scholarly journals Leg Impalement – A Rare Injury Pattern Case Report

2021 ◽  
Vol 11 (10) ◽  
Author(s):  
Gabriel Pina ◽  
Maria Rita Vaz ◽  
Ana Vaz ◽  
Nuno Borralho
Keyword(s):  
Foreign Body ◽  
Operating Room ◽  
Hospital Care ◽  
High Energy ◽  
Massive Hemorrhage ◽  
Road Accident ◽  
Body Region ◽  
Rare Injury ◽  
Foreign Body Removal ◽  
Wound Debridement

Introduction: Impalement injuries are defined as rare, high-energy lesions caused by foreign bodies, usually steel bars or wooden objects, which pierce body cavities or extremities and remain interposed in the perforated body region. They usually occur with road accident or civil construction falls. Case Report:A 24-year-old male patient was admitted at the emergency department after a motorcycle accident, resulting a left leg impalement with a wooden object. A partial deep peroneal nerve palsy and a proximal third fibula fracture were observed. The foreign body removal and wound debridement were performed. The patient evolved favorably without complications, with complete neurological recovery and returning to his normal life activities. Discussion: Impalement injuries represent a challenge in pre-hospital care, emergency room, and operating room hospital care, due to its rarity and specificity: Type of object, anomalous foreign body location, and trajectory. There is a consensus that whenever possible, it should be removed in the operating room, due to the foreign body may be tamponing a major arterial laceration, thus preventing massive hemorrhage. Conclusion: Neurovascular injury exclusion, foreign body removal in the operating room, debridement, and antibiotic prophylaxis represent the treatment basis of these injuries. Keywords: Impalement, Trauma, Leg

scholarly journals Open anterolateral fracture dislocation of ankle joint: a rare case report

2018 ◽  
Vol 5 (1) ◽  
pp. 192
Author(s):  
Prasanna Anaberu ◽  
R. Prathik ◽  
R. Manish
Keyword(s):  
Ankle Joint ◽  
Fracture Fixation ◽  
Road Traffic ◽  
Emergency Operation ◽  
High Energy ◽  
Fracture Dislocation ◽  
Anterior Dislocation ◽  
Malleolar Fracture ◽  
Rare Injury ◽  
Wound Debridement

<p class="abstract">Anterior ankle dislocation with associated compound bi-malleolar fracture is a rare injury. Ankle fracture dislocations most frequently occurs in young males caused by high energy trauma. The direction of the joint dislocation is determined by the position of the foot and the direction of the force being applied. A middle aged male presented to us with history of road traffic accident and was diagnosed to have anterior dislocation of right ankle joint with compound bi-malleolar fracture. Patient was taken to emergency operation theatre for wound debridement and immediate ankle reduction done under sedation. Due to wound contamination fracture fixation was delayed, once the wound healed bi-malleolar fracture fixation was done.</p>

scholarly journals The Hoffa Fracture: Review

2021 ◽  
Vol 27 (3) ◽  
pp. 162-172
Author(s):  
Anastasiia E. Shinkevich ◽  
Vladimir V. Khominets ◽  
Vladimir V. Khominets ◽  
Arvid B. Abolin ◽  
Nikodim G. Kulik ◽  
...  
Keyword(s):  
Knee Joint ◽  
Preoperative Planning ◽  
Femoral Fractures ◽  
Frontal Plane ◽  
High Energy ◽  
Road Accident ◽  
X Rays ◽  
Rare Injury ◽  
Hoffa Fracture ◽  
Methods Of Treatment

The Hoffa fracture is an extremely rare injury of one or two condyles of the femur in the frontal plane, more often associated with injury to other structures of the knee joint area. The main cause of the Hoffa fracture is considered to be a high-energy injury (road accident in 80.5% of cases). The isolated Hoffa fracture accounts for 0.65% of all femoral fractures. To date, there is no consensus on surgical approach or optimal technique of internal fixation for the frontal fracture of the femoral condyles. There is also a large percentage of mistakes in the X-ray diagnosis of this pathology. The existing classifications have not found wide application in clinical practice, being difficult and inapplicable for solving the issue of treatment tactics and preoperative planning. The aim of the study is to present modern views on the diagnosis, principles and techniques of surgical treatment of patients with the Hoffa fractures based on the analysis of the literature. Based on the analyzed literature, conclusions are drawn about the need for careful collection of injury anamnesis, increased surgeon caution in the presence of this injury clinical picture and the simultaneous absence of pathology on standard knee joint X-rays, the need to perform an additional examination in the form of lateral (non-standard) projections of the knee joint X-rays, CT or MRI. During preoperative planning, preference should be given to minimally invasive technologies, including arthroscopically-associated methods of treatment.

scholarly journals Nasal Foreign Body: Removal of an Open Safety Pin from the Left Nostril

2000 ◽  
Vol 79 (2) ◽  
pp. 118-120 ◽  
Author(s):  
Lawton H. Salley ◽  
Daniel L. Wohl
Keyword(s):  
Foreign Body ◽  
General Anesthesia ◽  
Operating Room ◽  
Local Anesthesia ◽  
Left Nostril ◽  
Foreign Body Removal ◽  
Successful Removal ◽  
Safety Pin

We describe the case of a woman who presented with an open safety pin lodged in her left nostril. An attempt to remove the pin with the patient under local anesthesia was not successful. Removal was eventually accomplished in the operating room with the patient under general anesthesia.

Foreign Body Removal by Flexible Fiberoptic Bronchoscopy in Infants and Children

2005 ◽  
Vol 40 (5) ◽  
pp. 392-397 ◽  
Author(s):  
Jorge L. Ramírez-Figueroa ◽  
Laura G. Gochicoa-Rangel ◽  
David H. Ramírez-San Juan ◽  
Mario H. Vargas
Keyword(s):  
Foreign Body ◽  
Fiberoptic Bronchoscopy ◽  
Infants And Children ◽  
Foreign Body Removal ◽  
Flexible Fiberoptic Bronchoscopy ◽  
In Infants And Children

How we do it: impacted oesophageal foreign body removal using a dilatation balloon

2021 ◽  
pp. 1-3
Author(s):  
P D Chakravarty ◽  
T Kunanandam ◽  
G Walker
Keyword(s):  
Foreign Body ◽  
Granulation Tissue ◽  
Foreign Bodies ◽  
Fluoroscopic Guidance ◽  
Tertiary Referral ◽  
Foreign Body Removal ◽  
Novel Technique ◽  
Common Presentation ◽  
Reproducible Technique ◽  
Rigid Oesophagoscopy

Abstract Background Ingested foreign bodies are a common presentation to paediatric ENT services. Depending on the site, these are usually managed with flexible or rigid oesophagoscopy and retrieval. This paper presents a novel technique for removing a hollow foreign body that could not be removed using conventional means. Method and results After rigid and flexible approaches failed, a guidewire was passed through the foreign body under fluoroscopic guidance and a dilatation balloon passed through the lumen of the object. Inflating the balloon allowed dilatation of the inflamed mucosa above and below the object, facilitating straightforward removal under traction. Conclusion This is a novel and reproducible technique that uses equipment readily available in tertiary referral centres. Employed in this context, the technique enabled removal of an impacted object surrounded by granulation tissue, and would be appropriate for other objects with a lumen.

Evaluation of the use of NGage® Nitinol stone extractor for intraocular foreign body removal

2021 ◽  
Author(s):  
Samir Mohammed El-Baha ◽  
Mohsen Ahmed Abou Shousha ◽  
Tarek Abdelrazek Hafez ◽  
Islam S. H. Ahmed
Keyword(s):  
Foreign Body ◽  
Intraocular Foreign Body ◽  
Foreign Body Removal

scholarly journals “Visual Hook” for the removal of nasal foreign body – Case report

2016 ◽  
Vol 6 (24) ◽  
pp. 233-234 ◽  
Author(s):  
Sabari Nath
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Complete Removal ◽  
Foreign Body Removal ◽  
Body Case

Abstract We present a case of paediatric nasal foreign body removal using a flexible nasopharyngolaryngoscope, which is used both as an endoscope for visualization and as a hook for the rapid and complete removal of the nasal foreign body (“Visual Hook“).

A Technique for Foreign Body Removal from the Airway

Endoscopy ◽  
1986 ◽  
Vol 18 (02) ◽  
pp. 71-72 ◽  
Author(s):  
J.R. Thorburn ◽  
H. Levy ◽  
M. Schlosberg ◽  
C. Feldman ◽  
J.M. Kallenbach
Keyword(s):  
Foreign Body ◽  
Foreign Body Removal
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