keyword
https://read.qxmd.com/read/38523550/deconstructive-repair-of-a-direct-carotid-cavernous-fistula-via-a-posterior-circulation-retrograde-approach
#21
JOURNAL ARTICLE
Jonathan R Crowe, Robert W Regenhardt, Adam A Dmytriw, Justin E Vranic, Christopher J Stapleton, Aman B Patel
We report a case of a 24-year-old patient who presented after a head trauma with a traumatic occlusion of his left internal carotid artery. He underwent diagnostic cerebral angiogram and was found to have a direct left carotid-cavernous fistula (CCF) with retrograde filling from the posterior circulation across the posterior communicating artery. Because of the severe injury to the left internal carotid artery (ICA), reconstructive repair of the ICA was not possible. The patient underwent deconstructive repair of the CCF by coil embolization using a posterior retrograde approach...
March 25, 2024: Journal of Cerebrovascular and Endovascular Neurosurgery
https://read.qxmd.com/read/38523124/reducing-low-value-interhospital-transfers-for-mild-traumatic-brain-injury
#22
JOURNAL ARTICLE
Aricia Shen, Nathaniel Mizraki, Marcel Maya, Sam Torbati, Shouri Lahiri, Ray Chu, Daniel Margulies, Galinos Barmparas
BACKGROUND: The modified Brain Injury Guidelines (mBIG) were developed to stratify traumatic brain injuries (TBI) and improve healthcare utilization by selectively requiring repeat imaging, ICU admission, and neurosurgical (NSG) consultation. The goal of this study is to assess safety and potential resource savings associated with the application of mBIG on interhospital patient transfers for TBI. METHODS: Adult patients with TBI transferred to our Level I trauma center from 01/2017 to 12/2022 meeting mBIG inclusion criteria were retrospectively stratified into mBIG1, mBIG2, and mBIG3 based on initial clinicoradiological factors...
March 25, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38521436/retrospective-survival-analysis-of-the-use-of-uncemented-modular-tapered-stems-for-revision-in-periprosthetic-vancouver-b-type-fractures-is-instability-a-threat-to-survival
#23
JOURNAL ARTICLE
João Lixa, Paula Vieira, Pedro Pereira, André Pinho, Manuel Seara, António Sousa, Luís Vieira
INTRODUCTION AND OBJECTIVES: periprosthetic hip fractures show increasing incidence and complexity, representing a challenge for the surgeon. We aimed to evaluate the survival of uncemented modular tapered stems in the treatment of periprosthetic Vancouver B2 and B3 type fractures and review the main complications and factors associated with decreased survival. MATERIALS AND METHODS: we performed a retrospective study of patients submitted to revision arthroplasty for treatment of periprosthetic femoral stem Vancouver B2 and B3 type fractures with an uncemented modular fluted tapered stem (MRP-Titan)...
March 21, 2024: Revista Española de Cirugía Ortopédica y Traumatología
https://read.qxmd.com/read/38520802/epidemiology-and-patterns-of-gymnastics-related-head-neck-trauma-injuries-a-neiss-database-study
#24
JOURNAL ARTICLE
Hisham Abdou, Sarah G Wilkins, Amar H Sheth, Parsa P Salehi, Yan Ho Lee
OBJECTIVE: To describe the epidemiology and patterns of gymnastics-related Head & Neck trauma injuries using the NEISS database from 2001 to 2020. STUDY DESIGN AND SETTING: Cross-sectional analysis of a national database. METHODS: Gymnastics-related ED visits between 2001 and 2020 were queried from the NEISS database. Bivariate chi-squared analyses were used to compare injury demographics, location, type, and disposition. Fracture location was identified using the narrative description of each case and were divided into subtypes for further analysis...
March 15, 2024: American Journal of Emergency Medicine
https://read.qxmd.com/read/38520757/use-of-the-spider-limb-positioner-for-fibular-free-flap-reconstruction-of-head-and-neck-bony-defects
#25
JOURNAL ARTICLE
Joshua D Smith, Shaum S Sridharan, Kevin J Contrera, Jeremy D Richmon, Allen L Feng, Steven B Chinn, Molly E Heft-Neal, Matthew E Spector
BACKGROUND: Osseous and osteocutaneous fibular free flaps are the workhorse of maxillomandibular reconstruction over 30 years after the initial description. Since 2019, we have routinely used the Spider Limb Positioner, adapted from its use in shoulder orthopedic procedures, for fibular free flap harvest. Herein, we describe this novel technique in our cohort. METHODS: We describe our intraoperative setup and endorse the versatility and utility of this technique in comparison to other reported fibular free flap harvest techniques...
March 22, 2024: Oral Oncology
https://read.qxmd.com/read/38518177/guidelines-of-the-international-headache-society-for-controlled-trials-of-pharmacological-preventive-treatment-for-persistent-post-traumatic-headache-attributed-to-mild-traumatic-brain-injury
#26
JOURNAL ARTICLE
Håkan Ashina, Hans-Christoph Diener, Cristina Tassorelli, Ann I Scher, Richard B Lipton, Patricia Pozo-Rosich, Alexandra J Sinclair, Catherine D Chong, Alan G Finkel, Messoud Ashina, Todd J Schwedt, David W Dodick, Gisela M Terwindt
BACKGROUND: Persistent headache attributed to traumatic injury to the head is divided into two subtypes, one attributed to moderate or severe traumatic injury and another attributed to mild traumatic injury (i.e., concussion). The latter is much more prevalent, in part because more than 90% of cases with traumatic brain injury are classified as mild. The pathophysiology of persistent post-traumatic headache is poorly understood and the underlying mechanisms are likely multifactorial. There is currently no approved treatment specifically for persistent post-traumatic headache, and management strategies rely on medications used for migraine or tension-type headache...
March 2024: Cephalalgia: An International Journal of Headache
https://read.qxmd.com/read/38517527/conservative-treatment-of-3-and-4-part-proximal-humeral-fractures-can-poor-outcomes-be-predicted
#27
JOURNAL ARTICLE
George Matheron, Melissa Mahoney, Peter Domos
PURPOSE: 3- and 4-part proximal humeral fractures are frequently treated conservatively. This study aims to combine radiographic, and patient reported outcome data to identify factors leading to poor outcomes following conservative treatment. METHODS: A retrospective local database analysis identified 3- and 4-part fractures. Radiographic and functional outcomes including Oxford Shoulder Score (OSS), QuickDash (QD), Subjective Shoulder Score (SSV) and VAS pain scores were collected...
March 22, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38517091/an-investigation-of-mtbi-home-cage-behavior-the-home-cage-assay-advantages
#28
JOURNAL ARTICLE
Bar Richmond-Hacham, Liron Tseitlin, Lior Bikovski, Chaim G Pick
BACKGROUND AND AIMS: This study utilized the Noldus PhenoTyper Home Cage Monitoring system (HCM) to assess the behavioral and cognitive changes of experimental closed-head mild traumatic brain injury (mTBI). MATERIALS AND METHODS: Seventy-nine adult male ICR mice were subjected to either a sham procedure or closed-head mTBI using the weight-drop model. Seven days post-injury, separate cohorts of mice underwent either a non-cognitive or cognitive home cage assessment, a treadmill fatigue test, or the open field test...
March 22, 2024: Journal of Neurotrauma
https://read.qxmd.com/read/38517085/triage-tools-for-detecting-cervical-spine-injury-in-paediatric-trauma-patients
#29
REVIEW
Emma Tavender, Nitaa Eapen, Junfeng Wang, Vanessa C Rausa, Franz E Babl, Natalie Phillips
BACKGROUND: Paediatric cervical spine injury (CSI) after blunt trauma is rare but can have severe consequences. Clinical decision rules (CDRs) have been developed to guide clinical decision-making, minimise unnecessary tests and associated risks, whilst detecting all significant CSIs. Several validated CDRs are used to guide imaging decision-making in adults following blunt trauma and clinical criteria have been proposed as possible paediatric-specific CDRs. Little information is known about their accuracy...
March 22, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38517075/recovery-after-sport-related-concussion-in-collegiate-athletes-with-self-reported-pre-injury-migraines
#30
JOURNAL ARTICLE
Douglas P Terry, Jacob Jo, Kristen Williams, Bruce A Maxwell, Paul Berkner, Grant L Iverson, Scott L Zuckerman
Pre-injury migraines might be a risk factor for prolonged recovery after sport-related concussion (SRC). We sought to examine whether a pre-injury history of migraines is associated with worse recovery following SRC in collegiate athletes. Data were collected through a prospective concussion surveillance system in 11 NCAA Division III college athletic programs between 09/2014-03/2020. Our primary independent variable, pre-injury migraines, were self-reported by the athletes. Between those with and without migraines, the outcomes of days to return-to-learn (RTL) without academic accommodations and return-to-play (RTP) and were compared using Mann-Whitney U tests...
March 22, 2024: Journal of Neurotrauma
https://read.qxmd.com/read/38516472/nephrological-detrimental-impacts-resulting-from-novel-immunotherapy-drugs-used-in-the-treatment-of-cancer-a-systematic-review
#31
REVIEW
Amisha Jaiswal, Kainaat Shergill, Kusalik Boppana, Naiela E Almansouri, Saloni Bakkannavar, Youmna Faheem, Tuheen Sankar Nath
The most recent advancements in cancer therapy center on efficiently and conveniently enhancing a patient's natural immune system. Immune checkpoint inhibitors (ICIs) are antibodies that target cytotoxic thymus (T) lymphocyte antigen-4 (CTLA-4) and its receptor. They function by stimulating T-cell activity against malignancies. Immune-related adverse events (irAEs) are a distinct class of inflammatory side effects that are specific to a given organ. Antineoplastic medications can impact any part of the kidney, leading to the development of proteinuria, hypertension, electrolyte abnormalities, glomerulonephritis, and both acute and chronic interstitial nephritis...
February 2024: Curēus
https://read.qxmd.com/read/38515417/-clinical-effect-of-allogeneic-peroneal-bone-marrow-support-combined-with-plate-fixation-for-the-treatment-of-neer-type-%C3%A2-proximal-humeral-fractures
#32
JOURNAL ARTICLE
Zhen-Guo Sun, Zhan-Feng Zhang, Wen-Lin Hu, Zeng-Bing Xia
OBJECTIVE: To explore clinical effect of allogeneic peroneal bone marrow support combined with plate internal fixation in treating Neer type Ⅳproximal humeral fractures. METHODS: From December 2017 to December 2020,12 patients with Neer type Ⅳ proximal humeral fractures were treated with allogeneic peroneal bone marrow support combined with plate internal fixation,including 7 males and 5 females,aged from 56 to 78 years old;the time from injury to operation ranged from 1 to7 days...
March 25, 2024: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38515303/individual-distribution-of-muscle-hypertrophy-among-hamstring-muscle-heads-adding-muscle-volume-where-you-need-is-not-so-simple
#33
JOURNAL ARTICLE
A Frouin, G Le Sant, L Barbier, E Jacquemin, P J McNair, R Ellis, A Nordez, L Lacourpaille
PURPOSE: The aim of this study was to determine whether a 9-week resistance training program based on high load (HL) versus low load combined with blood flow restriction (LL-BFR) induced a similar (i) distribution of muscle hypertrophy among hamstring heads (semimembranosus, SM; semitendinosus, ST; and biceps femoris long head, BF) and (ii) magnitude of tendon hypertrophy of ST, using a parallel randomized controlled trial. METHODS: A total of 45 participants were randomly allocated to one of three groups: HL, LL-BFR, and control (CON)...
March 2024: Scandinavian Journal of Medicine & Science in Sports
https://read.qxmd.com/read/38514587/incidence-of-surgically-treated-chronic-subdural-hematoma-after-head-injury-with-normal-initial-computed-tomography
#34
JOURNAL ARTICLE
Aaro Heinonen, Minna Rauhala, Harri Isokuortti, Rahul Raj, Anneli Kataja, Milaja Nikula, Juha Öhman, Grant L Iverson, Teemu Luoto
PURPOSE: The objective was to determine the incidence of surgically treated chronic subdural hematoma (cSDH) within six months after head trauma in a consecutive series of head injury patients with a normal initial computed tomography (CT). METHODS: A total of 1941 adult patients with head injuries who underwent head CT within 48 h after injury and were treated at the Tampere University Hospital's emergency department were retrospectively evaluated from medical records (median age = 59 years, IQR = 39-79 years, males = 58%, patients using antithrombotic medication = 26%)...
March 22, 2024: Acta Neurochirurgica
https://read.qxmd.com/read/38512419/epidemiologic-analysis-and-mortality-outcome-of-firearm-injuries-in-french-guiana-2016-2019
#35
JOURNAL ARTICLE
Alexis Fremery, Elliott Beguinot, Angélique Franchi, Mathilde Douchet, Victor Tertre, Karim Hamiche, Antoine Adenis, Jean Marc Pujo, Hatem Kallel
BACKGROUND: French Guiana (FG) is a French territory located in South America with the highest rate of armed assaults. FG presents a poorly developed road system and a young and precarious population that makes the geographical and socio-demographic characteristics specific. No data concerning the firearm injury management are available in this country. Studying thesis trauma could permit to improve the management of victims. The objective of this study is to investigate the epidemiology of firearm injuries in FG, to define characteristics of the victims, and to assess factors associated with death...
March 21, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38512417/higher-risk-of-traumatic-intracranial-hemorrhage-with-antiplatelet-therapy-compared-to-oral-anticoagulation-a-single-center-experience
#36
JOURNAL ARTICLE
Emily Niklasson, Elin Svensson, Lars André, Christian Areskoug, Jakob Lundager Forberg, Tomas Vedin
PURPOSE: Traumatic brain injury is the main reason for the emergency department visit of up to 3% of the patients and a major worldwide cause for morbidity and mortality. Current emergency management guidelines recommend close attention to patients taking oral anticoagulation but not patients on antiplatelet therapy. Recent studies have begun to challenge this. The aim of this study was to determine the impact of antiplatelet therapy and oral anticoagulation on traumatic intracranial hemorrhage...
March 21, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38511393/dtbi2-a-calibrated-tunable-device-for-administering-traumatic-brain-injury-in-drosophila
#37
JOURNAL ARTICLE
Stephen W Ratner, Michael Fetchko, Akanksha S Mathivanan, Seanna E Kelly, Shambhavi Gupta, Annika F Barber
The second-generation Drosophila traumatic brain injury (TBI) device dTBI2 improves Drosophila TBI administration by providing a moderate-throughput, tunable, head-specific injury. Our updated device design improves user-friendliness, eliminates inconsistencies in injury timing, and has an updated circuit design to extend the longevity of delicate electronic components. dTBI2 improves reproducibility across users and runs, and results in more consistent post-injury phenotypes. This protocol describes the construction, calibration, and use of the dTBI2 device, which uses an Arduino-controlled piezoelectric actuator to deliver a force that compresses a fly head against a metal collar...
March 2024: Current protocols
https://read.qxmd.com/read/38510630/blood-biomarkers-for-traumatic-brain-injury-a-narrative-review-of-current-evidence
#38
REVIEW
Iftakher Hossain, Niklas Marklund, Endre Czeiter, Peter Hutchinson, Andras Buki
INTRODUCTION: A blood-based biomarker (BBBM) test could help to better stratify patients with traumatic brain injury (TBI), reduce unnecessary imaging, to detect and treat secondary insults, predict outcomes, and monitor treatment effects and quality of care. RESEARCH QUESTION: What evidence is available for clinical applications of BBBMs in TBI and how to advance this field? MATERIAL AND METHODS: This narrative review discusses the potential clinical applications of core BBBMs in TBI...
2024: Brain Spine
https://read.qxmd.com/read/38510627/sport-related-concussion-in-soccer-a-scoping-review-of-available-guidelines-and-a-call-for-action-to-fifa-soccer-governing-bodies
#39
REVIEW
Andreas K Demetriades, Imran Shah, Niklas Marklund, Hans Clusmann, Wilco Peul
INTRODUCTION: Sport-related concussions (SRC) have been a concern in all sports, including soccer. The long-term effects of soccer-related head injuries are a public health concern. The Concussion in Sport Group (CISG) released a consensus statement in 2017 and several soccer governing associations have published their own SRC guidelines while referring to it but it is unclear whether this has been universally adopted. RESEARCH QUESTION: We aimed to investigate whether guidelines published by soccer associations have any discrepancies; and the extent to which they follow the CISG recommendations...
2024: Brain Spine
https://read.qxmd.com/read/38510621/developing-a-porcine-model-of-severe-traumatic-brain-injury-induced-by-high-amplitude-rotational-acceleration
#40
JOURNAL ARTICLE
Sofie Dietvorst, Aline Vervekken, Bart Depreitere
INTRODUCTION: It is unclear which pathophysiological processes initiate and drive dynamic cerebrovascular autoregulation (CA) impairment as seen in traumatic brain injury (TBI). This is not solely attributable to raised intracranial pressure (ICP), but also results from local tissue damage. RESEARCH QUESTION: In order to investigate CA disturbing processes, a porcine model is needed that mimics severe TBI as seen in humans. This model requires high amplitude rotational acceleration...
2024: Brain Spine
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