Delayed diagnosed injuries in trauma patients after initial trauma assessment with a total-body computed tomography scan.
Even when using the Advanced Trauma Life Support (ATLS) guidelines and other diagnostic protocols for the initial assessment of trauma patients, not all injuries will be diagnosed in this early stage of care [1 –3]. A delayed diagnosed injury is an injury sustained during the initial trauma and not discovered nor suspected upon admission to the Intensive Care Unit (ICU) or surgical ward following the initial assessment, diagnostic studies or surgery [4]. (Source: Injury)
Source: Injury - December 28, 2023 Category: Orthopaedics Authors: D. Kok, S. Oud, G.F. Giannak ópoulos, M.J. Scheerder, L.F.M. Beenen, J.A. Halm, K. Treskes Source Type: research
Paradigms in Trauma Laparoscopy for Anterior Abdominal Stab Wounds: A Scoping Review
Over the past several decades, surgical management of many conditions has shifted to favour minimally invasive approaches. Technical advances in imaging, minimally invasive techniques and physiological monitoring have facilitated an evolution in management. Improved laparoscopic techniques have superseded open approaches in a range of clinical scenarios by offering improved outcomes and fewer operative complications. Whilst less invasive management of blunt abdominal trauma has been greatly advanced by high-quality cross-sectional imaging and interventional radiology, there has been a slower shift towards minimally invasiv...
Source: Injury - December 25, 2023 Category: Orthopaedics Authors: Amy Sylivris, Zhao Feng Liu, Rose Shakerian, Benjamin PT Loveday, David J Read Tags: Review Source Type: research
Concomitant severe traumatic brain injury is not associated with increased red blood cell transfusion volumes in patients with pelvic fractures: a retrospective observational study
In cases of multiple injuries, traumatic coagulopathy significantly influences survival outcomes [1,2]. The occurrence of acute traumatic coagulopathy has been documented to be independently associated with an eight-fold increase in mortality within 24 h [1] and a fourfold increase in overall mortality [2]. (Source: Injury)
Source: Injury - December 24, 2023 Category: Orthopaedics Authors: Takaki Hirano, Kohei Yamada, Takero Terayama, Yudai Iwasaki, Ryohei Yamamoto, Kazuaki Shinohara Source Type: research
Wildlife-Vehicle Collisions: The Disproportionate Risk of Injury Faced by Motorcyclists
We applied a generalized linear mixed-effects model to determine the factors leading to injuries from wildlife-vehicle collisions (WVCs). We used the Police database representing WVCs which took place on the Czech road network between 2009 and 2022. The majority of WVCs in Czechia are with roe deer, followed by wild boar, i.e., both relatively small ungulates. Less than 2% of these encounters ends with an injury to the motor vehicle occupants.We found that the probability of sustaining injury was systematically higher for motorcyclists than for car occupants. (Source: Injury)
Source: Injury - December 23, 2023 Category: Orthopaedics Authors: Michal B íl, Richard Andrášik, Martina Bílová Source Type: research
Deleterious effects of plasma-derived cellular debris in a porcine model of hemorrhagic shock
Recent studies identify large quantities of inflammatory cellular debris within Fresh Frozen Plasma (FFP). As FFP is a mainstay of hemorrhagic shock resuscitation, we used a porcine model of hemorrhagic shock and ischemia/reperfusion to investigate the inflammatory potential of plasma-derived cellular debris administered during resuscitation. (Source: Injury)
Source: Injury - December 23, 2023 Category: Orthopaedics Authors: Colin T. Buckley, Yannleei L. Lee, A. Michele Schuler, Raymond J. Langley, Matthew E. Kutcher, Robert Barrington, Jonathon P. Audia, Jon D. Simmons Source Type: research
The Effect of Traumatic Head Injuries on the Outcome of Middle-Aged and Geriatric Orthopedic Trauma Patients
Traumatic Head Injury (THI) is one of the major causes of morbidity, mortality and disability in the United States (US). [1] Especially in the older populations, patients with a THI have been shown to have a greater than 80% chance of long-term disability and/or mortality. [2] A subgroup of THI, traumatic brain injuries, or TBIs, are also associated with significant morbidity and mortality. As TBI often occurs amidst THI, these 2 injury classifications are often intertwined. A large number of survivors of TBI are currently living with significant disabilities, resulting in an outstanding socioeconomic burden. (Source: Injury)
Source: Injury - December 22, 2023 Category: Orthopaedics Authors: Rachel Ranson, Garrett W. Esper, Robert Woodruff, Sara J. Solasz, Kenneth A. Egol, Sanjit R. Konda Source Type: research
Management of severe defects of humerus in combat patients injured in Russo-Ukrainian war
The full-scale war of Russia against Ukraine is associated with application of high-energy weapon, causing severe injuries to the military personnel and civilians in Ukraine, ecocide, humanitarian disaster and nuclear escalation [1 –7]. According to our observations and investigations, Russians frequently apply such high-energy weapons as artillery shells, cruise missiles, drones, as well as prohibited by international humanitarian law expansive bullets [2,8-10]. Because of such a weapon, the gunshot injuries frequently affe ct the limbs, causing severe combined trauma of soft tissues and segmental defect to the bones or...
Source: Injury - December 22, 2023 Category: Orthopaedics Authors: Igor Lurin, Oleksandr Burianov, Yurii Yarmolyuk, Yurii Klapchuk, Serhii Derkach, Maksym Gorobeiko, Andrii Dinets Source Type: research
Dissemination and Implementation Science for the Trauma Provider: What you need to know to start doing and/or undoing the thing
Implementation is a new ‘science’, gaining recognition with the first national conference in 2007 and publication of Implementation Science the journal, in 2006 [1]. The core purpose of defining and growing this body of work, is to more effectively bridge the ‘know-do’ gap. That is, not to define the gold standard of what we know we should be doing, but to figure out how we get from knowing we should be doing a thing, to actually doing the thing [2]. Human behaviour change on the individual, or the system level, is hard. (Source: Injury)
Source: Injury - December 21, 2023 Category: Orthopaedics Authors: Lacey N. LaGrone, Russell E. Glasgow, Elliott R. Haut Tags: Editorial Source Type: research
Editorial Board
(Source: Injury)
Source: Injury - December 21, 2023 Category: Orthopaedics Source Type: research
Secular Trends in the Incidence and Severity of Injuries Sustained by Riders of Electric Bikes and Powered Scooters: The Experience of a Level 1 Adult Trauma Center
Electric bicycles (E-bikes) and powered scooters (P-scooters) are novel, rapid, environmentally friendly, and convenient modes of transportation [1]. There continues to be a worldwide increase in the popularity of E-bikes and P-scooters, with 31 million units sold in 2012 rising to 47.6 million in 2018 in United States alone [2]. This trend has been accompanied by a parallel increase in the number and severity of injuries associated with their use [2–4], involving riders, other road users, and pedestrians [5]. (Source: Injury)
Source: Injury - December 21, 2023 Category: Orthopaedics Authors: Eyal Hashavia, Shachar Shimonovich, Noa Shopen, Aya Finkelstein, Neta Cohen Source Type: research
Standard imaging in the emergency department in geriatric patients with immobilizing pelvic pain after low-energy trauma or without trauma: X-ray vs. computed tomography
The incidence of geriatric pelvic ring injuries has been increasing for decades due to the global aging population phenomenon. These fractures differ significantly from pelvic ring fractures in younger patients due to: mechanism of injury; clinical presentation; fracture morphology and management [1 –3]. (Source: Injury)
Source: Injury - December 21, 2023 Category: Orthopaedics Authors: Hisham Abdalmaqsoud, Stephan Sehmisch, Vassilis Giannoudis, Emmanouil Liodakis Source Type: research
The Diagnosis and Treatment of Criss-Cross Injury of The Forearm: A Retrospective Analysis
Simultaneous dislocation of the radial head and distal radio-ulnar joint in the adult is extremely rare[1]. It was first introduced by Leung et al in 2002 as a ‘Criss-Cross’ injury of the forearm based on the Criss-Cross appearance on the lateral radiograph of the forearm formed by the ulna and radius[2]. Leung et al further classified it into two types: Type I refers to anterior displacement of the radial head at the radio-capitellar articulation and proximal radial-ulnar joint (PRUJ) with anterior displacement of the ulnar head at the distal radial-ulnar joint (DRUJ); Type II is a posterior displacement of the radial...
Source: Injury - December 20, 2023 Category: Orthopaedics Authors: Tan Jie, Xiong Jie, Zhang Xigong, Yang Minghui, Li Ting, Gong Maoqi Source Type: research
Long-term outcome after surgical management of symptomatic non-union rib fractures
Chest wall injuries with rib fractures are common in thoracic trauma [1] and are generally managed with pain control and physiotherapy although extensive injuries with multiple displaced fractures or flail chest may require surgery [2,3]. Rib fractures can also occur due to repeatedly induced stress through coughing causing injury in the greater curvature of the rib [4] and the costochondral junction [5,6], the most vulnerable parts of the rib. Risk factors for cough-induced rib fractures are chronic obstructive pulmonary disease (COPD), rheumatoid arthritis, osteoporosis, and medication with corticosteroids [7 –9]. (Source: Injury)
Source: Injury - December 20, 2023 Category: Orthopaedics Authors: Julia Nilsson, Eva-Corina Caragounis Source Type: research
Comparison of antegrade and retrograde cross pin fixation in the surgical treatment of pediatric supracondylar femur fractures: a biomechanical study
The incidence of pediatric supracondylar femur fractures has been reported at different rates in the literature and this rate varies between 1% and 12%. Approximately 57% of these fractures are displaced [1 –3]. The medial and lateral heads of the gastrocnemius muscle, which attach just behind the femoral condyles, the medial hamstring muscles, the adductor magnus muscle which attach to the adductor tubercle, and the quadriceps femoris muscle, create a deforming force on the fracture. In particular, the extension deformity of the distal part is caused by the pulling effect of the gastrocnemius muscle, and the varus defor...
Source: Injury - December 17, 2023 Category: Orthopaedics Authors: Tugrul Bulut, Osman Nuri Eroglu, Bugra Husemoglu, Yilmaz Onder, Ali Turgut Source Type: research
Early versus delayed weight bearing after internal fixation for femoral neck fracture in younger adults: A multicenter retrospective study
Femoral neck fractures (FNFs) are among the most common and devastating injuries encountered by orthopedic surgeons. However, the incidence of FNF in younger adults is lower than that in elderly adults [1]. FNF is treated by surgery, including internal fixation, which is reported to be the optimal approach [2]. (Source: Injury)
Source: Injury - December 17, 2023 Category: Orthopaedics Authors: Kanta Hasegawa, Yasuhiko Takegami, Katsuhiro Tokutake, Hiroaki Nakashima, Kenichi Mishima, Kazuyoshi Kobayashi, Shiro Imagama Source Type: research
