"Acetabulum Fractures: Mechanism of Injury, Demographic Features and Associated Injuries"

The authors present a brief review of the literature with an unusual case presentation of Lisfranc's dislocation. The authors review the mechanism of injury, presentation, and treatment alternatives for both acute trauma-related injuries and neuropathic-related injuries to the Lisfranc's joint. The authors discuss the controversy surrounding the preferred treatment of neuropathic-associated injuries and suggest that possibly criteria may be established for fusion versus conservative care of these injuries.

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OPEN EXTENSOR TENDON INJURIES: AN EPIDEMIOLOGIC STUDY

Hand Surgery ◽

10.1142/s0218810412500062 ◽

2012 ◽

Vol 17 (01) ◽

pp. 37-42 ◽

Cited By ~ 10

Author(s):

Dominic Patillo ◽

Ghazi M. Rayan

Keyword(s):

Soft Tissue ◽

Epidemiologic Study ◽

Retrospective Chart Review ◽

Extensor Tendon ◽

Tendon Injuries ◽

Common Mechanism ◽

Anatomical Location ◽

Mechanism Of Injury ◽

Associated Injuries ◽

Extensor Tendon Injuries

Purpose: To report the epidemiology, mechanism, anatomical location, distribution, and severity of open extensor tendon injuries in the digits, hand, and forearm as well as the frequency of associated injuries to surrounding bone and soft tissue. Methods: Retrospective chart review was conducted for patients who had operative repair of open digital extensor tendon injuries in all zones within an 11-year period. Data was grouped according to patient characteristics, zone of injury, mechanism of injury, and presence of associated injury. Statistical analysis was used to determine the presence of relevant associations. Results: Eighty-six patients with 125 severed tendons and 105 injured digits were available for chart reviews. Patients were predominantly males (83%) with a mean age of 34.2 years and the dominant extremity was most often injured (60%). The thumb was the most commonly injured (25.7%), followed by middle finger (24.8), whereas small finger was least affected (10.5%). Sharp laceration was the most common mechanism of injury (60%), and most of these occurred at or proximal to the metacarpophalangeal joints. Most saw injuries occurred distal to the metacarpophalangeal joint. Zone V was the most commonly affected in the fingers (27%) while zone VT was the most commonly affected in the thumb (69%). Associated injuries to bone and soft tissue occurred in 46.7% of all injuries with saw and crush/avulsions being predictive of fractures and damage to the underlying joint capsule. Conclusions: The extensor mechanism is anatomically complex, and open injuries to the dorsum of the hand, wrist, and forearm, especially of crushing nature and those inflicted by saws, must be thoroughly evaluated. Associated injuries should be ruled out in order to customize surgical treatment and optimize outcome.

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The Epidemiology of Metatarsal Fractures

Foot & Ankle International ◽

10.1177/107110070602700303 ◽

2006 ◽

Vol 27 (3) ◽

pp. 172-174 ◽

Cited By ~ 100

Author(s):

Brad A. Petrisor ◽

Ingri Ekrol ◽

Charles Court-Brown

Keyword(s):

Adult Population ◽

Age Groups ◽

Subsequent Treatment ◽

Mechanism Of Injury ◽

Associated Injuries ◽

Demographic Information ◽

Injury Patterns ◽

Accurate Identification ◽

Time Period ◽

Metatarsal Fractures

Background: Metatarsal fractures are common injuries; however little has been written regarding their epidemiology in an adult population. Methods: All patients with metatarsal fractures during a 1-year time period were included in the study. Demographic information, grade, and mechanism of injury, associated injuries, and fracture location and type were recorded. Results: Three hundred and fifty-five patients with 411 metatarsal fractures were identified. The average age of the patients was 42 years. There was a higher proportion of women in the higher age groups, and the most common fracture was that of the fifth metatarsal. Multiple metatarsal fractures occurred in contiguous metatarsals, and 63% of third metatarsal fractures were associated with a fracture of either the second or fourth metatarsal. Conclusion: Knowledge of the epidemiology and injury patterns of metatarsal fractures can aid in the accurate identification and subsequent treatment of fractures of the metatarsals.

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Head and neck neurovascular trauma: Clinical and angiographic correlation

Interventional Neuroradiology ◽

10.1177/1591019915576666 ◽

2015 ◽

Vol 21 (1) ◽

pp. 108-113 ◽

Cited By ~ 6

Author(s):

Peter Kato Ssenyonga ◽

David Le Feuvre ◽

Allan Taylor

Keyword(s):

Endovascular Treatment ◽

Vascular Injury ◽

Retrospective Review ◽

False Aneurysm ◽

Clinical Feature ◽

Mechanism Of Injury ◽

Associated Injuries ◽

Vessel Occlusion ◽

Pulsatile Mass ◽

Vessel Ligation

A retrospective review of all angiograms done for craniocervical trauma, over an eight-year period at Groote Schuur Hospital identified 61 patients out of 823 angiographically studied who had extradural vascular injury and required endovascular treatment. Multiple lesions were identified in nine (14,8%) patients and associated injuries were found in 23 patients (37%). The mechanism of injury was blunt in nine (14.8%) patients and penetrating in 52 (85.2%). There was a statistically significant correlation between the presenting clinical feature and the underlying angiographic lesion. Patients with active bleeding were more likely to have a vessel laceration, an expanding hematoma was associated with false aneurysm and a pulsatile mass with arteriovenous fistula. Endovascular treatment with emphasis on vessel occlusion rather than preservation was successful in all cases except one which required surgical vessel ligation.

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Mechanism of injury, injury patterns and associated injuries in patients operated for chest wall trauma

European Journal of Trauma and Emergency Surgery ◽

10.1007/s00068-019-01119-z ◽

2019 ◽

Cited By ~ 1

Author(s):

Eva-Corina Caragounis ◽

Yao Xiao ◽

Hans Granhed

Keyword(s):

Chest Wall ◽

Mechanism Of Injury ◽

Associated Injuries ◽

Injury Patterns ◽

Chest Wall Trauma

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Facial Fractures: Associated Injuries and Complications

Canadian Journal of Plastic Surgery ◽

10.1177/229255039300100403 ◽

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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Epidemiology of spinal injury patients admitted to the department of orthopaedics, King George Medical University

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20194829 ◽

2019 ◽

Vol 5 (6) ◽

pp. 1196

Author(s):

Satyendra Kumar ◽

Vikas Verma ◽

Vineet Sharma ◽

Shailendra Singh

Keyword(s):

Spinal Injury ◽

Body Height ◽

Spinal Injuries ◽

Common Mechanism ◽

Mechanism Of Injury ◽

Associated Injuries ◽

Female Ratio ◽

Modifiable Factors ◽

Medical University ◽

Epidemiological Characteristics

Background: Socioeconomic structure, policies and cultural traditions play important roles in the determining the epidemiological characteristics of spinal injury patients. An understanding of epidemiology of spinal injuries is essential for planning and implementation of preventive measures as well as clinical services. The objective of this study is to describe the epidemiology of spinal injury patients admitted to the Department of Orthopaedics, King George Medical University (KGMU).Methods: Age, sex, time since injury to admission, site of injury, mechanism of injury, stability of injury, vertebral level, collision type, visibility, type of road, associated injuries, complications and outcome at the end of hospital stay was recorded.Results: Mean age of the 149 enrolled patients was 33.62±13.47 years. Male to female ratio was 2.63. More than fifty percent (52.3%) patients were admitted more than 48 hrs after injury. Most of the patients sustained injury in the house (59.1%). Falls were the most common mechanism of injury (79.2%). 54.23% of the falls were less than body height. Stable injuries (51%) were more common than unstable injuries. 21.48% patients had multiple levels of injury. 1st lumbar vertebra was the most common vertebra injured (20.88%). Ninty six (64.42%) patients had associated injuries. Most common complication were pulmonary (16.10%).Conclusions: Traumatic spinal injuries predominantly involve young males. Household falls are the most common cause of traumatic spinal injuries. There is a need to determine the modifiable factors that contribute to household falls. There is a significant association between falls and complete injuries.

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Epidemiology of Sternal Fractures

The American Surgeon ◽

10.1177/000313480907500510 ◽

2009 ◽

Vol 75 (5) ◽

pp. 401-404 ◽

Cited By ~ 17

Author(s):

Gustavo Recinos ◽

Kenji Inaba ◽

Joseph Dubose ◽

Galinos Barmparas ◽

Pedro G. R. Teixeira ◽

...

Keyword(s):

Blunt Trauma ◽

Motor Vehicle ◽

Rib Fractures ◽

Common Mechanism ◽

Mechanism Of Injury ◽

Associated Injuries ◽

Sternal Fracture ◽

Significant Difference ◽

Aortic Injuries ◽

Sternal Fractures

The epidemiology of sternal fractures has been poorly described. The objective of this study was to examine the demographics, outcomes and injuries associated with sternal fractures. The trauma registry at a level I trauma center was retrospectively reviewed to identify all patients with sternal fractures over a 10 year period. Demographic data collected included age, gender, mechanism of injury and injury severity score. Patients were analyzed according to age ≤ 55 or > 55 years. During the 10-year study period, a total of 37,087 patients were admitted to the emergency department. Of these, 125 (0.33%) had a sternal fracture. The average age was 44 ± 17 years, with 76.0 per cent being male. The most common mechanism of injury was motor vehicle collision (68%) followed by auto vs. pedestrian (18%). Associated rib fractures occurred in 49.6% of the population, cardiac contusions in 8.0%, thoracic aortic injuries in 4.0 per cent and heart lacerations in 2.4 per cent of patients. Associated rib fractures were more likely to occur in patients over the age of 55 (66.7% vs 44.2%, P = 0.032) as well as a traumatic hemothorax (15.8% vs 40.0%, P = 0.005). However, no significant difference in mortality was observed between the two age groups (16.8% vs. 26.7%, OR: 0.56, 95% CI, 0.21 to 1.47; P = 0.234). Sternal fractures are a rare sequela of blunt trauma. Associated injuries are common, including rib fractures and soft tissue contusions. Associated cardiac and aortic injuries are rare but highly lethal and should be screened for on the initial chest CT scan. After appropriate exclusion of associated injuries, the majority of patients diagnosed with a sternal fracture following blunt trauma can be safely discharged to home.

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