keyword
https://read.qxmd.com/read/38455452/illicit-drug-abuse-and-complexity-of-tibial-shaft-fracture-based-on-ao-ota-classification-is-there-any-connection
#21
JOURNAL ARTICLE
Amirmohammad Sharafi, Ali Ghaderi, Parmida Shahbazi, Amirhossein Ghaseminejad-Raeini, Akam Ramezani, Mohammad Soleimani, Parham Talebiyan, Seyyed Hossein Shafiei
PURPOSE: Illicit drug abuse is a global epidemic afflicting millions worldwide. Several studies have investigated the contribution of this dependence as a risk factor for fracture, but its impacts on fracture severity have been rarely studied. The present study primarily aims to determine the relationship between illicit drug abuse and the severity of tibial shaft fractures. METHODS: This retrospective study consecutively included patients aged ≥18 years with tibial shaft fracture who attended Sina Tertiary Hospital, Tehran, Iran, between 2016 and 2021...
January 2024: Journal of Experimental Orthopaedics
https://read.qxmd.com/read/38454629/acetabular-fleck-sign-outcomes-of-surgical-repair
#22
JOURNAL ARTICLE
Stephanie Chen, Kirsten Tulchin-Francis, Dan Gaines, Allen Kadado, Craig Smith, Kevin Klingele
BACKGROUND: Traumatic, posterior hip dislocations in the pediatric population are typically managed by closed reduction to achieve a concentric hip joint. The presence of an acetabular "fleck" sign, despite concentric reduction, has been shown to signify significant hip pathology. The purpose of this study was to evaluate the outcomes of open labral repair through a surgical hip dislocation (SHD) in a consecutive series of patients with an acetabular "fleck" sign associated with a traumatic hip dislocation/subluxation...
March 8, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38453632/symptoms-associated-with-exercise-intolerance-and-resting-heart-rate-following-mild-traumatic-brain-injury
#23
JOURNAL ARTICLE
Jacinta Thorne, Sarah C Hellewell, Gill Cowen, Alexander Ring, Amanda Jefferson, HuiJun Chih, Aleksandra K Gozt, Francesca Buhagiar, Elizabeth Thomas, Melissa Papini, Michael Bynevelt, Antonio Celenza, Dan Xu, Stephen Honeybul, Carmela F Pestell, Daniel Fatovich, Melinda Fitzgerald
OBJECTIVES: People may experience a myriad of symptoms after mild traumatic brain injury (mTBI), but the relationship between symptoms and objective assessments is poorly characterized. This study sought to investigate the association between symptoms, resting heart rate (HR), and exercise tolerance in individuals following mTBI, with a secondary aim to examine the relationship between symptom-based clinical profiles and recovery. METHODS: Prospective observational study of adults aged 18 to 65 years who had sustained mTBI within the previous 7 days...
February 27, 2024: Journal of Head Trauma Rehabilitation
https://read.qxmd.com/read/38452740/-trauma-injuries-associated-with-rope-bullfights-in-the-azores-a-cross-sectional-study
#24
JOURNAL ARTICLE
Bárbara Vieira, Viorel Taranu, Ana Vieira, Duarte Soares, Ana Soares, Anaísa Silva, Diogo Galvão, Inês Bagnari, Débora Melo, Fernando Pimentel, José Sousa, Lisandra Martins, Luís Pinheiro, Marília Vargas, Óscar Reis, Sofia Valente, Rui Bettencourt, Teresa Oliveira, António Mora
INTRODUCTION: The aim of the study was to describe trauma injuries associated with rope bullfights in the Azores, Portugal, regarding the cause of the incident, trauma mechanism, most affected anatomical areas, and injury severity. METHODS: Two-year cross-sectional study in the local hospital with prospective data collection. Patients who were consecutively admitted to the local hospital's emergency department with trauma injuries from the bull's direct impact or from falls either during the bull's escape or when handling the rope, were included...
March 7, 2024: Acta Médica Portuguesa
https://read.qxmd.com/read/38447283/risk-factors-for-blunt-cerebrovascular-injury-in-a-cohort-of-pediatric-patients-with-cervical-seat-belt-sign
#25
JOURNAL ARTICLE
Daniel A Najar, Marylou Cardenas-Turanzas, Jadeyn King, Manish N Shah, Charles S Cox, Irma T Ugalde
BACKGROUND: Three-point seat belt restraints have been attributed to blunt cerebrovascular injury (BVCI), injury to the carotid or vertebral arteries. Although previous studies have not found a seat belt sign to be a significant predictor for BCVI, it is still used to screen patients for BCVI. OBJECTIVE: This study aims to determine risk factors for BCVI within a cohort of patients with seat belt signs. METHODS: We conducted a retrospective cohort study using our institutional trauma registry and included patients younger than 18 years with blunt trauma who both had a computed tomography angiography (CTA) of the neck performed and had evidence of a seat belt sign per the medical record...
March 7, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38425825/early-outcomes-of-lisfranc-injuries-treated-with-arthrex-internalbrace-a-case-series
#26
JOURNAL ARTICLE
Meloria Hoskins, Patrick Wise, Alicia Unangst, Philip Shaheen, Christopher Kreulen, Michael Aynardi, Eric Giza
INTRODUCTION: The treatment of Lisfranc injuries continues to evolve with time. The purpose of this study was to report early outcomes of patients with Lisfranc ligamentous injuries treated with the Arthrex InternalBrace, which has benefits to other previously described techniques. MATERIALS AND METHODS: We retrospectively identified 15 adult patients with Lisfranc injuries that were treated via open reduction internal fixation with the Arthrex InternalBrace (Naples, Fl)...
March 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38424221/clinical-outcomes-of-traumatic-globe-rupture-in-corneal-graft-patients
#27
JOURNAL ARTICLE
Francisco Figueiredo, Jas Sandhu, Michael Shaw
PURPOSE: This study reports the mechanisms, complications and graft survival following sight-threatening traumatic globe rupture in patients having previously undergone corneal transplantation in the same eye. METHODS: A retrospective, observational, single-center consecutive cohort study at the Royal Victoria Infirmary, Newcastle upon Tyne, UK over a 20-year period. Medical records and Newcastle Corneal Transplantation Service electronic database (eNCTS) review was undertaken of all consecutive patients who underwent corneal transplantation with a history of traumatic globe rupture...
February 29, 2024: International Ophthalmology
https://read.qxmd.com/read/38412526/deployed-combat-use-of-methoxyflurane-for-analgesia
#28
JOURNAL ARTICLE
Steven Gremel Schauer, Andrew D Fisher, Michael D April
BACKGROUND: The U.S. Military needs fast-acting, non-opioid solutions for battlefield pain. The U.S. Military recently used morphine auto-injectors, which are now unavailable. Off-label ketamine and oral transmucosal fentanyl citrate use introduces challenges and is therefore uncommon among conventional forces. Sublingual suftentanil is the only recent pain medication acquired to fill this gap. Conversely, methoxyflurane delivered by a handheld inhaler is promising, fast-acting, and available to some partner forces...
March 13, 2024: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://read.qxmd.com/read/38411706/pediatric-ping-pong-skull-fractures-treated-with-vacuum-assisted-elevation
#29
JOURNAL ARTICLE
Syed D Ahmed, Virginia D Allhusen, Michael G Muhonen, Suresh N Magge
PURPOSE: Depressed ("ping-pong") skull fractures can be treated by different means, including observation, non-surgical treatments, or surgical intervention. The authors describe their experience with vacuum-assisted elevation of ping-pong skull fractures and evaluate variables associated with surgical outcomes. METHODS: The authors present a retrospective review of all ping-pong skull fractures treated with vacuum-assisted elevation at the Children's Hospital of Orange County in 2021-2022...
February 27, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/38407302/nonoperative-management-for-low-grade-blunt-thoracic-aortic-injury
#30
JOURNAL ARTICLE
Simin Golestani, Joseph J Dubose, Jessica Efird, Pedro G Teixeira, Tatiana C Cardenas, Marc D Trust, Sadia Ali, Jayson Aydelotte, James Bradford, Carlos Vr Brown
BACKGROUND: Thoracic endovascular aortic repair (TEVAR) is the standard of care for the treatment of blunt thoracic aortic injuries (BTAI) requiring intervention. Data suggests that low grade BTAI (Grade 1 [intimal tears] or Grade 2 [intramural hematoma]) will resolve spontaneously if treated with non operative management (NOM) alone. There has been no comparison specifically between the use of NOM vs. TEVAR for low grade BTAI. We hypothesize that these low-grade injuries can be safely managed with NOM alone...
February 26, 2024: Journal of the American College of Surgeons
https://read.qxmd.com/read/38405135/patterns-of-craniomaxillofacial-trauma-at-an-urban-level-i-trauma-center
#31
JOURNAL ARTICLE
Olivia Jagiella-Lodise, Christopher M Stewart, Hannah Moriarty, Udayan Betarbet, Angela Cheng, Dina Amin
BACKGROUND: There is a paucity in the literature concerning craniomaxillofacial trauma (CMF) in the USA. Better recognition of these fracture patterns and their management clarifies how to best evaluate and treat them. METHODS: A retrospective chart review was conducted of CMF trauma patients who required surgical intervention at a level I trauma center between 2015 and 2018. Descriptive statistics and univariate and bivariate analyses were conducted (α = 0...
February 2024: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/38401229/interventions-associated-with-survival-after-prehospital-intubation-in-the-deployed-combat-setting
#32
JOURNAL ARTICLE
Michael D April, Rachel E Bridwell, William T Davis, Joshua J Oliver, Brit Long, Andrew D Fisher, Adit A Ginde, Steven G Schauer
INTRODUCTION: Airway compromise is the second leading cause of potentially preventable death on the battlefield. Prehospital airway management is often unavoidable in a kinetic combat environment and expected to increase in future wars where timely evacuation will be unreliable and air superiority not guaranteed. We compared characteristics of survivors to non-survivors among combat casualties undergoing prehospital airway intubation. MATERIALS AND METHODS: We requested all Department of Defense Trauma Registry (DODTR) encounters during 2007-2023 with documentation of any airway intervention or assessment within the first 72-h after injury...
February 7, 2024: American Journal of Emergency Medicine
https://read.qxmd.com/read/38388336/custom-injury-prevention-priority-scoring-local-ranking-procedures-to-assess-unique-community-needs-local-pediatric-injury-prevention-priority-scoring
#33
JOURNAL ARTICLE
Allison L Mak Croughan, Kevin Rix, Sage R Myers, Douglas Wiebe, Michael L Nance
BACKGROUND: Trauma is the leading cause of morbidity and mortality in children. Many traumatic injuries are preventable and trauma centers play a major role in directing population-level injury prevention strategies. Given the constraint of finite resources, calculating priorities for injury prevention at an institutional level is essential. The Injury Prevention and Priority Score (IPPS) is a widely applicable tool that is more robust than simple prevalence rankings and considers injury severity - an important factor when developing prevention strategies...
February 15, 2024: Injury
https://read.qxmd.com/read/38386124/optimising-the-orthopaedic-trauma-society-open-fracture-classification-system-a-proposal-for-modification-in-the-context-of-high-civilian-gunshot-fractures
#34
JOURNAL ARTICLE
Zamalunga Lunga, Maritz Laubscher, Simon Matthew Graham, Michael Held, Nando Ferreira, Ramanare Magampa, Sithombo Maqungo
OBJECTIVES: Uniformly classifying long bone open fractures is challenging. The purpose of this study was to propose a modified Orthopaedic Trauma Society (OTS) Open Fracture Classification System, developed in a setting with a high incidence of civilian gunshot fractures. METHODS: From our prospectively collected database, we identified all patients with open tibia and femur fractures treated with intramedullary nailing over a 4 year period. All open fractures were retrospectively reclassified from the Gustilo-Anderson Classification system to the OTS Open Fracture Classification System...
February 22, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38385316/demographic-etiological-and-clinical-characteristics-of-eyelid-lacerations
#35
JOURNAL ARTICLE
Emine Doğan, Şule Bahadır Coşkun, Büşra Güner Sönmezoğlu, Gürsoy Alagöz
OBJECTIVES: To evaluate the demographic, etiological, and accompanying clinical factors in eyelid lacerations (EL). MATERIALS AND METHODS: The records of patients who presented to our clinic between 2018 and 2022 with eyelid trauma were retrospectively reviewed. Age, gender, cause of injury, clinical findings, accompanying ocular findings, and additional complications were analyzed. RESULTS: The study included 135 patients (106 male, 29 female) with a mean age of 37...
February 22, 2024: Turkish Journal of Ophthalmology
https://read.qxmd.com/read/38377701/pediatric-trauma-care-disparities-association-of-race-and-sex-with-high-acuity-trauma-hospital-admissions
#36
JOURNAL ARTICLE
Prerna Ladha, Caleb W Curry, Avanti Badrinathan, Marisa R Imbroane, Rasika V Bhamre, John J Como, Esther S Tseng, Vanessa P Ho
INTRODUCTION: For adult trauma patients, the likelihood of receiving treatment at a hospital properly equipped for trauma care can vary by race and sex. This study examines whether a pediatric patient's race/ethnicity and sex are associated with treatment at a high acuity trauma hospital (HATH). MATERIALS AND METHODS: Using the 2017 National Inpatient Sample, we identified pediatric trauma patients ( ≤16 y) using International Classification of Diseases-10 codes...
February 19, 2024: Journal of Surgical Research
https://read.qxmd.com/read/38376669/traumatic-atlantoaxial-rotatory-fixation-in-adults-a-systematic-review-of-published-cases
#37
REVIEW
Saber Zafarshamspour, Emal Lesha, Arba Cecia, Haydy George, Mohammad Ghasemi-Rad, Kelly Trinh, Shirin Yaghoobpoor, Hamed Ghorani, Mohammad E Majd, Keyvan Eghbal
Atlantoaxial rotatory fixation (AARF) in adults is a rare and clinically challenging condition characterized by a spectrum of etiological factors, predominantly attributed to traumatic and inflammatory pathologies within the craniovertebral region. Trauma is the most frequently identified cause within the adult population, with the first case report published in 1907. This study aims to conduct a systematic review that addresses the clinical presentations and management strategies relating to traumatic atlantoaxial rotatory fixation in adults...
February 20, 2024: Neurosurgical Review
https://read.qxmd.com/read/38374629/effects-of-transport-to-trauma-centers-on-survival-outcomes-among-severe-trauma-patients-in-korea-nationwide-age-stratified-analysis
#38
JOURNAL ARTICLE
Hakrim Kim, Kyoung Jun Song, Ki Jeong Hong, Jeong Ho Park, Tae Han Kim, Stephen Gyung Won Lee
BACKGROUND: Previous studies showed that the prognosis for severe trauma patients is better after transport to trauma centers compared to non-trauma centers. However, the benefit from transport to trauma centers may differ according to age group. The aim of this study was to compare the effects of transport to trauma centers on survival outcomes in different age groups among severe trauma patients in Korea. METHODS: Cross-sectional study using Korean national emergency medical service (EMS) based severe trauma registry in 2018-2019 was conducted...
February 19, 2024: Journal of Korean Medical Science
https://read.qxmd.com/read/38371222/mandible-fractures-undergoing-transfer-rarely-require-acute-intervention
#39
JOURNAL ARTICLE
Damon R T McIntire, Carole S L Spake, Charles C Jehle, Marten N Basta, Joseph W Crozier, Albert S Woo
STUDY DESIGN: A retrospective review was conducted of all patients with mandibular fractures who were evaluated by plastic surgery at a Level I trauma center between January 1, 2017 and May 1, 2020. Data including demographic characteristics, mechanism of injury, type of presentation (e.g., primary or transfer), treatment plan, and time to intervention were recorded. OBJECTIVE: Mandibular fractures are common traumatic injuries. Because these injuries are managed by surgical specialists, these patients are often emergently transferred to tertiary care hospitals...
March 2024: Craniomaxillofacial Trauma & Reconstruction
https://read.qxmd.com/read/38371019/how-to-deal-with-an-unreconstructable-distal-radius-fracture
#40
Angelos Assiotis, Adam Rumian, Harpal S Uppal, Clarence Yeoh
The most prevalent long bone fracture is that of the distal radius, and it affects all age groups. These fractures can present after low-energy or high-energy trauma, and their configuration often varies depending on the mechanism of injury. Their management can be operative or non-operative, and the scientific literature is abundant in studies comparing these two treatment modalities. There is also a healthy scientific debate as to the indications that should guide surgery for these injuries. A male patient sustained a high-energy fracture to his distal radius and presented to our unit soon after the injury...
January 2024: Curēus
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