Trauma Cases and Reviews is an open access peer reviewed journal that publishes articles on all aspects of multiple injury severity causing substantial damage and it's quick management in transport and initial estimation of extent of injuries to codify a course of treatment, in order to counter loss of life.

Journal publishes Original Research Articles, Reviews, Cases, Clinical Studies and Commentaries focusing on initial effective diagnosis techniques, prevention and management of injuries and prognosis. All the articles pass through a dual review process in which two independent review comments followed by editor decision will be considered to publish the article. Journal ensures the maintenance of its standards by publishing the high quality, original and new advances in its field.

 
Journal Information

Title: Trauma Cases and Reviews

ISSN: 2469-5777

Editor-in-chief: William Min

NLM title abbreviation: Trauma Cases Rev

ISO abbreviation: Trauma Cases Rev

Other titles: TCR

Category: Trauma

Country of publication: USA

Language: English

DOI: 10.23937/2469-5777

Publication format (s): Electronic and print

Publication policy: Open Access; COPE guide

Peer review: Double blind

Review speed: 3 weeks

Fast-track review: 10 days

Publication type(s): Periodicals

Publisher: ClinMed International Library

Contact email: contact@clinmedjournals.org

 
Articles Search by   Keyword   |   Journal title   |   Author name   |   DOI

 

 Open Access DOI:10.23937/2469-5777/1510063

Isolated Traumatic Close Dislocation of Tarsal Navicular Bone after a Complex Forced Movement of the Foot: A Case Report

Guifo Marc Leroy, Danwang Celestin, Ngo Yamben Marie Ange, Tekpa Bertrand Jean De Dieu, Dubois-Ferriere Victor and Ibrahima Farikou

Article Type: CASE REPORT | First Published: August 30, 2018

Tarsal navicular bone dislocation is a rare condition which can lead to long term disability, mainly due to difficulties to obtain an anatomical reduction. Only few cases have been reported. We report a case of a 21-year-old Cameroonian male who was admitted to the emergency department after a road traffic accident. The physical examination reveals a patient unable to bear weight, with a painful swelling of the antero-medial dorsal region of the ...
 

 Open Access DOI:10.23937/2469-5777/1510062

Intra Capsular but Extra Synovial Foreign Body in the Knee Joint

Gunasekaran Kumar

Article Type: Case Report | First Published: July 11, 2018

Intra-articular foreign bodies especially in the knee joint are well reported. Knee joint is commonly involved due to the large joint area and also due to it being a superficial joint. Foreign bodies enter the joint either by direct inoculation or migration from nearby tissues. Potential complications of intra articular foreign bodies include infection, damage to articular surface and locking of joint. This is a report on a penetrating injury to ...
 

 Open Access DOI:10.23937/2469-5777/1510061

Temporary External Fixation for Forearm Fractures in Damage Control Orthopedics Procedures: Use of a Simplified Frame

Laurent Mathieu, Antoine Grosset, Ismael Hassan Farah, Nicolas de l'Escalopier, James-Charles Murison and Sylvain Rigal

Article Type: Case Report | First Published: July 06, 2018

External fixation of the forearm may be indicated for Gustilo grade 3B-C open fractures or in unstable polytraumatized patients as part of a damage-control orthopedics (DCO) strategy to prepare secondary conversion to internal fixation by plates. Because conventional forearm frames with separate stabilization of the radius and ulna do not meet DCO requirements, the authors propose to use a single unilateral frame. A case of severe forearm open fr...
 

 Open Access DOI:10.23937/2469-5777/1510060

Traumatization and Trauma Cases: Childhood Adversity and Deafness

Trevor Archer and Madeleine ET Zoller

Article Type: Review Article | First Published: June 14, 2018

The association between adverse childhood experience and later adult psychological health has been well-documented. Thus, the presence of adult, parental, low income, social support and adult adversity are the avenues through which adverse childhood presents its influence upon psychological and somatic health deficits during adulthood. The early childhood environment governs an early highly sensitive period for the development of regional brain circuitry for cognition and emotion, attention, sel...
 

 Open Access DOI:10.23937/2469-5777/1510059

Open Medial Hoffa Fracture with Ipsilateral Femoral Shaft Fracture. Case Report

Abdullah Saad A Abdullah, Nedal Alkhatib, Syed Imran Ghouri and Mohammed Mubarak Alkhayarin

Article Type: Case Report | First Published: April 16, 2018

Hoffa fracture is coronal plane fracture of the femoral condyle that affects the lateral femoral condyle much more than the medial. The combination of medial femoral condyle Hoffa fracture with ipsilateral femoral shaft fracture is very rare combination with only 3 cases was reported previously. This fracture type usually require high energy trauma and it was reported following a motor injury....
 

 Open Access DOI:10.23937/2469-5777/1510058

Improved Outcomes after Surgical Stabilization of Rib Fractures in Patients with Polytrauma and Associated Chest Wall Fractures

Maria Alfaro, Ruby Skinner and Andrea Pakula

Article Type: Original Article | First Published: February 17, 2018

Non-operative management of rib fractures can lead to significant morbidity such as chronic pain, and dyspnea. Up to 40% may also fail to return to work. Over the last decade rib fixation has made resurgence and there are emerging data supporting early fixation in patients that fail aggressive pain control even in non-flail segments. We describe our early experience with early rib fixation in a small cohort of patients with severe chest wall injury....
 

 Open Access DOI:10.23937/2469-5777/1510057

Overall Anatomic Severity and Prognosis in Patients Presenting with, or Requiring a Major Lower Limb Amputation from Civilian Trauma

Sanchez-Arteaga Alejandro, Lusilla-Lopez Alejandro, Zarain-Obrador Leire, Burneo-Esteves Mauricio, Rey-Valcarcel Cristina, Perez-Diaz MaDolores and Turegano-Fuentes Fernando

Article Type: Original Article | First Published: February 01, 2018

Trauma is one of the most frequent mechanisms causing limb amputation. However, major limb amputations are rare in the civilian population, the largest numbers being seen in the military, often caused by explosive devices, and are considered to have, in general, a poorer prognosis, needing more aggressive treatments....
 

 Open Access DOI:10.23937/2469-5777/1510056

Adolescent Idiopathic Torticollis: Morphological Vertebral Changes of the Spinal Canal and the Spinal Cord Position: A Case Report

Pedro Gutiérrez Carbonell and Ruiz Miñana E

Article Type: Case Report | First Published: November 11, 2017

Cervical spinal canal deformities can be caused by muscular deforming forces, as in the case of a 10-year-old male with inveterate left torticollis. Atlas and axis bone deformities were observed, including subluxation of the odontoid apophysis, hypertrophy of the anterior arch of the atlas, hypoplasia of the posterior arches of atlas, and deformation of the spinal canal accompanied by an eccentric position of the spinal cord....
 

 Open Access DOI:10.23937/2469-5777/1510055

Saved by the Bar: A Report of Bullet Deflection by Nuss Bar

Farris Serio and Andrew McCague

Article Type: Case Report | First Published: October 27, 2017

This is the case of a 17-year-old male who was saved from a penetrating thoracic gunshot wound by the extra-thoracic segment of a Nuss bar, placed 7 months earlier for treatment of a pectus excavatum defect. We discuss the significance of non-penetrating thoracic trauma and the workup involved....
 

 Open Access DOI:10.23937/2469-5777/1510054

Fixation of a Distal Diaphyseal Tibia Fracture with Neurovascular Tissue Incarceration: Surgical Technique Using a Lesser Invasive Approach

Wilson Belaieff, Dennis Dominguez and Axel Gamulin

Article Type: Case Report | First Published: July 19, 2017

Soft tissue incarceration in a distal diaphyseal tibia fracture may predispose to adverse fracture healing. Incarcerated soft tissue may include nerves and/or vessels, with the potential for neurovascular complications....
 

 Open Access DOI:10.23937/2469-5777/1510053

Traumatological Application of 3D Model in Complex Acetabular Fractures

Battiato C, Basiglini L and Giovannini F

Article Type: Case Report | First Published: April 14, 2017

Three-dimensional reconstruction (3D) and rapid prototyping (RPT), starting from computed tomographic (CT) examinations, is a promising technology in traumatology. It facilitates the planning and surgical results of complex fractures. Here, we used it in a complex bilateral acetabulum fracture for the assessment of the injury type and for improving knowledge of the fracture fragments....
 

 Open Access DOI:10.23937/2469-5777/1510052

Life-Threatening Hemorrhage from Scrotal Arteriovenous Malformation Post Pelvic Fracture: A Case Report and Review of the Literature

Wei Wei, Bryan Collier and John Ferrara

Article Type: Case Report | First Published: March 25, 2017

We report a rare case of a patient with known Child Class B type alcoholic cirrhosis who developed bleeding from an arteriovenous malformation (AVM) of scrotum after suffering a traumatic pelvic fracture. The patient subsequently developed hemorrhagic shock secondary to spontaneous bleeding from the scrotal AVM. Emergent pelvic angiogram with selective embolization was successful in controlling the bleeding....
 

 Open Access DOI:10.23937/2469-5777/1510051

I Can't Find the Left Iliac Artery! Abdominal Stab Wound Leading to Uncontrollable Hemorrhage

TL Freeborn, R Shinar, B Siegrist, N Keric, NY Patel and AJ Feinstein

Article Type: Case Report | First Published: February 28, 2017

he patient was taken immediately to the operating room for laparotomy and was found to have an expanding retropertioneal hematoma. Aortic occlusion did not slow progression. The left iliac artery could not be located. A femoral cut down and proximal control of the femoral artery was also not helpful....
 

 Open Access DOI:10.23937/2469-5777/1510050

Kirschner Wire Migration from Proximal Humerus into the Lung: Brief Report

Guy Aristide Bang, Albert Nana Muluem, Blondel Nana Oumarou, Marie Ange Ngo Yamben and Daniel Hany Eone

Article Type: Case Report | First Published: February 27, 2017

Although uncommon, migration of wires to solid organs or body cavities has been reported in the literature with potentially lethal complications. Wire migration into the lung is rare....
 

 Open Access DOI:10.23937/2469-5777/1510049

Bilateral Patella Sleeve Avulsions in an Otherwise Healthy Nine-Year-Old Girl: A Case Report and Review of the Literature

Shazaan F Hushmendy, Timothy T Roberts, Elaine Tran and Garrett R Leonard

Article Type: Case Report | First Published: February 25, 2017

A patella sleeve avulsion is a rare but devastating injury seen in children aged 8-to-12 years. This soft-tissue disruption is frequently missed upon initial presentation. The radiographic findings may be subtle and advanced imaging is often necessary to elucidate the pathology....
 

 Open Access DOI:10.23937/2469-5777/1510048

Surgical Management of an Atypical Femoral Non-Union Fracture with Bone Morphogenic Protein Supplementation

Jike Lu and Masumi Maruo Holledge

Article Type: Case Report | First Published: February 23, 2017

This is a case report of a surgical treatment of the non-union of an atypical femoral fracture (AFF), associated with prolonged bisphosphonate use. The case is one of a subtrochanteric non-union and implant failure, after an index procedure of a trochanteric entry-point-locked cephalomedullary nailing....
 

 Open Access DOI:10.23937/2469-5777/1510047

Delayed-Onset Pericarditis in Non-penetrating Blunt Force Trauma: A Case Report

Andrew Mc Cague, Kerala Serio and Joanne Leibe

Article Type: Case Report | First Published: December 24, 2016

There have been rare documented instances where blunt-force trauma has been suspected to cause a delayed disease process that manifests days or weeks after the initial injury. This is a case report of a 30 year old male who suffered blunt chest trauma during a motor vehicle accident. On hospital day five the patient began to complain of significant chest pain, an increase in pain with each heartbeat, increased pain when sitting up, shortness of b...
 

 Open Access DOI:10.23937/2469-5777/1510046

Isolated Pancreas Injury by Blunt Trauma, a Case Report

Samet Sahin, Raziye Duruk, Cengiz Ceylan, Erdinc Cetinkaya and Mesut Tez

Article Type: Case Report | First Published: December 24, 2016

We here in present our experience with the rare injury of main pancreatic duct because of the blunt trauma and managed by pancreatico-enterostomy. A 35-year-old male patient presented with a motor vehicle accident and was diagnosed isolated pancreas main duct ınjury by blunt trauma. Computerized tomography (CT) was used as a diagnostic method and were confirmed by Endoscopic retrograde cholangiopancreatography (ERCP)....
 

 Open Access DOI:10.23937/2469-5777/1510045

Isolated Dislocation of the Tarsal Navicular without Fracture: Case Report

Maicon Bonaldo Dias, Bruna Zagonel, Melissa Sofia Dickel, Jessica Arsego Talheimer, Isabel Schuster Argenton, Jeniffer Charlene Silva Dalazen, Bruno Vicenzo Thomas Bresolin, Gabriel Alves Martinelli, Osvaldo Iha Yoshida, Patricia Tirelli Lena, Romualdo de Lima Pilecco, Vitor Hugo Peijo Galerani, Ana Cristina Eickhoff, Eduardo Rosa Otharan and Rafael Duvelius Ott

Article Type: Case Report | First Published: November 28, 2016

Isolated dislocation of the tarsal navicular bone is a rare lesion. The mechanism of this specific trauma is still not well to understood, due to the strength needed in different ways and directions for its occurrence, in a complex way. Few cases of an isolated dislocation of the navicular reported in medical literature, and there is little information about complications how the patients evolve after years of postoperative. The authors present a...
 

 Open Access DOI:10.23937/2469-5777/1510044

Free Flap Coverage of a Medial Ankle Wound in a Patient with Arteria Peronea Magna

Steven L Peterson and Tuan A Nguyen

Article Type: Case Report | First Published: November 28, 2016

While the vascular anatomy to the lower extremity is fairly consistent, anatomical variants do exist. One such variant is the arteria peronea magna. This anatomic variant results in single vessel arterial flow to the foot through an enlarged peroneal artery with unique distal branching. The focus of interest in this vascular pattern in microsurgery has been increased risk of lower extremity devascularization during harvest of a free fibular flap ...
 

 Open Access DOI:10.23937/2469-5777/1510043

Bilateral Simultaneous Rupture of the Quadriceps Tendons in Healthy Individuals

Takuro Moriya and Abe Yoshihiro

Article Type: Case Report | First Published: October 18, 2016

Quadriceps tendon rupture is an uncommon injury in healthy individuals. This paper presents two case reports of patients of bilateral quadriceps tendon rupture, who were misdiagnosed as muscle weakness of quadriceps with contusion of the knee joint. Subsequent physical examination showed a supra-patellar gap, moderate hemarthrosis of both knees, and failure of active knee extension. MRI showed bilateral rupture of the quadriceps tendons at the os...
 

 Open Access DOI:10.23937/2469-5777/1510042

Tillaux and Volkmann Fractures: A Report on Two Cases, Treatment Determined by Syndesmosis Instability

Jike Lu and Masumi Maruo Holledge

Article Type: Case Report | First Published: September 15, 2016

We report two cases of isolated Tillaux fracture and Volkmann fracture without other associated ankle fractures. The case of Tillaux fracture was a 15-year-old female who tripped and fell over during a 400 m hurdle running competition. Preoperative radiographs and CT scans showed Salter-Harris type III, an isolated Tillaux fragment, with more than 2 mm anterior and lateral displacement. Surgical stabilization of Tillaux fragment was performed via...
 

 Open Access DOI:10.23937/2469-5777/1510041

Subtrochanteric Fracture Non-Union with Implant Failure Managed with Exchange Intramedullary Nail with Autogenous Bone Graft and Supplement of Bone Morphogenic Protein

Jike Lu and Masumi Maruo Holledge

Article Type: Case Report | First Published: September 14, 2016

We report unusual subtrochanteric non-union and metalwork failure after an index procedure of a trochanteric entry-point-locked cephalomedullary nailing. We treated this non-union case successfully with the exchange of a thicker and longer intramedullary (IM) nail, supplemented by autologous iliac crest bone graft and bone morphogenic protein 7 (BMP-7). We think the success is due to the optimisation of the mechanical environment (the revision of...
 

 Open Access DOI:10.23937/2469-5777/1510040

Cyst-Like Cortical Defects Following Fractures in Children: Series of 5 Cases

Inmaculada Gonzalez Perez, Jose T Lopez Salinas, Luis A Gomez Navalon, Patrick Pilkington Woll and Patricia Vivar del Hoyo

Article Type: Clinical Cases | First Published: August 14, 2016

Purpose: The cyst-like defect following a fracture is an uncommon lesion with a few cases described in the literature. We want to present a series of 5 cases showing up in different locations, with treatment required for one of the defects. Methods: We present a series of 5 cases of cyst-like defect following fractures in children. The cyst-like defects were in different locations....
 

 Open Access DOI:10.23937/2469-5777/1510039

Wilderness Care of Acute Traumatic Wounds Curriculum

Caleb D Sunde and Susanne J Spano

Article Type: Perspective | First Published: July 20, 2016

A comprehensive approach to wound care is critical when in the wilderness where definitive care may be hours, days or weeks away. The limitation of resources and the variety of acute traumatic wounds presents a management challenge. Resources for wilderness experiences with wound care are sparse. We developed an adaptable curriculum to teach participants of all levels how to appropriately manage wounds using established and improvised techniques....
 

 Open Access DOI:10.23937/2469-5777/1510038

Outcome of Bilateral Simultaneous Fracture Neck of Femur in Patients with Low Socioeconomic Status

Mahmoud A Hafez, Hosamuddin Hamza and Ahmed Mounir Al-Dars

Article Type: Research Article | First Published: June 27, 2016

Fracture neck of femur (NoF) is a rare injury but represents a serious condition in low-income countries. It results from major or minor-repetitive trauma(s) or from different pathological conditions such as parathyroid or renal dysfunction, antiepileptic medication, seizure and tumors. Similarly to other hip fractures, the diagnosis of this condition can be missed where management becomes more complicated. The present study was conducted in a co...
 

 Open Access DOI:10.23937/2469-5777/1510037

Bilateral Osteochondrosis of Medial Cuneiform and Tarsal Scaphoid: A Case Report

Ceccarelli F, Carolla A and Calderazzi F

Article Type: Case Report | First Published: May 27, 2016

Osteochondrosis has been found in most of the bones of the body. We report a rare case report of bilateral osteochondrosis of medial cuneiform and tarsal scaphoid. A five year-old white child with a completely benign medical history presented with bilateral foot pain. Radiographical studies showed a bilateral irregular outline and an increased density of medial cuneiforms and tarsal scaphoids. Physical activity restriction and medical therapy app...
 

 Open Access DOI:10.23937/2469-5777/1510036

Pigmented Villonodular Synovitis: Unusual Locations in Two Young Soccer Players

Yanguas Javier, Domi nguez David, Florit Daniel, Terricabras Joaquim, Puigdelli vol Jordi, Brau Juan Jose, Lizarraga Mari a Antonia and Pruna Ricard

Article Type: Clinical Cases | First Published: May 01, 2016

Pigmented villonodular synovitis is a relatively rare idiopathic proliferative disorder affecting the synovium of joints, bursae and tendon sheaths. Knee and hip are the most affected joints. We report two cases of unusual locations in two young male soccer players (17 and 13 years old): distal tibiofibular joint and pes anserine bursa. Diagnoses were confirmed by magnetic resonance imaging (MRI). In the first case the treatment was conservative,...
 

 Open Access DOI:10.23937/2469-5777/1510035

Acute Compartment Syndrome Following Anterior Cruciate Ligament Reconstruction with Autologous Hamstring Graft

Benjamin Wheatley and Matthew Oetgen

Article Type: Case Report | First Published: April 01, 2016

Compartment syndrome is an extremely rare complication described in association with anterior cruciate ligament (ACL) reconstruction. Previous reports have described this complication as a result of extravasation of fluid into dependent compartments. One proposed mechanism is from a capsular defect that allows irrigation fluid to flow from the joint into lower leg muscular compartments. However, no reports could be found linking the development o...
 

 Open Access DOI:10.23937/2469-5777/1510034

Isolated Scaphoid Dislocation

Lasanka De Silva, Lachlan Mc Combie Batty, Neil Fergus Mackay and Jonathan Seymour Mulford

Article Type: Case Report | First Published: March 17, 2016

A 76 year old right hand dominant male retired anaesthetist presented with a painful and swollen right wrist after falling from standing height, landing on the ulnar aspect of his out stretched right hand. The injury was closed and the limb was neurovascularly intact. He had a previous distal radius fracture years ago previously treated non-operatively. Wrist radiographs demonstrated an isolated scaphoid dislocation (Figure 1)....
 

 Open Access DOI:10.23937/2469-5777/1510033

The Trauma Associated with TMJA and Surgical Methods of Temporomandibular Joint Ankylosis

Jin Qiu and Ming Zhang

Article Type: Case Report | First Published: February 25, 2016

Temporomandibular Joint Ankylosis (TMJA) is a severe disease which affects the function of oral and maxillofacial system. It leads to mouth opening limitation, facial deformity and OSAHS in the severe cases. The most common cause of ankylosis involves trauma, most frequently associated with condylar fractures....
 

 Open Access DOI:10.23937/2469-5777/1510032

Tibial Plateau in Combination with Diaphyseal Fracture: A Case Study

Ran Atzmon, Zachary Sharfman T, Oded Rabau, Gabriel Agar, Yiftah Beer and Dror Lindner

Article Type: Case Report | First Published: February 09, 2016

Simultaneous tibial plateau and diaphyseal tibial fractures are a rare occurrence and have seldom been reported in the literature. Each fracture requires a different surgical approach, which creates challenges for the operating physician. Tibial plateau fractures require anatomical reduction and restoration of the joint line in order to achieve rigid fixation and immediate mobilization of the joint. Conversely, diaphysis tibial fractures can be t...
 

 Open Access DOI:10.23937/2469-5777/1510031

A Case Report of a Rare Complication of an Intrapelvic Migration of the Lag Screw of a Gamma Nail: Review of the Literature

Dimitrios Georgiannos, Vasilios Lampridis and Ilias Bisbinas

Article Type: Case Report | First Published: February 06, 2016

Gamma nail is a safe internal fixation device widely used for treatment of pertrochanteric fractures. Cut out of lag screw has been reported to be the most frequent mechanical complication. Penetration of acetabulum and intrapelvic migration of the lag screw of the gamma nail is an extremely rare complication. We report two cases of medial migration and penetration of the medial wall of acetabulum by the lag screw of a gamma nail and a comprehens...
 

 Open Access DOI:10.23937/2469-5777/1510030

A Peculiar Case

Raoul van Vugt and Peters J

Article Type: Clinical Image | First Published: February 06, 2016

A 65-year-old male with a history of an oligodendroglioma (for which debulking surgery in 2012) was presented in our emergency department by ambulance paramedics after he had fallen in his kitchen. Initial examinations revealed an awake, hemodynamically normal patient with a knife penetrating the medial side of his face, just below the right eyeball. Looking at the depth and position of the knife, the assessment was that it was a sharp, pointed k...
 

 Open Access DOI:10.23937/2469-5777/1510029

18-Fluordesoxiglucose Positron Emission Tomography (PET) in Evaluating Neurological Prognosis after Cardiac Arrest Resulting from Hanging: A Case Report

Marco Ciapetti, Andrea Cecchi, Marco Mangini, Valentina Berti, Matteo Bartolini, Alberto Pupi and Adriano Peris

Article Type: Case Report | First Published: January 30, 2016

We report clinical and 18 - FDG PET features of a 58 years old woman found in cardiac arrest after an attempt of hanging. The patient was resuscitated and transferred to our Emergency Intensive Care Unit (ICU), where she was treated for 23 days and then she was discharged to a neuro rehabilitation long term care center with a Glasgow Coma Scale (GCS) of 6. A 18 F - FDG PET with semi quantitative glucose metabolism measurements was performed showi...
 

 Open Access DOI:10.23937/2469-5777/1510028

Radial Head Fractures Treated with Open Reduction and Internal Fixation

Moghaddam A, Raven TF, Kaghazian P, Studier-Fischer S, Swing T, Grutzner PA and Biglari B

Article Type: Research Article | First Published: January 21, 2016

Radial head fractures are responsible for 2 to 5% of adult fractures. Especially problematic is the treatment of dislocated and unstable fractures which often have a worst prognosis. The purpose of this study was to evaluate the results of open reduction and internal fixation (ORIF) in the treatment of radial head fractures....
 

 Open Access DOI:10.23937/2469-5777/1510027

Missed Spinal Lesions in Traumatized Patients

Ana M Cervan de la Haba, Miguel Rodriguez Solera J, Miguel S Hirschfeld Leon and Enrique Guerado Parra

Article Type: Case series | First Published: January 15, 2016

Overlooked spinal injuries and delayed diagnosis are still common in traumatized patients. The management of trauma patients is one of the most important challenges for the specialist in trauma. Proper training and early suspicion of this lesion are of overwhelming importance. The damage control orthopaedics, diagnosis and treatment algorithm applied to multitrauma patients reduces both morbidity and mortality in polytrauma patients due to missed...
 

 Open Access DOI:10.23937/2469-5777/1510026

Association between Sequential Organ Failure Assessment Score and In-hospital Deaths of Surgical, Critically Ill Patients with Sepsis

Noboru Harada, Ken Shirabe, Shinji Itoh, Hideaki Uchiyama, Motoyuki Yamagata, Fumiaki Kishihara, Takashi Maeda, Nao Kinjo, Kensaku Sanefuji, Yosuke Kuroda, Kazutoyo Morita, Tomoharu Yoshizumi, Toru Ikegami, Yo-ichi Yamashita, Yoshihiko Maehara and Study group of refractory disease in hepato-pancreato-biliary surgery

Article Type: Original Article | First Published: January 13, 2016

Sepsis, defined as infection-induced systemic inflammatory response syndrome (SIRS), is the leading cause of death in non-cardiac critically ill patients. In the United States, nearly 200,000 deaths per year are attributed to sepsis. Worldwide, as many as 20 million people may experience sepsis annually, with a mortality rate of about 35%. Sepsis involves multiple mechanisms, including the release of cytokines and the activation of the complement...
 

 Open Access DOI:10.23937/2469-5777/1510025

Using D-β-Hydroxybutyrate Containing Solutions to Treat Hyperglycemia Induced by Shock or Injury Instead of Insulin may Circumvent Insulin Resistance and Provide Cells with the Energy Required to Maintain Vital Processes through Preserving Normal Mitochondrial Function without Causing Hypoglycemia

Veech RL and Valeri CR

Article Type: Review Article | First Published: January 13, 2016

Severe injury, infection and hemorrhage all cause insulin resistance and hyperglycemia. Insulin resistance blocks glucose entry into cells and the conversion of pyruvate to acetyl CoA impairing cellular energy production. During insulin resistance, glucose cannot enter muscle and fat cells nor can the cell metabolize the lactate given in lactated Ringer's solution with the occurrence of hyperglycemia. More importantly in all cells the mitochondri...
 

 Open Access DOI:10.23937/2469-5777/1510024

Liver Injury Associated with Chest Compression in Cardiopulmonary Arrest Patients

Takeshi Nishimura, Ayana Okamoto, Noritomo Fujisaki, Yoshiyuki Orihara, Ten Saita, Kunihiro Shirai, Isamu Yamada, Atsunori Nakao and Joji Kotani

Article Type: Review Article | First Published: January 12, 2016

We reviewed and summarized fifteen cases associated with liver injury following chest compression for CPA reported in Japan. In some cases, cardiopulmonary resuscitation (CPR) was administered by medical assistants such as doctors or medical technicians, but in other cases, CPR was given by bystanders. Five patients were male and eight were female, with ages ranging from 31 to 83 years old. Unfractionated heparin was administered to ten patients ...
 

 Open Access DOI:10.23937/2469-5777/1510023

Symptomatic Yuxta-articular Facet Cyst: A Case Report

J Miguel Rodriguez Solera, Ana M Cervan de la Haba, Miguel S Hirschfeld Leon and Enrique Guerado Parra

Article Type: Case Report | First Published: December 30, 2015

We report a case of 66 years-old male with left leg pain that began six months earlier. The pain was aggravated by sitting or climbing stairs but was relieved in the standing position. The physical examination was consistent with a left radiculopathy without sensory or motor deficit. His initial MRI lumbar spine demonstrated a cystic mass with T1 and T2 hyperintensity on the L3-L4 level with considerable thecal sac and nerve root compression. The...
 

 Open Access DOI:10.23937/2469-5777/1510022

Fracture-Dislocation of the Upper Thoracic Spine without Neurologic Associated Injury: Two Cases Report

J Miguel Rodriguez Solera, Ana Maria Cervan de la Haba, Miguel S Hirschfeld Leon and Enrique Guerado Parra

Article Type: Case Report | First Published: December 22, 2015

We report a case of 51 years-old male with no past medical history, who was brought to our Hospital after falling from a 10 meters high roof. He had 15 points at Glasgow Coma Scale (GCS) and a completely normal neurological examination. A whole body computerized tomography (CT) scan was performed and diagnosed a fracture-dislocation at T8-T9. Acute surgery was decided, performing an open reduction and internal fixation with pedicle screws from T6...
 

 Open Access DOI:10.23937/2469-5777/1510021

Investigation of Intraventricular Hemorrhage Volume in Motor Vehicle Crash Occupants

Jillian E Urban, Christopher T Whitlow and Joel D Stitzel

Article Type: Original Article | First Published: December 17, 2015

Motor Vehicle Crashes (MVCs) are a leading cause of traumatic intracranial injuries which often have devastating impacts on morbidity and mortality. Intraventricular hemorrhage (IVH) is one type of head injury that is identified on post-traumatic computed tomography (CT) scans. IVH is observed less frequently in patients with head trauma, however it is often associated with severe head trauma and negative prognostic outcomes and causation of trau...
 

 Open Access DOI:10.23937/2469-5777/1510020

Fracture of the Femoral Neck: SOIB Method

Rinaldo Giancola, Lorenzo Marchesi and Guido Antonini

Article Type: Case Report | First Published: December 14, 2015

Treating fractures of the proximal femur remains a controversial problem. Fractures of the femoral neck occur almost exclusively amongst the elderly (fractures due to bone frailty associated with osteoporosis), whereas fractures in younger people are due to high-energy trauma. The current treatment trend in clinical practice and the literature for these fractures is prosthetic replacement. In this article the authors describe the case of an 81-ye...
 

 Open Access DOI:10.23937/2469-5777/1510019

Split Fracture and Displacement of Mandibular Lingual Cortical Plate of Mandibular Symphysis Requires Fixation

Masaki Fujioka, Kenji Hayashida and Hiroto Saijo

Article Type: Case Report | First Published: December 3, 2015

The first priority in the management of comminuted mandibular fractures is the prevention of acute upper airway obstruction. Each division of mandibular fractures may cause respiratory obstruction. Among the variety of such fractures, split fracture of the symphyseal lingual cortical plate has a significant influence on the oropharyngeal and laryngopharyngeal airway spaces, and causes a markedly restricted ventilatory function. As the bony fragme...
 

 Open Access DOI:10.23937/2469-5777/1510018

Third Metacarpal Shortening Osteotomy to Improve Hand Appearance after Index Ray Amputation

Perez-Garcia A, Cavadas PC, Lorca-Garcia C, Thione A and Aranda F

Article Type: Case Report | First Published: December 2, 2015

Ray amputation is a good option in failure or no possible replantation, or in cases of useless finger or stump. Index ray amputation poses a decrease in grip strength, but does not represent a major impairment to the usual activities because its role in precision and key pinch can be adopted by the third finger. The cosmetic aspect is highly acceptable; however, after this procedure, the long finger loses its central position in the hand, which l...
 

 Open Access DOI:10.23937/2469-5777/1510017

A Rare Cause of Lower Airway Obstruction Due to Inhalation of Illicit Drug Packet

P Ruggiano, MC Ferraro, A Franci, N Stanflin, M Bonizzoli, A Peris and Filippo Socci

Article Type: Case Report | First Published: November 23, 2015

We report a case of a previously healthy 29-year-old male who experienced a severe traumatic brain injury with right temporal extracerebral intracranic hematoma and splenic injury after massive trauma sustained after a car accident. The patient was on his bike, he missed a red traffic light, and a car invested him and threw him 4 meters away. In the prehospital setting, the patient was found with GCS 3, with pupils equals, round and reactive to l...
 

 Open Access DOI:10.23937/2469-5777/1510016

Orbital Floor Reconstruction in Facial Asymmetry: A Clinical Case

Maglione Michele, Sossi Davide, Paolo Cecchini and Rizzo Roberto

Article Type: Case Report | First Published: November 21, 2015

Orbital floor blowout fractures may cause severe facial asymmetry, particularly when combined with panfacial fractures with wide bone defects. Surgical repair recommendations depend on multi-disciplinary clinical evaluation and digital imaging to assess the amount of soft tissues herniation, the infraorbital nerve and rectum inferioris muscle entrapments, the ocular bulbus dislocation, and the ocular diplopia. A second surgery intervention may be...
 

 Open Access DOI:10.23937/2469-5777/1510015

Epidemiology and Diagnosis of Ipsilateral Femoral Neck and Shaft Fractures: A Systematic Review of 1761 cases in 1758 Patients (I.1990-VI.2015)

Antonio Barquet, Joao Matheus Guimaraes, Enrique Barrios, Mariela Garau, Robert D Zura and William C Eward

Article Type: Review article | First Published: November 14, 2015

Objectives: Ipsilateral femoral neck and shaft fractures [IFNSF] are uncommon. The existing literature is characterized by a diversity of small reports with a lack of consensus. We performed a systematic review to examine the epidemiology and diagnosis of this injury. Methods: Nineteen databases were used to find articles published between January 1990 and June 2015 with no language restriction. Inclusion criteria were studies describing a minim...
 

 Open Access DOI:10.23937/2469-5777/1510014

Is That Only a Spinous Process Fracture? Report of a Case of a C6 Spinous Process Fracture with Accompanying Complex Ligamentous Injury Resulting in a Delayed Unilateral Facet Dislocation at the C6-7 Level

Gergely Bodon, Juergen Degreif, Harald Seifarth and Tobias Pitzen

Article Type: Case Report | First Published: November 10, 2015

A 76 years old patient suffered a motor vehicle accident and was brought to our hospital with neck pain and an occipital wound. On the initial polytrauma computed tomography (CT) an isolated spinous process fracture of C6 with hematoma among the posterior soft tissues was diagnosed as well as fracture of the right L1 transverse process. CT of the cervical spine showed no signs of segmental instability. Conservative treatment was introduced and th...
 

 Open Access DOI:10.23937/2469-5777/1510013

The Impact of a Progressive Multidisciplinary Program for Trauma in the Elderly: Outcomes were impacted at the Extremes of Age

Nadir Adam, Ruby Skinner, Satbir Dhillon and Maureen Martin

Article Type: Research Article | First Published: November 5, 2015

The growing elderly population requires special consideration for high-risk medical and surgical care related to traumatic injury. The aim of our study is to evaluate the impact of multidisciplinary care program on outcomes in elderly trauma patients. In addition, the impact of the extremes of age on outcomes was evaluated in the elderly cohort....
 

 Open Access DOI:10.23937/2469-5777/1510012

Organ Donation in a Pediatric Trauma Victim

Jessica Gantz and Savithiri Ratnapalan

Article Type: Case Report | First Published: October 24, 2015

A previously well 7 year old female was struck by a car traveling 60-70 kms/hr while crossing the street on her bicycle. She had no helmet on at the time of the collision, was thrown 15 feet and landed on her head according to witnesses at the scene. Initial assessment by paramedics within 5 minutes of the event demonstrated a palpable pulse, a patent airway, but no respiratory effort. Initial Glasgow Coma Scale (GCS) was recorded as 3. Other ob...
 

 Open Access DOI:10.23937/2469-5777/1510011

Segmental Bone Muscle and Skin Cross Leg Flap for the Treatment of Posttraumatic Infected Segmental Bone Defect in a Child - A Case Report

Piotr Pedzisz, Ireneusz Babiak, Jakub Janowicz and Mateusz Kulig

Article Type: Case Report | First Published: September 21, 2015

A mangled limb in a pediatric patient produces therapeutic dilemma whether to amputate or salvage greater than in adult. We herein present a case of a 10 year old child with high energy injury to both lower limbs. The bone muscle and skin segment of the limb planned for amputation has been used as a 'spare part' for the contralateral shin defect in order to save at least one weight bearing limb. The cross leg flap has been successful. The patient...
 

 Open Access DOI:10.23937/2469-5777/1510010

Managing Fractures at the Thoracolumbar Junction in Developing Nations: A Review of 89 Cases

Bert Park

Article Type: Review Article | First Published: September 21, 2015

Fractures at the thoracolumbar junction are the most commonly encountered spine injuries in developing countries. Despite the devastating consequences for those with concomitant neurologic deficits, within hospitals having limited resources there remains an attitude akin to 'therapeutic nihilism'; i.e. simply keeping these patients at prolonged bedrest and then bracing them, while 'hoping for the best'. Over an 18-year period encompassing some 10...
 

 Open Access DOI:10.23937/2469-5777/1510009

Gun Shot Wound to Left Chest with 'Transmediastinal' Trajectory. A Case Report and Review

Reilly D. Hobbs, Joshua A. Marks, John C. Kucharczuk and Patrick M. Reilly

Article Type: Case Report | First Published: September 18, 2015

A 21-year old African American male presented with a single gunshot wound to the left posterior chest inferior and medial to the scapular spine. EMS performed a left needle thoracostomy for tension pneumothorax. In the trauma bay, the patient was hemodynamically stable with a GCS 15 and moving all extremities. A chest tube was placed with an initial output of 700 mL of blood and the patient was intubated. A portable chest radiograph demonstrated ...
 

 Open Access DOI:10.23937/2469-5777/1510008

The Safety and Therapeutic Effectiveness of Universal Donor Frozen RBC, Frozen Platelets and Frozen Plasma Stored at - 80℃ in Mechanical Freezers to Treat Wounded Casualties

C.R. Valeri and G. R. Giorgio

Article Type: Review Article | First Published: September 12, 2015

The frozen blood products will eliminate or reduce the severe adverse events of mortality and morbidity associated with the current FDA approved red blood cell products, platelet products and plasma products. The universal donor group O positive and O negative frozen RBC, group O leukoreduced single donor frozen platelets, and AB frozen plasma obtained from male donors will provide blood products that are compatible with acceptable in vivo surviv...
 

 Open Access DOI:10.23937/2469-5777/1510007

Analysis of a Clinically Failed, Mechanically Intact, Reconstructive Compression Plate

Bharadwaj Cheruvu, Sunil Karmacharya, Richard Laughlin and Tarun Goswami

Article Type: Research Article | First Published: September 07, 2015

A reconstructive orthopedic bone plate was submitted for analysis. Traditional failure analysis methods were used to assess the mode of the plate failure. Metallographic investigation of the plate was carried out in this report. Since limited data was available in the literature and clinical data related to subject demography, date of removal as well as reasons for removal unknown, in depth analysis was not possible. However, the plate was receiv...
 

 Open Access DOI:10.23937/2469-5777/1510006

Traumatic Bilateral Renal Artery Thrombosis: A Case of Kidney Salvage with Local Lytic Therapy and Systemic Anticoagulation in the Setting of Poly-trauma

Allan Capote, Martin Goldman, Kevin Kemp and Ruby Skinner

Article Type: Case Report | First Published: August 28, 2015

With the advent of advances in endovascular techniques and interventional radiology, the treating physician has added very useful and relatively less invasive methods of managing otherwise complex traumatic injuries compared to open surgical techniques. One such application is in the treatment of acute traumatic solid organ injuries, and some of the earliest applications related to the management of blunt spleen and liver injuries. Acute traumati...
 

 Open Access DOI:10.23937/2469-5777/1510005

Primary Total Elbow Arthroplasty in the Treatment of Complex Elbow Fracture: A Case Report

Pedro Miguel Campos, Barbara Rosa, Andre Barros, Carlos Durao, Gloria Magalhaes, Clara Julio and Pedro Quinaz Neto

Article Type: Case Report | First Published: August 01, 2015

A 54-year-old male patient presented at our emergency department in the sequence of a motorcycle accident, which caused an open fracture of the left elbow, classified as type IIIB of Gustilo and Anderson. The X-ray showed comminuted fractures of distal humerus and proximal ulna with bone loss from both epiphysis. He started antibiotherapy and was submitted to immediate surgical debridement, provisional fixation with an external fixator and skin c...
 

 Open Access DOI:10.23937/2469-5777/1510004

Early Stage Tibia Osteomyelitis Despite The Use of Hydroxyapatite Schanz Screws: A Case Report

Ali Cagri Tekin, Murat Cakar, Mujdat Adas, Mehmet Kursad Bayraktar, Haluk Cabuk, Ali Yuce and Yusuf Ozcan

Article Type: Case Report | First Published: July 16, 2015

In a 7-year old patient with a right cruris Grade 1 open fracture, an external fixator was applied using hydroxyapatite-covered Schanz screws. After 6 weeks the fixator and screws were removed. Two months after the removal of the fixator, the patient presented with pain in the proximal of the medial pin site and osteomyelitis was determined in the proximal right cruris. Surgical debridement was applied and from the pathology examination of materi...
 

 Open Access DOI:10.23937/2469-5777/1510003

Childhood Maltreatment Trauma: Relevance for Adult Physical and Emotional Health. A Review

Lindsay Hamilton, Valerie Micol-Foster and Maria Muzik

Article Type: Review Article | First Published: June 04, 2015

Childhood maltreatment (CM) is a widespread public health concern in the U.S. as it affects almost four million children annually. The adverse consequences of CM can be seen across development from attachment disturbances and developmental delays in infancy to an increased risk for conduct and emotional problems in later childhood and adolescence. In addition, the associations between CM and negative outcomes have been traced as far as adulthood ...
 

 Open Access DOI:10.23937/2469-5777/1510002

A Metabolic Stress Fracture of the Mandibular Condylar Head

Sabah Kalamchi and Trent C Clifton

Article Type: Case Report | First Published: May 02, 2015

Fractures of the mandibular condyle and neck are very common with well recognized anatomical features. This patient sustained an anatomically unusual right condylar head fracture with subluxation secondary to ictal myocontraction where there was no fall or facial trauma during or after the seizure. Investigation suggested an underlying disturbance in bone metabolism. We found one case report of mandibular stress fracture as a result of reflexive ...
 

 Open Access DOI:10.23937/2469-5777/1510001

Algorithms of Flap Reconstruction in High-Voltage Electrical Injuries: 26 Years Experience

Cengiz Eser, Erol Kesiktas, Eyuphan Gencel, Omer Kokacya, Metin Yavuz and Rauf Kerimov

Article Type: Research Article | First Published: May 02, 2015

Electricity is an indispensable part of a comfortable modern life. However, multipurpose electricity use in daily life increases the risks of accidents, injury or death. High-voltage (>1000 volts) electrical burns cause the greatest tissue damage and sequelae, as well as the largest number of deaths. To minimize the functional effects caused by delayed recovery, reconstruction with skin flaps or grafts should be performed as soon as possible in a...

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