Eur J Trauma Emerg S
-
Eur J Trauma Emerg S · Oct 2010
Historic overview of treatment techniques for rib fractures and flail chest.
From the beginning of the twentieth century till the current time, an overview is presented of the surgical treatment for rib fractures and flail chest. ⋯ However, the recent introduction of better and fully dedicated materials provides the possibility of exploring the surgical treatment of chest injuries. The authors make a case for operative treatment of rib fractures and flail chest.
-
Eur J Trauma Emerg S · Oct 2010
Simultaneous dislocation of the interphalangeal and metacarpophalangeal joints of the thumb.
Simultaneous dislocation of the interphalangeal and metacarpophalangeal joints of the thumb is an extremely rare injury, the management of which is controversial. We advocate closed reduction followed by early mobilisation in order to achieve optimal functional results.
-
A case of femoral neck fracture is reported after electrical shock injury with 300 V direct current in a 41-year old male. He had two small full thickness burns on his left heel, probably the exit wounds. ⋯ Surgeons caring for patients with electrical injury should be aware of the possibility of skeletal injuries. Without vigilance for these injuries, delay in diagnosis may occur.
-
There has been difficulty in the appropriate determination of blunt cardiac injury (BCI) related to blunt thoracic trauma (BTT). The aim of this study is to assess BCI and the effectiveness of diagnostic tests in BTT in patients admitted to the emergency department (ED). ⋯ Indicators such as cardiac enzymes and ECG have low sensitivity and specificity when used alone. The reliability of ECG in the diagnosis of BCI decreases in the later hours of trauma.
-
Acute aortic valve insufficiency caused by laceration of the aortic valve cusp after blunt chest trauma is a rare condition. We report herein on a case of a 40-year-old patient who initially presented with cardiac tamponade and cardiac arrest after a traffic accident. The patient ultimately received aortic valve repair to treat acute aortic regurgitation due to multiple perforations on a single cusp, visualized on multidetector chest computed tomography scan (128 channels).