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Medicolegal back pain

Himanshu Agrawal, Nikhil Gupta, Umesh Krishengowda, Arun Kumar Gupta, Dipankar Naskar, C K Durga
Gossypiboma is the retained foreign body which is generally a cotton sponge/gauze after surgery. Incidence of gossypiboma is around one in 3000 to 5000 surgeries. This low incidence is mainly attributed to a low case reporting due to an associated medicolegal aspect. We are reporting a case of a 38 years old male, who presented with signs and symptoms of peritonitis. The patient had a history of open cholecystectomy 2 years back. A working diagnosis of perforation peritonitis was made, and the patient underwent exploratory laparotomy...
February 2018: Indian Journal of Surgery
Christopher R Abrecht, Ethan Y Brovman, Penny Greenberg, Ellen Song, James P Rathmell, Richard D Urman
BACKGROUND: Opioids are frequently used in chronic pain management but are associated with significant morbidity and mortality in some patient populations. An important avenue for identifying complications-including serious or rare complications-is the study of closed malpractice claims. The present study is intended to complement the existing closed claims literature by drawing on claims from a more recent timeframe through a partnership with a large malpractice carrier, the Controlled Risk Insurance Company (CRICO)...
November 2017: Anesthesia and Analgesia
Christopher R Abrecht, Penny Greenberg, Ellen Song, Richard D Urman, James P Rathmell
BACKGROUND: Analysis of closed malpractice claims allows the study of rare but serious complications and likely results in improved patient safety by raising awareness of such complications. Clinical studies and closed claims analyses have previously reported on the common complications associated with intrathecal drug delivery systems (IDDS) and spinal cord stimulators (SCS). This study provides a contemporary analysis of claims from within the past 10 years. METHODS: We performed a closed claims analysis for a period January 1, 2009 to December 31, 2013 for cases with pain medicine as the primary service...
April 2017: Anesthesia and Analgesia
A Landi, F Gregori, C Mancarella, V Maiola, E Maccari, N Marotta, R Delfini
PURPOSE: The stage of unstable dysfunction, also defined as "active discopathy" by Nguyen in 2015 and configuring the first phase of the degenerative cascade described by Kirkaldy-Willis, has specific pathoanatomical and clinical characteristics (low back pain) in the interested vertebral segment, without the presence of spondylolisthesis in flexion-extension radiography. This clinical condition has been defined as "microinstability" (MI). The term has currently not been recognized by the scientific community and is subject of debate for its diagnostic challenge...
November 2015: European Spine Journal
Indu Lata, Deepa Kapoor, Sandeep Sahu
Gossypiboma or textiloma is used to describe a retained surgical swab in the body after an operation. Inadvertent retention of a foreign body in the abdomen often requires another surgery. This increases morbidity and mortality of the patient, cost of treatment, and medicolegal problems. We are reporting case of a 45-year-old woman who was referred from periphery with acute pain in abdomen. She had a surgical history of abdominal hysterectomy 3 years back, performed at another hospital. On clinical examination and investigation, twisted ovarian cyst was suspected...
July 2011: International Journal of Critical Illness and Injury Science
Ali Akhaddar, Omar Boulahroud, Okacha Naama, Abderrahmane Al-Bouzidi, Mohamed Boucetta
OBJECTIVE: Paraspinal textiloma (ParaTex) is a well-known complication after posterior lumbar surgery. However, there are few articles on this topic, probably because of medicolegal concerns. In addition, patients with ParaTex can remain asymptomatic for months or even years unless it causes complications. The purpose of this study is to review our experience on this "undesirable" topic to increase awareness among spinal surgeons and radiologists and avoid unnecessary morbidity, which is still being encountered...
February 2012: World Neurosurgery
M Vercauteren, P Waets, M Pitkänen, J Förster
Many anaesthetists consider neurological disorders of all kinds as a contraindication for regional anaesthesia particularly for neuraxial techniques. This hesitation is partly rooted in fears of medicolegal problems but also in the heterogeneous literature. Therefore, the present topical review is an attempt to describe the feasibility and the risks of neuraxial techniques in patients with spinal injury, anatomical compromise, chronic back pain or previous spinal interventions, ranging from 'minor' types like epidural blood patches to major surgery such as Harrington fusions...
September 2011: Acta Anaesthesiologica Scandinavica
Sanna Löfman, Pirkko Räsänen, Helinä Hakko, Arja Mainio
STUDY DESIGN: A population-based study of suicides and linkage with national hospital discharge registers. OBJECTIVE: To investigate the prevalence of hospital-treated musculoskeletal diseases, particularly back pain (BP), among suicide victims to compare suicide characteristics between victims with and without musculoskeletal diseases, to analyze comorbidity between musculoskeletal diseases and psychiatric disorders, and to evaluate whether specific drugs have a role in suicides by poisoning...
April 1, 2011: Spine
Nicholas Beattie, Martyn E Lovell
800 consecutive claimant generated medicolegal reports were analysed for symptomatology of whiplash associated disorder (WAD) including the presence of mid and low back pain. We aimed to establish whether the two were linked and if so if there were correlations between accident vector and severity. We also aimed to establish if a low back injury could result from a vehicular accident in the absence of a neck injury. In addition we examined if occupant bracing and occupant neutral position at the time of the accident affected symptom patterns...
February 2010: Injury
Cem Atabey, Mehmet Turgut, Ahmet Turan Ilica
BACKGROUND: In the postoperative period of posterior spinal surgery, surgeons usually encounter a wide spectrum of complications, including retained surgical sponge, gossypiboma. MATERIALS AND METHODS: Retrospective review of case records of eight patients diagnosed with gossypiboma with emphasis on computed tomography (CT) and magnetic resonance imaging (MRI) findings. RESULTS: All the eight patients presented with low back pain and/or symptoms of infection, such as draining from the incision site, fever, and tenderness...
May 2009: Neurology India
Øjvind Lidegaard, Nikolaj Friis Hansen
A 20-year old previously healthy woman who had been taking oral contraceptives for 2 years develops increasing dyspnoea, general ill-feeling and lower back pain over a matter of weeks. During this time she attends her general practitioner several times. She is primarily treated for what is interpreted as asthma and later for pneumonia due to the increase in CRP (C-reactive protein). Finally, she is admitted to hospital with severe dyspnoea, cyanosis, and un-measurable blood pressure. She is referred immediately to MR scan, but suffers heart arrest in bed...
May 21, 2007: Ugeskrift for Laeger
J-Y Maigne, J-C Goussard, F Dumont, M Marty, G Berlinson
OBJECTIVES: The French National Health Authority recommends systematic radiography before lumbar manipulation. However, current research shows radiography to have more disadvantages than advantages. For the cervical spine, in cases of complication following cervical manipulation, the lack of prior radiography is a fault, even if such x-ray results would have advised manipulation. To establish clear recommendations on this topic, we searched in the literature for complications of spinal manipulations that could have been prevented had preliminary radiography been performed to determine whether these complications were anticipated or not by the international guidelines...
March 2007: Annales de Réadaptation et de Médecine Physique
B J A Lankester, N Garneti, M F Gargan, G C Bannister
Records of 277 patients presenting for medicolegal reporting following isolated whiplash injury were studied retrospectively. A range of pre-accident, accident and response variables were recorded. Multivariate analysis was used to determine the main factors that predict physical and psychological outcome after whiplash injury. The factors that showed significant association with poor outcome on both physical and psychological outcome scales were pre-injury back pain, high frequency of General Practitioner attendance, evidence of pre-injury depression or anxiety symptoms, front position in the vehicle and pain radiating away from the neck after injury...
June 2006: European Spine Journal
Richard F Edlich, Kathryne L Winters, Charles R Woodard, Ralph M Buschbacher, William B Long, Jocelynn H Gebhart, Eva K Ma
The purpose of this collective review is to outline the predisposing factors in the development of pressure ulcers and to identify a pressure ulcer prevention program. The most frequent sites for pressure ulcers are areas of skin overlying bony prominences. There are four critical factors contributing to the development of pressure ulcers: pressure, shearing forces, friction, and moisture. Pressure is now viewed as the single most important etiologic factor in pressure ulcer formation. Prolonged immobilization, sensory deficit, circulatory disturbances, and poor nutrition have been identified as important risk factors in the development of pressure ulcer formation...
2004: Journal of Long-term Effects of Medical Implants
Mark Lemstra, W P Olszynski, Wayne Enright
STUDY DESIGN: Randomized trial. OBJECTIVES: To determine the sensitivity and specificity of maximal effort testing in functional capacity evaluations. SUMMARY OF BACKGROUND DATA: Functional capacity evaluations are widely used to determine when an injured worker is able to return to work. The accurate assessment of function is dependent on a patient's willingness to exert maximal effort during evaluation. Although many tests are used to suggest the presence of maximal or submaximal effort, it is unclear whether these tests can actually do what they are hoped to do...
May 1, 2004: Spine
No abstract text is available yet for this article.
April 20, 1962: Journal de Médecine de Lyon
No abstract text is available yet for this article.
April 1964: Revue des Corps de Santé des Armées: Terre, Mer, Air, et du Corps Vétérinaire
No abstract text is available yet for this article.
March 9, 1963: Concours Médical
No abstract text is available yet for this article.
September 1958: Minerva Medicolegale; Archivio di Antropologia Criminale, Psichiatria, e Medicina Legale
No abstract text is available yet for this article.
June 5, 1958: El Día Médico
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