Medicolegal Aspects of Post-traumatic Gastroduodenal Ulcers: A Retrospective Study

In a retrospective study of 229 patients with healed fractures of the waist of the scaphoid, the incidence and development of post-traumatic radiocarpal arthrosis was studied. With a minimum follow-up period of seven years, 5.2% of patients showed radiological evidence of radiocarpal arthrosis. It is concluded that an alteration of the carpal dynamics, due to deformation and shortening of the scaphoid, is the most likely cause of post-traumatic arthrosis after primary healing of scaphoid fractures.

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Post-Traumatic Dizziness: Clinical and Medicolegal Aspects

Advances in Oto-Rhino-Laryngology - Vestibular Disorders ◽

10.1159/000490279 ◽

2019 ◽

pp. 111-118

Author(s):

Brian D. Westerberg ◽

Jane Lea ◽

Anne F. Cameron

Keyword(s):

Medicolegal Aspects ◽

Post Traumatic

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Pharmacological Management of Post-Traumatic Stress Disorder: Clinical Summary of a Five-Year Retrospective Study, 1990–1995

Military Medicine ◽

10.1093/milmed/162.9.616 ◽

1997 ◽

Vol 162 (9) ◽

pp. 616-619 ◽

Cited By ~ 31

Author(s):

J. Viola ◽

T. Ditzler ◽

W. Batzer ◽

J. Harazin ◽

D. Adams ◽

...

Keyword(s):

Retrospective Study ◽

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Stress Disorder ◽

Post Traumatic Stress ◽

Pharmacological Management ◽

Post Traumatic

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Interposition arthroplasty in post-traumatic temporomandibular joint ankylosis: A retrospective study

Indian Journal of Plastic Surgery ◽

10.4103/0970-0358.59277 ◽

2009 ◽

Vol 42 (2) ◽

pp. 189 ◽

Cited By ~ 11

Author(s):

Satyaswarup Tripathy ◽

Mohd Yaseen ◽

NityaN Singh ◽

LM Bariar

Keyword(s):

Retrospective Study ◽

Temporomandibular Joint ◽

Interposition Arthroplasty ◽

Temporomandibular Joint Ankylosis ◽

Post Traumatic ◽

Joint Ankylosis

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A retrospective study to analyze treatment of post traumatic cerebro spinal fluid rhinorrhea and role of trans cranial pedicled pericranial repair in present day context

IP Indian Journal of Anatomy and Surgery of Head Neck and Brain ◽

10.18231/j.ijashnb.2021.029 ◽

2022 ◽

Vol 7 (4) ◽

pp. 111-118

Author(s):

Shashivadhanan ◽

Abhishek Mishra

Keyword(s):

Retrospective Study ◽

Skull Base ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Spinal Fluid ◽

Csf Leak ◽

Care Hospital ◽

Endoscopic Repair ◽

Csf Rhinorrhea ◽

Post Traumatic

: Skull base fractures are a major cause of morbidity and mortality in head injury. Anterior cranial Fossa (ACF) skull base fracture, leading to Cerebro Spinal Fluid (CSF) Rhinorrhea is one of the most commonly encountered presentation in ACF base fractures. The key to successful management of such cases lies in early diagnosis and surgical management before it leads to meningitis and avoidable mortality.To evaluate the cases of post traumatic CSF rhinorrhea and analyze the parameters utilized to guide the management strategies. An attempt was made to come up with guidelines for its management in a tertiary care hospital.This was a retrospective study in which all cases of traumatic CSF Rhinorrhea admitted to Tertiary care hospital were included. Patients were divided into three groups. First group was conservatively managed in which the rhinorrhea and serial imaging findings showed favourable response.In thesecond group patients were subjected to endoscopic repair by the ENT surgeon based on anatomical considerations. The third group included patients who were had failed the trial of conservative management and the site of leak did not favor endoscopic repair.The outcomes in all these groups were analyzed and conclusions drawn.A total of 54 patients were included in the study which was conducted between Jan 2014 to 2020. 24 were successfully managed conservatively,10 were managed with endoscopic repair and 20 were managed by bifrontal craniotomy and pedicled pericranial ACF Base repair. There was one case from the first group who developed CSF leak after one month necessitating ACF base repair. There was no recurrence reportedin the cases managed endoscopically, whereas one case subjected to craniotomy had recurrence requiring lumbar drain placement. With each transcranial surgery there was a refinement in the technique further minimizing complications. We have elaborated on the surgical nuances to ensurebetter outcomes. : Pedicledpericranial flap ACF base repair is an elegant approach which requires an understanding of the mechanism of CSF leak from skull base fractures. This procedure can easily be mastered and when performed correctly provides best results for cases where there are multiple ACF defects, those not accessible by endoscope and also in those cases where imaging is not able to localize the exact site of defect leading to CSF rhinorrhea. Anosmia is an in evitable complication of this procedure. However, the trade off between mortality resulting from meningitis versus anosmia makes it a viable and attractive treatment option.

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TROMBOCYTOSIS FOLLOWING SPLENECTOMY IN PEDIATRIC PATIENTS

Romanian Journal of Pediatrics ◽

10.37897/rjp.2016.2.7 ◽

2016 ◽

Vol 65 (2) ◽

pp. 166-169

Author(s):

Andreea Ligia Dinca ◽

◽

Cristina Oana Marginean ◽

Despina Baghiu ◽

Alina Grama ◽

...

Keyword(s):

Platelet Count ◽

Retrospective Study ◽

Pediatric Patients ◽

Severe Form ◽

Study Group ◽

Inclusion Criteria ◽

Mild Form ◽

Reactive Thrombocytosis ◽

Thrombotic Complications ◽

Post Traumatic

Thrombocytosis represents a platelet count over 500.000/mm³. Objective. The aim of this study is to evaluate the frequency and gravity of reactive thrombocytosis in pediatric patients who underwent splenectomy. Material and method. We performed a retrospective study including 20 patients (4-16 years old) who underwent splenectomy between 2006-2015. The inclusion criteria in the study were: patients with the age under 18 years, who underwent splenectomy independently by the cause, and who developed afterwards thrombocytosis. Results. In the studied group 64% of the splenectomised patients (16) developed a form of thrombocytosis. In 4 cases – severe form (Platelets > 1 million/mm3) and in 7 cases a mild form. There were not noticed any significant differences regarding the gender repartition of the patients (9 were females, and 11 were males). In 13 patients, thrombocytosis disappeared after 30 days, and only in 3 cases, the episode lasted more than 360 days. Thrombotic phenomena were noticed only in one patient from our study group. All the patients benefited from thromboprophylaxis and hydration measures, and 2 cases needed associated treatment with Hydroxyurea. Conclusions. Our study reveals an increased frequency of thrombocytosis after splenectomy (80%), with a maximum peak of incidence in 2-10 days following the intervention, thrombocytosis being generally benign and self-limited; still one of the cases experienced thrombotic complications and severe thrombocytosis was more frequent after post-traumatic splenectomy.

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