Dublex Doppler US Diagnosis and Follow Up of a Post Traumatic Pseudoaneurysm of the Radial Artery

A 22-year-old man suffered severe sudden onset head and neck pain after being pushed from behind during an assault. Physical examination was normal. Cervical MRI demonstrated an intradural hematoma, anterior to the cord, between C2–4. Subsequent contrast enhanced MR angiography and digital subtraction vertebral angiography confirmed that the cause of the hemorrhage was a fusiform (presumed dissecting) pseudoaneurysm of the artery of the cervical enlargement at its junction with the anterior spinal artery. The aneurysm was managed conservatively. Follow-up angiography demonstrated that the aneurysm had spontaneously thrombosed within 10 days and remained occluded at 2 months. The patient remained occluded at 6 months following the initial injury. Anterior spinal aneurysms represent a management dilemma and options are discussed.

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Percutaneous posteroanterior screw fixation for Haraguchi type 1 posterior malleolar fracture in tri-malleolar fracture: Operative technique and randomized clinical results

Journal of Orthopaedic Surgery ◽

10.1177/2309499021997996 ◽

2021 ◽

Vol 29 (1) ◽

pp. 230949902199799

Author(s):

Tianming Yu ◽

Jichong Ying ◽

Jianlei Liu ◽

Dichao Huang ◽

Hailin Yan ◽

...

Keyword(s):

Screw Fixation ◽

Malleolar Fracture ◽

Malleolar Fractures ◽

Posterior Malleolar Fracture ◽

Post Traumatic ◽

Group 2 ◽

Traumatic Arthritis ◽

Group 1

Purpose: The study described a novel surgical treatment of Haraguchi type 1 posterior malleolar fracture in tri-malleolar fracture and patient outcomes at intermediate period follow-up. Methods: All patients from January 2015 to December 2017 with tri-malleolar fracture of which posterior malleolar fractures were Haraguchi type 1, were surgically treated in this prospective study. Lateral and medial malleolar fractures were managed by open reduction and internal fixation through dual incision approaches. 36 cases of Haraguchi type 1 posterior malleolar fractures were randomly performed by percutaneous posteroanterior screw fixation with the aid of medial exposure (group 1). And 40 cases were performed by percutaneous anteroposterior screw fixation (group 2). Clinical outcomes, radiographic outcomes and patient-reported outcomes were recorded. Results: Seventy-six patients with mean follow-up of 30 months were included. There were no significant differences in the mean operation time (81.0 ± 11.3 vs. 77.2 ± 12.4), ankle function at different periods of follow-up, range of motions and visual analog scale (VAS) at 24 months between the two groups ( p > 0.05). However, the rate of severe post-traumatic arthritis (Grade 2 and 3) and the rate of step-off rather than gap in radiological evaluation were lower in group 1 than that in group 2 ( p < 0.05). Conclusion: Using our surgical technique, more patients had good outcome with a lower rate of severe post-traumatic arthritis, compared with the group of percutaneous anteroposterior screw fixation. Percutaneous posteroanterior screw fixation can be a convenient and reliable alternative in treating Haraguchi type 1 posterior malleolar fracture.

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Mesenchymal stem cell therapy improved outcome of early post-traumatic shoulder osteonecrosis: a prospective randomized clinical study of fifty patients with over ten year follow-up

International Orthopaedics ◽

10.1007/s00264-021-05160-9 ◽

2021 ◽

Author(s):

Philippe Hernigou ◽

Jacques Hernigou ◽

Marius Scarlat

Keyword(s):

Stem Cell ◽

Clinical Study ◽

Mesenchymal Stem Cell ◽

Cell Therapy ◽

Stem Cell Therapy ◽

Mesenchymal Stem Cell Therapy ◽

Randomized Clinical Study ◽

Post Traumatic ◽

Improved Outcome

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The association between body mass index and recovery from post-traumatic stress disorder after the nuclear accident in Fukushima

Scientific Reports ◽

10.1038/s41598-021-84644-5 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Masato Nagai ◽

Tetsuya Ohira ◽

Masaharu Maeda ◽

Seiji Yasumura ◽

Itaru Miura ◽

...

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Stress Disorder ◽

Error Variance ◽

Normal Weight ◽

Post Traumatic Stress ◽

Post Traumatic

AbstractPost-traumatic stress disorder (PTSD) and obesity share common risk factors; however, the effect of obesity on recovery from PTSD has not been assessed. We examined the association between body mass index (BMI) and recovery from PTSD after the Great East Japan Earthquake. We analyzed 4356 men and women with probable PTSD aged ≥ 16 years who were living in evacuation zones owing to the radiation accident in Fukushima, Japan. Recovery from probable PTSD was defined as Post-traumatic Stress Disorder Checklist-specific scores < 44. Using Poisson regression with robust error variance adjusted for confounders, we compared the prevalence ratios (PRs) and 95% confidence intervals (CIs) for this outcome in 2013 and 2014. Compared with point estimates for normal weight (BMI: 18.5–24.9 kg/m2), especially in 2013, those for underweight (BMI: < 18.5 kg/m2) and obesity (BMI: ≥ 30.0 kg/m2) tended to slightly increase and decrease, respectively, for recovery from probable PTSD. The multivariate-adjusted PRs (95% CIs) for underweight and obesity were 1.08 (0.88–1.33) and 0.85 (0.68–1.06), respectively, in 2013 and 1.02 (0.82–1.26) and 0.87 (0.69–1.09), respectively, in 2014. The results of the present study showed that obesity may be a useful predictor for probable PTSD recovery. Obese victims with PTSD would require more intensive support and careful follow-up for recovery.

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Long-Term Follow-up of Patients with Post-Traumatic Refractory High Intracranial Pressure Treated with Lumbar Drainage

Anaesthesia and Intensive Care ◽

10.1177/0310057x1103900113 ◽

2011 ◽

Vol 39 (1) ◽

pp. 79-83 ◽

Cited By ~ 5

Author(s):

J. A. Llompart-Pou ◽

J. M. Abadal ◽

J. Pérez-bárcena ◽

M. Molina ◽

M. Brell ◽

...

Keyword(s):

Intracranial Pressure ◽

Lumbar Drainage ◽

Long Term Follow Up ◽

Post Traumatic

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Giant Post-Traumatic Pseudoaneurysm of the Superficial Temporal Artery

Annals of Vascular Surgery ◽

10.1016/j.avsg.2020.07.057 ◽

2021 ◽

Vol 70 ◽

pp. 566.e11-566.e14

Author(s):

Luca Apruzzi ◽

Matteo Bossi ◽

Carlotta Bugna ◽

Luca Bertoglio ◽

Roberto Chiesa

Keyword(s):

Superficial Temporal Artery ◽

Temporal Artery ◽

Traumatic Pseudoaneurysm ◽

Post Traumatic

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Treatment of adult post-traumatic stress disorder using a future-oriented writing therapy approach

The Cognitive Behaviour Therapist ◽

10.1017/s1754470x09990171 ◽

2009 ◽

Vol 2 (4) ◽

pp. 243-255 ◽

Cited By ~ 4

Author(s):

Reginald D. V. Nixon ◽

Leonard W. Kling

Keyword(s):

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Expressive Writing ◽

Stress Disorder ◽

Post Treatment ◽

Future Research ◽

Post Traumatic Stress ◽

Post Traumatic ◽

Ptsd Severity

AbstractThe aim of this pilot study was to test whether a future-oriented expressive writing intervention is able to reduce post-traumatic stress disorder (PTSD) severity and associated symptoms such as depression and unhelpful trauma-related beliefs. In an uncontrolled pre-/ post-design participants attended 8 weeks of manualized therapy. Assessment was undertaken pre- and post-treatment, and participants also completed a 3-month follow-up assessment. Of the 17 participants who began therapy, 13 were treatment completers. Results indicated a significant decrease in PTSD severity, depression and unhelpful trauma-related cognitions from pre- to post-treatment and at 3-month follow-up. Clinically meaningful change was more modest; however, three participants reported PTSD remission at 3-month follow-up. It is concluded that expressive writing with a focus on achieving future goals and personal change may have some utility in reducing post-traumatic stress but future research will need to investigate this with greater methodological rigour before firm conclusions can be made.

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