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Medico-legal back pain

Soner Sahin, Cem Atabey, Mehmet Simşek, Sait Naderi
BACKGROUND: Textile products commonly used in surgery (e.g., sponges or gauze) have been known to cause complications after spinal surgery. Associated complications usually arise months or even years after the primary surgery. In case of spine surgery, these bodies are often detected during neuroradiological evaluations to investigate reported back pain; however, this complication often remains asymptomatic. AIMS: The research is intended to increase awareness among both spinal surgeons and neuroradiologists of this potential complication...
December 2013: Balkan Medical Journal
Frederic Savall, Fabrice Dedouit, Norbert Telmon, Daniel Rougé
Candida albicans spondylodiscitis is a fungal infection of the spine which is still unusual in spite of the increasing frequency of predisposing factors. A 22-year-old man received an abdominal stab wound during a physical assault. Initial medical care included surgery, prolonged use of indwelling vascular catheters with administration of broad-spectrum antibiotics, and hospitalization in intensive care. Two months after the event, the victim experienced back pain in the right lumbar region and septic spondylodiscitis secondary to C...
March 2014: Journal of Forensic and Legal Medicine
David A Fishbain, John E Lewis, Jinrun Gao
OBJECTIVES: The objectives for presenting these medico-legal forensic case reports are the following: 1) detail three cases where chronic opioid analgesic therapy (COAT) was alleged to cause iatrogenic addiction and/or re-addiction; 2) detail the plaintiff's and defendant's medical experts' opinions on these allegations; and 3) through analyzing these cases, develop some recommendations for future prevention of such allegations during COAT. METHODS: Case Reports...
October 2010: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Haluk Kulaksizoglu, Hulagu Kaptan
OBJECTIVE: The aim of the present study was to assess the effect of lumbar disc herniation surgery for low back pain on the erectile functioning. METHODS: Thirty-eight patients, with age ranging from 22 to 56 years, who had presented with pain due to herniated lumbar discs were included in the study. International Index of Erectile Function (IIEF) Short Form questionnaire was used to evaluate the erectile functioning. Patient visits on the 1st week,1st month and 3rd month postoperatively were analyzed...
April 2010: Journal of Korean Neurosurgical Society
Rui Zhao, Bao-Li Zhu, Da-Wei Guan, Ru-Bo Li, Guo-Hua Zhang, Xu Wu, De-wen Wang
Epidemic hemorrhagic fever (EHF) is known also as hemorrhagic fever with renal syndrome (HFRS). Hantaviruses, a notorious cause of EHF is spreaded by rodents or biting insects, can cause epidemic hemorrhagic fever. This report describes two rare medico-legal autopsy cases died from epidemic hemorrhagic fever. The victims were two male individuals aged 34 years and 29 years. The medico-legal autopsies were requested for alleged medical negligence. In both cases, autopsy reveals lesions to kidneys and lungs with multiple organ hemorrhage and edema, indicative of the generalized capillary damage...
April 2009: Legal Medicine
B M Fullen, C Doody, G David Baxter, L E Daly, D A Hurley
INTRODUCTION: General practitioners and consultants in the Republic of Ireland manage patients with chronic low back pain (LBP), but little is known about the non-clinical factors that impact on their management. AIM: To establish the non-clinical factors that impact on the management of chronic LBP by a cohort of general practitioners and consultants. METHODS: Using a multiple case study design, semi-structured interviews were conducted with general practitioners (n = 7) and consultants (n = 7)...
September 2008: Irish Journal of Medical Science
Migiwa Asano, Hideyuki Nushida, Yasushi Nagasaki, Yoshitsugu Tatsuno, Yasuhiro Ueno
Aneurysm of the superior mesenteric artery or its branches is rare. We herein present a case of a ruptured aneurysm of the jejunal artery, a branch of the superior mesenteric artery, and we also review 19 cases of jejunal artery aneurysm reported in the English literature. A 66-year-old male who had received a fist blow to the face presented in the emergency ward of his local hospital. His physical examination was unremarkable and he went back home after treatment of his facial wound. Two hours later he again visited the hospital, this time for severe abdominal pain, and he was hospitalized for suspicion of an intraperitoneal hemorrhage...
September 2008: Legal Medicine
Assad Qureshi, Philip Sell
A prospective longitudinal inception cohort study of 33 patients undergoing surgery for cauda equina syndrome (CES) due to a herniated lumbar disc. To determine what factors influence spine and urinary outcome measures at 3 months and 1 year in CES specifically with regard to the timing of onset of symptoms and the timing of surgical decompression. CES consists of signs and symptoms caused by compression of lumbar and sacral nerve roots. Controversy exists regarding the relative importance of timing of surgery as a prognostic factor influencing outcome...
December 2007: European Spine Journal
Ali Ihsan Okten, Mehmet Adam, Yurdal Gezercan
Items such as cotton or gauze pads can be mistakenly left behind during operations. Such foreign materials (called textilomas or gossypibomas) cause foreign body reaction in the surrounding tissue. The complications caused by these foreign bodies are well known, but cases are rarely published because of medico-legal implications. Some textilomas cause infection or abscess formation in the early stage, whereas others remain clinically silent for many years. Here, we describe a case of textiloma in which the patient presented with low-back pain 4 years after lumbar discectomy...
October 2006: European Spine Journal
S D Alston, T J O'Sullivan
BACKGROUND: Adults with recalcitrant mechanical low back pain of more than six weeks duration can encounter unacceptable waiting periods for specialised care. AIM: To evaluate the effectiveness of rapid treatment by means of group sessions. METHODS: We instituted a rapidly accessed patient education programme in physiotherapy for low back pain. Pain and disability were assessed before and after the programme. The programme included four sessions of group instruction for self-actuated physiotherapy There were six to 10 patients per group...
July 2005: Irish Journal of Medical Science
A Symes, H Ellis
Iatrogenic injury to the spinal accessory nerve has been widely documented and can have medico-legal implications. The resulting syndrome of pain, paralysis and winging of the scapula are often the source of considerable morbidity. This paper researches the degree of accuracy achievable in mapping the surface anatomy of the spinal accessory nerve in the region of the posterior triangle with a view to creating a cartographical aid to surgical procedures. The necks of 25 adult cadavers were dissected bilaterally to expose the spinal accessory nerve...
December 2005: Surgical and Radiologic Anatomy: SRA
I Mbaye, M C Fall, I Wone, P Dione, B Ouattara, M L Sow
The aims of this study were to appreciate the prevalence of chronic low back pains in a public transport's company, to state characteristics and to identify categories of workers involved and medico-legal consequences. It is a cross sectional study. which used medical records of the occupational clinic. All workers who complained of low back pain in the past three years following the study were selected. Characteristics of workers, types of injuries, occupational and medico-legal consequences were looked out...
2002: Dakar Médical
Mohamed Elleuch, Hela Sahli, Chiraz Amira, Leila Fendri, Hana Ounane, Ezeddine Gharbi, Elhem Cheour
Industrial accidents causing lumbar back strain are frequent and are of major causes of absenteeism. For this purpose, we tried in this study to assess the prevalance of such accidents, to determine the circumstances of their occurence and to point out the various risk professions. For this, we analysed 242 files of lumbar back pathology industrial accidents related. The latter files have been examined by the Tunis medical board authorized to set out the permanent disability rate resulting from industrial accidents and occupational diseases...
October 2004: La Tunisie Médicale
Sayaka Nishiyama, Bao-Li Zhu, Li Quan, Kohei Tsuda, Yasunobu Kamikodai, Hitoshi Maeda
Gastric dissecting aneurysm is a very rare lesion with a potential risk of fatal rupture. Differentiating this from a traumatic lesion may be important in forensic casework. We report an autopsy case of sudden death due to a clinically overlooked spontaneous rupture of gastric dissecting aneurysm. A 91-year-old Japanese male visited a hospital with complaints of back pain and general fatigue, and then died at his home about 4 h later. Postmortem examination revealed massive hemoperitoneum and a subserosal hematoma originating from a vascular lesion at the lesser gastric curvature with a serosal tear...
October 2004: Journal of Clinical Forensic Medicine
Shelley Allen, Adam Rainwater, Anthony Newbold, Naomi Deacon, Kelli Slatter
Functional capacity evaluations (FCEs) for personal injury claimants are rigorously scrutinized by the stakeholders because of their financial implications. This study examined 51 medico-legal FCE reports for clients all of whom suffered with spinal pain attributed to a motor vehicle accident. The FCEs were completed by 14 occupational therapists. Content analysis of the FCE reports identified categories and sub-categories of objective and subjective information on which occupational therapists reported. They included employment, activities of daily living, pain, functional physical capacities and job demands...
2004: Occupational Therapy International
No abstract text is available yet for this article.
August 1964: Revue du Rhumatisme et des Maladies Ostéo-articulaires
No abstract text is available yet for this article.
May 1963: Journal de Chirurgie
No abstract text is available yet for this article.
August 1957: Practitioner
K J Mulhall, M Moloney, T E Burke, E Masterson
Chronic neck pain following road traffic accidents is a highly prevalent condition in developed societies. It constitutes the main element of chronic whiplash syndrome, and is often used synonymously with that term. It is also a highly controversial condition, with debate in the extensive literature as to the nature of the complaint. We performed an analysis of 100 consecutive patients presenting for treatment of chronic neck pain following road traffic accidents. The mean duration of neck pain was 15.5 months and 90% of patients reported wearing a seatbelt at the time, a significantly greater proportion than the general population (p<0...
February 2003: Irish Medical Journal
K Higashitani, T Kondo, Y Sato, T Takayasu, R Mori, T Ohshima
Complete transection of the pancreas due to a single stamping injury is reported. A 47-year-old female was stamped on in the epigastric region by her common-law husband when lying on her back. Immediately after the stamping, she complained of severe abdominal pain. In an emergency hospital, the abdominal CT (computed tomography) scan showed a large haematoma around the pancreas head. In the surgical operation that followed, a complete transection of the pancreas between the head and body was unexpectedly discovered...
October 2001: International Journal of Legal Medicine
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