Michel Landry Bikoi Yem, Georges Decker
We describe a case of descending necrotizing mediastinitis (DNM) from a very unusual origin, caused by cervical oesophageal perforation by osteophytes after an apparently minor whiplash injury. Diagnosis was delayed by atypical and predominantly neurological clinical presentation. Despite late presentation, minimally invasive access surgical debridement of mediastinum and cervical injury site lead to full recovery.
May 23, 2024: Interdiscip Cardiovasc Thorac Surg
Emily L Tilstra-Ferrell, Abby Braden, Sarah Russin
Military sexual trauma (MST) and combat trauma (CT) survivors experience disproportionate risk for disordered eating. A survey of MST, CT, disordered eating, trauma-related self-blame, emotion regulation challenges, body dissatisfaction, and dissociation among military personnel with a history of military-related trauma was conducted. These survey-based cross-sectional data were analyzed via parallel mediation analyses and Analyses of Covariance (ANCOVA). Six parallel mediation analyses were conducted examining trauma-related self-blame, emotion regulation challenges, body dissatisfaction, and dissociation as mediators linking MST and CT, separately, with purging, restricting, and bingeing...
May 23, 2024: Military Psychology
Kristin R Archer
BACKGROUND: Lower-extremity injuries can result in severe impairment and substantial years lived with a disability. Persistent pain and psychological distress are risk factors for poor long-term outcomes and negatively influence the recovery process following a traumatic injury. Cognitive-behavioral therapy (CBT) interventions have the potential to address these risk factors and subsequently improve outcomes. This study aimed to evaluate the effect of a telephone-delivered cognitive-behavioral-based physical therapy (CBPT) program on physical function, pain, and general health at 12 months after hospital discharge following lower-extremity trauma...
May 23, 2024: Journal of Bone and Joint Surgery. American Volume
Andrew T Chen, Brendan M Patterson
No abstract text is available yet for this article.
May 23, 2024: Journal of Bone and Joint Surgery. American Volume
Sarah Keyes, Rebecca J Spouge, Padraic Kennedy, Shamir Rai, Waleed Abdellatif, Gavin Sugrue, Sarah A Barrett, Faisal Khosa, Savvas Nicolaou, Nicolas Murray
Acute diaphragmatic abnormalities encompass a broad variety of relatively uncommon and underdiagnosed pathologic conditions, which can be subdivided into nontraumatic and traumatic entities. Nontraumatic abnormalities range from congenital hernia to spontaneous rupture, endometriosis-related disease, infection, paralysis, eventration, and thoracoabdominal fistula. Traumatic abnormalities comprise both blunt and penetrating injuries. Given the role of the diaphragm as the primary inspiratory muscle and the boundary dividing the thoracic and abdominal cavities, compromise to its integrity can yield devastating consequences...
June 2024: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Courtney H Meyer, Andrew Beckett, Bradley M Dennis, Juan Duchesne, Rishi Kundi, Urmil Pandya, Ryan Lawless, Ernest Moore, Chance Spalding, William M Vassy, Jonathan Nguyen
BACKGROUND: Partial occlusion of the aorta is a resuscitation technique designed to maximize proximal perfusion while allowing a graduated amount of distal flow to reduce the ischemic sequelae associated with complete aortic occlusion. The pREBOA catheter affords the ability to titrate perfusion as hemodynamics allows, however, the impact of this new technology for REBOA on blood use and other resuscitative requirements is currently unknown. We hypothesize pREBOA's ability to provide partial occlusion, when appropriate, decreases overall resuscitative requirements when compared to ER-REBOA...
May 20, 2024: Journal of Trauma and Acute Care Surgery
Maximilian Rohleder, Mareike Thies, Sophie Riedl, Benno Bullert, Jula Gierse, Maxim Privalov, Eric Mandelka, Sven Vetter, Andreas Maier, Bjoern Kreher
PURPOSE: Intraoperative cone-beam CT imaging enables 3D validation of implant positioning and fracture reduction for orthopedic and trauma surgeries. However, the emergence of metal artifacts, especially in the vicinity of metallic objects, severely degrades the clinical value of the imaging modality. In previous works, metal artifact avoidance (MAA) methods have been shown to reduce metal artifacts by adapting the scanning trajectory. Yet, these methods fail to translate to clinical practice due to remaining methodological constraints and missing workflow integration...
May 23, 2024: International Journal of Computer Assisted Radiology and Surgery
Franky Hartono, Tessi Ananditya, Yohanes Augustinus, Hendra, Nicholas Gabriel
PURPOSE: Major orthopedic surgeries of the lower extremities, which heavily injure the metaphyseal region, are strongly associated with the risk of developing deep vein thrombosis (DVT). This study aims to investigate the role of metaphyseal trauma as an independent risk factor for DVT. METHODS: Patients undergoing major orthopedic surgery of the hip and knee had their existing DVT risk factors recorded. Metaphyseal trauma was defined by the extent of bone injury during these surgeries...
May 23, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Ryo Yamamoto, Yukio Sato, Ramon F Cestero, Brian J Eastridge, Katsuya Maeshima, Morihiro Katsura, Yutaka Kondo, Hideto Yasuda, Shigeki Kushimoto, Junichi Sasaki
PURPOSE: While follow-up CT and prophylactic embolization with angiography are often conducted during non-operative management (NOM) for BLSI, particularly in a high-grade injury, the utility of early repeated CT for preventing unexpected hemorrhage remains unclear. This study aimed to elucidate whether early follow-up computerized tomography (CT) within 7 days after admission would decrease unexpected hemostatic procedures on pediatric blunt liver and spleen injury (BLSI). METHODS: A post-hoc analysis of a multicenter observational cohort study on pediatric patients with BLSI (2008-2019) was conducted on those who underwent NOM, in whom the timing of follow-up CT were decided by treating physicians...
May 23, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Mattias Renberg, Tomas Karlsson, Albin Dahlquist, Claire Luckhurst, Jenny Gustavsson, Ulf Arborelius, Mårten Risling, Mattias Günther
PURPOSE: Swine are one of the major animal species used in translational research, with unique advantages given the similar anatomic and physiologic characteristics as man, but the investigator needs to be familiar with important differences. This article targets clinical anesthesiologists who are proficient in human monitoring. We summarize our experience during the last two decades, with the aim to facilitate for clinical and non-clinical researchers to improve in porcine research. METHODS: This was a retrospective review of 337 swine with a mean (SD) weight 60 (4...
May 23, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Maheshi P Wijesekera, Patrick Foster, Peter V Giannoudis
PURPOSE: The epidemiology of paediatric fractures has been previously described, however there is limited data available on open fractures in this population. The purpose of this study was to investigate trends, mechanism of injury (MOI) and severity of paediatric open fractures and undertake an epidemiological study. METHODS: All children ≤ 16.0 years presenting with open fractures were identified between 01/04/2013 and 01/04/2023. Those with craniofacial, thoracic and distal phalangeal fractures were excluded...
May 23, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Emanuele Lagazzi, Helen S Wei, Vahe S Panossian, Jessica B Pallotta, Anet Calisir, Wardah Rafaqat, May Abiad, Ikemsinachi C Nzenwa, David R King, Celestine Hong, Paula Hammond, Bradley Olsen, Michael J Duggan, George C Velmahos
PURPOSE: Noncompressible truncal hemorrhage remains a leading cause of preventable death in the prehospital setting. Standardized and reproducible large animal models are essential to test new therapeutic strategies. However, existing injury models vary significantly in consistency and clinical accuracy. This study aims to develop a lethal porcine model to test hemostatic agents targeting noncompressible abdominal hemorrhages. METHODS: We developed a two-hit injury model in Yorkshire swine, consisting of a grade IV liver injury combined with hemodilution...
May 23, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Marko Ostojic, Hassan Tarek Hakam, Bruno Lovrekovic, Nikolai Ramadanov, Robert Prill
INTRODUCTION: Anterior knee pain commonly affects young women resulting in the declination of the quality of life. One of the possible pathologies causing this symptom is chondromalacia patellae (CMP). Although CMP is used to describe the softening of patellar articular cartilage, it remains a general descriptive term as it cannot be associated with a specific pathophysiologic mechanism. The objective of this study is to investigate the effect of injectable PRP on patients with anterior knee pain in absence of altered patellofemoral joint anatomy...
May 23, 2024: Archives of Orthopaedic and Trauma Surgery
Gabriel Ferraz Ferreira, Gustavo Araujo Nunes, Vitor La Banca, Luiz Fernando Michaelis, Thomas Lorchan Lewis, Robbie Ray, Peter Lam, Miguel Viana Pereira Filho
In this technical report study, we describe technique for performing the osteotomy and screw passage in minimally invasive fourth-generation hallux valgus surgery with transverse and akin extra-articular metaphyseal osteotomy (META) using a 3D-printed patient-specific surgical instrumentation guide. In an effort to minimize the learning curve and address the variability associated with technical corrections and screw placement, we have initiated the creation of personalized patient-specific instrumentation guides using 3D printing...
May 23, 2024: Archives of Orthopaedic and Trauma Surgery
Hannah M Bashian, Jennifer S Daks, Lola Baird, Hannah Heintz, Jennifer Moye, Anica Pless Kaiser
Posttraumatic stress disorder (PTSD) is more prevalent in medically ill older Veterans in Home-Based Primary Care (HBPC) settings than in the general population, raising unique considerations. The aim of this qualitative project was to explore HBPC mental health providers' perceptions of the presentation and treatment of PTSD and trauma-related symptoms in this population of older Veterans, many of whom face additional barriers to treatment due to living in rural settings. Five focus groups and one one-on-one interview were conducted with 23 HBPC mental health providers serving rural or rural/urban mixed communities across the United States...
May 23, 2024: Psychological Services
Celia Esteban-Serna, Alana Loewenberger, Susannah Pick, Sarah R Cope
Functional neurological disorder (FND) represents a broad group of motor and sensory clinical symptoms which cannot be explained by other neurological diagnoses. Dissociation is considered a key mechanism in their development and maintenance. Despite psychological therapy being the recommended choice of treatment for FND, evidence for its effectiveness is in its infancy. This study explored the dissociative profile of forty-seven patients with FND and evaluated whether individual psychological therapy improved dissociative symptoms, psychological distress and general functioning among twenty-five adults with FND...
May 23, 2024: Journal of Trauma & Dissociation
Henry A Nasrallah
No abstract text is available yet for this article.
May 22, 2024: Journal of Clinical Psychiatry
Oriol Cuñat, Belén Arranz, Regina Vila-Badia, Clara Serra-Arumí, Nuria Del Cacho, Anna Butjosa, Alicia Colomer-Salvans, Montse Dolz, Marta Pardo, Judith Usall
Aim: To assess whether exposure to childhood traumatic experiences is linked to the inflammatory markers neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), and platelet-to-lymphocyte ratio (PLR) in people with a first-episode psychosis. Methods: A cross-sectional study was performed in 83 patients (21 females and 62 males) with a diagnosis of a first psychotic episode. All participants completed the self-reported Spanish version of the Childhood Trauma Questionnaire (CTQ). NLR, MLR, and PLR were calculated in each patient...
May 22, 2024: Journal of Clinical Psychiatry
HeeYun Na, Esther J Kim, Alison Muller, Christopher Butts, Eugene Reilly, Thomas Geng, Michael Romeo, Adrian Ong
BACKGROUND: Unlike large hemothoraces (HTX), small HTX after blunt trauma may be observed without drainage. We aimed to study if there were risk factors that would predict the need for intervention in initially observed small HTX. METHODS: A retrospective review of patients with blunt traumatic HTX from 2016 to 2022 was performed. Patients with small HTX (pleural fluid volume <400 mL on admission chest computerized tomography [CT]) were included. Patients were considered as being "initially observed" if there was no intervention for the HTX within 48 hours after admission...
May 23, 2024: American Surgeon
Cathrien A Eggink, Marjolijn C Bartels, Wietze H Eizenga
The general physician as well as the medical specialist may be confronted with a patient with one or two red eyes. To be adequately equipped we answer a series of questions on diagnosis, treatment and referral of patients with red eyes after trauma, or with conjunctivitis, keratitis, scleritis, uveïtis, endophthalmitis or acute glaucoma. Refer to an ophthalmologist or not?
May 20, 2024: Nederlands Tijdschrift Voor Geneeskunde
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