scholarly journals An epidemiological study of traumatic brachial plexus injury patients treated at an Indian centre

2012 ◽  
Vol 45 (03) ◽  
pp. 498-503 ◽  
Author(s):  
Darshan Kumar A. Jain ◽  
Praveen Bhardwaj ◽  
Hari Venkataramani ◽  
S. Raja Sabapathy
Keyword(s):  
Brachial Plexus ◽  
Traffic Accidents ◽  
Brachial Plexus Injury ◽  
Road Traffic ◽  
Time Interval ◽  
Dominant Hand ◽  
Road Traffic Accidents ◽  
Associated Injuries ◽  
Lower Velocity ◽  
Indian Centre

ABSTRACT Background: Epidemiological studies on traumatic brachial plexus injuries are few and these studies help us to improve the treatment, rehabilitation of these patients and to allocate the resources required in their management. Epidemiological factors can vary in different countries. We wanted to know the situation in an Indian centre. Materials and Methods: Data regarding age, sex, affected side, mode of injury, distribution of paralysis, associated injuries, pain at the time of presentation and the index procedure they underwent were collected from 304 patients. Additional data like the vehicle associated during the accident, speed of the vehicle during the accident, employment status and integration into the family were collected in 144 patients out of the 304 patients. Results: Road traffic accidents accounted for 94% of patients and of the road traffic accidents 90% involved two wheelers. Brachial plexus injury formed a part of multitrauma in 54% of this study group and 46% had isolated brachial plexus injury. Associated injuries like fractures, vascular injuries and head injuries are much less probably due to the lower velocity of the vehicles compared to the western world. The average time interval from the date of injury to exploration of the brachial plexus was 127 days and 124 (40.78%) patients presented to us within this duration. Fifty-seven per cent had joined back to work by an average of 8.6 months. It took an average of 6.8 months for the global brachial plexus-injured patients to write in their non-dominant hand.

scholarly journals Posttraumatic Pneumopericardium: A Sign of Severe Injury or Radiodiagnostic Rarity?

2006 ◽  
Vol 49 (2) ◽  
pp. 129-132 ◽  
Author(s):  
Vladimír Lonský ◽  
Jiří Manďák ◽  
Jan Harrer ◽  
Martin Tuna ◽  
Petr Dvořák ◽  
...  
Keyword(s):  
Transesophageal Echocardiography ◽  
Blunt Chest Trauma ◽  
Traffic Accidents ◽  
Chest Trauma ◽  
Road Traffic ◽  
Severe Injury ◽  
Road Traffic Accidents ◽  
Associated Injuries ◽  
Air Tamponade ◽  
Trauma Injury

We present three cases of pneumopericardium following blunt chest trauma injury. All three patients were victims of road traffic accidents. All had multiple associated injuries and pneumopericardium was found as the additional finding. Pneumopericardium was treated conservatively with thoracic drains placement and patients observation. Transesophageal echocardiography was used as a method of choice for exclusion of cardiac air tamponade. All three patients survived.

A Clinical Study of the Pattern of Ocular Trauma and Its Visual Outcome among Road Traffic Accident Cases in a Tertiary Care Teaching Institute

2021 ◽  
Vol 8 (03) ◽  
pp. 141-145
Author(s):  
Vinay Kumar Dawson ◽  
Manasvi Dawson
Keyword(s):  
Traffic Accidents ◽  
Ocular Trauma ◽  
Road Traffic ◽  
Visual Outcome ◽  
Post Treatment ◽  
Time Interval ◽  
Ocular Injury ◽  
Road Traffic Accidents ◽  
Open Globe ◽  
Ocular Injuries

BACKGROUND Ocular injuries due to road traffic accidents (RTA) is one of the important causes of ophthalmological morbidity and cause of unilateral blindness. Some of the injuries also result in cosmetic disfigurement. Increased usage of vehicles for transport in recent times has increased the incidence of cases. The primary objective of this study was to understand the epidemiology and pattern of ocular trauma in RTA cases and their visual outcome. METHODS A total of 75 cases was included in the study following the inclusion and exclusion criteria. A detailed history was taken which included information regarding time, location, type and mechanism of injury, use of spectacles, car safety belts, and helmets. The time interval between injury and reporting was recorded. Test of visual acuity was done, ophthalmic examination included the examination of all patients with the slit lamp, 90 D examination, and indirect ophthalmoscopy were done. Ultrasound B scan was done in cases where unclear media prevented fundus examination. RESULTS Ecchymosis of the lids was the commonest type of ocular injury. Out of 15 eyelid laceration cases, 10 cases were with mild partial-thickness tears present and 5 had severe lid tears which required suturing. Most of the patients recovered with good vision in 6 months post-treatment and a few fair results. Analysis of variance (ANOVA) comparison between conservative management and surgical management at the end of 4 months post treatment was done. The P-values were > 0.05 hence, not significant. It indicated that the outcomes were independent of the method of management adopted. CONCLUSIONS The incidence of RTAs is increasing due to an increase in the number of vehicles used by the public. Ocular injuries are more often seen in young men especially those driving two-wheelers without safety devices like helmets. Open globe injuries and cases with previous ocular problems have poor outcomes. KEYWORDS Ocular Trauma, Road Traffic Accidents [RTA], Visual Outcome

scholarly journals Pattern of maxillofacial and associated injuries in road traffic accidents

2008 ◽  
Vol 84 (6) ◽  
Author(s):  
M K Akama ◽  
M L Chindia ◽  
F G Macigo ◽  
S W Guthua
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Associated Injuries

scholarly journals Clinical profile and outcome of chest trauma: a four year retrospective analysis at a tertiary care centre

2019 ◽  
Vol 6 (7) ◽  
pp. 2519
Author(s):  
Syed Quibtiya Khursheed ◽  
Waseem Ashraf ◽  
Ajaz Ahmad Rather ◽  
Shams-Ul-Bari .
Keyword(s):  
Traffic Accidents ◽  
Chest Trauma ◽  
Road Traffic ◽  
Tertiary Care ◽  
Chest Injury ◽  
Trauma Patients ◽  
Road Traffic Accidents ◽  
Associated Injuries ◽  
Tertiary Care Centre ◽  
Chest Injuries

Background: Chest trauma comprises about 10-15% of all traumas and 25% of all deaths from traumatic injury. Chest injuries are cause by blunt mechanisms such as road traffic accidents or penetrating mechanisms such as stab and missile injuries. Traumatic chest injuries are the most common cause of preventive mortality and morbidity.Methods: A retrospective study of all patients with chest injury presenting to Emergency Department of SKIMS Medical College, Srinagar was done.  Records of all the patients were retrieved. A complete data regarding age, gender, mode/type of injury, extra thoracic injuries, mode of management and outcome was gathered.Results: A total number of 1429 trauma patients presented to AE of which 160 patients (11.2%) had chest trauma. Majority of the patients (51.87%, n=83) were of age group of 21-40 years. A male preponderance was observed. Road traffic accidents were major causes of blunt chest injury, while gunshot injury was the major causes of penetrating chest injuries. Head and neck injuries were the most common associated injuries. Tube thoracostomy was the commonest modality of management (65%) and (28%) patients were managed conservatively.  Severity of chest trauma and associated injuries coupled with prompt diagnosis and treatment were important factors in efficient management of chest injuries.Conclusions: Chest trauma resulting from road traffic accidents remains the major mechanism of injury. Preventive measures aimed at educating the common masses about traffic rules and strictly implementing them is indispensable to reduce the incidence of chest injuries.

Characterization of mandibular fractures on computed tomography

2021 ◽  
Vol 12 (4) ◽  
pp. 122-126
Author(s):  
Bhavika Jain ◽  
Nikhat Bano ◽  
Devidas B Dahiphale ◽  
Kavita Makasare
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Care Center ◽  
Tertiary Care ◽  
Facial Trauma ◽  
Mandibular Fractures ◽  
X Rays ◽  
Tertiary Care Center ◽  
Road Traffic Accidents ◽  
Associated Injuries

Background: With rapid urbanization and motorization of the society there is an exponential increase in road traffic accidents (RTA). Facial trauma and mandibular fractures are some of the common injuries seen in these cases. Imaging of these fractures is essential part of management. Panoramic and oblique X-rays can be used to diagnose these fractures however computerized tomography gives a unique advantage as it enables 3 D reconstructions of images. We conducted this study to assess the patterns of mandibular fractures and associated injuries presenting to a tertiary care center. Aims and Objectives: The study was conducted to assess the patterns of mandibular fractures and associated injuries presenting to a tertiary care center in Aurangabad. Materials and Methods: This was a prospective study in which 30 cases with complaints of facial trauma and with mandible fractures were included on the basis of a predefined inclusion and exclusion criteria. A detailed history was taken and mode of injury, duration since injury and history of any other trauma was noted down in proforma. Demographic details such as age and gender was also noted down. The CT scan of the face was done. Beam collimation of 2 mm, pitch of 1.2 mm and 120 Kv voltage was used. Patterns of mandibular fracture were analyzed. Results: Out of 30 patients there were 27 (90%) males and 3 (10%) were females with a M:F ratio of 9:1.The mean age of male and female patients was found to be 34.96 +/- 10.49 years and 26.66 +/-5.90 years respectively. Road traffic accidents (RTA) were the predominant causative mechanism and was seen in 27 (90%) of cases. Unilateral multifocal fractures involving body of the mandible were the most common type of fractures. Body of the mandible was seen to have been fractured in 17 (56.66%) cases. Conclusion: Mandibular fractures are commonly seen following road traffic accidents. Though X-Rays can be used for diagnosis of these fractures Computerized tomography gives a distinct advantage of ability to do 3-D reformatting of images.

ADHD is a Risk Factor of Road Crashes: A Purposive Study of Finding Relation between ADHD and Road Traffic Accident in Bangladesh

2018 ◽  
Vol 9 (08) ◽  
pp. 20531-20536
Author(s):  
Nusrat Shamima Nur ◽  
M. S. l. Mullick ◽  
Ahmed Hossain
Keyword(s):  
Risk Factor ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Fatality Rate ◽  
Road Traffic Accidents ◽  
Road Crashes ◽  
Road Crash ◽  
Day By Day

Background: In Bangladesh fatality rate due to road traffic accidents is rising sharply day by day. At least 2297 people were killed and 5480 were injured in road traffic accidents within 1st six months of 2017.Whereas in the previous year at 2016 at least 1941 people were killed and 4794 were injured within the 1st six months. No survey has been reported in Bangladesh yet correlating ADHD as a reason of impulsive driving which ends up in a road crash.

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