Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Jun 2008
The Outcome of Cardiac Dysfunction in Critically Ill Trauma Patients: Myocardial Contusion Complicated by Refractory Hypotension.
This work attempted to define the care and course of those most severely affected patients in the setting of blunt chest trauma, who had hypotension refractory to routine fluid resuscitation. ⋯ There is worsened morbidity with a 2-fold increase in ICU LOS and hospital stay, and a 1.5-fold increase in mortality in the severe myocardial contusion group. The diagnostic dilemma posed by lack of definitive testing continues unresolved after analysis of routinemodalities - EKG, CXR, ECHO, CPK or CO - failing to yield a "best test".
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Eur J Trauma Emerg S · Apr 2008
Current Concepts: Simple and Complex Elbow Dislocations - Acute and Definitive Treatment.
Dislocations of the elbow account for 20% of all dislocations. Thus, after the shoulder, the elbow joint is the joint most frequently afflicted by dislocations. ⋯ Ligament repairs or reconstruction and hinged external fixators are necessary in some cases to restore stability for early motion. In general, simple dislocations have a better prognosis than complex dislocations.
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We present a case of traumatic fibular bowing associated with ankle fracture in a 14-year-old girl. Acute traumatic bowing deformities of the fibula have always been reported as associated with mid-shaft tibial fractures, but involvement of the distal fibula associated with an ankle fracture has not been reported. The clinical picture is described and the mechanism of injury discussed.
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Scaphoid fractures in children are rare injuries. A complete scaphoid waist fracture in a 13-year-old boy after fall on the extended wrist is reported. Following early diagnosis by MRI, the fracture healed uneventful with conservative treatment. The appropriate diagnostic approach and the advantages of MRI for suspected scaphoid fractures in children are discussed.
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Eur J Trauma Emerg S · Apr 2008
Cytokine Responses to Glucocorticoids and Surgery : A Randomized Controlled Trial.
This prospective randomized study was designed to evaluate the implication of high preoperative doses of glucocorticoids on the cytokine responses after surgical correction in patients with ankylosing spondylitis. ⋯ This study shows that surgery adds a complexity to cytokine productions in patients with ankylosing spondylitis, and that the balance of these cytokines is significantly influenced by glucocorticoids.