scholarly journals Facial fractures and associated injuries in high- versus low-energy trauma: all are not created equal

2020 ◽  
Vol 42 (1) ◽  
Author(s):  
Cameron St. Hilaire ◽  
Arianne Johnson ◽  
Caitlin Loseth ◽  
Hamid Alipour ◽  
Nick Faunce ◽  
...  
Keyword(s):  
Low Energy ◽  
Associated Injuries ◽  
Facial Fractures

Injury Patterns in Pediatric Facial Fractures Unique to an Urban Environment

2021 ◽  
Author(s):  
Anthony P. Sclafani ◽  
Matthew Scott Sclafani ◽  
Sallie Long ◽  
Tasher Losenegger ◽  
Daniel Spielman ◽  
...  
Keyword(s):  
Urban Environment ◽  
Older Patients ◽  
High Energy ◽  
Urban Setting ◽  
Cranial Bone ◽  
Csf Leak ◽  
Facial Trauma ◽  
Trauma Patients ◽  
Associated Injuries ◽  
Facial Fractures

AbstractThis study aimed to define better the clinical presentation, fracture patterns, and features predictive of associated injuries and need for surgery in pediatric facial trauma patients in an urban setting. Charts of patients 18 years or younger with International Classification of Disease 9th and 10th revision (ICD-9/ICD-10) codes specific for facial fractures (excluding isolated nasal fractures) at NY-Presbyterian/Weill Cornell Medical Center between 2008 and 2017 were retrospectively reviewed. Of 204 patients, most were referred to the emergency department by a physician's office or self-presented. Children (age 0–6 years) were most likely to have been injured by falls, while more patients 7 to 12 years and 13 to 18 years were injured during sporting activities (p < 0.0001). Roughly half (50.5%) of the patients had a single fracture, and the likelihood of surgery increased with greater numbers of fractures. Older patients with either orbital or mandibular fractures were more likely to undergo surgery than younger ones (p = 0.0048 and p = 0.0053, respectively). Cranial bone fractures, CSF leaks, and intracranial injuries were more common in younger patients (p < 0.0001) than older patients and were more likely after high energy injuries; however, 16.2% of patients sustaining low energy injuries also sustained cranial bone, CSF leak, or intracranial injury. In an urban environment, significant pediatric facial fractures and associated injuries may occur after nonclassic low kinetic energy traumatic events. The age of the patient impacts both the injuries sustained and the treatment rendered. It is essential to maintain a high index of suspicion for associated injuries in all pediatric facial trauma patients.

Associated Injuries Related to Patients With Facial Fractures

2022 ◽  
pp. 194338752110690
Author(s):  
Rajarshi Ghosh ◽  
Kulandaswamy Gopalkrishnan
Keyword(s):  
Multidisciplinary Approach ◽  
Clavicle Fracture ◽  
The Body ◽  
Spine Injury ◽  
Associated Injuries ◽  
Facial Fractures ◽  
Facial Fracture ◽  
Fracture Management ◽  
Type Of Injury ◽  
Prompt Diagnosis

Purpose To find out the incidence, type, and severity of injuries in other parts of the body in patients diagnosed with facial fractures. The study also analyzed any correlation between these injuries and facial fractures. Material & Methods A retrospective study of 991 patients with facial fractures during the period of 2006-2016. Results 111 patients reported associated injuries (11.1%). The most common type of injury was limb injury (33.33%), followed by head injury (22.5%), clavicle fracture (14.7%), rib fracture (10.9%), cervical spine injury (5.4%), and other injuries constituted (13.2%). Multiple associated injuries were observed in 14% of patients. Conclusion The findings show that facial fracture management is a multidisciplinary approach. Prompt diagnosis and proper management are important to reduce the mortality rate and improve the prognosis of the patient.

Associated injuries in facial fractures: review of 839 patients

1993 ◽  
Vol 46 (8) ◽  
pp. 635-638 ◽  
Author(s):  
L.H. Lim ◽  
L.K. Lam ◽  
M.H. Moore ◽  
J.A. Trott ◽  
D.J. David
Keyword(s):  
Associated Injuries ◽  
Facial Fractures

scholarly journals Associated injuries in patients with facial fractures: a review of 604 patients

2013 ◽  
Vol 16 ◽  
Author(s):  
Rasmané Béogo ◽  
Patrick Dakouré ◽  
Léon Blaise Savadogo ◽  
Antoine Toua Coulibaly ◽  
Kampadilemba Ouoba
Keyword(s):  
Associated Injuries ◽  
Facial Fractures

scholarly journals Among Patients With Facial Fractures, Geriatric Patients Have an Increased Risk for Associated Injuries

2016 ◽  
Vol 74 (7) ◽  
pp. 1403-1409 ◽  
Author(s):  
Miika Toivari ◽  
Anna Liisa Suominen ◽  
Christian Lindqvist ◽  
Hanna Thorén
Keyword(s):  
Geriatric Patients ◽  
Associated Injuries ◽  
Facial Fractures ◽  
Increased Risk

Distal radius fracture with ipsilateral elbow dislocation: a rare but challenging injury

2021 ◽  
Author(s):  
Henrik Constantin Bäcker ◽  
Kathi Thiele ◽  
Chia H. Wu ◽  
Philipp Moroder ◽  
Ulrich Stoeckle ◽  
...  
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Elbow Dislocation ◽  
High Energy ◽  
Low Energy ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
Associated Injuries ◽  
Radius Fractures ◽  
High Energy Trauma

Abstract IntroductionDistal radius fractures are common and account for approximately 14% to 18% of all adult extremity injuries. On rare occasions, ipsilateral elbow dislocation can be observed additionally. The aim of this study was to analyse the mechanism and level of injury, demographics, and associated injuries in distal radius fractures with ipsilateral elbow dislocations.Methods:Between 2012 and 2019, we searched our trauma database for distal radius fractures with ipsilateral elbow dislocations. All patients older than 18 years old were included. Data on demographics, mechanism of injury, level of energy, and subsequent treatments were collected. ResultsA total of 7 patients were identified. The mean age was 68.7 ± 13.3 years old and the left side was involved in 71.4% of cases. Females were affected in 85.7% (n=6/7) of cases. All suffered from low-energy mechanism without other orthopaedic injuries at a mean age of 71.5 ± 12.3 years old. The one male patient that was included suffered from high-energy trauma at 52 years of age. Most commonly, posterior elbow dislocations were observed (66.7%; n=4/6). Distal radius fracture patterns include two C2, two C3, and one case each of C1-type and B1-type fracture pattern in the low energy group. In the group of patients who sustained high energy trauma, associated injuries include a concomitant open elbow dislocation, an ulnar artery rupture and damage to the flexor digitorum superficialis muscle.ConclusionAlthough distal radius fracture with ipsilateral elbow dislocation is thought to be resulting from high energy injuries, this study shows that most patients were elderly females suffering from low energy mechanisms. If not suspected, this could be missed especially in the setting of altered mental status. Careful physical examination of one joint proximal and one joint distal to the presumed site of injury is recommended.

Facial Fractures: Associated Injuries and Complications

1993 ◽  
Vol 1 (4) ◽  
pp. 160-165
Author(s):  
J Grant Thomson ◽  
Harvey C Brown ◽  
Rea A Brown ◽  
David M Fleiszer
Keyword(s):  
Head Injury ◽  
High Velocity ◽  
Mechanism Of Injury ◽  
Associated Injuries ◽  
Seat Belts ◽  
Facial Fractures ◽  
Facial Fracture ◽  
Low Velocity ◽  
Severity Of Injury ◽  
Trauma Score

JG Thomson, HC Brown, RA Brown, DM Fleiszer. Facial fractures: Associated injuries and complications. Can J Plast Surg 1994;1(4):160-165. The forces necessary to produce a facial fracture are often high enough to cause other severe, life-threatening injuries. Despite this knowledge, little is known about the frequency or nature of these injuries. A retrospective chart review was performed on 162 facial fracture patients for associated injuries and complications. These patients were divided into high velocity (n=95) and low-velocity (n=67) groups based on the mechanism of injury, and were compared with a group of 346 multiple trauma patients who did not sustain any facial fracture. Those patients involved in high-velocity accidents had a significantly higher proportion of multiple facial fractures (40%), presence of associated injury (84%), complication rate (38%), mortality rate (9.5%), mean hospital stay (45 days), and mean trauma score (20.1±1.3) when compared with patients in low-velocity accidents (10%, 12%, 10%, 4.3 days and 4.7±0.6, respectively). Although high-G facial bone fractures were more frequent in high-velocity accidents, high-G fractures were not an independent indicator of the severity of injury as measured by the trauma score. The most significant indicator of severity of injury was the mechanism of injury. Pulmonary (15%), cerebral (11 %), septic (7%), abdominal (7%) and cardiac (2%) complications after high-velocity injuries were more frequent than previously reported. Although cervical spine injury has traditionally been associated with facial fractures, the results of this study demonstrated that spinal injury can occur at any vertebral level, and was equal in frequency in patients with and without facial fractures. Statistical analysis of occupant restraint revealed that there was no significant difference between the numbers of patients wearing their seat belts (11) and those not using them (12), the proportions with high-G, low-G, or multiple facial fractures, the incidence of head injury or other associated injuries, the trauma score, and the times spent in the surgical intensive care unit and hospital. Although the lack of significance is probably attributable to the low documentation of seat belt use, the question of the efficacy of seat belts in preventing facial fractures and associated injuries is raised. Patients with facial fractures had a significantly higher mean trauma score (27.9±1.4) and incidence of head injury (54%) compared with patients without facial fractures (23.2±0.7 and 11%, respectively). The surgical treatment of this group of facial fracture patients was analyzed.

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