Finite Element Simulation of Pelvic Fractures in a UAB-CIREN Crash Case of an Automotive Side Impact

2013 ◽  
Author(s):  
Young-Ho Kim ◽  
Jong-Eun Kim ◽  
Costin D. Untaroiu ◽  
Russell Griffin ◽  
Alan W. Eberhardt
Keyword(s):  
Trauma Center ◽  
Pelvic Fractures ◽  
Side Impact ◽  
University Hospital ◽  
University Of Alabama ◽  
Element Simulation ◽  
Level I ◽  
Injury Research ◽  
The University ◽  
Injury Causation

The University Hospital at the University of Alabama at Birmingham (UAB) is the only Level I Trauma Center in the state of Alabama. Roughly 3,500 patients are admitted each year from the Birmingham Regional Emergency Medical Services System (BREMSS) region, which has a population of approximately 1.3 million. The UAB Crash Injury Research Engineering Network (CIREN) Center has agreed to enroll cases and work with CIREN engineering resources to determine injury causation.

Pediatric Pelvic Fractures: A Marker for Injury Severity

2006 ◽  
Vol 72 (6) ◽  
pp. 481-484 ◽  
Author(s):  
Lisa Spiguel ◽  
Loretto Glynn ◽  
Donald Liu ◽  
Mindy Statter
Keyword(s):  
Pelvic Fracture ◽  
Trauma Center ◽  
Motor Vehicle ◽  
Pediatric Trauma ◽  
Operative Management ◽  
Pelvic Fractures ◽  
Associated Injuries ◽  
Level I ◽  
The University ◽  
Pediatric Trauma Center

Pelvic fractures comprise a small number of annual Level I pediatric trauma center admissions. This is a review of the University of Chicago Level I Pediatric Trauma Center experience with pediatric pelvic fractures. This is a retrospective review of the University of Chicago Level I Pediatric Trauma Center experience with pediatric pelvic fractures during the 12-year period from 1992 to 2004. From 1992 to 2004, there were 2850 pediatric trauma admissions. Thirteen patients were identified with pelvic fractures; seven were boys and six were girls. The average age was 8 years old. The mechanism of injury in all cases was motor vehicle related; 11 patients (87%) sustained pedestrian-motor vehicle crashes. According to the Torode and Zeig classification system, type III fractures occurred in eight patients (62%) and type IV fractures occurred in six patients (31%). Associated injuries occurred in eight patients (62%). Seven of these patients (88%) had associated injuries involving two or more organ systems. Of the associated injuries, additional orthopedic injuries were the most common, occurring in 62 per cent of our patients. Neurological injuries occurred in 54 per cent of patients, vascular injuries in 39 per cent, pulmonary injuries in 31 per cent, and genitourinary injuries in 15 per cent. Five patients (38%) were treated operatively; only two patients underwent operative management directly related to their pelvic fracture. The remaining three patients underwent operative management of associated injuries. The mortality rate was 0 per cent. Although pelvic fractures are an uncommon injury in pediatric trauma patients, the morbidity associated with these injuries can be profound. The majority of pelvic fractures in children are treated nonoperatively, however, more than one-half of these patients have concomitant injuries requiring operative management. When evaluating and treating pediatric pelvic fractures, a systematic multidisciplinary approach must be taken to evaluate and prioritize the pelvic fracture and the associated injuries.

scholarly journals Severity and pattern of injuries caused by Swiss wrestling (Schwingen): first retrospective study at a level I University Emergency Department in Switzerland

2018 ◽  
Vol 4 (1) ◽  
pp. e000270
Author(s):  
Nikolaos K Maliachovas ◽  
Jolanta Klukowska-Rötzler ◽  
Thomas C Sauter ◽  
Beat Lehmann ◽  
Gert Krummrey ◽  
...  
Keyword(s):  
Head Injuries ◽  
Economic Loss ◽  
Neurological Complications ◽  
University Hospital ◽  
Neurological Deficits ◽  
Single Woman ◽  
Injury Patterns ◽  
Life Threatening ◽  
Level I ◽  
The University

BackgroundThis article addresses typical injury patterns related to the traditional Swiss folk wrestling, ‘Schwingen’. This is a fight between two competitors with its own rules, grips and throws. A variety of injuries have been occasionally reported. The aim of this study was to characterise all cases of Schwingen injuries treated in the University Hospital of Bern from January 2006 to July 2016.MethodsTo assess the frequency, type and outcome of Schwingen injuries, database search was performed of all inpatient and outpatient cases related to Schwingen that were admitted to Bern University Hospital from January 2006 to December 2016.ResultsA total of 32 such patients could be identified. Apart from a single woman, all patients were male. 31 of the 32 players were Swiss. One patient was admitted to the intermediate care unit, eight patients underwent surgery, two were hospitalised for further treatment and two were given a plaster. 17 other patients were given medications such as painkillers. One was dismissed without further treatment and another one left the hospital on his own. Typical injury patterns varied from simple lesions to distortions and fractures as well as head injuries and other neurological complications.ConclusionThe majority of injuries caused by Schwingen are not life threatening. Nevertheless, there is always the potential of head injuries and neurological deficits. Apart from the economic loss due to treatment costs and sick leave, these injuries can be disabling for life. It should therefore be obligatory for all players to evaluate preventive measures.

Pelvic Fractures in a Pediatric Level I Trauma Center

2002 ◽  
Vol 16 (7) ◽  
pp. 458-463 ◽  
Author(s):  
Nicolas Grisoni ◽  
Susan Connor ◽  
Eric Marsh ◽  
George H. Thompson ◽  
Daniel R. Cooperman ◽  
...  
Keyword(s):  
Trauma Center ◽  
Pelvic Fractures ◽  
Level I

scholarly journals Outcome Determinants of Patients with Traumatic Pelvic Fractures: A Cohort Study in a Level I Trauma Center in Southern Iran

2017 ◽  
Vol 11 (3) ◽  
pp. 23-30 ◽  
Author(s):  
Paydar S ◽  
◽  
Chaabi M ◽  
Akhavan M ◽  
Ghahramani Z ◽  
...  
Keyword(s):  
Cohort Study ◽  
Trauma Center ◽  
Pelvic Fractures ◽  
Southern Iran ◽  
Level I

Retroperitoneal Pelvic Packing in the Management of Hemodynamically Unstable Pelvic Fractures: A Level I Trauma Center Experience

2011 ◽  
Vol 71 (4) ◽  
pp. E79-E86 ◽  
Author(s):  
Dora K. C. Tai ◽  
Wing-Hong Li ◽  
Kin-Yan Lee ◽  
Mina Cheng ◽  
Kin-Bong Lee ◽  
...  
Keyword(s):  
Trauma Center ◽  
Pelvic Fractures ◽  
Pelvic Packing ◽  
Level I

Finite Element Simulation of Pelvic Fractures in Side Impact

2012 ◽  
Author(s):  
Young-Ho Kim ◽  
Jong-Eun Kim ◽  
Alan W. Eberhardt
Keyword(s):  
United States ◽  
Motor Vehicle ◽  
The United States ◽  
Pelvic Fractures ◽  
Side Impact ◽  
Motor Vehicle Crashes ◽  
Common Cause ◽  
Skeletal Injury ◽  
Element Simulation ◽  
Serious Injury

Motor vehicle crashes (MVCs) are the most common cause of serious injury (Healthy People, 2010). Moffat et al. (1990) estimated that, in 1985 alone, 15,300 pelvic fractures occurred during MVCs in the United States. Since the early 1990’s, the incidence of pelvic fractures has significantly increased (Inaba et al., 2004), which is alarming since more patients die from pelvic fracture than from any other skeletal injury (Cryer, 1996).

scholarly journals Clinical characteristics, injury pattern and management of pediatric pelvic fracture: An observational retrospective study from a level I trauma center

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Abduljabbar Alhammoud ◽  
Isam Moghamis ◽  
Husham Abdelrahman ◽  
Syed Imran Ghouri ◽  
Mohammad Asim ◽  
...  
Keyword(s):  
Trauma Center ◽  
Clinical Characteristics ◽  
Pelvic Ring ◽  
Injury Pattern ◽  
Pelvic Fractures ◽  
Type I ◽  
Conservative Group ◽  
Triradiate Cartilage ◽  
Type Iv ◽  
Level I

Abstract Background Pediatric pelvic fractures (PPF) are uncommon among children requiring hospitalization after blunt trauma. The present study explored our experience for the prevalence, patients demographics, clinical characteristics, injury pattern and management of pediatric pelvic fractures in a level I trauma center. Methods This is a retrospective review of prospectively collected data obtained from trauma registry database for all pediatrics trauma patients of age ≤18 years. Data were analyzed according to different aspects relevant to the clinical applications such as Torode classification for pelvic ring fracture (Type I–IV), open versus closed triradiate cartilage, and surgical versus non-surgical management. Results During the study period (3 and half years), a total of 119 PPF cases were admitted at the trauma center (11% of total pediatric admissions); the majority had pelvic ring fractures (91.6%) and 8.4% had an acetabular fracture. The mean age of patients was 11.5 ± 5.7, and the majority were males (78.2%). One hundred and four fractures were classified as type I (5.8%), type II (13.5%), type III (68.3%) and type IV (12.5%). Patients in the surgical group were more likely to have higher pelvis AIS (p = 0.001), type IV fractures, acetabular fractures and closed triradiate cartilage as compared to the conservative group. Type III fractures and open triradiate cartilage were significantly higher in the conservative group (p < 0.05). Patients with closed triradiate cartilage frequently sustained spine, head injuries, acetabular fracture and had higher mean ISS and pelvis AIS (p < 0.01) than the open group. However, the rate of in-hospital complications and mortality were comparable among different groups. The overall mortality rate was 2.5%. Conclusion PPF are uncommon and mainly caused by high-impact trauma associated with multisystem injuries. The majority of PPF are stable, despite the underlying high-energy mechanism. Management of PPF depends on the severity of fracture as patients with higher grade fractures require surgical intervention. Furthermore, larger prospective study is needed to understand the age-related pattern and management of PPF.

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