Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Jun 2010
Myositis Ossificans Presenting as a Tumor of the Cervical Paraspinal Muscles.
Myositis ossificans (MO) is a benign heterotopic bone formation within muscle or soft tissue that is predominantly initiated by trauma. The diagnostic challenge is to distinguish it from bone and soft tissue malignancies. ⋯ A broad range of theories about the etiology of MO exists in the literature, but minor or major trauma can be found in almost every instance. We present a patient in which additional hybrid imaging with singlephoton emission tomography (SPECT) and computed tomography helped to confirm the diagnosis of MO in the paraspinal cervical muscles.
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Eur J Trauma Emerg S · Jun 2010
Spinal Epidural Abscess Presenting with Paraplegia Following Delayed Presentation of Traumatic Esophageal Perforation without Spinal Fracture: Lessons to be Learnt.
We describe a case of esophageal perforation following blunt chest trauma with delayed presentation as paraplegia secondary to spinal epidural abscess formation. The case highlights the importance of the awareness of the possibility of esophageal injury in patients following road traffic collisions.
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Symptomatic secondary osteoarthritis of the Lisfranc joints due to malunion following Lisfranc joint fracture dislocations or ligamentous lesions at the Lisfranc and innominate joint level generally lead to a painful functional loss and a substantial disturbance of the walking performance. Initially missed or inadequately addressed primary lesions still represent the major source of Lisfranc joint malunions. Neuro-osteoarthropathic disorders may also become manifest in the Lisfranc joint region and may be mistaken for truly posttraumatic consequences. ⋯ The concept of a corrective arthrodesis includes restoration of stable physiologic axes and length proportions of the foot columns. A standardized approach to analyze the clinical picture and corresponding pathomorphology and the transfer into a comprehensive surgical concept which respects the realignment of any component of deformity is a prerequisite for a good functional outcome and a high degree of patient satisfaction. A fusion limited to the medial three rays combined with a soft tissue release may be sufficient for a favorable outcome in the majority of cases and preserve the mobility of the two lateral rays.
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Eur J Trauma Emerg S · Jun 2010
Thoracotomy in Thoracic Injuries: Results from a Tertiary Referral Hospital.
Critically injured patients may require thoracotomy after a thoracic injury. This study is a retrospective analysis of the results of thoracotomy in patients with thoracic injury. ⋯ Thoracotomy after thoracic injury is a life-saving procedure in selected cases. Lower GCS and higher ISS are associated with increased mortality. Early transport and quick attempts to diagnose the indications necessitating thoracotomy play a significant role in improving the outcome.
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Eur J Trauma Emerg S · Jun 2010
Case Report on the Demonstration of Minute Colonic Perforations Caused by Birdshot Injury.
Penetrating trauma of the colon is usually diagnosed intraoperatively and missed injuries cause considerable morbidity and mortality. Herein, we described an intraoperative diagnostic method for invisible openings on the colon due to a birdshot injury. A 30-yearold man was admitted to the hospital after sustaining gunshot pellet injuries to his abdomen, back, and extremities. ⋯ Five tiny (2-mm) openings on the retroperitoneal part of the descending colon were demonstrated with the help of the air bubbles. All of the openings were sutureligated and his postoperative course was uneventful. We believe that inflating the colon in cases of abdominal birdshot injuries may allow the demonstration of tiny perforations and provide immediate repairs of missed injuries.