scholarly journals A Delayed and Rather Unusual Presentation of a Bladder Injury after Pelvic Trauma: 5 Years after a Road Traffic Accident

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Nikolaos Davarinos ◽  
John Thornhill ◽  
JP McElwain ◽  
David Moore
Keyword(s):  
Traffic Accident ◽  
Road Traffic ◽  
High Energy ◽  
Pelvic Trauma ◽  
Careful Consideration ◽  
Pelvic Fractures ◽  
Unusual Presentation ◽  
Systematic Evaluation ◽  
Bladder Injury ◽  
Associated Injuries

Associated injuries frequently occur in patients who sustain fractures of the pelvis. Specifically, high-energy trauma resulting in pelvic fractures places the bladder and urethra at risk for injury, often resulting in significant complications. Timely identification and management of genitourinary injuries minimize associated morbidity. Prompt injury identification depends upon a systematic evaluation with careful consideration of the mechanism of injury. Physical examination is pertinent as well as analysis of the urine and appropriate diagnostic imaging. Despite such increased vigilance genitourinary injuries get missed and delayed presentations in the order of a few weeks have been well documented. To our knowledge, this is the first report of its kind in the literature showing such a particularly delayed (5 years) and rather unusual presentation of a bladder injury after pelvic trauma.

Torsion of the urinary bladder after pelvic trauma and surgical fixation

2010 ◽  
Vol 23 (04) ◽  
pp. 259-261 ◽  
Author(s):  
A. Pozzi ◽  
K. M. Thieman
Keyword(s):  
Urinary Bladder ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Postoperative Management ◽  
Pelvic Trauma ◽  
Pelvic Fractures ◽  
Rare Occurrence ◽  
Surgical Fixation

SummaryUrinary bladder torsion in a dog was successfully treated with reduction of the torsion and cystopexy. Urinary bladder torsion is a rare occurrence in dogs and has only been reported once previously. In the previous report, the bladder torsion was iatrogenic. This Brief Communication describes a case of bladder torsion and subtotal necrosis following reduction and stabilisation of pelvic fractures sustained during a road traffic accident. Proposed aetiology, diagnosis, treatment and postoperative management are discussed.

scholarly journals Application of Pelvic Circumferential Compression Devices in Pelvic Ring Fractures—Are Guidelines Followed in Daily Practice?

2021 ◽  
Vol 10 (6) ◽  
pp. 1297
Author(s):  
Valerie Kuner ◽  
Nicole van Veelen ◽  
Stephanie Studer ◽  
Bryan Van de Wall ◽  
Jürgen Fornaro ◽  
...  
Keyword(s):  
Clinical Education ◽  
Trauma Center ◽  
Pelvic Ring ◽  
Daily Practice ◽  
Pelvic Trauma ◽  
Fracture Pattern ◽  
Pelvic Fractures ◽  
Unstable Fracture ◽  
Associated Injuries ◽  
Resuscitation Room

Early administration of a pelvic circumferential compression device (PCCD) is recommended for suspected pelvic trauma. This study was conducted to evaluate the prevalence of PCCD in patients with pelvic fractures assigned to the resuscitation room (RR) of a Level I trauma center. Furthermore, correct application of the PCCD as well as associated injuries with potential clinical sequelae were assessed. All patients with pelvic fractures assigned to the RR of a level one trauma center between 2016 and 2017 were evaluated retrospectively. Presence and position of the PCCD on the initial trauma scan were assessed and rated. Associated injuries with potential adverse effects on clinical outcome were analysed. Seventy-seven patients were included, of which 26 (34%) had a PCCD in place. Eighteen (23%) patients had an unstable fracture pattern of whom ten (56%) had received a PCCD. The PCCD was correctly placed in four (15%) cases, acceptable in 12 (46%) and incorrectly in ten (39%). Of all patients with pelvic fractures (n = 77, 100%) treated in the RR, only one third (n = 26, 34%) had a PCCD. In addition, 39% of PCCDs were positioned incorrectly. Of the patients with unstable pelvic fractures (n = 18, 100%), more than half either did not receive any PCCD (n = 8, 44%) or had one which was inadequately positioned (n = 2, 11 %). These results underline that preclinical and clinical education programs on PCCD indication and application should be critically reassessed.

scholarly journals Impact of road traffic "penalty points" on high energy pelvic trauma

2013 ◽  
Vol 6 (2) ◽  
pp. 110 ◽  
Author(s):  
Prasad Ellanti ◽  
Nikos Davarinos ◽  
Seamus Morris ◽  
JohnPaul McElwain
Keyword(s):  
Road Traffic ◽  
High Energy ◽  
Pelvic Trauma

scholarly journals EVALUATION OF RESULTS OF INTERNAL FIXATION OF CLOSED, DISPLACED, RECENT FRACTURE SHAFT OF HUMERUS BY MIPPO TECHNIQUE

2019 ◽  
Vol 3 (6) ◽  
Author(s):  
Alok Sobhan Datta ◽  
S. Velagada ◽  
A. Haque
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
High Energy ◽  
Time Interval ◽  
Shaft Fractures ◽  
Recent Fracture ◽  
Humerus Shaft

BACKGROUND: The humerus shaft fracture is the second most common fracture of the upper extremity. The predominant causes of humerus shaft fractures include low energy trauma such as fall from a standing height in older population, while in the younger population it is caused by high energy trauma. Aims and Objectives - To investigate the effectiveness of economical MIPPO technique and to determine the radiological and functional significance of MIPPO technique in the patients undergoing treatment for recent fracture shaft of humerus. MATERIALS AND METHODS: A prospective study had been carried out from December 2012 to August 2014 in the Orthopaedics Department of SSKM Hospital, Kolkata, West Bengal, India. Thirty three patients, who presented with fracture shaft of humerus and underwent fixation of humeral shaft fractures by MIPPO technique were included in this study. Complete history was taken and full clinical examination was carried out. RESULTS: The average age group in our study is 35.3 years. Of them 85% are male and 15% are female. In majority cases, mode of injury was road traffic accident. 85% cases had middle 1/3rd fracture shaft of humerus and the average time interval between the injury and surgery was 8.54 days. CONCLUSION: The results obtained in this study have shown that the MIPPO technique is safe, convenient and effective, since there was minimal soft tissue injury with no major complications. KEYWORDS: Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO); Road Traffic Accident (RTA).

scholarly journals Extruded talus treated with reimplantation and primary tibiotalocalcaneal arthrodesis

2017 ◽  
Vol 99 (4) ◽  
pp. e125-e127 ◽  
Author(s):  
HR Mohammad ◽  
J A’Court ◽  
A Pillai
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Weight Bearing ◽  
Transverse Process ◽  
High Energy ◽  
Tibiotalocalcaneal Arthrodesis ◽  
Cortical Screw ◽  
Neck Fracture

Extruded talus is a rare serious result from a high-energy injury to a supinated and plantar flexed foot. Treatment remains controversial with a lack of congruent evidence for talar reimplantation. A 34-year-old woman was involved in a road traffic accident at 40 mph. Imaging revealed a left talus extruded anterolaterally with a talar neck fracture. Additional injuries included right acetabular fracture, transverse process fractures and rib fractures, which were treated conservatively. The talus was reimplanted and the talar neck fixed with a cortical screw. A hindfoot nail was used to fuse the calcaneus, talus and tibia. Follow-up at two years showed solid tibiotalocalcaneal fusion, with no evidence of avascular development, and the patient was fully weight bearing without pain. We believe this is the first published case of successful primary tibiotalocalcaneal fusion for extruded talus injuries.

scholarly journals Lumbar Fractures Involving Five Vertebrae: A Case Report

2011 ◽  
Vol 19 (3) ◽  
pp. 389-391 ◽  
Author(s):  
Prithee Jettoo ◽  
Himanshu Sharma ◽  
John R Andrews ◽  
Paul L Sanderson
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Corrective Osteotomy ◽  
High Energy ◽  
High Energy Trauma ◽  
Instrumented Fusion ◽  
Post Traumatic ◽  
Lumbar Fractures ◽  
Complex Injuries

We report a 20-year-old man who sustained lumbar fractures involving 5 vertebrae following a road traffic accident. He was initially treated non-operatively to allow multiple pedicles to heal. He developed post-traumatic kyphosis for which corrective osteotomy and posterior spinal instrumented fusion was performed. He achieved a good functional outcome. We emphasise the need for careful radiological evaluation in patients with high-energy trauma, and the option of treating such complex injuries by non-operative means. If post-traumatic kyphosis develops, it can be dealt with later and the most mobile segments of the lumbar spine can be preserved.

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