scholarly journals Surgical treatment of disloced fracture of the scapula column and glenoid: A 22-year follow-up

2015 ◽  
Vol 72 (2) ◽  
pp. 181-184 ◽  
Author(s):  
Desimir Mladenovic ◽  
Marko Mladenovic ◽  
Predrag Stojiljkovic ◽  
Ivan Micic ◽  
Sasa Karalejic
Keyword(s):  
Surgical Treatment ◽  
Motor Vehicle ◽  
Clavicle Fracture ◽  
Humeral Fracture ◽  
Lateral Part ◽  
Scapular Fracture ◽  
Vehicle Accidents ◽  
Scapular Fractures ◽  
Intraarticular Fractures ◽  
Fall From Height

Introduction. Most scapular fractures are caused by highimpact blunt injuries, often as the result of motor vehicle accidents, fall from height, etc. In 80% to 90% of cases, scapula fractures are associated with multiple injuries (clavicle fracture, rib fractures, humeral fracture, pulmonary injury, brachial plexus injury). Case report. We presented scapular fracture in a 27-years-old male who had sustained a workrelated injury when a ground soil brick machine pressed him. Fracture line was identified on radiotherapy and computed tomography scan from the distal scapular angle enclosing scapular neck. The whole lateral part of the scapula was dislocated laterally from the scapular body. Scapular fracture was treated operatively. The posterior approach was used for reposition, while for fixation after reposition we used two Blunt clamps. We presented functional outcome 22 years after the injury and the surgical treatment. The patient can perform all physical activities, still works, and there is no need to remove the ostheosynthetic material as it causes no discomfort nor problems. The strength of the shoulder muscles is estimated as physician as the grade 5. Conclusion. Displaced intraarticular fractures of the scapula should be treated operatively, with open reduction and internal fixation.

scholarly journals Pilon Fracture: A Case Report of a 45-Year-Old Dental Technician

2014 ◽  
Vol 8 (1) ◽  
pp. 433-436 ◽  
Author(s):  
Pouya Mafi ◽  
James Stanley ◽  
Sandip Hindocha ◽  
Reza Mafi
Keyword(s):  
Lower Extremity ◽  
External Fixation ◽  
Motor Vehicle ◽  
High Energy ◽  
Tibial Fractures ◽  
Pilon Fracture ◽  
Distal Tibial Fractures ◽  
Vehicle Accidents ◽  
Dental Technician ◽  
Fall From Height

Pilon fractures are complex and difficult-to-treat fractures of the lower extremity that account for about 1% of all lower extremity fractures and up to 10% of tibial fractures. The injury is caused by high energy axial load either from motor vehicle accidents or a fall from height. The treatment of these fractures has caused controversy among surgeons due to mixed outcomes. Here we report a case of pilon fracture in a 45 year old male patient who has sustained the injury as a result of a fall from a height of approximately 12 feet. We describe why it is absolutely crucial that the patient is treated with external fixation initially and evaluate its merits and drawbacks as well as ways to minimize the complications associated with external fixation of open intra-articular distal tibial fractures.

Clavicle Fracture! Simple! Not So Much!

2020 ◽  
pp. 81-88
Author(s):  
Carrie DeHoff
Keyword(s):  
Motor Vehicle ◽  
Clavicle Fracture ◽  
Primary Care Providers ◽  
Motor Vehicle Accidents ◽  
Great Vessel ◽  
Care Providers ◽  
Vehicle Accidents ◽  
Joint Dislocations ◽  
Fracture Dislocations ◽  
Clavicle Fractures

Simple clavicle fractures are common and may be easily managed by primary care providers as well as acute care providers. Most sternoclavicular (SC) joint dislocations occur from higher energy motor vehicle accidents or sports trauma, with anterior fracture/dislocations more common than posterior. Although uncommon, they may be associated with devastating complications including great vessel and/or trachea injury, dyspnea, hoarseness, dysphagia.

scholarly journals PHILOS Plate as a Fixation of Proximal Humeral Fracture: A Revisit

2019 ◽  
pp. 39
Author(s):  
Mohd Shaffid Md Shariff ◽  
Hanizah Ngadiron ◽  
Firdaus Hayati ◽  
Nornazirah Azizan ◽  
Affirul Chairil Ariffin
Keyword(s):  
Proximal Humeral Fracture ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Surgical Intervention ◽  
Motor Vehicle ◽  
Humeral Fracture ◽  
The Elderly ◽  
Sport Injuries ◽  
Vehicle Accidents ◽  
Philos Plate

Fracture is common after trauma. Proximal humeral fracture can occur in the elderly after fall and in youngsters after motor vehicle accidents (MVA) and sport injuries. A 37-year-old man was admitted with a fracture of his left proximal humerus following an MVA. He sustained a 3-part fracture and treated surgically using a PHILOS plate. There are few options in managing proximal humerus fracture ranging from conservative to surgical intervention based on its severity. We reminiscent the usage of PHILOS plate as a mode of treatment of such fracture. 

scholarly journals Ipsilateral fractures of both the proximal and distal humerus; the ‘floating arm injury’ in children

2021 ◽  
Vol 7 (2) ◽  
pp. 424
Author(s):  
Paragjyoti Gogoi ◽  
Aditi Das ◽  
Arijit Dhar ◽  
Rajdeep Roy
Keyword(s):  
Shoulder Joint ◽  
Clavicle Fracture ◽  
Humeral Fracture ◽  
Distal Humerus ◽  
Coracoid Process ◽  
Wound Debridement ◽  
Wire Fixation ◽  
Fall From Height ◽  
Humerus Fractures ◽  
Distal Fracture

<p>Proximal humerus fractures are usually associated with other injuries in and around the shoulder joint like clavicle fracture, acromion process fracture, coracoid process fracture, and dislocation of the shoulder joint or acromion-clavicular joint. Similarly, distal humerus fractures are normally associated with fractures of olecranon, radial head or dislocation of the elbow joint itself. However, simultaneous fracture of both the ends of humerus is rarely encountered. Literature search does reveal only a few cases of such type. This variety is also termed as floating arm. We are presenting here two cases of fracture of both the proximal and distal end of same humerus following fall from height, one of which the proximal humeral fracture was Gustillo-Anderson type II open fracture. The patient was managed by wound debridement and open reduction and fixation of the proximal fracture followed by closed manipulation and K wire fixation of the distal fracture. The second case was also managed by closed reduction and K wire fixation of both the fractures. </p>

A Reassessment of Suicide Measurement

Crisis ◽  
2009 ◽  
Vol 30 (1) ◽  
pp. 6-12 ◽  
Author(s):  
D.P. Doessel ◽  
Ruth F.G. Williams ◽  
Harvey Whiteford
Keyword(s):  
Causes Of Death ◽  
Motor Vehicle ◽  
Years Of Life Lost ◽  
Health Prevention ◽  
Prevention Strategies ◽  
Vehicle Accidents ◽  
The Social ◽  
Evaluation Exercise ◽  
Two Measures ◽  
Circulatory Diseases

Background. Concern with suicide measurement is a positive, albeit relatively recent, development. A concern with “the social loss from suicide” requires careful attention to appropriately measuring the phenomenon. This paper applies two different methods of measuring suicide data: the conventional age-standardized suicide (count) rate; and the alternative rate, the potential years of life lost (PYLL) rate. Aims. The purpose of applying these two measures is to place suicide in Queensland in a historical and comparative (relative to other causes of death) perspective. Methods. Both measures are applied to suicide data for Queensland since 1920. These measures are applied also to two “largish” causes of death and two “smaller” causes of death, i.e., circulatory diseases, cancers, motor vehicle accidents, suicide. Results. The two measures generate quite different pictures of suicide in Queensland: Using the PYLL measure, suicide is a quantitatively larger issue than is indicated by the count measure. Conclusions. The PYLL measure is the more appropriate measure for evaluation exercise of public health prevention strategies. This is because the PYLL measure is weighted by years of life lost and, thus, it incorporates more information than the count measure which implicitly weights each death with a somewhat partial value, viz. unity.

Psychological Outcome of Motor Vehicle Accidents

2008 ◽  
Author(s):  
Yoshiharu Kim ◽  
Yutaka Matsuoka ◽  
Ulrich Schnyder ◽  
Sara Freedman ◽  
Robert Ursano
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accidents ◽  
Psychological Outcome ◽  
Vehicle Accidents

Resuscitative endovascular balloon occlusion of the aorta (REBOA) enables operative management of the peripartum trauma patient in hemorrhagic shock

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Kelvin Allenson ◽  
Laura Moore
Keyword(s):  
Maternal Death ◽  
Motor Vehicle ◽  
Operative Management ◽  
Balloon Occlusion ◽  
Motor Vehicle Accidents ◽  
Gravid Uterus ◽  
Intrauterine Pregnancy ◽  
Vehicle Accidents ◽  
Pelvic Hemorrhage ◽  
Endovascular Balloon Occlusion

Trauma related injury is the leading cause of non-obstetric maternal death.  The gravid uterus is at risk for injury, particularly during motor vehicle accidents.  Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a means of controlling pelvic hemorrhage in the setting of trauma.  We report the use of REBOA in a hemodynamically unstable, multiply-injured young woman with viable intrauterine pregnancy.

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