Journal of Trauma and Injury最新文献

{"title":"Serving beyond glory: lessons from Chipyong-ni and military medicine.","authors":"Kun Hwang","doi":"10.20408/jti.2025.0241","DOIUrl":"10.20408/jti.2025.0241","url":null,"abstract":"","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"195-197"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13328897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148310391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional outcomes of salvage hip arthroplasty in failed proximal femoral nails: a retrospective cohort study.","authors":"Bushu Harna, Dinesh Sandal, Shivali Arya","doi":"10.20408/jti.2025.0206","DOIUrl":"10.20408/jti.2025.0206","url":null,"abstract":"<p><strong>Purpose: </strong>Intertrochanteric femur fractures treated with proximal femoral nails (PFNs) may develop complications such as screw cutout, nonunion, and varus collapse, which can necessitate salvage procedures including hip arthroplasty. This study aimed to evaluate the surgical challenges, operative techniques, and outcomes of hip arthroplasty performed after failed PFN fixation.</p><p><strong>Methods: </strong>A total of 59 patients who underwent hip arthroplasty following PFN failure for intertrochanteric femur fractures were enrolled. Collected data included patient demographics, fracture characteristics, PFN failure patterns, surgical techniques, complications, and functional outcomes.</p><p><strong>Results: </strong>The most common PFN failure patterns were screw backout, cutout, screw breakage, and nail breakage. These cases were managed with salvage hip arthroplasty, including hemiarthroplasty and total hip arthroplasty, depending on patient-specific factors. Intraoperative challenges involved implant removal and management of bone defects. Reported complications included dislocation, deep vein thrombosis, and periprosthetic fractures. The mean Harris Hip Score at 24 months was 79.2.</p><p><strong>Conclusions: </strong>Hip arthroplasty serves as an effective salvage option for failed PFN fixation in intertrochanteric femur fractures. However, it presents distinct surgical challenges and requires careful patient selection and meticulous technique to reduce the risk of complications.</p>","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":"39 2","pages":"128-136"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13328902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pneumatosis cystoides intestinalis misdiagnosed as pneumoperitoneum due to colon perforation in a patient with blunt trauma injuries: a case report.","authors":"So Ra Ahn, Joo Hyun Lee, Chan Yong Park","doi":"10.20408/jti.2025.0155","DOIUrl":"10.20408/jti.2025.0155","url":null,"abstract":"<p><p>A laparotomy is usually performed when pneumoperitoneum is identified on abdominal computed tomography (CT) in patients with trauma-related injuries. However, in rare cases, pneumatosis cystoides intestinalis (PCI) may be misinterpreted as free air due to bowel perforation. PCI typically follows a benign course and can be managed with physical examinations and imaging studies. In this case, however, the patient was comatose from a severe traumatic brain injury, rendering the physical examination unreliable. Abdominal CT revealed multiple extraluminal air foci in the retroperitoneal space surrounding the ascending colon, consistent with pneumoperitoneum. No evidence of intraoperative peritonitis was found. Nevertheless, because bowel perforation could not be definitively excluded, a right hemicolectomy was performed, and histopathological examination confirmed PCI.</p>","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"182-185"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13328889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complex soft tissue injuries associated with portable charger detonation: four case reports from the war in Ukraine.","authors":"Eduard Mykolaiovych Khoroshun, Vitaliy Volodymyrovych Makarov, Volodymyr Volodymyrovych Nehoduiko, Maksym Olegovych Malimonenko, Hannah B H Wild, Serhii V Tertyshnyi","doi":"10.20408/jti.2025.0042","DOIUrl":"10.20408/jti.2025.0042","url":null,"abstract":"<p><p>This article describes the characteristics and management of injuries associated with ricochet effects due to portable charger detonation. We present a case series of four military personnel who sustained complex soft tissue injuries when portable chargers detonated after being struck by projectiles during combat. All patients were treated by an advanced surgical team at the Military Medical Clinical Center of the Northern Region in Kharkiv, Ukraine, over a 9-month period in 2023. Patient history, physical examination findings, laboratory studies, radiographic imaging, treatment approaches, and early outcomes were examined. All patients were male, with a mean age of 33±0.3 years. Complex soft tissue injury patterns arose when a projectile (such as a bullet or shrapnel) struck the charger, causing ricochet effects while damaging the battery housing and triggering detonation. The anatomical region of injury corresponded to the charger's placement in the patients' pockets, namely the thigh or buttock. Characteristic findings included local chemical burns of the skin and subcutaneous tissue, with surrounding ecchymosis. Surgical teams identified three zones of damage associated with this injury pattern: (1) a central zone with the most pronounced burn related changes, covering the smallest area of the three zones; (2) an intermediate zone of soft tissue damage from thermochemical reactions extending beyond the charger's profile; and (3) an outer zone of ecchymosis. Risks associated with carrying portable chargers during combat have not been well documented. These findings may inform injury prevention strategies for military personnel.</p>","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"167-172"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13328896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of ketamine on posttraumatic stress disorder (PTSD) symptomatology in trauma-exposed populations: a narrative review.","authors":"Minaal Ahmed Malik, Michele Halasa, Jack Chia, Venera Derguti, Holly Hathway, Fahad Hussain, Abdel Saad","doi":"10.20408/jti.2025.0086","DOIUrl":"10.20408/jti.2025.0086","url":null,"abstract":"<p><p>Ketamine, an N-methyl-D-aspartate (NMDA) receptor antagonist, is widely used in trauma and emergency medicine for its rapid analgesic and sedative properties. While its efficacy in acute pain management is well established, concerns persist regarding its long-term psychological effects, particularly its potential role in the development of posttraumatic stress disorder (PTSD). Some studies indicate that ketamine may provide rapid symptom relief in PTSD, whereas others raise concerns about its contribution to dissociative states and maladaptive memory consolidation. This narrative review examines existing literature on ketamine's influence on PTSD symptomatology in trauma-exposed populations. A comprehensive assessment of randomized controlled trials and observational studies was undertaken to explore ketamine's effects on dissociation, memory processing, and long-term psychiatric outcomes. Relevant studies were identified from major medical databases, and findings were synthesized to present an integrated overview of ketamine's psychological impact in trauma care settings. Clinical trials suggest that a single intravenous infusion of ketamine (0.5 mg/kg) may significantly reduce PTSD symptoms within 24 hours compared to midazolam, with improvements in overall clinical presentation and no lasting dissociative effects. Conversely, some observational studies have linked ketamine use in acute trauma care to heightened dissociation, hyperarousal, and stress symptoms during early follow-up. Research on burn patients receiving intraoperative ketamine suggests a possible reduction in PTSD incidence, although a later study reported no significant difference compared with non-ketamine controls. The relationship between ketamine and PTSD is complex, with effects appearing to depend on dose and timing of administration. While perioperative ketamine may confer protective benefits against long-term psychiatric sequelae, immediate post-trauma administration may worsen dissociative symptoms and acute stress responses. Further well-controlled clinical trials are needed to refine dosing protocols and identify patient-specific risk factors, including preexisting psychiatric conditions, to better guide its use.</p>","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"119-127"},"PeriodicalIF":0.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13328904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Penile artery traumatic occlusion causing arteriogenic erectile dysfunction: a case report.","authors":"Francesco Michele Ronza, Teresa Letizia Di Gennaro, Francesco Palmieri, Stefania Tamburrini","doi":"10.20408/jti.2025.0085","DOIUrl":"https://doi.org/10.20408/jti.2025.0085","url":null,"abstract":"<p><p>We present a case of traumatic penile artery occlusion resulting in arteriogenic erectile dysfunction. A 34-year-old man was referred to the emergency department following a motorbike collision that caused pelvic trauma. Contrast-enhanced multidetector computed tomography revealed a complex pelvic fracture pattern, including pubic diastasis, fracture of the left sacral ala, and avulsion of the left ischiatic spine, along with penile artery occlusion and absence of homolateral cavernosal corpora blushes. Contrast-enhanced multidetector computed tomography is a comprehensive and precise imaging modality for evaluating pelvic trauma. Assessment of the penile artery and internal pudendal artery network is crucial in pelvic trauma cases to promptly identify arterial occlusion and facilitate timely evaluation and management of erectile dysfunction.</p>","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787921","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}

{"title":"Traumatic posterior dislocation of the sternoclavicular joint in a 12-year-old boy: a case report.","authors":"Amani Azizalrahman, Altaf Ahmad Bhat, Abdulaziz Khalid Alareefy, Abdulaziz Abdullah Oalsuhaiban","doi":"10.20408/jti.2025.0057","DOIUrl":"https://doi.org/10.20408/jti.2025.0057","url":null,"abstract":"<p><p>Sternoclavicular joint (SCJ) dislocation is a rare but serious orthopedic injury, representing fewer than 1% of all fractures or dislocations. Posterior dislocations are particularly concerning due to the SCJ's proximity to vital structures such as the trachea, esophagus, subclavian vessels, and brachial plexus. Clinical suspicion should be heightened when a patient presents with a compression-type injury to the shoulder girdle and pain around the SCJ. We report the case of a 12-year-old boy who presented to the emergency department after being punched in the right shoulder by another child, resulting in severe pain and an inability to move his right shoulder. Clinical assessment raised suspicion for a posterior SCJ dislocation, which was confirmed by computed tomography scan. The rarity of this condition in pediatric patients, coupled with the potential for severe complications, underscores the significance of this case for clinical recognition and management.</p>","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596207","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}

{"title":"Diagnosis of a peritoneal injury during acetabular fracture surgery using the Stoppa approach: a case report.","authors":"Reza Zandi, Shahin Talebi, Mohammad Rahnama, Milad Saeidi, Shirin Sheibani","doi":"10.20408/jti.2025.0103","DOIUrl":"https://doi.org/10.20408/jti.2025.0103","url":null,"abstract":"<p><p>As the global population ages, acetabular fractures are increasingly diagnosed in older adults. These injuries, often caused by low-energy trauma, present treatment challenges due to reduced bone quality and the presence of comorbidities. Surgical fixation is frequently required to restore mobility and prevent long-term disability. In some cases, however, associated abdominopelvic injuries may remain occult until discovered intraoperatively. We report the case of a 67-year-old woman who sustained an acetabular fracture after a fall from height. During internal fixation using the modified Stoppa approach, an undetected peritoneal rupture was identified. This case underscores the importance of careful preoperative evaluation and preparedness for intraoperative collaboration with abdominal surgery teams, particularly when subtle abdominal signs are present.</p>","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596278","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}

{"title":"Complete avulsion of the proximal hamstring tendon in a young gymnast: a case report.","authors":"Shreya Jaiwant Gudigar, Pavan Kumar A, P K Karthik Yelamarthy, S T Ramanuja Chari, Raghava Dutt Mulukutla, Preeti Shah","doi":"10.20408/jti.2025.0121","DOIUrl":"https://doi.org/10.20408/jti.2025.0121","url":null,"abstract":"<p><p>Proximal hamstring complex tears are uncommon injuries in gymnastics. This case report describes a rare instance of a 17-year-old female gymnast who sustained a complete avulsion of the proximal hamstring complex during exercise. The injury was diagnosed clinically and later confirmed by magnetic resonance imaging as a proximal hamstring tear, prompting surgical repair with suture anchors. The patient underwent a structured rehabilitation program with progressive milestones in weight-bearing, mobility, and strength training. By postoperative 26 weeks, she had regained functional strength and returned to competitive activity. This case highlights the importance of early diagnosis, timely surgical intervention, and a carefully managed rehabilitation protocol in achieving successful outcomes for young gymnasts. It also underscores the need for greater awareness and documentation of proximal hamstring complex tears in gymnastics, where such cases remain underreported. This report demonstrates the potential for full recovery and return to sport with appropriate treatment and rehabilitation, providing valuable insight into the management of this rare injury.</p>","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596264","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}

{"title":"An unusual open pneumothorax due to high-voltage electrical burn injury: a case report.","authors":"Norberto Navarrete, Sandra J Bernal, Laura S Nasiff, Federico Fernandez","doi":"10.20408/jti.2025.0122","DOIUrl":"https://doi.org/10.20408/jti.2025.0122","url":null,"abstract":"<p><p>Open intrathoracic visceral injuries are rare in electrical burns. We report the case of a 65-year-old man who sustained a high-voltage electrical burn through direct cable exposure. He arrived at the burn intensive care unit with respiratory distress secondary to an open wound on the right side of the chest wall measuring approximately 4×2 cm, with a calculated total body surface area of 2%. An immediate thoracostomy tube was placed to treat the open pneumothorax. Pneumopericardium, pneumomediastinum, and pleural infection developed later as delayed complications despite initial stabilization. After 42 days of hospitalization, the patient was discharged. This case highlights the rare occurrence of thoracic complications following electrical injury and underscores the importance of multidisciplinary, phased therapy in the management of severe electrical damage.</p>","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596224","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}