoulder reduction on at least two orthogonal views and paying close attention to the patient's feedback about sensation in their shoulder. Additionally, it highlights the utility of CT or magnetic resonance imaging scans if doubt exists about the integrity of the reduction.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"38-43"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512786","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

Minimally invasive surgery for concomitant pericardial and diaphragmatic rupture after blunt trauma: a case report. 微创手术治疗钝性创伤后并发心包膈肌破裂1例。

Journal of Trauma and Injury Pub Date : 2025-03-01 Epub Date: 2024-12-16 DOI: 10.20408/jti.2024.0045

Ranti Kenny Maila, Kenny Nyiko Mongwe, Mirza Mohamod Zahir Uddin Bhuiyan

{"title":"Minimally invasive surgery for concomitant pericardial and diaphragmatic rupture after blunt trauma: a case report.","authors":"Ranti Kenny Maila, Kenny Nyiko Mongwe, Mirza Mohamod Zahir Uddin Bhuiyan","doi":"10.20408/jti.2024.0045","DOIUrl":"10.20408/jti.2024.0045","url":null,"abstract":"Pericardial rupture with cardiac herniation is a rare injury that occurs following blunt trauma. It is even more unusual to find a pericardial tear associated with diaphragmatic injury after such trauma. Diagnosing this condition through radiologic imaging is challenging. A 51-year-old man was admitted to the emergency department after a wall collapsed on him. He reported overall body discomfort, breathlessness, chest pain, and abdominal discomfort. A plain x-ray revealed haziness in the left thoracic cavity and elevation of the left hemidiaphragm with collapse of the left lung. Additionally, a gastric shadow was seen within the left hemithorax, accompanied by a mediastinal shift to the right. An x-ray of the pelvis displayed fractures at the right sacroiliac joint, left superior pubic ramus, left inferior pubic ramus, and left anterior acetabular with displacement. A computed tomography scan indicated herniation of the stomach, splenic flexure, and spleen, but there was no clear evidence of pericardial laceration. The patient underwent emergency exploratory laparoscopy and thoracoscopy. During the laparoscopy, a significant defect was found in the left hemidiaphragm, along with a pericardial rupture that had led to cardiac herniation and visceral herniation of the stomach, splenic flexure, and spleen through the diaphragmatic tear. The abdominal visceral organs were repositioned into the abdomen, and the diaphragm was repaired. The heart was repositioned, and the pericardial defect was closed using thoracoscopic techniques. Pericardial rupture can be effectively managed using minimally invasive surgery.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":"38 1","pages":"51-55"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774863","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

Clinical profile, management, and outcome of pediatric neurotrauma: a multicentric observational study. 儿科神经创伤的临床概况、管理和结果：一项多中心观察性研究。

Journal of Trauma and Injury Pub Date : 2025-03-01 Epub Date: 2025-03-31 DOI: 10.20408/jti.2024.0080

Sanat Kumar Khanna, Anil Kumar, Anand Kumar Katiyar, Kundan Mishra

{"title":"Clinical profile, management, and outcome of pediatric neurotrauma: a multicentric observational study.","authors":"Sanat Kumar Khanna, Anil Kumar, Anand Kumar Katiyar, Kundan Mishra","doi":"10.20408/jti.2024.0080","DOIUrl":"10.20408/jti.2024.0080","url":null,"abstract":"Purpose: Pediatric neurotrauma (pNT) includes pediatric traumatic brain injury and spinal cord injury. The incidence and distribution of pNT by age and sex remain understudied, with several gaps in both epidemiological and clinical data. This study aimed to estimate the epidemiological parameters, clinical presentations, surgical interventions, and outcomes in our patient population with pNT.Methods: A multicentric, ambispective study was conducted at five tertiary care pediatric neurosurgical centers in Northern India from January 2011 to December 2022. The study included children under 16 years of age admitted with a history of head injury. Data on demographics, radiological findings, management, and outcomes were recorded.Results: A total of 2,250 children were admitted; 77.5% were male and 22.5% were female. The most common age group was 6 months to 2 years (37.3%). The primary mechanism of injury was fall from height (64.6%), followed by road traffic accidents (26.1%). Overall, 84.6% of children had mild head injury, 14.2% moderate, and 1.2% severe. The most common abnormality on computed tomography brain was contusion (9.2%). Surgical interventions were required in only 0.8% of children. A favorable outcome, as measured by Glasgow Outcome Scale, was achieved in 99.2% of patients, and the mortality rate was 0.1%.Conclusions: Our findings indicate that pNT is most common in children aged 6 months to 2 years and predominantly affects boys. The most frequent cause was a fall from height, and the majority of patients sustained mild head injuries requiring only observation, which led to excellent outcomes. Surgical intervention was necessary in only a few cases, and mortality was rare. This study highlights the epidemiological pattern of pNT in our population and delineates various causes of such trauma.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":"38 1","pages":"22-31"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774861","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