Two-Stage Detected Traumatic Right Diaphragm Rupture after Blunt High-Velocity Trauma
Graulich T, Ringe BP, Wilhelmi M, Zwirner U, Krettek C and Wilhelmi M
Article Type: CASE REPORT | First Published: February 26, 2019
A 30-year-old healthy man was brought to our level-one trauma center after a high-velocity trauma. While riding a quad he was hit by a car with about 60 km/h. Initial scores of Glasgow Coma Scale (GCS) and injury severity score (ISS) were 15. Extremity trauma with moderate craniocerebral injury and abdominal trauma with splenic and hepatic laceration was diagnosed. During follow up on the intensive care unit (ICU) the patient reported unspecific abdominal pain and dyspnea. Sonographic controls o...
Penetrating Abdominal Trauma with Vascular Injury: Case Report
Rodolfo Franco Marquez, Marcela Anahi Narro Martinez, Pedro Chavez Jimenez, Oscar Rene Garcia de Leon and Estefania Boland Rodriguez
Article Type: Case Report | First Published: February 07, 2019
Traumatic injuries account for 9.6% of the global burden of disease, they represent the third most common cause of death in young adults and adolescents among patients admitted to hospital facilities; penetrating abdominal trauma remains an important cause of mortality and morbidity. This type of lesions can cause vascular injuries that are associated with massive hemorrhage and could develop physiologic exhaustion, resulting in high reported mortality. Inferior's cava injuries secondary to pene...
Ocular Bungee Cord Injury: Case-Report and Literature Review
Jessica Ruel-Laliberte, Louis Morin, Alice Turcot and Patricia Ann Laughrea
Article Type: Case Report | First Published: December 15, 2018
A 27-year-old female patient sustained a left eye injury while manipulating a hook end bungee-type elastic cord. She suffered from severe anterior and posterior segments ocular trauma that required two surgeries and left her with permanent sequelae. The aim of this paper is to present a literature review on ocular trauma associated with bungee cords. On December 7th 2012, a 27-year-old female patient was injured in the left eye in the context of her work. While she was transporting a trolley on ...
Medial Clavicle Fracture Dislocation Surgically Treated: Case Report
Miguel Frias, Renato Ramos, Marco Bernardes, Tiago Pinheiro Torres and Pedro Lourenco
Article Type: Case Report | First Published: November 30, 2018
The medial clavicle fracture is a rare injury and almost all the times conservatively treated. Therefore, the number of operations reported in the literature are limited. Posterior dislocation can result in serious complications and such injuries require rapid diagnosis followed by effective treatment to avoid future complications. The present case reports a case of a 33-year-old healthy man that was involved in a high-fall, being diagnosed with a rare displaced medial clavicular fracture associ...
A Pharmacokinetic Analysis of Continuously Infused Piperacillin/Tazobactam in Critically Ill Trauma Patients
Kevin M Silinskie, Bradley D Domonoske and Christine S Cocanour
Article Type: Research Article | First Published: November 16, 2018
To define the serum pharmacokinetics of a fixed-dose of piperacillin/tazobactam at 24, 48, and 72 hours of therapy when administered as a continuous infusion in critically ill trauma patients. Although we found a wide variability in serum piperacillin/tazobactam concentrations, the administration of a 16/2 g per day dose as a continuous infusion achieves optimal pharmacokinetic parameters for commonly isolated microorganisms in critically ill trauma patients....
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 right foot, without neurovascular deficits or anot...
Intra Capsular but Extra Synovial Foreign Body in the Knee Joint
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 the knee resulting in an intra capsular but extra ...
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 fracture related to a gunshot wound is presented to ...