European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Aug 2021
Randomized Controlled TrialThe effect of steroid treatment on whiplash associated syndrome: a controlled randomized prospective trial.
There is significant evidence in the literature that low or relatively low cortisol concentrations near the time of an accident are associated with more severe forms of whiplash-associated disorders. We hypothesized that treating patients that were involved in a motor vehicle accident with hydrocortisone would alleviate the incidence and severity of these disabling disorders. ⋯ Steroid treatment of patients with whiplash might be harmful to those who present with low cortisol concentrations (< 9.5 μg/dL).
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Eur J Trauma Emerg Surg · Aug 2021
Validation of the scandinavian guidelines for initial management of minor and moderate head trauma in children.
Head trauma in children is common, with a low rate of clinically important traumatic brain injury. CT scan is the reference standard for diagnosis of traumatic brain injury, of which the increasing use is alarming because of the risk of induction of lethal malignancies. Recently, the Scandinavian Neurotrauma Committee derived new guidelines for the initial management of minor and moderate head trauma. Our aim was to validate these guidelines. ⋯ Children with minimal head injuries can be safely discharged with oral and written instructions. Use of the SNC-G will potentially reduce the use of CT.
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Eur J Trauma Emerg Surg · Aug 2021
Intermediate-term evaluation of interval appendectomy in the pediatric population.
Initial non-operative management of children with complicated appendicitis has been well studied but when comparing emergency procedures the long-term effectiveness of interval appendectomy remains undefined. This study aimed to determine the effects of interval appendectomy from the perspective of long-term follow-up. ⋯ Initial non-operative therapy with interval appendectomy was feasible for most patients with appendiceal abscesses and had advantages in terms of postoperative complications, especially regarding long-term obstruction events. Therefore, initial non-operative therapy with interval appendectomy should be considered the first treatment of choice for pediatric patients with complicated appendicitis.
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Eur J Trauma Emerg Surg · Aug 2021
A standardised computed tomography measurement method for distal fibular rotation.
The aim of the study is to identify an ideal location to measure fibular rotation in the ankle joint using axial computed tomography (CT) scans. Another objective was to detect the average fibular rotation in the uninjured ankle joint in a large cohort. ⋯ The results of the study demonstrate a reproducible location to measure the fibular rotation in the ankle joint. The most convenient location to measure fibular rotation with a high reliability was 6 mm distal to the talar joint line.
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Eur J Trauma Emerg Surg · Aug 2021
Same wound complications between extensile lateral approach and sinus tarsi approach for displaced intra-articular calcaneal fractures with the same locking compression plates fixation: a 9-year follow-up of 384 patients.
Some previous studies have demonstrated that the sinus tarsi approach (STA) is a better therapeutic method than the extensile lateral approach (ELA) for displaced intra-articular calcaneal fractures. In a number of those previous studies, two different implants were used in the two approaches respectively. There is a question: if using the same implants, is STA still a better method than ELA? To answer this question, this retrospective study was designed. ⋯ Under the condition of using the same locking compression plates, there were no significant differences between ELA and STA for the treatment of displaced intra-articular calcaneal fractures with regard to wound complications, radiological and clinical outcomes.