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At least 145 records · Page 8Linked to original sources
PubMed1991

Penetrating missile injuries in the Gulf war 1991.

During the recent Gulf war 63 patients with penetrating missile injuries (including 29 Iraqi prisoners of war) underwent operation in a British Army Field Hospital. Their injuries and initial operative management are reported. Fifty-one casualties (81 per cent) suffered an average of nine wounds (range 1-45) due to fragmentation weapons, and 12 casualties sustained bullet wounds. All wounds were explored following the established principles of war surgery. The extremities were involved in 48 patients (76 per cent). Eight compound long bone fractures were managed with external skeletal fixators applied at the time of initial operation. Laparotomy was performed on seven patients, one of whom died. The average duration of operation was 77 min for shrapnel wounds and 85 min for bullet wounds.

Abdominal Injuries↗
PubMed2000

[Dystonia following peripheral trauma: clinical findings and diagnostic criteria].

Dystonia is a rare neurological complication after peripheral trauma. Incidence and pathophysiology of post-traumatic dystonia are not known. Predisposing factors are sympathetic reflex dystrophia, pre-existing movement disorders or a family history of movement disorders. The main diagnostic goal is to exclude other causes of secondary dystonia. Objective criteria for posttraumatic dystonia are not established, and therefore differentiation from psychogenic dystonia frequently remains difficult. Careful psychiatric examination is obligatory. Clinical criteria are consistency of the symptoms over time and the presence of symptoms compatible with organic dystonia. Polygraphic EMG examinations provide objective correlates of the movement disorder, but exact EMG criteria for the diagnosis of dystonia have yet to be established.

Adult↗
PubMed1977

Vascular trauma.

The word "spasm" has been purposefully omitted as it is essentially a nonentity in vascular trauma. The surgeon's ability to repair and salvage extremities has increased greatly in the last 30 years. Problem areas still exist, especially in those patients with carotid trauma and neurologic deficit and patients with massive trauma to the extremities with involvement of bone, arteries, veins, nerves, and soft tissue. There is a place and a time for primary amputation, but its role in trauma surgery has definitely decreased and should continue to do so, as long as in so doing we do not jeopardize the life of the patient.

Abdominal Injuries↗
PubMed1980

Roller skating injuries.

An increasing number of patients who have sustained injuries while roller skating are being seen in emergency departments; more can be expected. One hundred consecutive charts of patients who presented to the emergency department after roller skating accidents were reviewed. Sixty-five percent of patients had sustained a fracture or dislocation. The areas most commonly injured were the wrist, elbow, and ankle. Those who attempt to roller skate should use proper equipment and be familiar with proper techniques for falling.

Adolescent↗
PubMedDate not supplied

Radiology of sports-related injuries.

Participation in organized sports and fitness activity continues to increase in the United States. As a result, more acute bone and soft-tissue injuries are occurring in this patient population. Chronic overuse syndromes are also more common today. It is important for radiologists to understand the mechanism of injury so that they can properly approach the imaging of these patients. Although magnetic resonance imaging (MRI) is frequently the technique of choice, other imaging methods are also important and may, in certain cases, be preferred to MRI. In this review, we discuss extremity injuries by anatomic region. The spine is not included. A tailored imaging approach to each anatomic region and type of injury is discussed.

Ankle Injuries↗
PubMed2003

Pelvic ring disruptions in emergency radiology.

Pelvic ring disruptions are a result of high-energy trauma and are a significant cause of morbidity and mortality in major trauma patients. The initial pelvic radiograph, in combination with computed tomographic imaging in selected patients, provides a quick and accurate method of diagnosing pelvic fractures. Pelvic fracture classification schemes have evolved over the past few decades, and include description of the mechanism of injury and assessment of pelvic stability. Understanding these classifications is important in developing an approach to interpretation of pelvic imaging and prediction of associated injuries. Armed with these tools, the emergency radiologist can detect pelvic fractures early and guide subsequent imaging and therapy.

Emergency Service, Hospital↗
PubMed1995

Acute injuries in orienteerers.

The aim of this study was to characterize the type and severeity of acute injuries occurring in Finnish orienteerers in 1987 to 1991. The study is based on the orienteering license insurance records accounting for 2189 orienteering injuries during 69268 person-years of exposure in active orienteerers. Of these orienteerers, 73.0% were male; 73.5% (N = 1608) of all injuries occurred in males, so the injury rate was similar in males and females. The rate was highest in orienteerers 20 to 24 years of age and lowest in children. Injuries occurred most commonly during May to September (78.9% or all injuries), the months which include the orienteering competition season, and were more common during competitions (59.8%) than during training. A high number of the injuries occurred during weekends (58.9% of injuries) including 68.1% of all competition injuries and 44.9% of all training injuries. The lower limbs were involved in 1611 (73.6%) of cases, the ankle (28.7%) and the knee (23.2%) being the two most common injury locations. Sprains, strains and contusions were the most common injuries. Wounds were proportionally more common in males than in females while ankle sprains were more common in females. Fractures, seven open and 94 closed, accounted for 4.6% of injuries; they were most common in the hand/wrist/forearm (N = 44) and ankle (N = 16), and were more frequent during competition (62.3%) than during training. The most important areas for preventive measures seem to be the ankle and the knee.

Adolescent↗
PubMed1983

Skiing injuries in children and adults: a comparative study from an 8-year period.

The investigation is a retrospective analysis of 2756 skiing injuries from two centers in a Swedish skiing area during the years 1972 to, and including, 1979. The relative frequency of lower extremity injuries successively diminished, while a corresponding increase of upper extremity injuries was found. The relative frequency of ankle and foot injuries declined, while the frequency of knee injuries did not change, knee injuries still being the most common skiing injury. The relative frequency of fractures of the lower leg showed a statistically significant decrease, but, in children, constituted 16% of all injuries at the end of the investigation period. Further studies, with special regard to the children's prerequisites, seem to be necessary to define the desired characteristics of an optimally functioning safety binding for children.

Adolescent↗
PubMed1987

Skiing accidents in the past 15 years.

For the last 15 years a statistical analysis of distances skied and of alpine skiing accidents has been performed in the Davos-Klosters skiing area, a 'closed' skiing area, where every skier has to return from the top to the bottom station. Distance skied is measured by vertical drop in 10(6) km determined by calculations from frequency surveys by lift-operators. About 2.5 million km per season have been skied during the past years, a number remaining constant for the last 15 years. In the same time the requirement for rescue-transports in this area has shown a decline of 46% to 288 transports per season due to a decrease of the number of injuries with initial immobilization. Therefore the so-called transport-quotient (one rescue-transport per 10(4) km of vertical drop skied) has decreased from its initial value of 4 to 1 per 10(4) km. During the same time all winter sport injuries were analysed at the hospital of Davos. About 90% are injuries caused by alpine skiing resulting in a total of 17,246 alpine skiing injuries for the last 15 years. There is a great decline in the incidence of lower leg fractures with a contrary development of knee injuries. Today half of the lower leg injuries are knee injuries (280 knee injuries out of a total of 1250 alpine skiing accidents per season). There is a gradual increase of upper extremity injuries from 17% of all skiing injuries in 1972 to 35% in 1976. A Swiss multicentre study on skiing safety shows comparable injury patterns in other skiing areas. The average injury-severity measured by several parameters is declining.(ABSTRACT TRUNCATED AT 250 WORDS)

Abdominal Injuries↗
PubMed1991

Acute management of traumatic forequarter amputations: case reports.

Traumatic forequarter amputation is a rare and very devastating injury. The arm, including the scapula, clavicle, and pectoral muscle, is torn from the body by a tremendous traction force, usually combined with a counteracting force from the body. The cases of three patients are presented. One patient was caught by the axle of a harvesting machine, resulting in a forequarter amputation of his right extremity and amputation of his left arm at the level of the upper arm. The other two patients had their arms caught in conveyer belts. All patients survived. Closure of the defect was performed acutely using a local pedicled musculocutaneous flap in one case and free vascularized musculocutaneous flaps from the amputated limbs in the two other cases.

Accidents, Occupational↗
PubMed2004

Microscooter injuries in the paediatric population.

OBJECTIVES: To illustrate the types of injuries seen by the accident and emergency department as a result of the use of non-motorized 'microscooters' in children, and to increase awareness of scooter-related triplane fractures of the ankle. STUDY DESIGN: A retrospective study conducted in an accident and emergency department of a district general hospital on all children who had a scooter-related limb injury over a 6-month period and were referred for orthopaedic review. METHODS: The analysis involved a case note review. Information recorded included the injury sustained, protective equipment worn at the time of the accident and management by the orthopaedic team. RESULTS: Scooter injuries accounted for 10 fractures in this period. There were three 'triplanar' injuries, which required operative fixation, and three injuries requiring manipulation under anaesthesia. No protective gear was worn by any of the patients. CONCLUSION: The popularity of microscooters seems to represent a significant risk of bony injury in the paediatric population. Medical personnel who manage acute paediatric trauma should be aware of scooter-related triplanar ankle injuries.

Adolescent↗
PubMed1981

Karate and karate injuries.

The origins of karate and its evolution as a sport are described. Karate injuries tend to occur in three main areas: the head and neck, the viscera, and the limbs. Effective legislation controlling karate, which could help prevent injuries, is lacking at the moment and should be established. Recommendations for the prevention of injury include the introduction of weight classes, mandatory provision of protective equipment such as padded flooring, and the outlawing of certain uncontrollable methods of attack.

Abdominal Injuries↗