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The shoulder in sports.
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Rugby must be safer: preventive programmes and rule changes.
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[The scapular free flap crossing the dorsal midline].
OBJECTIVE: A large defect needs a large flap to repair. This clinical study was to explore the possibility and safeness of transferring the extended scapular free flap. METHOD: We have used the transverse scapular flap to reconstruct large defects in the mandibular or cervical region in 8 patients. The flap was designed to cross the midline of the back as far as 15 cm. The largest flap measured 31 x 34 cm. RESULTS: Of the 8 flaps, six survived completely; local epidermal necrosis appeared in two. CONCLUSION: The free scapular flap supplied by a single circumflex scapular vascular pedicle can be safely extended beyond the midline of the back. The flap axis is the horizontal branch of the circumflex scapular vessel.
[An unusual homicide case with subsequent suicide].
In the medicolegal literature reports on homicides followed by suicide, especially in elderly people, are rare. In the present case, the victim, a 79-year-old woman, showed a rather unusual injury pattern: 3 gunshots to the head (with only 2 entrance wounds and 3 intracranial projectiles) and 2 stabs from a knife. The tools used for inflicting the stab wounds (a hunting knife and a double-edged dagger) were left in the victim's body after the offense. The 89-year-old husband hanged himself with an aerial cable after killing his wife. The police investigations and the autopsy findings suggested a combined homicide-suicide. The motive for the offense could be a so-called delusion of poverty associated with symptoms of depression.
Eye, ear, nose, and throat injuries in the field.
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Emergent radiologic evaluation of the gunshot wound victim.
The incidence and number of victims of gunshot injury in the United States increases yearly. Rapid acute assessment of these individuals includes radiologic examinations. This article is an overview of current management practices and information relevant to the radiologist who is called upon to evaluate these patients.
[Lesions caused by multiple projectiles expelled by gas explosion from the exhaust pipe of automotive vehicles].
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Radiology case of the month. Pneumomediastinum; facial, cervical, and left supraclavicular soft tissue emphysema.
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[Use of injectable Glyo-6 in the prevention and the treatment of difficulties of cicatrization in cervicofacial surgery].
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[Plastic surgical aspects of primary wound treatment and secondary cicatrical correction in the facio-cervical area].
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Emergency treatments of diving accidents.
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Amylase isoenzymes in the evaluation of trauma patients.
In traumatized patients, elevation of the levels of serum amylase is often noted and may lead to a diagnosis of pancreatitis or pancreatic injury. In the presence of multiple injuries, it is often difficult to evaluate clinically for pancreatitis or pancreatic injury. Since the serum amylase is derived from both the pancreatic and the salivary glands, it is useful to determine the origin of the elevated levels of serum amylase in these patients. A total of 31 patients including 21 trauma patients were studied, and the total serum amylase and also the pancreatic (P) and salivary (S) fractions were determined by isoelectric focusing. Compared with the normal control group, most trauma victims had elevated total amylase levels (normal, 30-128 U). In six patients with head and facial trauma, the P-fraction was 7.6 per cent, and the S-fraction was 92.4 per cent (normal, P 35-50%; S 50-65%), while in six patients with penetrating abdominal trauma, the P-fraction was 81 per cent, and the S-fraction was 19 per cent. These differences were statistically significant. The data demonstrate the value of measuring fractions of amylase in addition to total amylase levels. In patients with head and facial trauma alone, elevated levels of serum amylase are due to an increase in the salivary fraction. Elevation of total serum amylase in traumatized patients does not necessarily indicate pancreatic injury. Measurements of amylase fractions were thus useful in evaluation of trauma patients.
[Injury caused by a separating grinding disk].
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Angiography in the diagnosis and management of maxillofacial missile wounds.
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On management of bullet injuries.
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