keyword
https://read.qxmd.com/read/38547389/clinical-and-radiological-septic-joint-analysis-of-spontaneous-sternoclavicular-joint-infections-achieving-the-best-outcomes-a-systems-engineering-approach
#1
JOURNAL ARTICLE
Tanushri Pothini, Charles D Wilmot, John K Waters, Michael A Wait, Scott I Reznik, Kirk G Jordan, Jacqueline T Caire, John M Ashworth, Leah C Cady, Jerzy R Lysikowski, Christina F Yen, Robert C Weinschenk, Richard Samade, Michael E Jessen, Andrew Kusiak, Kemp H Kernstine
PURPOSE: Spontaneous sternoclavicular joint infection (SSCJI) is a rare and poorly understood disease process. This study aims to identify factors guiding effective management strategies for SSCJI by using data mining. METHODS: An IRB-approved retrospective review of patients from two large hospitals (2010 to 2022) was conducted. Spontaneous sternoclavicular joint infection is defined as a joint infection without direct trauma or radiation, direct instrumentation, or contiguous spread...
March 28, 2024: European Journal of Cardio-thoracic Surgery
https://read.qxmd.com/read/38545351/a-case-of-lung-adenocarcinoma-developing-chylothorax-after-transthoracic-tru-cut-biopsy
#2
Şerife Torun, Çağrı Kesim, Mehmet Dalokay Kılıç
Chylothoraces are mostly secondary to trauma and tumors, and rarely idiopathic. Chylothoraces secondary to lung tumors are mostly seen postoperatively. In this article, we, for the first time, present massive chylothorax developing after diagnostic transthoracic Tru-cut biopsy in a lung adenocarcinoma case. The patient was successfully treated with drainage and octreotide. In conclusion, it should be kept in mind that chylothorax can be also seen as a complication after interventional biopsy procedures; therefore, the patients should be followed carefully...
January 2024: Türk Göğüs Kalp Damar Cerrahisi Dergisi
https://read.qxmd.com/read/38544599/pneumothorax-secondary-to-a-traumatic-brazilian-jiu-jitsu-injury
#3
Satnam Singh, Harpreet Singh, Birkaran Sadhar, Smaran S Teru
A pneumothorax is a medical condition characterized by the presence of free air in the pleural cavity. Pneumothorax can be classified as spontaneous, traumatic, or iatrogenic. Spontaneous pneumothorax sustained from a jiu-jitsu-induced blunt trauma has not been described in any sports literature. This case report involves a 26-year-old male athlete who presented to the emergency room complaining of right-sided chest pain in the recumbent position and shortness of breath upon exertion. Breath sounds were diminished on the right with hyper resonance to percussion...
February 2024: Curēus
https://read.qxmd.com/read/38537074/development-of-the-psu-child-pump
#4
JOURNAL ARTICLE
Christopher Scheib, Raymond Newswanger, Joshua Cysyk, Karl Bohnenberger, Branka Lukic, Lichong Xu, Eric Yeager, Kirby Bletcher, Patrick Leibich, Quandashia Jackson, Heidi Flory, Mindy Tillinger, William Weiss, Gerson Rosenberg, Choon-Sik Jhun
The Pennsylvania State University (PSU) Child Pump, a centrifugal continuous-flow ventricular assist device (cf-VAD), is being developed as a suitable long-term implantable device for pediatric heart failure patients between 10 and 35 kg, body surface area (BSA) of 0.5-1.2 m2, 1-11 years of age, and requiring a mean cardiac output of 1.0-3.5 L/min. In-vitro hydraulic and hemodynamic performances were evaluated on a custom mock circulatory loop with ovine blood. Normalized index of hemolysis (NIH) was evaluated under four conditions: 1) 8,300 rpm, 3...
March 28, 2024: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://read.qxmd.com/read/38526927/definition-frequency-and-risk-factors-for-intra-operative-spinal-cord-injury-a-knowledge-synthesis
#5
JOURNAL ARTICLE
Michael G Fehlings, Ayesha Quddusi, Andrea C Skelly, Erika D Brodt, Ali Moghaddamjou, Anahita Malvea, Nader Hejrati, Nisaharan Srikandarajah, Mohammed Ali Alvi, Shay Stabler-Morris, Joseph R Dettori, Lindsay A Tetreault, Nathan Evaniew, Brian K Kwon
STUDY DESIGN: Mixed-methods approach. OBJECTIVES: Intra-operative spinal cord injury (ISCI) is a devastating complication of spinal surgery. Presently, a uniform definition for ISCI does not exist. Consequently, the reported frequency of ISCI and important risk factors vary in the existing literature. To address these gaps in knowledge, a mixed-methods knowledge synthesis was undertaken. METHODS: A scoping review was conducted to review the definitions used for ISCI and to ascertain the frequency of ISCI...
March 2024: Global Spine Journal
https://read.qxmd.com/read/38524362/the-top-cited-military-relevant-spine-articles
#6
JOURNAL ARTICLE
Daniel D Homeier, Daniel Kang, Robert Molinari, Addisu Mesfin
INTRODUCTION: Historically musculoskeletal injury has substantially affected United States (US) service members. Lumbosacral spine injuries are among the most common sites of injury for service members across all US military branches and usually presents with pain in the lower back and extremities. The aim of this study is to identify and describe the 50 most-cited articles relevant to military medicine on the subject of the spine. METHODS: In April 2020 Web of Science was used to search the key words: spinal cord injury, spine, thoracic spine, lumbar spine, cervical spine, sacrum, sacral, cervical fusion, lumbar fusion, sacral fracture, combat, back pain, neck pain, and military...
August 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38523131/thoracic-cavity-irrigation-prevents-retained-hemothorax-and-decreases-surgical-intervention-in-trauma-patients
#7
JOURNAL ARTICLE
Abdul Hafiz Al Tannir, Elise A Biesboer, Simin Golestani, Morgan Tentis, Morgan Maring, Jaclyn Gellings, Jacob R Peschman, Patrick B Murphy, Rachel S Morris, Anuoluwapo Elegbede, Marc A de Moya, Thomas W Carver
INTRODUCTION: Retained hemothorax (HTX) is a common complication following thoracic trauma. Small studies demonstrate the benefit of thoracic cavity irrigation at the time of tube thoracostomy for the prevention of retained HTX. We sought to assess the effectiveness of chest irrigation in preventing retained HTX leading to a secondary surgical intervention. METHODS: We performed a single-center retrospective study from 2017-2021 at a Level I trauma center comparing bedside thoracic cavity irrigation via tube thoracostomy (TT) versus no irrigation...
March 25, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38523031/pack-the-chest-damage-control-strategy-for-management-in-thoracic-trauma
#8
JOURNAL ARTICLE
Anthony D Douglas, Thaddeus J Puzio, Patrick B Murphy, Gabriel B Kinnaman, Ashley D Meagher
BACKGROUND: Damage control surgery aims to control hemorrhage and contamination in the operating room (OR) with definitive management of injuries delayed until normal physiology is restored in the intensive care unit (ICU). There are limited studies evaluating the use of damage control thoracotomy (DCT) in trauma, and the best method of temporary closure is unclear. METHODS: A retrospective review of trauma patients at two level I trauma centers who underwent a thoracotomy operation was performed...
March 8, 2024: Injury
https://read.qxmd.com/read/38518569/pulmonary-fat-embolism-in-non-survivors-after-cardiopulmonary-resuscitation
#9
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/38516421/congenital-absence-of-sternum-a-surgical-technique-for-successful-outcome
#10
Nishit Santoki, Sunder Negi, Snigdha Kumari, Anmol Bhatia, Rupesh Kumar
Congenital absence of sternum is a rare malformation of the anterior chest wall that needs surgical correction to avoid life-threatening complications as a consequence of such defect. It results from either partial or complete failure of fusion of mesenchymal strip during in utero organogenesis. The absence of sternum entails the risk of trauma to the mediastinal structures and other life-threatening complications. This defect is evaluated by a thorough clinical examination and computed tomography imaging of the thoracic cage to plan the surgical procedure...
February 2024: Curēus
https://read.qxmd.com/read/38515009/a-retrospective-study-to-compare-the-glasgow-coma-score-pediatric-trauma-score-and-injury-severity-score-and-outcomes-in-118-pediatric-trauma-patients-at-a-single-emergency-center-in-turkey
#11
JOURNAL ARTICLE
Habibe Selmin Özensoy, Selahattin Gürü
BACKGROUND The main causes of accidental trauma in children include road traffic accidents (RTAs) and falling from height (FFH). Rapid and accurate assessment of severity of injury is required to guide effective management. This retrospective study aimed to compare the Glasgow Coma Score (GCS), Pediatric Trauma Score (PTS), and Injury Severity Score (ISS) and outcomes for 118 pediatric trauma patients at a single Emergency Department (ED) in Turkey. MATERIAL AND METHODS Patients admitted to Ankara City Hospital due to high-energy trauma between November 1, 2019 and April 30, 2020 were analyzed retrospectively...
March 22, 2024: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://read.qxmd.com/read/38510618/surgical-treatment-of-traumatic-fractures-of-the-thoracic-and-lumbar-spine-a-systematic-review
#12
REVIEW
Timon F G Vercoulen, Menco J S Niemeyer, Felix Peuker, Jorrit-Jan Verlaan, F Cumhur Oner, Said Sadiqi
INTRODUCTION: The treatment of traumatic thoracic and lumbar spine fractures remains controversial. To date no consensus exists on the correct choice of surgical approach and technique. RESEARCH QUESTION: to provide a comprehensive up-to-date overview of the available different surgical methods and their quantified outcomes. METHODS: PubMed and EMBASE were searched between 2001 and 2020 using the term 'spinal fractures'. Inclusion criteria were: adults, ≥10 cases, ≥12 months follow-up, thoracic or lumbar fractures, and surgery <3 weeks of trauma...
2024: Brain Spine
https://read.qxmd.com/read/38510367/from-diagnosis-to-therapy-the-acute-traumatic-hemothorax%C3%A2-an-orientation-for-young-surgeons
#13
REVIEW
Romina M Rösch
INTRODUCTION: This review aims to provide an overview of diagnosing and managing traumatic haemothorax for young surgeons. CONTENT: Of 27,333 polytrauma patients in Germany in 2021, 35 % were admitted with thoracic trauma. In polytrauma patients, chest injuries are an independent negative predictor of 30-day mortality. These patients should be treated in an evidence-based and standardized manner to reduce mortality and morbidity. There are several methods of immediate diagnosis that should be used depending on hemodynamic stability...
December 2023: Innovative Surgical Sciences
https://read.qxmd.com/read/38505027/chylothorax-pathophysiology-diagnosis-and-management-a-comprehensive-review
#14
REVIEW
Malvika Bhatnagar, Annette Fisher, Sudarshan Ramsaroop, Alison Carter, Benjamin Pippard
Chylothorax is a rare condition characterized by the accumulation of chyle in the pleural space. While it accounts for a small percentage of pleural effusions, chylothorax can lead to significant morbidity and mortality. This article provides a comprehensive overview of chylothorax, covering its relevant anatomy, aetiology, pathophysiology, clinical features, diagnosis, and management. Injury or disruption to the thoracic duct (which is responsible for chyle transport) leads to the development of chylothorax...
February 29, 2024: Journal of Thoracic Disease
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
#15
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/38499892/performance-of-thoracic-ultrasonography-compared-with-chest-radiography-for-the-detection-of-rib-fractures-using-computed-tomography-as-a-reference-standard
#16
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/38499345/presentation-management-and-outcomes-of-thoracic-thoracolumbar-and-lumbar-spine-trauma-in-east-africa-a-cohort-study
#17
JOURNAL ARTICLE
Chibuikem A Ikwuegbuenyi, François Waterkeyn, Arthur Okembo, Costansia Bureta, Kassim O Kassim, Hamisi K Shabani, Scott Zuckerman, Roger Härtl
BACKGROUND: Trauma to the thoracic, thoracolumbar (TL), and lumbar spine is common and can cause disability and neurological deficits. Using a cohort of patients suffering from thoracic, TL, and lumbar spine trauma in a tertiary hospital in East Africa, the current study sought to: (1) describe demographics and operative treatment patterns, (2) assess neurologic outcomes, and (3) report predictors associated with undergoing surgery, neurologic improvement, and mortality. METHODS: A retrospective cohort study of patient records from September 2016 to December 2020 was conducted at a prominent East Africa referral center...
March 18, 2024: International Journal of Spine Surgery
https://read.qxmd.com/read/38484272/slipping-rib-syndrome-in-childhood-a-case-series
#18
JOURNAL ARTICLE
Víctor Álvarez-Muñoz, Ángeles Prado, Nataliz Vega, David Crehuet, Laura Sánchez, Luis Vega
Among the causes of chest pain, slipping rib has a low prevalence, usually with a history of trauma, and its management is controversial. Slipping rib syndrome should be included in the differential diagnosis of causes of chest pain in children. When not associated with previous trauma and cartilage deformity, it is necessary to consider an alteration in rib development, regardless of the typical traumatic etiology in adults. Here we describe a series of pediatric patients with slipping rib seen at a referral hospital between 2001 and 2022...
March 21, 2024: Archivos Argentinos de Pediatría
https://read.qxmd.com/read/38480988/scapular-fractures-a-regional-and-rural-perspective
#19
JOURNAL ARTICLE
Nordan Flaaten, Huissan Moslim, Eric Tang, Ruth Varrall
INTRODUCTION: Scapular fractures (SFs) have historically been associated with severe trauma and multiple injuries. Recent studies have demonstrated improved outcomes. However, SFs have never been studied from a strictly rural or Australian perspective. OBJECTIVE: The study's objective was to assess whether associations still exist between a fractured scapula and trauma scores, mortality rates, and other commonly associated injuries in a regional Australian trauma centre...
March 13, 2024: Australian Journal of Rural Health
https://read.qxmd.com/read/38480497/using-chest-x-ray-to-predict-tube-thoracostomy-in-traumatic-pneumothorax-a-single-institution-retrospective-review
#20
JOURNAL ARTICLE
Shruthi Srinivas, Katelyn Henderson, Katherine C Bergus, Ayanna Jacobs, Holly Baselice, Edwin Donnelly, Carrie Valdez, Brett M Tracy, Julia R Coleman
INTRODUCTION: Traumatic pneumothorax (PTX) is a common occurrence in thoracic trauma patients, with a majority requiring tube thoracostomy (TT) for management. Recently, the "35-mm" rule has advocated for observation of patients with PTX less than 35 mm on chest computed tomography (CT) scan. This rule has not been examined in chest x-ray (CXR). We hypothesize that a similar size cutoff can be determined in CXR predictive of need for tube thoracostomy. METHODS: We performed a single-institution retrospective review of patients with traumatic PTX from 2018 - 2022, excluding those who underwent TT prior to CXR...
March 14, 2024: Journal of Trauma and Acute Care Surgery
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