K. Almahmoud, Christopher Pearcy, Vaidehi Agrawal, M. Truitt
{"title":"Are We Getting Old? What Does Post Injury Mean Today?","authors":"K. Almahmoud, Christopher Pearcy, Vaidehi Agrawal, M. Truitt","doi":"10.4172/2167-1222.1000335","DOIUrl":"https://doi.org/10.4172/2167-1222.1000335","url":null,"abstract":"Geriatric trauma patients have been identified as the fastest growing population at trauma centers across the country. By 2025, it is estimated that 40% of all trauma admits will be elderly [1]. Adults ages 65 years and older constitute the fastest-growing segment of the US population. This age group is projected to constitute 19.3% of the population by the year 2030 [2], and trauma systems are already seeing a disproportionate increase in geriatric trauma patients, as 23.7% of patients in the national trauma data bank of 2011 were 65 years and older","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"2016 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2016-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70826996","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}
M. Hashempour, R. Motalebi, Mosallami Sm, N. Mortazavi
{"title":"A Successful Management of Juxta-Renal Inferior Vena Cava Injury After Penetrating Trauma: A Case Report","authors":"M. Hashempour, R. Motalebi, Mosallami Sm, N. Mortazavi","doi":"10.4172/2167-1222.1000334","DOIUrl":"https://doi.org/10.4172/2167-1222.1000334","url":null,"abstract":"Here, in the present case the authors report a patient with IVC injury repaired by venorrhpy and it can be performed by a team led by general surgeon. Inferior vena cava injuries remain a challenge for the skill, experience and diligence of a surgeon. Not only vascular surgeons, but all surgeons should be familiar with the principles of their treatment. A case of the inferior vena cava injury encountered after penetrating abdominal trauma in old age man with hemorrhagic shock with about 4 cm vertical tear of juxta-renal vena cava, survived due to immediate transportation, appropriate and successful perioperative fluid and blood resuscitation, prompt surgical management with team approach and critical postoperative surgical management without any residual complication. IVC injuries are associated with high mortality. Patients presenting with clinical and physiological evidence of shock and who require “damage control” surgery are more likely to suffer a worse outcome, particularly when multiple physiological derangements are present.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"2016 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2016-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70826940","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":"Relevance of Children's Public Parks of Cities to the Health of Children","authors":"Pedro Gil-Madrona, Alej, ro Prieto-Ayuso","doi":"10.4172/2167-1222.1000333","DOIUrl":"https://doi.org/10.4172/2167-1222.1000333","url":null,"abstract":"Developed countries are facing an “epidemic” of childhood obesity. During the past four decades, the obesity rate among children between 6 and 11 years of age has increase more than quadruple within the last years. Thus, childhood obesity has become one of the greatest health problems nowadays, turning into the epidemic of the XXI century.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"2016 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2016-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70827310","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":"Displaced Distal Forearm Fractures in Children","authors":"P. Hellebrekers, L. S. Vries, T. Timmers","doi":"10.4172/2167-1222.1000331","DOIUrl":"https://doi.org/10.4172/2167-1222.1000331","url":null,"abstract":"Introduction: Distal forearm fractures are the most common cause for morbidity in otherwise healthy children. There is a wide variety of pediatric fractures. When sufficient force is applied, a complete ‘adult-type’ fracture may occur. By nature, these fractures are very unstable because of disruption of both cortices. Maintaining reduction is key for successful treatment. However, there is no consensus on how to maintain reduction in completely displaced distal forearm fractures in children. We evaluate success rate of closed reduction and cast immobilization. Methods: Subjects were identified through emergency department administration in a single level II trauma center in the Netherlands. Subjects with displaced distal forearm fractures under the age of 14 years were included. All patients were treated with closed reduction and a three-point mold cast. Success is defined as preservation of reduction until consolidation. Results: Treatment with closed reduction and cast immobilization was successful in 58.8% of the cases. In none of the subjects a re-intervention was indicated. Conclusion: Most of the time the growth plate has enough remodeling potential. However, in completely displaced distal forearm fractures in children K-wire placement may be required to warrant reduction after initial reduction. Level of evidence: Level IV, therapeutic.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"2016 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2016-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000331","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70827257","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":"Have You Ever had Impingement of PHILOS After MIPO for Proximal Humeral Fracture?- Clinical Advantage of Arthroscopic Removal of PHILOS","authors":"Masaaki Ito","doi":"10.4172/2167-1222.1000332","DOIUrl":"https://doi.org/10.4172/2167-1222.1000332","url":null,"abstract":"The proximal humeral fracture is a commonly encountered bone fracture. Elderly persons with osteoporosis are especially susceptible to fragility fractures as a result of minor trauma. Conservative treatment is applied for proximal humeral fractures with little transposition, but for 3 part or 4 part fractures and dislocation fractures, surgical treatment is required.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"2016 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2016-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70827295","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}
C. Overs, Y. Teklali, B. Boillot, D. Poncet, P. Rabattu, Y. Robert, C. Piolat
{"title":"Evaluation of the Management of Severe Trauma Kidney Injury and Long Term Renal Function in Children","authors":"C. Overs, Y. Teklali, B. Boillot, D. Poncet, P. Rabattu, Y. Robert, C. Piolat","doi":"10.4172/2167-1222.1000330","DOIUrl":"https://doi.org/10.4172/2167-1222.1000330","url":null,"abstract":"Objective: To evaluate the management and long term renal function with DMSA scintigraphy in pediatric severe traumatic kidney injury (STKI) grade IV (STKI IV) and V (STKI V) at the trauma center of Grenoble teaching hospital. Materials and methods: This is a single-center retrospective study between 2004 and 2014. All children under the age of 15 managed at the Grenoble teaching hospital for a STKI IV or V were included. The trauma grade was radiologically diagnosed on arrival at hospital, using the classification of the American association for surgery of trauma. The management followed the algorithm in effect in the establishment. The assessment of the renal function was performed by a DMSA scintigraphy after at least 6 months from the injury. Results: 21 children were managed at the Grenoble teaching hospital for a severe traumatic kidney injury (16 STKI IV and 5 STKI V). The diagnosis was initially made by an ultrasonography (8 cases) or a CT-scan (13 cases). A child with STKI IV underwent a nephrectomy on day 6 of the trauma. Eleven children needed a therapeutic procedure (3 embolizations, 4 double J stents, 1 arterial stent, 1 peritoneal lavage for a splenic hemoperitoneum, 4 pleural drainages). A DMSA scintigraphy was performed in 15 patients to assess the function of the injured kidney: 11/16 STKI IV with an average of 39.4%, and 17% for the 4/5 STKI V analyzed. Conclusion: Among the 21 children managed for a STKI IV (16 cases) or STKI V (5 cases), 11 required a therapeutic procedure, one of them a nephrectomy. The DMSA scintigraphy performed after at least 6 months from the trauma, found an injured renal function at 39.4% for the 11/16 SKI IV analyzed, and 17% for the 4/5 SKI V analyzed. There is therefore a significant long term recovery of the renal function in children with STKI (especially STKI IV), confirming the currently conservative management.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"2016 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2016-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000330","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70827352","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":"Testicular Torsion Treatment as a Male Reproductive Health Concern","authors":"A. Jalali, M. Behfar, A. Nourian","doi":"10.4172/2167-1222.1000329","DOIUrl":"https://doi.org/10.4172/2167-1222.1000329","url":null,"abstract":"Ali Shalizar Jalali1*, Mehdi Behfar2 and Alireza Nourian1 1Department of Basic Sciences, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran 2Department of Surgery and Diagnostic Imaging, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran *Corresponding author: Ali Shalizar Jalali, Department of Basic Sciences, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran, Tel: +984432771926; E-mail: ali_shalizar@yahoo.com","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"2016 1","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2016-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000329","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70827341","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":"Treatment of Open Leg Fractures by Intramedullary Nailing","authors":"S. B. Seyni, G. S. Mohamed","doi":"10.4172/2167-1222.1000328","DOIUrl":"https://doi.org/10.4172/2167-1222.1000328","url":null,"abstract":"Introduction: Open fracture is a loss of bone continuity that puts the bone in contact with the external environment through the wound. Open tibia shaft fractures are one of the most devastating orthopedic injuries. The aim of this current study is to analyze the results of the management of these series of recent open fractures of the leg. \u0000Patients and methods: This was a retrospective study over a period of 18 months involving 27 cases of open fractures of the leg treated with intramedullary unreamed nailing. Type I and II of Gustillo Anderson open fractures were included in this study, and were treated at the hospital during the period of the study by this nailing technique. The cases included 20 males (74.8%) and 7 females (20.2%), and the average age was 31 years (17-60 years). \u0000Results: The average duration of hospitalization was 16 days (12-30 days). On leaving the hospital, patients received the combination oxacillin-Lincocine oral antibiotics. The average time for bone consolidation was 115 days (90-140 days). Some complications were reported: 2 cases of secondary drifting of suture occurred postoperatively among 2 type II fractures. Local care and a secondary suture using U points led to wound healing without removal of the nail. A case of late infection occurred without impact on consolidation. \u0000Conclusion: Treatment of open fracture of the leg remains controversial. But increasingly, the idea of an early internal fixation by intramedullary unreamed nailing is gaining ground.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"5 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2016-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70827202","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}
Don Shashika Ransara Attidiya, A. Wickramasinghe, Achala Balasuriya, D. Ediriweera, S. Manuelpillai, Shehan S. Williams
{"title":"Post War Psychological Morbidity among Internally Displaced, Married Females in Northern Sri Lanka","authors":"Don Shashika Ransara Attidiya, A. Wickramasinghe, Achala Balasuriya, D. Ediriweera, S. Manuelpillai, Shehan S. Williams","doi":"10.4172/2167-1222.1000327","DOIUrl":"https://doi.org/10.4172/2167-1222.1000327","url":null,"abstract":"Background: A three-decade long conflict between the government military and Tamil rebels in Sri Lanka ended in 2009 with the defeat of the rebels. The civilians were the most affected in the war with reports of scant respect for human rights on both sides of the warring factions. \u0000Objective: To conduct a cross-sectional study to assess the prevalence of psychiatric morbidity among married females in two villages in Northern Sri Lanka that was affected significantly in the last phase of the war. \u0000Method: All married females in two resettled villages in the Mannar District were interviewed by trained data collectors using the translated K-10 and PSSR-17 questionnaires to estimate the prevalence of post-traumatic stress disorder (PTSD) and depressive disorder. All families in these villages were from internally displaced camps where they had been living for more than a year after having been displaced from their homes and having experienced direct war trauma for weeks. Data was collected from 135 married females between March to May 2011 with ethical approval for the study. \u0000Result: Criteria for diagnosis of severe PTSD were met in 57% of all participants and all participants had at least mild symptoms of PTSD. The screening tool for depression showed 63% to have significant depressive symptoms. Both depressive and severe PTSD features were present in 24%. Nearly 73% of participants were having either depression or severe PTSD. \u0000Conclusion: Psychiatric morbidity was high in the post-conflict period, in a highly vulnerable population of married females.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70827125","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":"Modern Management of Traumatic Hemothorax","authors":"H. Mahoozi, J. Volmerig, E. Hecker","doi":"10.4172/2167-1222.1000326","DOIUrl":"https://doi.org/10.4172/2167-1222.1000326","url":null,"abstract":"Hemothorax is defined as a bleeding into pleural cavity. Hemothorax is a frequent manifestation of blunt chest trauma. Some authors suggested a hematocrit value more than 50% for differentiation of a hemothorax from a sanguineous pleural effusion. Hemothorax is also often associated with penetrating chest injury or chest wall blunt trauma with skeletal injury. Much less common, it may be related to pleural diseases, induced iatrogenic or develop spontaneously. In the vast majority of blunt and penetrating trauma cases, hemothoraces can be managed by relatively simple means in the course of care.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"5 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2016-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000326","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70826975","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}