Articles
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700 results found
Article
Liver trauma
The liver is one of the most frequently damaged organs in blunt trauma, and liver trauma is associated with a significant mortality rate.
Epidemiology
In blunt abdominal trauma, the liver is injured ~5% (range 1-10%) of the time 1,3.
Clinical presentation
Patients can present with right uppe...
Article
Genant classification of vertebral fractures
The Genant classification of vertebral fractures is based on the vertebral shape, with respect to vertebral height loss involving the anterior, posterior, and/or middle vertebral body as seen on lateral radiographs of the thoracic or lumbar spine 1.
Usage
The Genant classification has been use...
Article
Pulmonary laceration
Pulmonary lacerations result from frank laceration of lung parenchyma secondary to trauma. There is almost always concurrent contusion.
Epidemiology
Contusions and lacerations follow blunt or penetrating chest trauma, and are almost always seen with other chest (and abdominal) injuries. While ...
Article
Pancreatic trauma
The pancreas is uncommonly injured in blunt trauma. However, pancreatic trauma has a high morbidity and mortality rate.
Epidemiology
The pancreas is injured in ~7.5% (range 2-13%) of blunt trauma cases 1,3,7. Motor vehicle accidents account for the vast majority of cases. Penetrating trauma co...
Article
Distal humeral fracture
Distal humeral fractures are traumatic injuries involving the epicondyles, the trochlea, the capitellum, and the metaphysis of the distal humerus. They are often the result of high-energy trauma, such as road traffic accidents or a fall from a height. In the elderly, they may occur as a domestic...
Article
Distal femoral fracture
Distal femoral fractures involve the femoral condyles and the metaphyseal region. They are often the result of high-energy trauma such as motor vehicle accidents or a fall from a height. In the elderly, they may occur as a domestic accident 1-3.
Epidemiology
They are quite rare and represent ~...
Article
Metacarpal fracture
Metacarpal fractures are common accounting for 10% of all fractures and 40% of all hand fractures. The most common metacarpal fracture is fracture of the neck of the fifth metacarpal, or boxer's fracture, accounting for 10% of all hand fractures.4
Terminology
Specific names are given to fractu...
Article
Facial fractures
Facial fractures are commonly caused by blunt or penetrating trauma at moderate or high levels of force. Such injuries may be sustained during a fall, physical assault, motor vehicle collision, or gunshot wound. The facial bones are thin and relatively fragile, making them susceptible to injury....
Article
Greenstick fracture
Greenstick fractures are incomplete fractures of long bones and are usually seen in young children, more commonly less than 10 years of age. They are commonly mid-diaphyseal, affecting the forearm and lower leg. They are distinct from torus fractures.
Pathology
Mechanism
Greenstick fractures ...
Article
Rib fractures
Rib fractures are a common consequence of trauma and can cause life-threatening complications.
Epidemiology
Associations
Rib fractures are often associated with other injuries and the greater the number of rib fractures the more likely are associated injuries 1,3:
brachial plexus or subclavi...
Article
AAST spleen injury scale
The American Association for the Surgery of Trauma (AAST) splenic injury scale, revised in 2018, is the most widely used grading system for splenic trauma.
The 2018 update incorporates "vascular injury" (i.e. pseudoaneurysm, arteriovenous fistula) into the imaging criteria for visceral injury 4...
Article
Osseointegrated implant
Osseointegrated implants (OI) are endosteal implants characterized by porous surfaces that allow a direct structural connection between bone and implant without interposed soft tissue and ingrowth and interdigitation of the newly formed lamellar bone.
Osseointegration has been defined as direct...
Article
Holstein-Lewis fracture
Holstein-Lewis fractures represent a special type of humeral shaft fracture. It is a simple spiral fracture of the distal humerus with a radial displacement of the distal fragment 1,3,4. These fractures are reported to have a higher rate of radial nerve palsy when compared to other humeral shaft...
Article
Pneumothorax
Pneumothorax, commonly abbreviated to PTX, (plural: pneumothoraces) refers to the presence of gas (often air) in the pleural space. When this collection of gas constantly enlarges with resulting compression of mediastinal structures, it can be life-threatening and is known as a tension pneumotho...
Article
Keifhaber-Stern classification of volar plate avulsion injuries
The Keifhaber-Stern classification can be used to classify volar plate avulsion injuries of the fingers.
Usage
Along with the Eaton classification, this classification is considered (c. 2016) one of the most useful for the management of volar plate avulsion injuries 2.
For Keifhaber-Stern cl...
Article
Volar plate avulsion injury
Volar plate avulsion injuries are a type of avulsion injury. The volar plate of the proximal interphalangeal (PIP) joint is vulnerable to hyperextension injury, in the form of either a ligament tear or an intra-articular fracture.
Gross anatomy
The volar plate forms the floor of the PIP joint ...
Article
Eaton classification of volar plate avulsion injury
The Eaton classification can be used to classify volar plate avulsion injuries of the fingers.
Usage
Along with the Keifhaber-Stern classification, this classification is considered (c. 2016) one of the most useful classifications for the management of volar plate avulsion injuries 2.
Knowle...
Article
Essex-Lopresti fracture-dislocation
Essex-Lopresti fracture-dislocation is characterized by a fracture of the radial head, dislocation of the distal radioulnar joint and rupture of the antebrachial interosseous membrane 3.
Epidemiology
As little as 20% of Essex-Lopresti fracture-dislocations are recognized at the time of initial...
Article
CT cystography
CT cystography is a variation of the traditional fluoroscopic cystogram. Instead of anterograde opacification of the urinary collecting system (as with CT urography), contrast is instilled retrograde into the patient's bladder, and then the pelvis is imaged with CT.
Indications
suspected bladd...
Article
Brachial plexus injuries
Brachial plexus injuries are a spectrum of upper limb neurological deficits secondary to partial or complete injury to the brachial plexus, which provides the nerve supply of upper limb muscles.
Clinical presentation
Trauma, usually by motor vehicle accidents, involves severe traction on the ...
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