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Trauma Cases and ReviewsISSN: 2469-5777

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 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 | Indexed Archive: Volume 2

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 of compartment syndrome to bleeding from the graft ...

 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 | Indexed Archive: Volume 2

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 | Indexed Archive: Volume 2

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 | Indexed Archive: Volume 2

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 treated with relative stability and do not require ...

 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 | Indexed Archive: Volume 2

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 comprehensive review of the literature....

 Open Access DOI:10.23937/2469-5777/1510030

A Peculiar Case

Raoul van Vugt and Peters J

Article Type: Clinical Image | Indexed Archive: Volume 2

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 knife that went in with a lot of force....

 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 | Indexed Archive: Volume 2

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 showing a global reduction in supra tentorial areas, in...

 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 | Indexed Archive: Volume 2

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 | Indexed Archive: Volume 2

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 lesions....

 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 | Indexed Archive: Volume 2

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, coagulation and fibrinolytic systems....

 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 | Indexed Archive: Volume 2

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 mitochondrial pyruvate dehydrogenase (PDH) activity is decrea...

 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 | Indexed Archive: Volume 2

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 as a treatment for embolism or indication of veno-...

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