keyword
https://read.qxmd.com/read/38532975/explaining-and-predicting-the-increased-thorax-injury-in-aged-females-age-and-subject-specific-thorax-geometry-coupled-with-improved-bone-constitutive-models-and-age-specific-material-properties-evaluated-in-side-impact-conditions
#1
JOURNAL ARTICLE
Miguel A Corrales, John Henry Bolte, Bengt Pipkorn, Craig Markusic, Duane S Cronin
Predicting and understanding thorax injury is fundamental for the assessment and development of safety systems to mitigate injury risk to the increasing and vulnerable aged population. While computational human models have contributed to the understanding of injury biomechanics, contemporary human body models have struggled to predict rib fractures and explain the increased incidence of injury in the aged population. The present study enhanced young and aged human body models (HBMs) by integrating a biofidelic cortical bone constitutive model and population-based bone material properties...
2024: Frontiers in Public Health
https://read.qxmd.com/read/38529315/treatment-approach-for-coexisting-chest-wall-fractures-and-unstable-thoracolumbar-spine-fractures-in-polytrauma-patients-requiring-prone-spine-surgery
#2
EDITORIAL
Aymen Alqazzaz, Zan Naseer, Carl A Beyer, Jeremy W Cannon, Amrit Khalsa
Concomitant chest wall fractures (sternal and/or rib fractures) with unstable thoracolumbar fractures that require surgical fixation are rare but highly morbid injuries that mandate a multidisciplinary approach to treatment. There is limited evidence in the literature regarding optimal timing and order of surgical fixation of these patients with multiple injuries. Here, we present our experience with two patients at a single institution that demonstrates the challenges that present with this patient population...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38524715/segmental-clavicle-fracture-in-a-polytraumatized-patient-case-report
#3
JOURNAL ARTICLE
Carlos A Sánchez, Pablo J Coronel, Luisa F García, Juan S Afanador, Raúl Gonzalez
Clavicle fracture represents 5% of the fractures in adults. However, segmental clavicle fractures are infrequent and have been understudied in the current literature. Cases have been reported showing adequate results with both surgical and conservative management, and yet, it has not been possible to reach a consensus regarding diagnosis or management of such condition. A patient with a middle and lateral segmental clavicle fracture is reported, after presenting multiple trauma in a road traffic accident, also suffering trauma to the right hemi body, multiple rib segmental fractures and hemothorax...
February 2024: Revista Brasileira de Ortopedia
https://read.qxmd.com/read/38521636/physiologic-parameters-and-radiologic-findings-can-predict-pulmonary-complications-and-guide-management-in-traumatic-rib-fractures
#4
JOURNAL ARTICLE
Abdul Hafiz Al Tannir, Courtney J Pokrzywa, Christopher Dodgion, Kelly A Boyle, Savo Bou Zein Eddine, Elise A Biesboer, David J Milia, Marc A de Moya, Thomas W Carver
BACKGROUND: Traumatic rib fracture is associated with a high morbidity rate and identifying patients at risk of developing pulmonary complications (PC) can guide management and potentially decrease unnecessary intensive care admissions. Therefore, we sought to assess and compare the utility of a physiologic parameter, vital capacity (VC), with the admission radiologic findings (RibScore) in predicting PC in patients with rib fractures. METHODS: This is a single-center retrospective review (2015-2018) of all adult (≥18 years) patients admitted to a Level I trauma center with traumatic rib fracture...
March 13, 2024: Injury
https://read.qxmd.com/read/38518569/pulmonary-fat-embolism-in-non-survivors-after-cardiopulmonary-resuscitation
#5
JOURNAL ARTICLE
Lucia Ihnát Rudinská, Patricie Delongová, Jana Vaculová, Silvia Farkašová Iannaccone, Lubomír Tulinský, Peter Ihnát
BACKGROUND: Blunt trauma acting against the human body presents the fundamental cause of pulmonary fat embolism (PFE) and fat embolism syndrome. The aim of the present study was to investigate PFE in non-survivors after cardiopulmonary resuscitation (CPR). METHODS: This was a prospective cohort study conducted in University Hospital Ostrava, Czech Republic. Within a 4-year study period, all non-survivors after CPR because of out-of-hospital cardiac arrest were assessed for the study eligibility...
March 18, 2024: Forensic Science International
https://read.qxmd.com/read/38504282/a-meta-analysis-and-trial-sequential-analysis-of-randomised-controlled-trials-comparing-nonoperative-and-operative-management-of-chest-trauma-with-multiple-rib-fractures
#6
REVIEW
Ryo Hisamune, Mako Kobayashi, Karin Nakasato, Taiga Yamazaki, Noritaka Ushio, Katsunori Mochizuki, Akira Takasu, Kazuma Yamakawa
BACKGROUND: Operative treatment of traumatic rib fractures for better outcomes remains under debate. Surgical stabilization of rib fractures has dramatically increased in the last decade. This study aimed to perform a systematic review and meta-analysis of randomised controlled trials (RCTs) to assess the effectiveness and safety of operative treatment compared to conservative treatment in adult patients with traumatic multiple rib fractures. METHODS: A systematic literature review was performed according to the preferred reporting items for systematic reviews and meta-analyses guidelines...
March 19, 2024: World Journal of Emergency Surgery: WJES
https://read.qxmd.com/read/38501633/traumatic-brain-injury-and-its-implications-for-behavioral-health-factors
#7
JOURNAL ARTICLE
M Shamshad
The constant increase in the level of traumatic brain injuries in recent years, the frequent cases of disability and mortality associated with them require in-depth comprehensive research to study the problem on the ground, its medical, social, and economic aspects, which is very important for improving organizational measures to reduce traumatization among all age groups of the population. Objectives - to determine the presence and nature of structural damage associated with traumatic brain injury. The presence and nature of structural damage associated with traumatic brain injury...
January 2024: Georgian Medical News
https://read.qxmd.com/read/38499892/performance-of-thoracic-ultrasonography-compared-with-chest-radiography-for-the-detection-of-rib-fractures-using-computed-tomography-as-a-reference-standard
#8
JOURNAL ARTICLE
Evangelia E Vassalou, Iraklis Perysinakis, Michail E Klontzas, Eelco de Bree, Apostolos H Karantanas
OBJECTIVE: Although there is growing evidence that ultrasonography is superior to X-ray for rib fractures' detection, X-ray is still indicated as the most appropriate method. This has partially been attributed to a lack of studies using an appropriate reference modality. We aimed to compare the diagnostic accuracy of ultrasonography and X-ray in the detection of rib fractures, considering CT as the reference standard. MATERIALS AND METHODS: Within a 2.5-year period, all consecutive patients with clinically suspected rib fracture(s) following blunt chest trauma and available posteroanterior/anteroposterior X-ray and thoracic CT were prospectively studied and planned to undergo thoracic ultrasonography, by a single operator...
March 19, 2024: Skeletal Radiology
https://read.qxmd.com/read/38496000/attempted-repair-of-chest-wall-injury-following-penetrating-injury-with-surgical-stabilization-rib-and-autologous-bone-graft-a-case-report
#9
Vincent E Serapiglia, Krishna A Patel, Jaya Sai V Varre, Brian T Dusseau, William B DeVoe
Rib fractures are one of the most common injuries following blunt trauma. When associated with penetrating trauma, the projectile velocity and immense energy transfer cause significant rib fracture displacement and fragmentation. As a result, these patients are potentially exposed to an even higher risk of complications compared to those seen in more simple rib fractures. Unfortunately, there is limited research regarding technical considerations for surgical stabilization of rib fractures (SSRF) in severely displaced rib fractures with bone loss following penetrating injury...
April 2024: Trauma Case Reports
https://read.qxmd.com/read/38492065/symptomatic-rib-fracture-nonunion-a-systematic-review-of-the-literature
#10
REVIEW
Daniel T DeGenova, John T Peabody, John B Schrock, Morgan D Homan, Emil Suriel Peguero, Benjamin C Taylor
INTRODUCTION: Rib fractures commonly occur in trauma patients with varying presentations. Though the literature in recent years has moved toward favoring more early intervention of acute rib fractures, little has been reported on the matter of surgical fixation for symptomatic rib fracture nonunions. MATERIALS AND METHODS: We performed a review of PubMed and Cochrane databases for articles published since 2000. Inclusion criteria were studies with greater than six months of follow-up, while case studies were excluded...
March 16, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38481627/splenic-injury-caused-by-cardiopulmonary-resuscitation-in-a-full-stomach-with-hematoma-after-hemorrhagic-shock-due-to-bleeding-duodenal-ulcer-a-case-report
#11
Daisuke Fujimori, Tomohide Koyama, Satomi Ooki, Masaaki Ito, Yasutaka Yoshiike, Satoshi Nakamura, Ryuhei Yoshida, So Sakamoto, Chikao Ito, Miyuki Kasuya, Kyoji Oe, Isao Takahashi
BACKGROUND: Cardiopulmonary resuscitation is essential for cardiopulmonary arrest, but complications from chest compressions warrant monitoring. Although rib and sternal fractures are common, abdominal injuries are rare, and splenic injuries are much rarer. CASE PRESENTATION: A 74-year-old man was admitted to the emergency room with a hemorrhagic duodenal ulcer. During hospitalization, the patient went into cardiopulmonary arrest due to hemorrhagic shock. Spontaneous circulation returned after 7 min of cardiopulmonary resuscitation...
2024: Acute Medicine & Surgery
https://read.qxmd.com/read/38468579/fatal-falls-from-great-height-in-sousse-tunisia-study-of-141-medicolegal-autopsy-cases
#12
JOURNAL ARTICLE
Souhir Chelly, Abir Mtira, Sarra Gharesellaoui, Majed Hassine, Maher Jedidi, Mohamed Mahjoub, Tasnim Masmoudi
INTRODUCTION: Falls from great heights constitute a violent trauma that can lead to death. This represents a suspicious death, leading to initiate legal proceedings with in particular the practice of an autopsy. AIMS: to determine the features of victims of falls from height and relations between medico-legal form of the death, the height of the fall and the nature of traumatic injuries Methods: A retrospective study about 141 cases of death after fall from great height...
November 5, 2023: La Tunisie Médicale
https://read.qxmd.com/read/38465056/a-case-report-on-a-hybrid-approach-to-managing-acute-large-bowel-obstruction-secondary-to-spigelian-hernia
#13
Isabelle Huynh, Wei Mou Lim, Michelle Zhiyun Chen, Senthilkumar Rajavel Sundaramurthy, Yeng Kwang Tay
Spigelian hernias are an uncommon type of primary ventral hernia and are defined as a defect in the Spigelian aponeurosis (fascia). Herein, we present an uncommon case of Spigelian hernia to highlight the potential complications of these hernias and the need for surgical management. This is a case report of an 86-year-old gentleman presenting post-fall with an acute rib fracture and an incidental Spigelian hernia seen on a CT trauma pan scan. The Spigelian hernia surgical treatment was planned for elective management due to the anesthetic risks associated with an elderly patient and acute rib fractures...
February 2024: Curēus
https://read.qxmd.com/read/38459618/unclear-risk-of-intrapleural-tissue-plasminogen-activator-in-the-setting-of-thoracic-epidural-analgesia-for-rib-fractures
#14
JOURNAL ARTICLE
Casey Kukielski, Gavin Brion, Brett Elmore, Andrew Mendelson, Lynn Kohan, Priyanka Singla
No abstract text is available yet for this article.
March 8, 2024: Pain Medicine
https://read.qxmd.com/read/38459368/analgesia-for-rib-fractures-a-narrative-review
#15
REVIEW
Theunis van Zyl, Anthony M-H Ho, Gregory Klar, Christopher Haley, Adrienne K Ho, Susan Vasily, Glenio B Mizubuti
PURPOSE: Rib fracture(s) is a common and painful injury often associated with significant morbidity (e.g., respiratory complications) and high mortality rates, especially in the elderly. Risk stratification and prompt implementation of analgesic pathways using a multimodal analgesia approach comprise a primary endpoint of care to reduce morbidity and mortality associated with rib fractures. This narrative review aims to describe the most recent evidence and care pathways currently available, including risk stratification tools and pharmacologic and regional analgesic blocks frequently used as part of the broadly recommended multimodal analgesic approach...
March 8, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38458000/very-long-term-effects-of-conservatively-treated-blunt-thoracic-trauma-a-retrospective-analysis
#16
JOURNAL ARTICLE
Indy Kelderman, Chris Dickhoff, Frank W Bloemers, Wietse P Zuidema
INTRODUCTION: Despite the high incidence of blunt thoracic trauma and frequently performed conservative treatment, studies on very long-term consequences for these patients remain sparse in current literature. In this study, we identify prevalence of long-term morbidity such as chronic chest pain, shortness of breath, and analyze the effect on overall quality of life and health-related quality of life. METHODS: Questionnaires were send to patients admitted for blunt thoracic trauma at our institution and who were conservatively treated between 1997 and 2019...
March 2, 2024: Injury
https://read.qxmd.com/read/38457121/management-of-rib-fractures-in-the-combat-environment
#17
JOURNAL ARTICLE
Shane A Smith, Richard Hilsden, Petrease Patton, Kelly Vogt, Andrew Beckett, Ian M Ball
Rib fractures in combat casualties are an under-appreciated injury, and their treatment may become more common as more patients survive because of modern body armor and point-ofinjury care. The combat environment has challenges such as equipment availability and sterility. A simple and thoughtful rib fracture treatment algorithm may be useful to reduce the morbidity and mortality of rib fractures in the combat environment. Intravenous lidocaine infusions for patients with traumatic rib fractures may have important combat applications...
March 8, 2024: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://read.qxmd.com/read/38453306/management-of-blunt-chest-trauma
#18
REVIEW
Jared Griffard, Lisa M Kodadek
Common mechanisms of blunt thoracic injury include motor vehicle collisions and falls. Chest wall injuries include rib fractures and sternal fractures; treatment involves supportive care, multimodal analgesia, and pulmonary toilet. Pneumothorax, hemothorax, and pulmonary contusions are also common and may be managed expectantly or with tube thoracostomy as indicated. Surgical treatment may be considered in select cases. Less common injury patterns include blunt trauma to the tracheobronchial tree, esophagus, diaphragm, heart, or aorta...
April 2024: Surgical Clinics of North America
https://read.qxmd.com/read/38441948/assessing-injury-risks-of-reclined-occupants-in-a-frontal-crash-preceded-by-braking-with-varied-seatbelt-designs-using-the-safer-human-body-model
#19
JOURNAL ARTICLE
Ekant Mishra, Nils Lubbe
OBJECTIVE: This study investigated the effects of different seatbelt geometries and load-limiting levels on the kinematics and injury risks of a reclined occupant during a whole-sequence frontal crash scenario, using simulations with the Active SAFER Human Body Model (Active SHBM). METHODS: The Active SHBM was positioned in a reclined position (50°) on a semi-rigid seat model. A whole-sequence frontal crash scenario, an 11 m/s2 Automated Emergency Braking (AEB) phase followed by a frontal crash at 50 km/h, was simulated...
March 5, 2024: Traffic Injury Prevention
https://read.qxmd.com/read/38437492/first-rib-fracture-presenting-as-chest-pain-in-a-collegiate-basketball-player-a-case-report
#20
JOURNAL ARTICLE
Jeremy Loescher, Joshua Blomgren, Kathleen Weber
No abstract text is available yet for this article.
March 1, 2024: Current Sports Medicine Reports
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