Canadian journal of surgery. Journal canadien de chirurgie
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Injury scoring systems are used to describe groups or individuals for purposes of epidemiologic studies, quality assurance or triage. The two most widely used methods are the injury severity score (ISS) and the trauma score (TS). In this paper, the authors describe their experience with these two methods in a group of 175 severely injured children. They found both to be reliable and valid but found the ISS the more useful of the two for various practical reasons.
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Case Reports
Avulsion of the pectoralis major tendon in a weight lifter: repair using a barbed staple.
Avulsion of the pectoralis major tendon is uncommon. The usual mechanism is a sudden muscular contraction with the rupture occurring at any point between the muscle's origins on the clavicle and sternum and its tendinous insertion on the humerus. At least half the reported cases involve athletes. ⋯ Surgical correction using a barbed bone staple to reattach the tendinous portion of the pectoralis major to its attachment at the lateral lip of the bicipital groove has not previously been described. The authors obtained an excellent postoperative result in a 20-year-old competitive weight lifter who was able to return to active body-building competition. They advocate prompt surgical correction of this lesion in any active healthy person.