Traumatic injuries: imaging and intervention in post-traumatic complications (delayed intervention)

2002 ◽  
Vol 12 (5) ◽  
pp. 994-1021 ◽  
Author(s):  
Pierre P. Goffette ◽  
Pierre-François Laterre
Keyword(s):  
Traumatic Injuries ◽  
Post Traumatic ◽  
Delayed Intervention

scholarly journals The Structure of the Causes of Primary Prosthetics of the Shoulder Joint

2021 ◽  
pp. 42-48
Author(s):  
S.S. Strafun ◽  
I.S. Zanko
Keyword(s):  
Shoulder Joint ◽  
General Structure ◽  
High Energy ◽  
Acute Injury ◽  
Clinical Group ◽  
Aseptic Necrosis ◽  
Traumatic Injuries ◽  
Female Patients ◽  
Number Of Patients ◽  
Post Traumatic

Relevance. Shoulder prosthetics is the method of choice in the treatment of patients with traumatic injuries that significantly impair joint function and are accompanied by prolonged pain. Objective: to investigate the main causes of injuries of the shoulder joint that led to its prosthetics. Materials and Methods. The clinical group consisted of 162 patients who underwent shoulder prosthetics in the Department of Microsurgery and Reconstructive Surgery of the Upper Limb of the SI “Institute of Traumatology and Orthopedics of NAMS of Ukraine”. There were 44.4% male and 55.5% female patients. The average age of male patients was 62±11.4 years; the average age of female patients was 66±10.1 years. The average period of seeking specialized medical care after an acute injury was 24±10.9 days and 50.6±81.1 months in patients with post-traumatic consequences. In most cases, patients underwent unipolar prosthetics of the shoulder joint (126 patients, 78.7%); 27 patients (15.6%) underwent reversible prosthetics and 9 (5.6%) – total prosthetics, respectively. Results. In most cases, shoulder prosthetics were performed in patients with acute (up to 3 weeks from the date of injury) and old fractures and fractures of the proximal epimetaphysis of the humerus – 35 (21.6%) and 48 (29.6%) patients, respectively. The number of patients with posttraumatic aseptic necrosis of the humeral head was 49 (30.2%) (p<0.005), which indicates a high frequency of complications after osteosynthesis etc. The number of patients with massive traumatic injuries of the tendons of the rotator cuff who needed shoulder prosthetics was 18 (11.1%) and with false joints – 12 (7.4%). Unipolar prosthesis systems predominated in the general structure of the prosthesis type (126 patients, 78.7%), since reversible and total prosthesis in Ukraine were registered not so long ago. Conclusions. The analysis of our observations showed that the causes of shoulder prosthetics are severe injuries that occur with high-energy injuries (101 patients, 62.3%) and post-traumatic aseptic necrosis (49 patients, 30.2%). Acute and old fractures and fractures of the proximal metaepiphysis of the humerus are one of the most common injuries according to the analysis (35 patients, 21.6% and 48 patients, 29.6%), and their number and complexity continues to increase with age. Understanding the etiological factors that led to shoulder endoprosthetics makes it possible to predict long-term functional results and work to reduce the number of such patients.

scholarly journals Elective amputation of the upper limb is an option in the treatment of traumatic injuries of the brachial plexus?

2017 ◽  
Vol 75 (9) ◽  
pp. 667-670 ◽  
Author(s):  
Mário Gilberto Siqueira ◽  
Roberto Sérgio Martins ◽  
Carlos Otto Heise ◽  
Luciano Foroni
Keyword(s):  
Peripheral Nerve ◽  
Brachial Plexus ◽  
Upper Limb ◽  
Limb Amputation ◽  
Brachial Plexus Palsy ◽  
Traumatic Injuries ◽  
Upper Limb Amputation ◽  
Pros And Cons ◽  
Post Traumatic ◽  
Active Patients

ABSTRACT The treatment of complete post-traumatic brachial plexus palsy resulting in a flail shoulder and upper extremity remains a challenge to peripheral nerve surgeons. The option of upper limb amputation is controversial and scarcely discussed in the literature. We believe that elective amputation still has a role in the treatment of select cases. The pros and cons of the procedure should be intensely discussed with the patient by a multidisciplinary team. Better outcomes are usually achieved in active patients who strongly advocate for the procedure.

Wrist Arthroscopy in Traumatic and Post-Traumatic Injuries

2012 ◽  
pp. 173-202
Author(s):  
Ferdinando Battistella ◽  
Grzegorz Adamczyk ◽  
Maciej Miszczak ◽  
Christophe Rizzo ◽  
Christophe Mathoulin ◽  
...  
Keyword(s):  
Wrist Arthroscopy ◽  
Traumatic Injuries ◽  
Post Traumatic

scholarly journals Recovery of Post-Traumatic Temporomandibular Joint after Mandibular Fracture Immobilization: A Literature Review

2021 ◽  
Vol 11 (21) ◽  
pp. 10239
Author(s):  
Carmen Gabriela Stelea ◽  
Doriana Agop-Forna ◽  
Raluca Dragomir ◽  
Codrina Ancuţa ◽  
Roland Törok ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Real Life ◽  
Mandibular Fracture ◽  
Temporomandibular Joint Disorders ◽  
Treatment Modalities ◽  
Mandibular Fractures ◽  
Traumatic Injuries ◽  
Joint Fractures ◽  
Post Traumatic ◽  
Mandible Fractures

Considered as one of the most common traumatic injuries of the maxillofacial region, mandibular fractures remain among the complex causes of temporomandibular joint disorders (TMDs). Due to the complexity of the temporomandibular joint, the management of TMDs represents a challenge in real-life practice; although many treatment modalities have already been proposed, ranging from conservative options to open surgical procedures, a consensus is still lacking in many aspects. Furthermore, despite continuous improvement of the management of mandible fractures, the duration of immobilization and temporary disability is not reduced, and the incidence of complications remains high. The aim of the present study is to (i) review anatomophysiological components of temporomandibular joint; (ii) review concepts of temporomandibular joint fractures; and (iii) describe methods of the recovery of the temporomandibular joint after mandibular fracture immobilization.

Opiekun dziecka jako sprawca urazu nieprzypadkowego. Część II. Badanie podmiotowe i przedmiotowe w ujęciu wiktymologicznym

2020 ◽  
Vol 25 (2) ◽  
Author(s):  
Joanna Zemlik ◽  
Beata Godowska
Keyword(s):  
Child Abuse ◽  
Clinical Examination ◽  
Correct Diagnosis ◽  
Permanent Teeth ◽  
Diagnostic Tools ◽  
Accidental Injury ◽  
Scientific Database ◽  
Traumatic Injuries ◽  
Post Traumatic ◽  
Non Accidental Injury

Introduction. Post-traumatic injuries are significant problems of paedodontic dentistry that parents with children urgently report to dental practice. Aim. The aim of the study is to indicate the necessity of maintaining the victimological awareness of the dental team in assessing injuries of deciduous and permanent teeth in terms of differentiating accidental and non-accidental injuries. Material and methods. The publications in the PubMed scientific database were reviewed by applying the search criteria for the following keywords in Polish and English: “non-accidental injury”, “children and youth”, “perpetrator of abuse”, “phenomenon identification”, “interview and clinical examination”. Results. Interview and clinical examination are among the basic diagnostic tools for correct diagnosis, which results in the implementation of proper therapeutic management in a child after an injury. This also an opportunity to observe disturbing behavior of children that may indicate abuse. Regardless of the provided information, the subject examination is verifying the compliance of an interview with post-traumatic injuries arising in a simple physical mechanism – the greater the energy, the greater destruction. This will provide relevant information that verifies the compliance of the interview with the clinical examination, thanks to the reliable victimological knowledge of the dentist, results in the correct diagnosis, implementation of appropriate treatment, and child abuse intervention. Conclusions. The likelihood of a child’s non-accidental injury requires medical professionals to take decisive action to protect the child from the effects of physical violence in particular during the COVID-19 pandemic, in which minors forced by the external situation spend more time with perpetrators of abuse, they are more exposed to harm. Victimology education and an appropriate response to child abuse will allow for effective intervention regarding both the therapeutic process and measures to prevent further harm to children.

Determinants of Early Adult Respiratory Distress Syndrome with Special Reference to Chest Radiography

1985 ◽  
Vol 26 (6) ◽  
pp. 649-657 ◽  
Author(s):  
G. Wegenius ◽  
J. Modig
Keyword(s):  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Adult Respiratory Distress Syndrome ◽  
Distress Syndrome ◽  
Severe Trauma ◽  
Pulmonary Insufficiency ◽  
High Fracture ◽  
Traumatic Injuries ◽  
Post Traumatic ◽  
Alveolar Oedema

The medical records of 220 consecutive patients with traumatic injuries admitted to the intensive care unit in the years 1974–1982 were scrutinised in an attempt to find radiographic signs and clinical determinants of early adult respiratory distress syndrome (ARDS). All patients included in this study were considered to run a risk of developing ARDS and had ‘pure’ major fractures in the sense that there were no accompanying severe brain, chest or abdominal injuries. There were no deaths in this series of patients. ARDS developed in 27 patients (12.3%), on an average on the second day of trauma. Chest radiographs of 21 of these patients showed features indicative of ARDS, whereas those of the other 6 patients were normal despite hypoxaemia. In most of the 27 patients the only radiographic manifestation of ARDS was interstitial oedema; only a minority presented with alveolar oedema in addition. In 6 patients no radiographic changes ever occurred. Ventilator treatment with positive end expiratory pressure may have prevented the pulmonary insufficiency from becoming radiographically manifest. The clinical determinants of post-traumatic ARDS were a high fracture index, based on the number and severity of fractures, implying severe trauma, and shock on admission. Fluid overload was not found to be the cause of ARDS.

Design of a Non-Constrained, Non-Cemented, Modular, Metacarpophalangeal Prosthesis

1995 ◽  
Vol 209 (3) ◽  
pp. 185-195 ◽  
Author(s):  
D J Beevers ◽  
B B Seedhom
Keyword(s):  
Rheumatoid Arthritis ◽  
Early Stage ◽  
Joint Stability ◽  
Surface Design ◽  
Traumatic Injuries ◽  
Metacarpophalangeal Joints ◽  
Press Fit ◽  
Modular Prosthesis ◽  
Post Traumatic ◽  
Metacarpophalangeal Prosthesis

A non-constrained, non-cemented, modular prosthesis for replacement of the metacarpophalangeal joints of the fingers has been developed. The prosthesis is of a surface design which is modular in construction and is implanted into the hones with a press fit. The prosthesis is designed to be implanted into patients with traumatic injuries, post-traumatic osteoarthritis and into patients with rheumatoid arthritis at an early stage in the disease where the muscles and ligaments that surround the joint are still functional and can provide joint stability.

scholarly journals Trajectory of post-traumatic stress following traumatic injury: 6-year follow-up

2015 ◽  
Vol 206 (5) ◽  
pp. 417-423 ◽  
Author(s):  
Richard A. Bryant ◽  
Angela Nickerson ◽  
Mark Creamer ◽  
Meaghan O'Donnell ◽  
David Forbes ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Traumatic Injury ◽  
Female Gender ◽  
Post Traumatic Stress ◽  
Latent Growth ◽  
Traumatic Injuries ◽  
Growth Mixture ◽  
Growth Mixture Modelling ◽  
Post Traumatic

BackgroundTraumatic injuries affect millions of patients each year, and resulting post-traumatic stress disorder (PTSD) significantly contributes to subsequent impairment.AimsTo map the distinctive long-term trajectories of PTSD responses over 6 years by using latent growth mixture modelling.MethodRandomly selected injury patients (n = 1084) admitted to four hospitals around Australia were assessed in hospital, and at 3, 12, 24 and 72 months. Lifetime psychiatric history and current PTSD severity and functioning were assessed.ResultsFive trajectories of PTSD response were noted across the 6 years: (a) chronic (4%), (b) recovery (6%), (c) worsening/recovery (8%), (d) worsening (10%) and (e) resilient (73%). A poorer trajectory was predicted by female gender, recent life stressors, presence of mild traumatic brain injury and admission to intensive care unit.ConclusionsThese findings demonstrate the long-term PTSD effects that can occur following traumatic injury. The different trajectories highlight that monitoring a subset of patients over time is probably a more accurate means of identifying PTSD rather than relying on factors that can be assessed during hospital admission.

scholarly journals Psychological trauma in different mechanisms of traumatic injury: A hospital-based cross-sectional study

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242849
Author(s):  
Tulika Mehta Agarwal ◽  
Mohammed Muneer ◽  
Mohammad Asim ◽  
Malaz Awad ◽  
Yousra Afzal ◽  
...  
Keyword(s):  
Traumatic Injury ◽  
Psychological Trauma ◽  
Well Being ◽  
Cross Sectional Study ◽  
Stress Disorders ◽  
Sectional Study ◽  
Cross Sectional ◽  
Traumatic Injuries ◽  
Severity Of Injury ◽  
Post Traumatic

Background Psychological distress following traumatic injury can influence the patient health, well-being and quality of life; however, this impact may partly vary according to the type and severity of injury. We aimed to study the predominant distress causing cluster and individual symptoms of Post-Traumatic Stress Disorders (PTSD) at the clinical and subthreshold level in patients with traumatic injuries, based on the mechanism of injury (MOI). Methods A hospital based cross-sectional study was conducted at a Level 1 Trauma Center utilizing PTSD Checklist to diagnose PTSD after one month of the traumatic event. All patients suffering from psychological distresses were assessed by a clinical psychologist in the trauma section. PTSD diagnostic criteria from DSM-5 were used to classify the patients. The inclusion criteria comprised of adult trauma patients who were directly involved in traumatic injuries and admitted under the Trauma Surgery services for a minimum of one day; have ability to provide written informed consent and can be assessed with the PCL-5 checklist after 4 weeks post-injury. Results Two hundred patients completed PCL-5 checklist, of them 26 (13.0%) were positive for PTSD and 174 (87%) had subthreshold scores. The mean age of participants was 34.4±11.8 years and males constituted 90.5%. Road traffic injury (RTI) was most the frequent injury mechanism (59%). PTSD positive patients with RTI, fall of heavy objects, pedestrian injury and assaults had highest average scores on clusters of negative alterations in mood and cognitions (16.9, 18.0, 18.5, 17.0 respectively), followed by hyperarousal. Symptom of always being on the guard and having repeated unwanted or disturbing memories of the incident, was reported by nearly 100% PTSD positive patients. Patients with subthreshold scores also reported distressing symptoms on all four clusters of PTSD. Conclusions Patients with different MOI showed a broad range of psychological problems with respect to symptom clusters. Negative alteration in mood and cognition followed by hyperarousal caused higher level of distress in patients post traumatic injuries. Subthreshold symptoms of PTSD are more common and deserve more attention.

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