Soft Tissue Neck Symptoms Following High-Energy Road Traffic Accidents

Spine ◽  
2004 ◽  
Vol 29 (15) ◽  
pp. E315-E317 ◽  
Author(s):  
Hammad Malik ◽  
Martyn Lovell
Keyword(s):  
Soft Tissue ◽  
Traffic Accidents ◽  
Road Traffic ◽  
High Energy ◽  
Road Traffic Accidents ◽  
Soft Tissue Neck

scholarly journals A study on faciomaxillary injuries in a tertiary care hospital

2017 ◽  
Vol 4 (8) ◽  
pp. 2450
Author(s):  
Ravikumar G. ◽  
. Manoharan ◽  
Sugapradha G. R.
Keyword(s):  
Soft Tissue ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Soft Tissue Injuries ◽  
Treatment Modalities ◽  
Road Traffic Accidents ◽  
The People ◽  
Human Bites ◽  
The Face ◽  
Tissue Injuries

Background: Faciomaxillary injuries are increasing in frequency and severity due to road traffic accidents and violence among the people of the delta districts of Tamilnadu. Alcohol plays a major role both in road traffic accidents and assaults resulting in faciomaxillary injuries. Human bites play a significant role in the soft tissue injuries of the face resulting in loss of lobule of ear, nasal tip loss and partial loss of lower lip. The purpose of this study was to evaluate the aetiology, incidence, patterns and treatment modalities of faciomaxillary injuries which include both soft tissue and bony injuries.Methods: The study was conducted in the Department of Plastic and Reconstructive Surgery of Thanjavur Medical College, Tamil Nadu, India between 2012-2015. About 850 patients in and around the delta districts of Tamilnadu admitted with various soft tissue and bony injuries of the faciomaxillary region were studied. Age, sex, time, mechanism and aetiology of injury, history of bleeding, unconsciousness and prior first aid, type of vehicle and use of preventive measures, type of fracture, associated injuries and treatment modalities were evaluated.Results: Faciomaxillary injuries were mostly due to road traffic accidents. Highest number of fractures was predominantly occurring in the age group of 21-30 years. Males incurred more fractures with a male to female ratio of 7.4:1.1. Fracture mandible was the most common followed by zygoma, nasal and naso ethmoid fractures. Pan facial fractures were more common among alcoholics. 28 patients had associated head injury and 14 patients had cervical spine injuries. Open reduction and internal fixation was the preferred modality for mandible whereas the mid face fractures were treated more often by closed methods. Soft tissue injuries involving ear, nose, lip and eyelids were more common.Conclusions: Drunken driving should be curbed in the society. Educating the people about road safety rules will bring down the faciomaxillary injuries. Motivating the public against violence will reduce human bites and soft tissue injuries of the face. 

scholarly journals ANALYSIS OF TYPICAL DAMAGES AT THE DIFFERENT GROUPS OF VICTIMS WITH POLYTRAUMA

2018 ◽  
Vol 18 (4) ◽  
pp. 15-21
Author(s):  
M. V. Govorov ◽  
V. V. Mamontov ◽  
V. V. Govorov ◽  
G. N. Dorovskikh ◽  
N. V. Govorova
Keyword(s):  
Computed Tomography ◽  
Traffic Accidents ◽  
Multislice Computed Tomography ◽  
Road Traffic ◽  
High Energy ◽  
Diagnostic Methods ◽  
Diagnostic Efficiency ◽  
Road Traffic Accidents ◽  
High Energy Trauma

An analysis of typical injuries in 487 victims was conducted, depending on the conditions of injury in road traffic accidents — pedestrian, driver, passenger. Established major injuries in groups characterize the nature of high-energy trauma. Multislice Computed tomography is the method of choice in the diagnosis of associated trauma, it has a high diagnostic efficiency in comparison with other diagnostic methods.

scholarly journals Unpredictable cardiac arrest caused by blunt cardiac injuries with sternum fracture: a case report

2021 ◽  
Vol 6 (1) ◽  
pp. 5-8
Author(s):  
Miyoung Jang ◽  
Pil Young Jung
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Cardiac Injury ◽  
High Energy ◽  
Cardiac Biomarkers ◽  
Road Traffic Accidents ◽  
Blunt Cardiac Injury ◽  
Risk Patients ◽  
Sternum Fracture ◽  
Intensive Observation

Blunt cardiac injury (BCI) is common in road traffic accidents due to high energy injuries to the thorax and its structures, such as the anterior and posterior of the chest wall. The severity of BCI is high enough to cause many on-site deaths. However, patients with BCI may also be asymptomatic and exhibit normal findings; thus, diagnosis can be significantly challenging for many clinicians. Moreover, since BCI can be diagnosed through multiple serial tests, it is very important to always consider the possibility of BCI in high-risk patients . Diagnosis of BCI begins with suspicion of BCI, followed by repeated electrocardiograms, echocardiography, and cardiac biomarkers measurements along with intensive observation.

scholarly journals Results of providing specialized medical care to victims in road traffic accidents on Federal highway M-8 “Kholmogory” in the Arkhangelsk region

2020 ◽  
pp. 35-41
Author(s):  
S. F. Goncharov ◽  
A. V. Baranov
Keyword(s):  
Hospital Mortality ◽  
Medical Care ◽  
High Speed ◽  
Traffic Accidents ◽  
Road Traffic ◽  
High Energy ◽  
Road Traffic Accidents ◽  
Average Hospital ◽  
Arkhangelsk Region ◽  
Federal Highway

Relevance. Currently, there is a general increase in the severity of injuries due to the dominance of high-energy multiple and concomitant injuries, especially on high-speed federal highways.Intention: To evaluate specialized medical care and hospital mortality in victims of road traffic accidents on the Federal Highway M-8 “Kholmogory” in the Arkhangelsk Region.Methodology. We selected 906 case histories of patients (form 003/y) injured in accidents on the federal highway M-8 “Kholmogory” and urgently admitted to hospitals of the Arkhangelsk region in 2012 - 2018. Registration forms were selected according to the criteria of retrospective full-design documentary observation. Differences between the observation groups were considered statistically significant at p < 0.05 with correction for multiple comparisons (Bonferroni).Results and Discussion. In the healthcare organizations of the Arkhangelsk region, patients with polytrauma received surgical treatment, with percentage of selective and urgent surgeries, average hospital bed days and time in intensive care units significantly higher (p = 0.001) compared to other patients, while isolated injuries were more often (p = 0.001) treated non-sur-gically. Hospital mortality was 6.0%, deceased patients were significantly older (p = 0.015), and pedestrians comprised half of them (p <0.001). Polytrauma was a cause of all deaths, with average severity of 38 points by the ISS severity scale [22; 48] (p = 0.001); more than a half died 1 day after an accident (p = 0.001).Conclusions. One of the possible ways to improve the medical care to victims of road traffic accidents on the federal highways at all stages of medical evacuation is to develop, scientifically justify and implement a systemic register of the health consequences of road traffic injuries in the practice of public health in the regions of Russian Federation.

scholarly journals Epidemiology of pelvic and acetabular fractures in a tertiary hospital in Singapore

2021 ◽  
Author(s):  
A Singh ◽  
ASM Lim ◽  
BPH Lau ◽  
G O’Neill
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
High Energy ◽  
Trauma Centre ◽  
Acetabular Fractures ◽  
Trauma Patients ◽  
Road Traffic Accidents ◽  
Local Data ◽  
Limb Injuries ◽  
Crush Injuries

Introduction: Pelvic and acetabular fractures (PAFs) usually result from high-energy, potentially life-threatening accidents. They are one of the major injuries that lead to death in patients involved in such accidents. We studied the recent epidemiology of these injuries in Singapore. Methods: This is a retrospective data analysis of all trauma patients who underwent surgery for PAFs from 2008 to 2016 in a tertiary trauma centre in Singapore. Data including patient demographics, mechanism of injury and associated injuries was collected. Results: A total of 169 patients were admitted for PAFs over the eight-year period. The majority (79.3%) were male. The mean age was 41 (range 13–79) years. Most patients (51.5%) were Chinese. The most common mechanisms of injury were road traffic accidents (53.8%), falls (33.1%) and crush injuries (13.0%). 46.2% sustained acetabular fractures, while 44.4% sustained pelvic fractures. PAFs were most commonly associated with upper and lower limb injuries, followed by spinal and thoracic injuries. Average of length of stay in hospital was 24 (range 2–375) days. Conclusion: PAF predominantly affects young working males. Compared to previously published local data, there has been a significant reduction in the incidence of PAFs, likely due to improved road and work safety. The demographics of PAFs have changed, with fewer injuries in females (20.7% vs. 33.3%), a reduction in the proportion of injuries in the Chinese (51.5% vs. 70.1%). While road traffic accidents remain the most common cause, crush injuries are now more prevalent (13.0%).

scholarly journals Ocular manifestations in road traffic accidents

2021 ◽  
Vol 7 (2) ◽  
pp. 157-162
Author(s):  
Syed Saifullah Bokhari ◽  
Rani Sujatha M.A
Keyword(s):  
Soft Tissue ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Soft Tissue Injuries ◽  
Ophthalmological Examination ◽  
Adult Males ◽  
Road Traffic Accidents ◽  
Ocular Manifestations ◽  
Ophthalmic Manifestations ◽  
Tissue Injuries

Road traffic accidents (RTAs) are the most common cause of polytrauma. This study aims to evaluate the various ocular manifestations in cases of RTAs. A retrospective review of patients who were treated for RTAs in a tertiary hospital in 6 months from December 2018 to May 2019. A total of 126 patients were reviewed. Age ranged from 2 to 85 years. The mean age was 32 years. Ophthalmological examination was undertaken in all patients involved in RTA. Out of 126 patients, 112 were males and 14 were females. Young adult males (21-30 years) were most vulnerable to RTAs. Soft tissue injuries were the most common manifestations (57.93%) followed by neuro-ophthalmic manifestations (26.98%) and orbital fractures (15.07%). The presence of CT abnormalities especially intra cranial haemorrhage was associated with neuro-ophthalmic deficits. Soft tissue injuries were the most common ocular manifestations. It was found that head trauma causes many neuro-ophthalmic manifestations. Relative afferent pupillary defect (RAPD) was the most common neuro-ophthalmic manifestation. The most common cranial nerve involved was found to be oculomotor nerve. Retrobulbar neuritis was a rare finding.

scholarly journals Management of calcaneal fractures: a case series

2020 ◽  
Vol 3 (2) ◽  
pp. 28-33
Author(s):  
Kelechukwu Onuoha ◽  
Goodness Ajaero ◽  
Mathias Orji ◽  
Omotayo Salami ◽  
Omobowale Omotola
Keyword(s):  
Soft Tissue ◽  
Traffic Accidents ◽  
Life Support ◽  
Road Traffic ◽  
Case Series ◽  
High Energy ◽  
Advanced Trauma Life Support ◽  
Tissue Destruction ◽  
Calcaneal Fractures ◽  
Vehicle Accidents

Background: Untreated or inappropriately treated, calcaneal fractures can result in arthritis, chronic ankle pain, and ankle deformity which can significantly impact the lifestyle of affected patients. Even though calcaneal fractures are common among those with multiple injuries, they can easily be missed, and not treating them would significantly impact on the patient negatively.  Case Presentation: This article is a retrospective recall of the six patients seen with calcaneal fractures that were treated in our hospital between 2010 and 2018, they were mainly multiply injured and the advanced trauma life support (ATLS) protocol helped to delineate these fractures, the use of modern-day operative and non-operative methods of management and rehabilitation were employed. Discussion and conclusion: Calcaneal fractures are mostly associated with high-energy trauma which includes falls from heights or vehicle accidents with almost 50% soft tissue involvement. This is similar to cases presented in this paper as all the patients were either involved in road traffic accidents or had fallen from a height, however, soft tissue destruction manifesting as open fractures were absent in our series. Calcaneal fractures are rare and can easily be missed as patients may present as multiply injured. Prompt and adequate Rehabilitation is important to improve function.

scholarly journals Cross leg flaps: are they relevant in the present era?

2017 ◽  
Vol 3 (4) ◽  
pp. 738
Author(s):  
Mahadevan K. ◽  
Charan J. C. ◽  
Sridevi S.
Keyword(s):  
Soft Tissue ◽  
Lower Limb ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Wound Dehiscence ◽  
Free Flaps ◽  
Local Flaps ◽  
Road Traffic Accidents ◽  
Partial Loss ◽  
Sural Artery

<p class="abstract"><strong>Background:</strong> Injuries of lower limb due to road traffic accidents are challenging to reconstruct due to paucity of tissues and damage to vasculature. Recurrent trophic ulcers are also difficult to reconstruct due to stigmata of previous surgeries. When local and regional flaps are not available, free flaps become the best option. The success of free flap depends on the presence of healthy recipient vessels and microsurgical expertise. In cases where the free flaps have failed or when there is no available soft tissue for local flaps, cross leg flaps are a method of resurfacing and salvaging the limb.</p><p class="abstract"><strong>Methods:</strong> This Study was done from January 2013 to January 2016 in Rajiv Gandhi Government General Hospital, Chennai. 20 patients were included in the study and the flaps used were conventional cross leg and cross leg reverse superficial sural artery flap.<strong></strong></p><p class="abstract"><strong>Results:</strong> All flaps survived. There was one case of wound dehiscence managed by re-insetting, two cases with marginal necrosis which were managed conservatively. One case of partial loss which was managed by STSG and one case of sinus formation due to tuberculosis managed with ATT. Remaining flaps had no complications.</p><p class="BodyA"><strong>Conclusions:</strong> Cross leg flaps are still relevant in the present era of microsurgery. They can be the primary choice of reconstruction or as a workhorse when free flaps have failed or other loco regional flaps are already exhausted. Immobilisation and two stage reconstruction are few disadvantages which when weighed against limb salvage are acceptable. </p>

scholarly journals Displaced Intra-articular Calcaneal Fractures: Current Concepts and Modern Management

2014 ◽  
Vol 1 (1) ◽  
pp. 24-31 ◽  
Author(s):  
Gershon Volpin ◽  
Zvi Cohen ◽  
Genadi Kirshner ◽  
Haim Shtarker
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
High Energy ◽  
Asia Pacific ◽  
Road Traffic Accidents ◽  
Calcaneal Fractures ◽  
Modern Management ◽  
Articular Fractures ◽  
Classification And Treatment

ABSTRACT The calcaneal fractures are usually the result of high-energy injuries, falls from height and road traffic accidents and constitutes about 2% of all fractures. 60 to 75% of them are displaced intra-articular fractures and 90% of them are usually in males, mainly in industrial workers.there is still controversy regarding classification and treatment. The purpose of this review is to present the modern surgical modalities for these type of fractures. How to cite this article Volpin G, Cohen Z, Kirshner G, Shtarker H. Displaced Intra-articular Calcaneal Fractures: Current Concepts and Modern Management. J Foot Ankle Surg (Asia-Pacific) 2014;1(1):24-31.

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