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Pelvic fractures

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https://www.readbyqxmd.com/read/29649850/-diagnostic-and-treatment-strategies-in-morel-lavallee-lesions-in-the-spinal-column-and-pelvis
#1
Christopher A Becker, Christian Kammerlander, Axel Greiner, Fabian Sommer, Christoph Linhart, Wolfgang Böcker, Bianka Rubenbauer, Simon Weidert
BACKGROUND: The Morel-Lavallée lesion is one of the concomitant soft tissue lesions of pelvic fractures. Its role in spine fractures and its treatment in combination with osteosynthesis of pelvic or spine fractures have not yet been determined. The aim of this study was to analyse the best diagnostic and treatment options of both spine and pelvic fractures combined with Morel-Lavallée lesions (MLL). METHODS: An analysis of the literature was performed via PubMed and Medline...
April 12, 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/29644270/importance-of-the-capability-for-complete-resuscitative-treatment-combining-surgery-and-interventional-radiology-for-potentially-lethal-multiple-injuries-a-case-report
#2
Hiroyuki Otsuka, Toshiki Sato, Keiji Sakurai, Hiromichi Aoki, Takeshi Yamagiwa, Shinichi Iizuka, Sadaki Inokuchi
Background: Recently, trauma management has been complicated owing to the introduction of damage-control strategies and interventional radiology. Here, we discuss important aspects regarding survival of patients with severe trauma. Case presentation: A 74-year-old Japanese woman experienced a traffic accident on a highway. On arrival, paramedics were unable to measure her blood pressure, and her condition deteriorated. The patient was immediately transferred to our hospital in a physician-staffed emergency helicopter, during which she was administered emergency blood transfusions...
October 2017: Trauma Case Reports
https://www.readbyqxmd.com/read/29644168/pelvic-fracture-urethral-injury-in-males-mechanisms-of-injury-management-options-and-outcomes
#3
REVIEW
Rachel C Barratt, Jason Bernard, Anthony R Mundy, Tamsin J Greenwell
Pelvic fracture urethral injury (PFUI) management in male adults and children is controversial. The jury is still out on the best way to manage these injuries in the short and long-term to minimise complications and optimise outcomes. There is also little in the urological literature about pelvic fractures themselves, their causes, grading systems, associated injuries and the mechanism of PFUI. A review of pelvic fracture and male PFUI literature since 1757 was performed to determine pelvic fracture classification, associated injuries and, PFUI classification and management...
March 2018: Translational Andrology and Urology
https://www.readbyqxmd.com/read/29628670/bilateral-hip-dislocation-an-indicator-for-emergent-full-body-computed-tomography-scan-in-polytraumatized-patients-a-case-report-and-review-of-the-literature
#4
Benjamin Rufer, Marius Johann Baptist Keel, Beat Schnüriger, Moritz Caspar Deml
We present a rare case of traumatic bilateral asymmetric hip dislocation with pelvic fractures and a traumatic diaphragmatic hernia. A 53-year-old machinist was transferred to our emergency department with the suspicion of a bilateral hip dislocation after he was trapped between an elevator and the roof. Immediate closed reduction of the hips was not performed because of the expected risk of increasing hemodynamic instability with muscular relaxation. An emergent full-body computed tomography (CT) scan was made to assess injuries with need for further operative treatment...
January 2018: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/29623237/cementless-stem-for-femoral-neck-fractures-in-a-patient-s-10th-decade-of-life-high-rate-of-periprosthetic-fractures
#5
Method Kabelitz, Yannick Fritz, Patrick Grueninger, Christoph Meier, Patrick Fries, Michael Dietrich
Background: Subsidence of cementless femoral stems in hemiarthroplasty (HA) and increased fracture rates are ongoing concerns of orthopedic surgeons when treating fractures in very old patients. Additionally, bone cement implantation syndrome may result in perioperative cardiac or pulmonary complications, especially in older patients, leading to morbidity and mortality. This study was performed to analyze possible subsidence and intraoperative fractures in a cohort of very old patients treated with cementless stems...
2018: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/29618349/3d-printing-based-minimally-invasive-cannulated-screw-treatment-of-unstable-pelvic-fracture
#6
Leyi Cai, Yingying Zhang, Chunhui Chen, Yiting Lou, Xiaoshan Guo, Jianshun Wang
BACKGROUND: Open reduction and internal fixation of pelvic fractures could restore the stability of the pelvic ring, but there were several problems. Minimally invasive closed reduction cannulated screw treatment of pelvic fractures has lots advantages. However, how to insert the cannulated screw safely and effectively to achieve a reliable fixation were still hard for orthopedist. Our aim was to explore the significance of 3D printing technology as a new method for minimally invasive cannulated screw treatment of unstable pelvic fracture...
April 4, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29614443/removal-notice-to-a-cough-induced-pelvic-fracture-as-the-first-sign-of-a-malignant-neoplasm-ijscr-volume-11-2015-75-77
#7
N Sharma, M Sidhu, D Simpson
This article has been removed: please see Elsevier Policy on Article Withdrawal (https://www.elsevier.com/about/our-business/policies/article-withdrawal). This article has been removed at the request of the Authors. After publication the authors alerted the journal that the patient had not wanted the report published and that patient consent had not been granted. The article has therefore been removed. Elsevier apologises for any inconvenience caused.
December 15, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29602782/kite-surfing-epidemiology-of-trauma
#8
Lisa Dunne, Evelyn Murphy, Peter Hugh Dawson, Michael Leonard
Kite surfing has become an increasingly popular recreational activity worldwide. Thrill seekers can span the water at high speeds and reach great heights risking injury and death. We report the case of a young kite surfer who sustained a fracture dislocation of the right acetabulum that required specialised surgical management. We present this case with a review of the literature outlining the incidence of pelvic and acetabular fractures in the kitesurfing community. Overall, there is a low incidence of pelvic fractures in comparison with other orthopaedic traumas reported among kite surfers, and the most commonly injured sites are the foot and ankle...
March 29, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29602669/displaced-anterior-pelvic-fracture-on-initial-pelvic-radiography-predicts-massive-hemorrhage
#9
Shinsuke Tanizaki, Shigenobu Maeda, Makoto Sera, Hideya Nagai, Taizo Nakanishi, Minoru Hayashi, Hiroyuki Azuma, Ken-Ichi Kano, Hiroki Watanabe, Hiroshi Ishida
INTRODUCTION: Massive hemorrhage is often associated with unstable pelvic fractures with posterior ring injury. Initial pelvic radiography alone may not detect these posterior lesions. We examined whether the presence of an anterior pelvic fracture on initial pelvic radiography alone may identify patients who are at a high risk of major hemorrhage. MATERIALS AND METHODS: A total of 288 patients with pelvic fractures were admitted to the Fukui Prefectural Hospital during an 11-year period...
March 21, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29600200/primary-lymphoma-of-the-pelvis-a-case-report
#10
Karem M Zekry, Norio Yamamoto, Katsuhiro Hayashi, Akihiko Takeuchi, Hiroyuki Tsuchiya
Introduction: Primary lymphoma of the bone (PLB) is uncommon clinical entity with the vast majority of the cases are non-Hodgkin's lymphoma. Diffuse large B-cell lymphoma (DLBCL) is the most common subtype of PLB. Case Report: We report a case of 60-year-old female presented with pain in the right hip that persisted for 2 months. Plain X-ray, computed tomography, and magnetic resonance imaging of the right hip showed a lytic lesion involving the right acetabulum and adjoining iliac bone with extraosseous mass...
November 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29582942/-fluoroscopic-based-navigation-in-orthopaedic-trauma-a-review-of-a-large-center-s-experience
#11
Yoram A Weil, Meir Liebergall, Rami Mosheiff, Amal Khoury
INTRODUCTION: Computer Assisted Orthopaedic Surgery (CAOS) was introduced in the late 1990's and early 2000's. Since then its application in orthopaedic trauma has been utilized mainly as augmented fluoroscopy for intraoperative navigation. From 2010 our center implemented an advanced system allowing further expansion of this technology. AIMS: The aim of this study was to describe the experience with an advanced fluoroscopic based CAOS system in our center. METHODS: The BrainLabTM Trauma 3...
March 2018: Harefuah
https://www.readbyqxmd.com/read/29582114/vertical-shear-pelvic-injury-evaluation-management-and-fixation-strategies
#12
REVIEW
Laura Blum, Mark E Hake, Ryan Charles, Todd Conlan, David Rojas, Murphy Trey Martin, Cyril Mauffrey
Vertical shear pelvic ring fractures are rare and account for less than 1% of all fractures. Unlike severely displaced antero-posterior compression and lateral compression pelvic fractures, patients' mortality is lower. Nevertheless, patients must be managed acutely using well-defined ATLS protocols and institution-specific protocols for haemodynamically unstable pelvic ring fractures. The definitive treatment of vertical shear pelvic fractures is however more controversial with a paucity of literature to recommend the ideal reduction and fixation strategy...
March 26, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29580357/severe-bleeding-in-pelvic-fractures-considerations-in-planning-damage-control
#13
Jayun Cho, Elizabeth Benjamin, Kenji Inaba, Lydia Lam, Demetrios Demetriades
Severe bleeding due to pelvic fractures may require damage control procedures, such as preperitoneal packing. In many cases, preperitoneal packing is performed without full abdominal exploration. There are concerns that such an approach may miss major iliac vascular injuries or other intraabdominal injuries. This analysis assessed the incidence of iliac vascular and intraabdominal injuries in patients with pelvic fractures. The National Trauma Data Bank was queried for blunt trauma patients. Patients with severe pelvic fractures were observed...
February 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29577794/pelvic-ring-fracture-accompanying-traumatic-thrombosis-and-posterior-peritoneum-hernia-in-a-2-year-old-child-a-case-report
#14
Zhiqiang Zhang, Hao Li, Hai Li, Xuan Yang, Zhenkai Wu, Ziming Zhang
A 2-year-old girl who was badly injured by a forklift, was presented to the emergency department with open and comminuted pelvic fracture, dislocation of right sacroiliac jointand femoral neck fracture on the left side. An urgent debridement was performed. However, postoperatively, the girl had apparent abdominal distension. The results of contrast-enhanced CT implied that the intestineherniated through the fissure formed by dislocation of the sacroiliac joint, which was confirmed during the operation. Therefore, hernia repair and reduction of the sacroiliac joint were performed by a Multidisciplinary team...
March 1, 2018: International Journal of Lower Extremity Wounds
https://www.readbyqxmd.com/read/29566985/quality-of-life-after-pelvic-ring-fractures-a-cross-sectional-study
#15
L Brouwers, K W W Lansink, M A C de Jongh
BACKGROUND: Pelvic ring fractures might have consequences for health-related quality of life (HrQoL). The main purpose of this study was to evaluate patients' HrQoL after a pelvic ring fracture, considering the patients' characteristics. A cross-sectional study was conducted using the EuroQoL-5D (EQ-5D) and the Majeed pelvic score (MPS). METHODS: One hundred ninety-five patients (86%) with pelvic ring fractures who were conservatively or surgically treated in a level 1 trauma centre between 2011 and 2015 were included in this study (mean follow up: 29 months, range 6-61)...
March 14, 2018: Injury
https://www.readbyqxmd.com/read/29560493/finite-element-based-pelvic-injury-metric-creation-and-validation-in-lateral-impact-for-a-human-body-model
#16
Caitlin Weaver, Alexander Baker, Matthew Davis, Anna Miller, Joel D Stitzel
Pelvic fractures are serious injuries resulting in high mortality and morbidity. The objective of this study is to develop and validate local pelvic anatomical, cross-section-based injury risk metrics for a finite element (FE) model of the human body. Cross-sectional instrumentation was implemented in the pelvic region of the Global Human Body Models Consortium (GHBMC M50-O) 50th percentile detailed male FE model (v4.3). In total, 25 lateral impact FE simulations were performed using input data from cadaveric lateral impact tests performed by Bouquet et al...
February 20, 2018: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/29558295/ct-prediction-model-for-major-arterial-injury-after-blunt-pelvic-ring-disruption
#17
David Dreizin, Uttam Bodanapally, Alexis Boscak, Nikki Tirada, Ghada Issa, Jason W Nascone, Louis Bivona, Daniel Mascarenhas, Robert V O'Toole, Erika Nixon, Rong Chen, Eliot Siegel
Purpose To develop and test a computed tomography (CT)-based predictive model for major arterial injury after blunt pelvic ring disruptions that incorporates semiautomated pelvic hematoma volume quantification. Materials and Methods A multivariable logistic regression model was developed in patients with blunt pelvic ring disruptions who underwent arterial phase abdominopelvic CT before angiography from 2008 to 2013. Arterial injury at angiography requiring transarterial embolization (TAE) served as the outcome...
March 20, 2018: Radiology
https://www.readbyqxmd.com/read/29557939/orthopaedic-watercraft-injuries-characterization-of-mechanisms-fractures-and-complications-in-216-injuries
#18
Joseph Christensen, Sean Spence, David Watson, Anjan Shah, Benjamin Maxson, Anthony Infante, Roy Sanders, Hassan R Mir
OBJECTIVE: To review the orthopaedic injuries from watercraft treated surgically at our institution and report the mechanisms, fractures, and complications encountered. DESIGN: Retrospective case series. SETTING: Level I trauma center. PATIENTS/PARTICIPANTS: There were 216 fractures from watercraft in 146 patients. Average age was 33 years (range 4-78 years), there were 68% males (99/146), and 16% of the injuries occurred in children...
April 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29556506/a-rare-case-of-severe-third-degree-friction-burns-and-large-morel-lavallee-lesion-of-the-abdominal-wall
#19
Darnell J Brown, Kuo Jung G Lu, Kristina Chang, Jennifer Levin, John T Schulz, Jeremy Goverman
Background: Morel-Lavallee lesions (MLLs) are rare internal degloving injuries typically caused by blunt traumatic injuries and most commonly occur around the hips and in association with pelvic or acetabular fractures. MLL is often overlooked in the setting of poly-trauma; therefore, clinicians must maintain a high degree of suspicion and be familiar with the management of such injuries, especially in obese poly-trauma patients. Case presentation: We present a 30-year-old female pedestrian struck by a motor vehicle who sustained multiple long bone fractures, a mesenteric hematoma, and full-thickness abdominal skin friction burn which masked a significant underlying abdominal MLL...
2018: Burns and Trauma
https://www.readbyqxmd.com/read/29555558/are-commercially-available-precontoured-anatomical-clavicle-plating-systems-offering-the-purported-superior-optimum-fitting-to-the-clavicle-a-cadaveric-analysis-and-review-of-literature
#20
D E Bauer, A Hingsammer, P Schenk, L Vlachopoulos, M A Imam, P Fürnstahl, D C Meyer
PURPOSE: The indication for operative treatment of displaced midshaft clavicle fractures remains controversial. However, if plate fixation is considered, implant prominence and skin irritation are the most common causes for re-operation. Low profile implants as well as closely contouring plates to the individual anatomy may reduce these complications. The aim of this study was to compare the fitting accuracy and implant prominence of 3.5mm pelvic reconstruction plates (PRP) with pre-contoured anatomical clavicle plates (PACP) for midshaft clavicle fractures...
March 16, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
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