scholarly journals Isolated Scapula Body Fracture with Intrathoracic Displacement: Description of a New Pattern of Injury

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Auñón-Martín Ismael ◽  
Olaya-González Carlos ◽  
Sánchez Gema Muñoz
Keyword(s):  
Pattern Of Injury ◽  
Body Fracture

Motion Analysis of the Cervical Spine

2004 ◽  
Vol 9 (5) ◽  
pp. 1-11
Author(s):  
Patrick R. Luers
Keyword(s):  
Cervical Spine ◽  
Intervertebral Disk ◽  
Radiographic Evaluation ◽  
Ligamentous Injury ◽  
Pattern Of Injury ◽  
Motion Segment ◽  
Single Pattern ◽  
Compensatory Motion ◽  
Loss Of Motion ◽  
Flexion And Extension

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, defines a motion segment as “two adjacent vertebrae, the intervertebral disk, the apophyseal or facet joints, and ligamentous structures between the vertebrae.” The range of motion from segment to segment varies, and loss of motion segment integrity is defined as “an anteroposterior motion of one vertebra over another that is greater than 3.5 mm in the cervical spine, greater than 2.5 mm in the thoracic spine, and greater than 4.5 mm in the lumbar spine.” Multiple etiologies are associated with increased motion in the cervical spine; some are physiologic or compensatory and others are pathologic. The standard radiographic evaluation of instability and ligamentous injury in the cervical spine consists of lateral flexion and extension x-ray views, but no single pattern of injury is identified in whiplash injuries. Fluoroscopy or cineradiographic techniques may be more sensitive than other methods for evaluating subtle abnormal motion in the cervical spine. The increased motion thus detected then must be evaluated to determine whether it represents normal physiologic motion, normal compensatory motion, motion related to underlying degenerative disk and/or facet disease, or increased motion related to ligamentous injury. Imaging studies should be performed and interpreted as instructed in the AMA Guides.

Delayed Mesenteric Hematoma of the Sigmoid Colon Following Blunt Abdominal Trauma

2017 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Motor Vehicle ◽  
Pelvic Fractures ◽  
Motor Vehicle Crash ◽  
Organ Injury ◽  
Contrast Extravasation ◽  
Body Fracture ◽  
Mesenteric Hematoma ◽  
Level I ◽  
Hispanic Male ◽  
Trauma Bay

A 25-year-old Hispanic male was transferred to our level I trauma center after being ejected 40 feet from a motor vehicle crash. Once stabilized in the trauma bay, a computed tomography (CT) scan of the abdomen/pelvis with IV contrast revealed two AAST Organ Injury Scale grade III liver lacerations without contrast extravasation, bilateral pulmonary contusions, right posterior non-displaced fourth rib fracture, non-displaced right scapular body fracture, and bilateral anterior and posterior pelvic fractures [Figures 1–2]. A non-operative approach to the hepatic lacerations was chosen and the patient underwent closed reduction and percutaneous pinning of his posterior pelvic fractures as well as anterior external fixation of his bilateral pubic rami fractures.

C1-C2 Wiring With Timed Self-Obsolescence for Complex C2 Body Fracture

2021 ◽  
Author(s):  
William W Wroe ◽  
Bradley Budde ◽  
Joseph C Hsieh
Keyword(s):  
Range Of Motion ◽  
Clinical Presentation ◽  
Spinous Process ◽  
Lateral Mass ◽  
Novel Technique ◽  
Internal Stabilization ◽  
Body Fracture ◽  
Permanent Loss ◽  
Osteosynthesis Techniques ◽  
Lateral Mass Fracture

Abstract BACKGROUND AND IMPORTANCE Fractures of C2 are typically managed nonoperatively with good rates of healing. Management decisions are complicated, however, when there are additional fractures in the axis possibly leading to increased instability. Additionally, the techniques used for treating these unstable axis fractures can have either significant complications or permanent loss of range of motion. Here, we present a novel technique for the reduction and stabilization of complex C2 body fracture. CLINICAL PRESENTATION A 34-yr-old woman with a complex C2 body fracture, which included a right pars and left lateral mass fracture, presented after a water slide accident. It was felt that this fracture was both unstable and would not heal in an anatomically acceptable way so an open surgical reduction was needed. After consideration of more traditional fusion and osteosynthesis techniques, we chose to perform a C1-C2 internal stabilization with C1 sublaminar and C2 spinous process wiring. The patient was then instructed to wear a Miami J collar for 3 mo. CONCLUSION The outcome was favorable with good approximation and healing with preserved range of motion.

scholarly journals Bilateral Distal Radius Fractures in a 12-Year-Old Boy after Household Electrical Shock: Case Report and Literature Summary

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Norman Stone ◽  
Mara Karamitopoulos ◽  
David Edelstein ◽  
Jenifer Hashem ◽  
James Tucci
Keyword(s):  
Distal Radius ◽  
Electric Shock ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Electrical Shock ◽  
Medline Search ◽  
Household Level ◽  
Ovid Medline ◽  
Body Fracture ◽  
Humerus Fractures

Background. Fracture resulting from household electric shock is uncommon. When it occurs, it is usually the result of a fall; however, electricity itself can cause sufficient tetany to produce a fracture. We present the case of bilateral fractures of the distal radii of a 12-year-old boy which were sustained after accidental shock. The literature regarding fractures after domestic electric shock is also reviewed.Methods. An Ovid-Medline search was conducted. The resultant articles and their bibliographies were surveyed for cases describing fractures resulting from a typical household-level voltage (110–220 V, 50–60 Hertz) and not a fall after the shock. Twenty-one articles describing 22 patients were identified.Results. Twenty-two cases were identified. Thirteen were unilateral injuries; 9 were bilateral. Proximal humerus fractures were most frequent (8 cases), followed by scapula fractures (7 cases), forearm fractures (4 cases), femoral neck fractures (2 cases), and vertebral body fracture (1 case). Eight of the 22 cases were diagnosed days to weeks after the injury.Conclusions. Fracture after electric shock is uncommon. It should be suspected in patients with persistent pain, particularly in the shoulder or forearm area. Distal radius fractures that occur during electrocution are likely due to tetany.

Arthroscopic Reduction and Internal Fixation (ARIF) of a Comminuted Posterior Talar Body Fracture: Surgical Technique and Case Report

2017 ◽  
Vol 10 (5) ◽  
pp. 465-469 ◽  
Author(s):  
Rishin Kadakia ◽  
Jeff Konopka ◽  
Tristan Rodik ◽  
Samra Ahmed ◽  
Sameh A Labib
Keyword(s):  
Case Report ◽  
Surgical Technique ◽  
Internal Fixation ◽  
Case Reports ◽  
Wound Complications ◽  
Open Approach ◽  
Arthroscopic Reduction ◽  
Body Fracture ◽  
Anatomic Reduction ◽  
Talar Body Fracture

The talus is the second most common fractured tarsal bone. While their incidence may be low, talus fractures are severe injuries that can lead to long-term disability and pain. Displaced talar body fractures are typically treated through an open approach with the aim of obtaining anatomic reduction and stable fixation. There are several case reports in the literature demonstrating successful management of talus fractures arthroscopically. An arthroscopic approach minimizes soft tissue trauma, which can help decrease postoperative wound complications and infections. In this article, the authors describe a surgical technique of an arthroscopic reduction and internal fixation of a comminuted posterior talar body fracture. Compared with an open posterior approach with or without osteotomies, an arthroscopic technique improved visualization and allowed precise reduction and fixation. Levels of Evidence: Level V: Case report

Abstract W P188: Cardiac Disorders in Patients with Stroke in Multiple Vascular Territories (MVT)

Stroke ◽  
2015 ◽  
Vol 46 (suppl_1) ◽  
Author(s):  
Dimitrios Giannakidis ◽  
Jignesh Shah ◽  
Richard Benson ◽  
John Lynch
Keyword(s):  
Recurrent Stroke ◽  
Cardiac Risk ◽  
Left Ventricular ◽  
Washington Dc ◽  
Pattern Of Injury ◽  
Cardiac Abnormalities ◽  
Conduction Disorders ◽  
Medical Disorders ◽  
Cardiac Evaluation ◽  
Atrial Enlargement

Stroke in multiple vascular territories can be defined as an imaging pattern of non-contiguous acute ischemic lesions in >1 vascular territory. Stroke in MVT has been reported with a number of medical disorders and may represent a pattern of injury at high risk of recurrent stroke. The goal of this study was to determine the frequency and etiology of cardiac abnormalities among patients who present with stroke in MVT. Methods: The study population was derived from the NINDS LESION Study, a consecutive cohort of ischemic stroke patients (N=1193) admitted to two primary stroke centers (Washington Hospital Center, Washington, DC; Suburban Hospital, Bethesda, MD) between 01/1999 and 10/2009. All patients received an acute MRI (1 DWI +/ADC + MRI abnormality in multiple vascular territories (bilateral anterior, anterior-posterior, or all 3 regions). Cardiac studies (EKG, echocardiogram, and cardiac telemetry) on stroke admission were reviewed for each patient. The etiology and prevalence of cardiac abnormalities were determined for patients with stroke in MVT. Results: Overall, 84 patients were included in the study, the median age was 69.5 yrs, 57% were African American, and 54% were female. Preadmission cardiac risk factors (AF, LVH, and CAD) were reported in 50% of patients. EKG abnormalities were identified in 76% of patients on admission. These included, HR abnormalities (tachy or bradycardia) in 51%, conduction disorders (AV or BB blocks) in 25%, and arrhythmias (supra or ventricular) in 25% of patients. Echocardiography abnormalities included; 61% with left ventricular abnormalities (hypertrophy, hypokinesis), 54% with left atrial enlargement, 37% with low EF (<50%), 27% with aortic arch abnormalities, 19% with mitral valve disorders (annular calcification, prolapse), and 7.3% with atrial septal defects. Conclusion: EKG and echocardiography abnormalities are common in patients who present with stroke in MVT. An extensive cardiac evaluation is warranted to determine etiology and implement stroke prevention strategies.

What is the onset mechanism of internal hernia after vertebral body fracture? A case of internal hernia secondary to traumatic vertebral fracture

2021 ◽  
Vol 14 (9) ◽  
pp. e241005
Author(s):  
Akiyo Matsumoto ◽  
Takahiko Akao ◽  
Hiroshi Matsumoto ◽  
Naoki Kobayashi ◽  
Makoto Kamiya
Keyword(s):  
Internal Hernia ◽  
Histopathological Examination ◽  
Lumbar Vertebra ◽  
The Body ◽  
Neurological Deficits ◽  
Disc Space ◽  
Ileal Loop ◽  
Body Fracture ◽  
Enhanced Ct

A 67-year-old man who had been pinned between a basket crane and a tree complained of severe pain in his lower back and a decreased appetite. Laparotomy after decompressing the gastrointestinal tract revealed incarceration of an ileal loop within a fractured third lumbar vertebra. The damaged bowel was resected, and an end-to-end anastomosis was performed. Once the patient’s condition had stabilised, posterior lumbar fixation was performed. There were no abdominal complications or lower limb neurological deficits during the follow-up period. Enhanced CT and MRI had been helpful in making the diagnoses. Histopathological examination revealed the aetiology of the traumatic incarceration: the intestine had been pinched as the disc space closed, and the body attempted to return to its original state by exerting countertraction.

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