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[War injuries].

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Amputation, Surgical↗

[Injuries and physical complaints caused by golf].

The marked torsional movements involved in swinging a golf club are stressful for both the vertebral column and the extremities of the golf player. 52.5% of 120 golf players questioned in this regard stated that they experienced complaints or injuries. These are mainly caused by faulty swinging of the club or by carelessness. A considerable proportion of the vertebral column complaints had worsened as a result of playing golf, so that it is imperative to examine whether the player should be advised not to play golf if such complaints already existed before. If the technique of swinging the golf club is correctly employed, golf can be considered as a low-injury rate pastime.

Arm Injuries↗

[Unusual case: injury of the 4 heart valves in a patient with old heart injury caused by fire arm. Review of the literature].

We review the literature on heart wounds. Along the history surgeons regarded heart wounds as forbidden place for therapeutic approach. We present a patient who sustained a bullet wound to the heart and two years later 3 knife' stabs in the same place injuring its 4 valves and inducing 2 fistulae: one from the aorta to the pulmonary artery, the other from left-ventricle and the pulmonary artery. Surgery was successful in repairing the damage without the need of valve replacement.

Adult↗

Floating injuries: a review of the literature and proposal for a universal classification.

It is tempting to describe any structure or body part which is not in continuity with its adjacent structures as 'floating'. The indiscriminate use of this word has led to description of complex injury patterns, surgeries, congenital anomalies, functional deformities or even normal anatomical structures by a single vague term 'floating'. The article stresses the importance of proper description of an injury pattern, after enlisting some of the 'floating' entities described in the literature. When the term 'floating' is used to describe an injury in a limb, we suggest use of the proposed universal classification system to prevent ambiguity, help in prognosticating and scientific comparison of results in such injuries.

Arm Injuries↗

[Primary humero-radial arthrodesis].

The surgical treatment of a severe injury in the cubital region of a bus-driver, aged 47, is reported. Because of the extended contamination and the splintered fracture radical wound excision - involving also the chondral surfaces - has been performed and hereupon humero-radial arthrodesis was carried out. The skin defect has been successfully treated secondarily by insert of a flap. After uneventful recovery the patient could resume his work 6 months after the injury again.

Accidents, Traffic↗

Injuries in Australian Army recruits. Part II: Location and cause of injuries seen in recruits.

Three hundred fifty male recruits were randomly allocated to either the standard recruit training program (N = 180) or substituted a weighted-march activity for all formal run periods (N = 170) in the physical training program. All injuries were seen at a single medical facility, and the cause, location, and severity of injury were recorded in the medical documents. Lower-limb injuries constituted 79.8% of all Run injuries and 61.1% of all Walk injuries. Foot (18.9%), knee (16.7%), ankle (13.3%), and shoulder (8.9%) were the most common sites of injury in the Walk group. In the Run group, the most common sites were knee (32.1%), ankle (18.3%), foot (11.9%), and shin (7.3%). There were two stress fractures (tibial) in the Run group and none in the Walk group, giving the Run group an incidence of 1.1%. There were 10 medical discharges in the Walk group and 16 in the Run group. Ten (62.5%) of the Run and 2 (20%) of the Walk discharges were due to lower-limb causes. Of these, only 1 (10%) of the Walk and 4 (25%) of the Run injuries were not considered to be pre-existing conditions. Marching (30.0%), physical training (25.5%), and the obstacle course (11.1%) were the most frequent causes of injury in the Walk group. In the Run group, the leading causes were running (36.6%), physical training (19.2%), and the obstacle course (14.6%). Running was the major cause of knee injury in the Run group (17/35), whereas physical training was the major cause of knee injury in the Walk group (5/15). Running was also the major cause of other lower-limb injuries in the Run group (19/58), whereas marching was the major cause in the Walk group (19/50). Lower-limb injuries were more frequent in the Run group, with running cited as the major cause of these injuries.

Adult↗