scholarly journals Displaced Intra-articular Calcaneal Fractures: Current Concepts and Modern Management

2014 ◽  
Vol 1 (1) ◽  
pp. 24-31 ◽  
Author(s):  
Gershon Volpin ◽  
Zvi Cohen ◽  
Genadi Kirshner ◽  
Haim Shtarker
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
High Energy ◽  
Asia Pacific ◽  
Road Traffic Accidents ◽  
Calcaneal Fractures ◽  
Modern Management ◽  
Articular Fractures ◽  
Classification And Treatment

ABSTRACT The calcaneal fractures are usually the result of high-energy injuries, falls from height and road traffic accidents and constitutes about 2% of all fractures. 60 to 75% of them are displaced intra-articular fractures and 90% of them are usually in males, mainly in industrial workers.there is still controversy regarding classification and treatment. The purpose of this review is to present the modern surgical modalities for these type of fractures. How to cite this article Volpin G, Cohen Z, Kirshner G, Shtarker H. Displaced Intra-articular Calcaneal Fractures: Current Concepts and Modern Management. J Foot Ankle Surg (Asia-Pacific) 2014;1(1):24-31.

scholarly journals ANALYSIS OF TYPICAL DAMAGES AT THE DIFFERENT GROUPS OF VICTIMS WITH POLYTRAUMA

2018 ◽  
Vol 18 (4) ◽  
pp. 15-21
Author(s):  
M. V. Govorov ◽  
V. V. Mamontov ◽  
V. V. Govorov ◽  
G. N. Dorovskikh ◽  
N. V. Govorova
Keyword(s):  
Computed Tomography ◽  
Traffic Accidents ◽  
Multislice Computed Tomography ◽  
Road Traffic ◽  
High Energy ◽  
Diagnostic Methods ◽  
Diagnostic Efficiency ◽  
Road Traffic Accidents ◽  
High Energy Trauma

An analysis of typical injuries in 487 victims was conducted, depending on the conditions of injury in road traffic accidents — pedestrian, driver, passenger. Established major injuries in groups characterize the nature of high-energy trauma. Multislice Computed tomography is the method of choice in the diagnosis of associated trauma, it has a high diagnostic efficiency in comparison with other diagnostic methods.

scholarly journals Unpredictable cardiac arrest caused by blunt cardiac injuries with sternum fracture: a case report

2021 ◽  
Vol 6 (1) ◽  
pp. 5-8
Author(s):  
Miyoung Jang ◽  
Pil Young Jung
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Cardiac Injury ◽  
High Energy ◽  
Cardiac Biomarkers ◽  
Road Traffic Accidents ◽  
Blunt Cardiac Injury ◽  
Risk Patients ◽  
Sternum Fracture ◽  
Intensive Observation

Blunt cardiac injury (BCI) is common in road traffic accidents due to high energy injuries to the thorax and its structures, such as the anterior and posterior of the chest wall. The severity of BCI is high enough to cause many on-site deaths. However, patients with BCI may also be asymptomatic and exhibit normal findings; thus, diagnosis can be significantly challenging for many clinicians. Moreover, since BCI can be diagnosed through multiple serial tests, it is very important to always consider the possibility of BCI in high-risk patients . Diagnosis of BCI begins with suspicion of BCI, followed by repeated electrocardiograms, echocardiography, and cardiac biomarkers measurements along with intensive observation.

scholarly journals Results of providing specialized medical care to victims in road traffic accidents on Federal highway M-8 “Kholmogory” in the Arkhangelsk region

2020 ◽  
pp. 35-41
Author(s):  
S. F. Goncharov ◽  
A. V. Baranov
Keyword(s):  
Hospital Mortality ◽  
Medical Care ◽  
High Speed ◽  
Traffic Accidents ◽  
Road Traffic ◽  
High Energy ◽  
Road Traffic Accidents ◽  
Average Hospital ◽  
Arkhangelsk Region ◽  
Federal Highway

Relevance. Currently, there is a general increase in the severity of injuries due to the dominance of high-energy multiple and concomitant injuries, especially on high-speed federal highways.Intention: To evaluate specialized medical care and hospital mortality in victims of road traffic accidents on the Federal Highway M-8 “Kholmogory” in the Arkhangelsk Region.Methodology. We selected 906 case histories of patients (form 003/y) injured in accidents on the federal highway M-8 “Kholmogory” and urgently admitted to hospitals of the Arkhangelsk region in 2012 - 2018. Registration forms were selected according to the criteria of retrospective full-design documentary observation. Differences between the observation groups were considered statistically significant at p < 0.05 with correction for multiple comparisons (Bonferroni).Results and Discussion. In the healthcare organizations of the Arkhangelsk region, patients with polytrauma received surgical treatment, with percentage of selective and urgent surgeries, average hospital bed days and time in intensive care units significantly higher (p = 0.001) compared to other patients, while isolated injuries were more often (p = 0.001) treated non-sur-gically. Hospital mortality was 6.0%, deceased patients were significantly older (p = 0.015), and pedestrians comprised half of them (p <0.001). Polytrauma was a cause of all deaths, with average severity of 38 points by the ISS severity scale [22; 48] (p = 0.001); more than a half died 1 day after an accident (p = 0.001).Conclusions. One of the possible ways to improve the medical care to victims of road traffic accidents on the federal highways at all stages of medical evacuation is to develop, scientifically justify and implement a systemic register of the health consequences of road traffic injuries in the practice of public health in the regions of Russian Federation.

scholarly journals Epidemiology of pelvic and acetabular fractures in a tertiary hospital in Singapore

2021 ◽  
Author(s):  
A Singh ◽  
ASM Lim ◽  
BPH Lau ◽  
G O’Neill
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
High Energy ◽  
Trauma Centre ◽  
Acetabular Fractures ◽  
Trauma Patients ◽  
Road Traffic Accidents ◽  
Local Data ◽  
Limb Injuries ◽  
Crush Injuries

Introduction: Pelvic and acetabular fractures (PAFs) usually result from high-energy, potentially life-threatening accidents. They are one of the major injuries that lead to death in patients involved in such accidents. We studied the recent epidemiology of these injuries in Singapore. Methods: This is a retrospective data analysis of all trauma patients who underwent surgery for PAFs from 2008 to 2016 in a tertiary trauma centre in Singapore. Data including patient demographics, mechanism of injury and associated injuries was collected. Results: A total of 169 patients were admitted for PAFs over the eight-year period. The majority (79.3%) were male. The mean age was 41 (range 13–79) years. Most patients (51.5%) were Chinese. The most common mechanisms of injury were road traffic accidents (53.8%), falls (33.1%) and crush injuries (13.0%). 46.2% sustained acetabular fractures, while 44.4% sustained pelvic fractures. PAFs were most commonly associated with upper and lower limb injuries, followed by spinal and thoracic injuries. Average of length of stay in hospital was 24 (range 2–375) days. Conclusion: PAF predominantly affects young working males. Compared to previously published local data, there has been a significant reduction in the incidence of PAFs, likely due to improved road and work safety. The demographics of PAFs have changed, with fewer injuries in females (20.7% vs. 33.3%), a reduction in the proportion of injuries in the Chinese (51.5% vs. 70.1%). While road traffic accidents remain the most common cause, crush injuries are now more prevalent (13.0%).

scholarly journals Management of calcaneal fractures: a case series

2020 ◽  
Vol 3 (2) ◽  
pp. 28-33
Author(s):  
Kelechukwu Onuoha ◽  
Goodness Ajaero ◽  
Mathias Orji ◽  
Omotayo Salami ◽  
Omobowale Omotola
Keyword(s):  
Soft Tissue ◽  
Traffic Accidents ◽  
Life Support ◽  
Road Traffic ◽  
Case Series ◽  
High Energy ◽  
Advanced Trauma Life Support ◽  
Tissue Destruction ◽  
Calcaneal Fractures ◽  
Vehicle Accidents

Background: Untreated or inappropriately treated, calcaneal fractures can result in arthritis, chronic ankle pain, and ankle deformity which can significantly impact the lifestyle of affected patients. Even though calcaneal fractures are common among those with multiple injuries, they can easily be missed, and not treating them would significantly impact on the patient negatively.  Case Presentation: This article is a retrospective recall of the six patients seen with calcaneal fractures that were treated in our hospital between 2010 and 2018, they were mainly multiply injured and the advanced trauma life support (ATLS) protocol helped to delineate these fractures, the use of modern-day operative and non-operative methods of management and rehabilitation were employed. Discussion and conclusion: Calcaneal fractures are mostly associated with high-energy trauma which includes falls from heights or vehicle accidents with almost 50% soft tissue involvement. This is similar to cases presented in this paper as all the patients were either involved in road traffic accidents or had fallen from a height, however, soft tissue destruction manifesting as open fractures were absent in our series. Calcaneal fractures are rare and can easily be missed as patients may present as multiply injured. Prompt and adequate Rehabilitation is important to improve function.

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.

Positive Aspects of COVID 19 Pandemic: A Blessing in Disguis

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 187-191
Author(s):  
Anjankar Ashish P ◽  
Anjankar Vaibhav P ◽  
Anjankar Anil J ◽  
Kanyal Lata
Keyword(s):  
Air Pollution ◽  
Heart Attack ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Community Action ◽  
Crime Rates ◽  
Road Traffic Accidents ◽  
Positive Effects ◽  
Positive Side ◽  
The World

COVID 19 is undeniably one of the deadliest diseases that humanity has ever seen. It continues to affect the lives and livelihood of people appallingly across the world. Maximum discussions focus towards the apprehension of catching the infection, dwelling in homes, overpopulated nursing homes and shut down of all kinds. But, here let’s discuss the positive side of COVID 19 pandemic.As COVID 19 has spread its influence all over the world, affected countries have either announced lockdown or have implemented severe restrictions in their respective countries. Because of this, everyone dwells in their homes. Thus, exercising social distancing and functioning from home. All of the above is directed at restricting the transmission of coronavirus and expectantly ostracising the fatality from COVID 19. These transformations have also brought about some unanticipated emanations; some good things have come out of the pandemic as well. Positive effects of COVID 19 are seen on reduced road traffic, and road traffic accidents lowered levels of air pollution which has to lead to lowered heart attack rates and rejuvenating environment. Crime rates have fallen, and expenses are reduced in most places. Community action, communication amongst families, behaviour, sanitation, hygiene, online and distance education has positively impacted by COVID 19 pandemic. COVID 19 despite a bane for humans, can be thought of a boon for living beings. The habitats and elements have been purified with the stringent use of petrochemical products. To breathe fresh air and to consume purified water is a boon by itself. Now, it is time for humans to lead a caring life to every bounty bestowed on them by Nature. This thoughtful and considerate life will give hope for a healthy, stress-free life.

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