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Results for “Neck Injuries”

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PubMed1980

Injuries of competitive skiers in Finland: a three year survey.

The present investigation reports on the injuries of competition skiers in Finland during the period 1976 to 1978. This investigation was made possible through the present system in Finland where an obligatory competition licence is always linked with accident insurance and the authors were able to base their work on an insurance company's records. The total number of licensed competition skiers in 1978 was 7814, 7052 being cross-country skiers, 275 skijumpers and 487 downhill skiers. During the period under investigation 180 accidents leading to an injury were rcorded. Cross-country skiers had 47% of these injuries, downhill skiers 23% and skijumpers 30%. The injury risk in skijumping (47%) proved to be highly significantly (p < 0.001) greater than in the other events (3% and 18%). In the comparison of the injury risk, men (8.5%) outnumbered women (4.4%) (p < 0.001). Men under 30 had more injuries than the older age group (p < 0.001). Muscle and tendon injuries were most common in cross-country skiing. The risk of sustaining a fracture was higher in skijumping than in the downhill events (p < 0.001) and higher in downhill skiing than in cross-country (p < 0.001). On the basis of the present investigation cross-country skiing seems to be a safe activity, but downhill skiers and especially skijumpers seem to be subject to a relatively high risk of injury.

Adult↗
PubMed2003

Isolated proximal esophageal injury from blunt trauma: endoscopic stricture dilatation.

Blunt neck trauma can cause isolated esophageal injuries that may be difficult to recognize. A high index of suspicion is necessary for optimal identification and management of this condition. We report a case of blunt esophageal trauma resulting from a motor vehicle accident that was initially unrecognized until the patient developed a tight stricture of the cervical esophagus. This was successfully dilated endoscopically. Aerodigestive trauma resulting from neck injuries is reviewed with emphasis on the pathophysiology of esophageal trauma.

Deglutition Disorders↗
PubMed2002

Penetrating trauma to the head and neck from a nail gun: a unique mechanism of injury.

Published reports of nail gun injuries to the head and neck are rare. We describe the cases of three patients who sustained nail gun injuries to the head and who were managed at our institution. All patients were treated successfully and all recovered with minimal morbidity. Any physician who is called on to manage a nail gun injury to the head or neck should understand that most likely the patient will have sustained a surprisingly limited amount of tissue injury, owing to the relatively low velocity of the projectile compared with that delivered by firearms. Computed tomography and selective angiography can play a vital role in assessing the integrity of relevant vascular structures. Moreover, catheter angiography with embolization can be a most useful nonsurgical adjunct to control the extent of vascular injury.

Adolescent↗
PubMed1981

Prognosis of vertigo following cranio-cervical injury.

The prognosis of vertigo associated with post-traumatic disorder of the head and neck was assessed during long-term observations of 75 patients, Subjective symptoms of vertigos improved 4 years after the first examination in almost all cases. The results of vestibular examination regarding objective symptoms of vertigo were usually fixed at about 2 years after the first examination. Changes in the subjective symptoms and the results of vestibular examinations provided pertinent information for clinical assessments. The EEG findings in these patients showed a close correlation to the improvement of subjective symptoms of vertigo and to alternation in the results of vestibular examination. Post-traumatic neurosis was almost always related to both the subjective symptoms which persisted.

Adolescent↗
PubMedDate not supplied

Cervical injuries.

Explore the source record for details and available documents.

Child↗
PubMed1998

Mortality caused by war wounds to the head and neck encountered at the Slavonski Brod Hospital during the 1991-1992 war in Croatia.

From July 1, 1991, until January 1, 1993, a total of 7,720 patients (soldiers and civilians) with war wounds were treated at Dr. Josip Bencević General Hospital in Slavonski Brod, Croatia. Treatment was provided for 7,043 patients, whereas 677 individuals (8.8%) killed in action (KIA) were examined at the Forensic Department. There were 1,456 patients (18.9%) with head and neck wounds: 1,176 soldiers and 280 civilians. The mortality rate was significantly greater in patients with head and neck wounds (N = 271, 40.0%) than in those with injuries to the thorax (N = 163, 24.1%) and abdomen (N = 62, 9.2%; p < 0.01 for both). During treatment, 188 patients (2.4%) died of wounds (DOW). The DOW mortality was 5.2% (61 of 1,185), 4.0% (41 of 1,026), and 2.9% (25 of 867) for wounds of the head and neck, thorax, and abdomen, respectively. There was no significant difference in the mortality rate between head and neck and thorax wounds: however, the former exceeded the mortality rate recorded for abdominal wounds (p < 0.05). No significant differences were observed between soldiers and civilians with head and neck injuries either in the KIA (205 of 1,176, 17.4% vs. 66 of 280, 23.5%, respectively) or the DOW group (51 of 971, 5.3% vs. 10 of 214, 4.7%, respectively. According to the mechanism of head and neck wounding, there were 1,046 explosive (71.9%), 226 gunshot (15.5%), and 184 other (12.6%) wounds. Lethal outcome was significantly more common in gushot than in explosive wounds (79 of 226, 35% vs. 243 of 1,046, 23.2%; p < 0.01). The proportion of head and neck injuries did not differ significantly from literature reports on recent conventional wars. The site of wounding, i.e., at the battlefield or elsewhere, had no effect on the prognosis of wounds to the head and neck. Gunshot head and neck injuries showed a significantly higher mortality rate.

Abdominal Injuries↗
PubMedDate not supplied

[Penetrating trauma of the neck: prospective study of 53 cases].

The treatment of penetrating injuries of the neck is still controversial nowadays, especially when there is doubt concerning the existence of any anatomic structure lesion. The delay to indicate surgical cervical exploration may predispose the patient to have serious sequels when the esophagus or the trachea are injured. The infection which may occur in this eventuality progresses rapidly to the mediastinum, determining the patient's death. The purpose of this work was to identify and to analyze the parameters which suggest the best treatment indicated for patients with penetrating injuries of the neck. This is a non-randomized prospective study which gathered 53 patients, victims of penetrating wounds of the neck, treated at the Emergency Surgical Service of the Hospital das Clínicas, University of São Paulo School of Medicine, during a three-year period, starting in October, 1990. All the patients were evaluated by the surgical team on call who elected the selective exploration approach for the cases that did not present clear evidence of injuries in the cervical structures nor hemodynamic alterations. For the fifteen carriers of evident injuries, immediate surgical exploration was the treatment adopted. All the patients had epidemiologic data, evaluation results, hospitalization period, complications, morbidity and mortality rates, besides trauma indexes, collected. For patients whose clinical observation was allowed, endoscopic studies were also performed and compared. In order to evaluate variable correlations, statistical analysis were performed using Q square test, Student test and Z statistics, which leaded to the following conclusions: 1. Penetrating wounds of the neck were most frequent in white people aged from 20 to 30 years. They were mostly located in the right side of cervical zone II and were caused by gunshot. 2. Trauma indexes correlated with patients' clinical evolution. 3. In cases when there was doubt about the effective presence of injuries, complementary digestive and respiratory evaluations were indicated. These exams contributed for reducing the rate of unnecessary surgical explorations.

Adolescent↗