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Chest trauma rehabilitation

Michael T Fitzgerald, DennisW Ashley, Hesham Abukhdeir, D Benjamin Christie
BACKGROUND: Rib fractures after chest wall trauma are a common injury, however carry a significant morbidity and mortality risk. The impact of rib fractures in the ≥ 65yo patient population has been well documented as have the mortality and pneumonia rates. We hypothesize that patients ≥ 65yo receiving rib plating have decreased mortality, complication rates, and an accelerated return to normal functional states when compared to controls. METHODS: With IRB approval, a retrospective review analyzed patients ≥ 65yo with rib fractures admitted from 2009-2015 receiving rib plating(RP group)(n=23) compared to non-operative, injury-matched controls admitted from 2003-2008(NO group)(n=50)...
December 23, 2016: Journal of Trauma and Acute Care Surgery
Ki Tae Kim, Pil Won Seo
A 53-year-old man arrived at the trauma center with a steel bar penetrating from the epigastrium to the right scapula. He was hypotensive and hypoxic, and immediate resuscitation and basic evaluation were performed. An emergency operation was performed due to an unstable hemodynamic state. Multiple injuries were confirmed in the right lower lobe, posterior chest wall, diaphragm, and liver lateral segment. Right lower lobectomy and liver lateral sectionectomy were performed following removal of the bar. The patient recovered without additional hemorrhage after the surgery, and was transferred to a rehabilitation institution with periodic follow-up...
December 2016: Korean Journal of Thoracic and Cardiovascular Surgery
William R VanWye, Jase Pinerola, Karen Craig Ogle, Harvey W Wallmann
BACKGROUND AND PURPOSE: Screening for referral, regardless of setting, is the responsibility of all physical therapists. A serious condition that sports physical therapists may encounter is upper extremity (UE) deep venous thrombosis (DVT), which can result in the important and sometimes fatal complication of pulmonary embolism. CASE DESCRIPTION: A 22 year-old male right-hand dominant collegiate pitcher was referred for physical therapist evaluation and treatment secondary to acute right UE pain and swelling...
August 2016: International Journal of Sports Physical Therapy
Pallavi Sarji Uthkarsh, Gopalkrishna Gururaj, Sai Sabharish Reddy, Mandya Siddalingaiah Rajanna
OBJECTIVE: To assess the availability of trauma care services in a district referral hospital of Southern India. METHODS: This was a cross-sectional study being performed during 2013 in a tertiary healthcare centre in Southern Indian. A detailed assessment of trauma care services was done in a 400 bed speciality hospital which is an apex referral hospital in the public health system using a check list based on WHO guidelines for evaluation of essential trauma care services, along with in-depth interviews of hospital stake holders and key informants...
April 2016: Bulletin of Emergency and Trauma
Andrea Imperatori, Annamaria Grande, Massimo Castiglioni, Laura Gasperini, Agnese Faini, Sebastiano Spampatti, Elisa Nardecchia, Lorena Terzaghi, Lorenzo Dominioni, Nicola Rotolo
OBJECTIVES: Kinesiology taping (KT) is a rehabilitative technique performed by the cutaneous application of a special elastic tape. We tested the safety and efficacy of KT in reducing postoperative chest pain after lung lobectomy. METHODS: One-hundred and seventeen consecutive patients, both genders, age 18-85, undergoing lobectomy for lung cancer between January 2013 and July 2015 were initially considered. Lobectomies were performed by the same surgical team, with thoracotomy or video-assisted thoracoscopic surgery (VATS) access...
August 2016: Interactive Cardiovascular and Thoracic Surgery
Liaqat Ali Chaudhry, Ahmed A Ba Mousa, Marwan Zamzami, Asirvatham Alwin Robert
Empyema thoracis necessitans is a rare clinical finding nowadays. We report 55 years old Saudi male with past history of road traffic accident, poly trauma, chest surgery and paraplegia admitted for rehabilitation in Sultan Bin Abduaziz Humanitarian City (SBAHC), Riyadh, Saudi Arabia and diagnosed with empyema thoracis necessitans due to Staphylococcus aureus, treated initially with traditional thoracostomy under water seal intercostal intubation and antibiotics but subsequently required decortication.
2015: Pan African Medical Journal
Scott B Davidson, Paul A Blostein, Andrew Schrotenboer, Chris A Sloffer, Sheri L VandenBerg
BACKGROUND: The size, speed, and unpredictable nature of horses present a significant risk for injury in all equine-related activities. OBJECTIVE: We sought to examine the mechanism, severity, frequency, body regions affected, surgical requirements, rehabilitation needs, safety equipment utilization, and outcomes of equine-related injured patients. METHODS: Records of inpatients who sustained an equine-related injury from 2002-2011 with International Classification of Diseases, Ninth Revision codes E828 and E906 were retrospectively reviewed for pertinent data...
November 2015: Journal of Emergency Medicine
Hazar H Khidir, Jordan P Bloom, Alexander T Hawkins
A 19-year-old male suffered orthopedic fractures, blunt solid organ injury and pneumopericardium after a fall from 40 feet. With the exception of an external fixation device, he was managed non-operatively and discharged to a rehabilitation unit after 8 days. He was readmitted 4 days later with chest pain and clinical evidence of pericardititis that resolved with the initiation of non-steroidal anti-inflammatory drugs and colchicine. He returned to the rehabilitation hospital, but was readmitted once again for chest pain and hypotension...
January 2015: Journal of Emergencies, Trauma, and Shock
H de Brito Fontana, C Ruschel, A Haupenthal, M Hubert, H Roesler
This study was aimed at analyzing the cadence (Cadmax) and the peak vertical ground reaction force (Fymax) during stationary running sprint on dry land and at hip and chest level of water immersion. We hypothesized that both Fymax and Cadmax depend on the level of immersion and that differences in Cadmax between immersions do not affect Fymax during stationary sprint. 32 subjects performed the exercise at maximum cadence at each immersion level and data were collected with force plates. The results show that Cadmax and Fymax decrease 17 and 58% from dry land to chest immersion respectively, with no effect of cadence on Fymax...
June 2015: International Journal of Sports Medicine
Rong Bing, John Yiannikas
INTRODUCTION: We present the case of a patient with exertional fat embolism on isolated exercise of his right leg two and four months after right total hip joint replacement. His immediate post-operative period had also been complicated by an acute episode of chest pain and hypotension, treated as acute coronary syndrome. To the best of our knowledge, this is the first reported case of exertional fat embolism following orthopedic surgery. CASE PRESENTATION: A 71-year-old Caucasian man underwent elective cementless total right hip joint replacement...
2014: Journal of Medical Case Reports
Richard Herman, Ronald B Hirschl, Peter F Ehrlich
BACKGROUND: The purpose of this review is to describe our practice-based incidence of sledding injuries in children. METHODS: An 8-year (2003-2011) retrospective review of all hospitalized children (<18 years) from a level one pediatric trauma center due to sledding injuries was performed. Demographic, injury severity score (ISS), hospital stay, ICU stay, and discharge status were analyzed and compared to all other trauma hospitalizations. RESULTS: Fifty-two children were hospitalized from sledding injuries...
March 2015: Pediatric Surgery International
A Kovindha, P Kammuang-lue
OBJECTIVE: To report and discuss the case of an incomplete paraplegic patient who died of pulmonary embolism (PE) aggravated by manual muscle testing. SETTING: Acute spinal ward, Maharaj Hospital, Chiang Mai, Thailand. CASE REPORT: A 79-year-old man suffering from chest trauma, fractured ribs and a fracture of T11 with incomplete paraplegia, American Spinal Injury Association impairment scale D. Intercostal tubes were inserted at both sides due to haemothorax...
November 2014: Spinal Cord
Kelly Welker, Shimoni Dharia
Pleural Student/Resident Case Report PostersSESSION TYPE: Medical Student/Resident Case ReportPRESENTED ON: Tuesday, October 28, 2014 at 01:30 PM - 02:30 PMINTRODUCTION: Spontaneous chylothorax is a rare cause of pleural effusions outside of the neonatal period. A case of traumatic chylothorax and spinal contusion in a toddler is described without any overt signs of injury.CASE PRESENTATION: A healthy fifteen month female presented to the emergency room with inability to bear weight. Earlier that day, she played in a bounce house and upon returning home she could not ambulate...
October 1, 2014: Chest
Li Zhang, Minggang Zhao, Wenhao Fu, Xinqiang Gao, Ji Shen, Zuyun Zhang, Ming Xian, Yunzhi Jiao, Jian Jiang, Jinqian Wang, Guomin Gao, Bin Tang, Liang Chen, Weimin Li, Changhua Zhou, Shaoping Deng, Jianwen Gu, Dong Zhang, Ying Zheng, Xiangmei Chen
BACKGROUND: A 7.0-magnitude earthquake hit Lushan County in China's Sichuan province on April 20, 2013, resulting in 196 deaths and 11,470 injured. This study was designed to analyze the characteristics of the injuries and the treatment of the seismic victims. METHODS: After the earthquake, an epidemiological survey of injured patients was conducted by the Health Department of Sichuan Province. Epidemiological survey tools included paper-and-pencil questionnaires and a data management system based on the Access Database...
2014: PloS One
M B de Jong, M C Kokke, F Hietbrink, L P H Leenen
BACKGROUND AND AIMS: Rib fractures can cause significant problems in trauma patients, often resulting in pain and difficulty with respiration. To prevent pulmonary complications and decrease the morbidity and mortality rates of patients with rib fractures, currently there is a trend to provide surgical management of patients with flail chest. However, the indications for rib fracture fixation require further specification. MATERIAL AND METHODS: Past and current strategies are described according to a review of the medical literature...
June 2014: Scandinavian Journal of Surgery: SJS
Elaine Kilmartin, Zvi Grunwald, Frederick S Kaplan, Burton L Nussbaum
BACKGROUND: Fibrodysplasia ossificans progressiva (FOP) is a rare genetic condition characterized by progressive heterotopic ossification of skeletal muscle and soft connective tissues, leading to progressive ankylosis of all joints of the axial and appendicular skeleton. Cervical spine fusion, ankylosis of the temporomandibular joints, thoracic insufficiency syndrome, restrictive chest wall disease, and sensitivity to oral trauma complicate airway management and anesthesia and pose life-threatening risks...
February 2014: Anesthesia and Analgesia
Askin Esen Hasturk, Kemal Ilik, Ilker Coven, Ozgur Ozdemir
Posttraumatic spondyloptosis develops as a result of complete subluxation of the vertebral bodies and causes complete transection of the spinal cord. Severe trauma-related spondyloptosis of the upper-mid thoracic region is a rare form of spinal trauma. Traumatic midthoracic spondyloptosis is quite rare, and radiology plays an important role in the diagnosis and treatment of this condition. Surgical reconstruction and stabilization are required for early mobilization and rehabilitation of patients with this injury...
2013: Neurologia Medico-chirurgica
K C Allah, H Kossoko, V Assi Djè Bi Djè, S Yéo, R Bonny, M Richard Kadio
UNLABELLED: The hands of "blast" resulting from the handling of unstable explosives. Their repercussion is functional and vital in trauma patients. The authors report their experience of care from the hands of blast in precarious health situation. PATIENTS AND METHODS: Between 2001 and 2012, 33 hand blasts were supported in 30 injured civilians and military, received emergency, during and after armed conflict. RESULTS: Two women (6.7%) and 28 men (93...
June 2014: Annales de Chirurgie Plastique et Esthétique
Mazin A Tuma, John R Acerra, Ayman El-Menyar, Hassan Al-Thani, Ammar Al-Hassani, John F Recicar, Wafaa Al Yazeedi, Kimball I Maull
BACKGROUND: This study was designed to identify the incidence, injury patterns, and actual medical costs of occupational-related falls in Qatar, in order to provide a reference for establishing fall prevention guidelines and recommendations. SETTINGS AND DESIGN: Retrospective database registry review in Level 1 Trauma Center at Tertiary Hospital in Qatar. MATERIALS AND METHODS: During a 12-month period between November 1(st) 2007 and October 31(st) 2008, construction workers who fell from height were enrolled...
January 2013: International Journal of Critical Illness and Injury Science
Kosmas Tsakiridis, Aikaterini N Visouli, Paul Zarogoulidis, Nikolaos Machairiotis, Christos Christofis, Aikaterini Stylianaki, Nikolaos Katsikogiannis, Andreas Mpakas, Nicolaos Courcoutsakis, Konstantinos Zarogoulidis
New symptom onset of respiratory distress without other cause, and new hemi-diaphragmatic elevation on chest radiography postcardiotomy, are usually adequate for the diagnosis of phrenic nerve paresis. The symptom severity varies (asymptomatic state to severe respiratory failure) depending on the degree of the lesion (paresis vs. paralysis), the laterality (unilateral or bilateral), the age, and the co-morbidity (respiratory, cardiac disease, morbid obesity, etc). Surgical treatment (hemi-diaphragmatic plication) is indicated only in the presence of symptoms...
November 2012: Journal of Thoracic Disease
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