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At least 793 records · Page 44Linked to original sources
PubMed1975

A military surgical team in Belfast.

This paper details the experiences of a military surgical team in Belfast from 1972 to early 1974. The overall picture of the problem is given and the current management of 'war' injuries discussed. Up to February 1974 over 1000 servicemen have been injured in Northern Ireland as a result of the vivil disturbance. Over 200 have died. Because of the close proximity of the hospital to many battle areas, casualties may arrive with massive injuries, requiring major resuscitation. Limb wounds have predominated. There is no short cut to adequate wound debridement, especially in the surgery of high-velocity missile injury. Missile wounds of the large bowel require a colostomy. Formal thoracotomy is increasingly used for the through-and-through gunshot wounds of the chest. Controlled ventilation is playing an increasingly important role in the management of some missile wounds of the head. Mine and bomb explosions frequently cause multiple injuries, requiring extensive surgery on any one patient.

Abdominal Injuries↗
PubMed1990

[Preventive antibiotic treatment in cases of complicated injuries of the extremities. A questionnaire study].

A questionnaire about prophylactic antibiotic treatment of open bone, tendon or joint lesions in the extremities was sent to the 83 casualty departments in Denmark. The questionnaire was answered by 56 casualty departments which treated 72% of the orthopaedic surgical injuries in Denmark. In cases of lesions of the hands and feet, 23% of the patients were treated in casualty departments where prophylactic antibiotic therapy was rarely employed while 24% were treated in casualty departments where prophylactic antibiotic therapy was always employed. In cases of lesions proximal to the wrist or ankle joints, the figures were 26% and 38%, respectively. Penicillin was nearly always employed and treatment was commenced before or during operation. The majority of departments continued treatment for four days or longer. Considerable scatter was reported in the dosage of penicillin employed. The literature about prophylactic antibiotic treatment in cases of complicated lesions of the extremities is insufficient and controlled investigations are necessary to elucidate a series of conditions.

Arm Injuries↗
PubMed1989

[Post-traumatic ossifications simulating soft tissue neoplasms].

Roentgenologic data on 59 patients in whom posttraumatic calcification and ossification simulated soft tissue tumor were evaluated. X-ray diagnostic and differential diagnostic features are discussed. Soft tissue X-ray proved to be best suited in ossification identification.

Adolescent↗
PubMed1989

Ilio-tibial band friction syndrome--a common injury.

Ilio-tibial band syndrome is a common sports injury in runners that is easy to recognise and treat. Unfortunately, it is infrequently diagnosed so that much unnecessary morbidity from the condition exists.

Athletic Injuries↗
PubMed1989

Office evaluation and treatment of lower extremity injuries in the runner.

Lower extremity problems in the runner are common and often perplexing. Although many problems such as acute tendinitis and mild sprains can be treated with short periods of rest and nonsteroidal anti-inflammatory drugs, some will be chronic or recurrent in nature. These persistent problems can cause even a serious runner to reduce his activity greatly or even give up the sport entirely. Chronic recurring ailments should be examined carefully with a high suspicion of a biomechanical imbalance in the foot or lower extremity. With a basic understanding of the biomechanics of the foot and ankle and the stresses incurred during running, most of the problems can be managed conservatively.

Athletic Injuries↗
PubMed1989

Ultrasonography of post-traumatic soft-tissue lesions.

This article highlights the varied uses of ultrasound for detection of trauma to soft tissues. The emphasis is on the diagnosis of tendon and muscle disruptions. Detection of soft-tissue foreign bodies by ultrasound, an important recent innovation, is also reviewed. Miscellaneous potential applications of ultrasound for diagnosing meniscal injuries, cartilage integrity, epidermoid cysts, and traumatic vascular malformations are discussed briefly. Ultrasound is efficacious because of its low cost, noninvasiveness, wide availability, and accuracy.

Achilles Tendon↗
PubMedDate not supplied

[Venous trauma of the limbs].

Traumatic lesions of veins in the limbs must be considered in 3 types of circumstances: (1) Extensive injuries, open or closed, affecting the principal vascular axis and usually damaging both the vein and artery at the same time; these wounds or ruptures in the principal venous supply pose the problem of repair using autogenous venous material, since it is now known that the result of arterial reconstruction (which is so essential for the limb) may be compromised by the lack of a satisfactory return circulation. Because of this, amputation may be resorted to, as is still too often seen in the case of the popliteal fossa. (2) Lesions of the collateral veins: these remain the most frequently encountered in civil practice; they result in either deep hematomas in the muscles (sub-aponeurotic), or superficial hematomas between aponeurosis and integument. The former may be a factor in compartment syndromes with the risk of irreversible ischemia in a muscular compartment if aponeurotomy is not carried out very rapidly, while the latter can give rise to skin necrosis if they are not drained in time. (3) Limited wounds affecting vein and artery, which are in contact, with formation of an arteriovenous fistula which may only be recognized after a certain delay if it is not systematically borne in mind. The question of assessing the sequelae over the medium and long term is raised in all cases; in the vast majority of cases, these correspond to a picture of post-traumatic thrombophlebitis. Correct preventive and curative treatment can lessen the disabling nature of the sequelae and especially their professional repercussions.

Arm Injuries↗
PubMedDate not supplied

[Injuries caused by garfish in New Caledonia and its dependencies].

Garfish, which are found in the Indo-Pacific ocean areas, have a long spear-like beak with two narrow jaws and small pointed teeth. They often make sudden leaps while swimming, particularly when attracted by bright lights or when frightened by boats or by one of their predators, mainly in warm seasons. Serious injuries may be caused by a fish jumping and its beak piercing part of the body. The surface wound may appear deceptively small and innocent but if the wound is on the chest or abdomen the beak may have penetrated sufficiently deep to cause internal injuries and death may result. Patients may have to be admitted to the hospital for removal of the beak which may remain embedded in a limb.

Adult↗