Article
Orthopedics
Augustine M. Saiz, Alvin K. Shieh, Kelsey Hideshima, Felix Wong, Eric O. Klineberg, Jonathan G. Eastman
Summary: Spinopelvic dissociation injuries are complex injuries that require restoration of alignment, stability, and neural decompression. Traditional fixation methods involve spanning the upper sacral fracture site, while our modified method directly manipulates the S1 body, potentially improving reduction and stability across the fracture.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2022)
Article
Critical Care Medicine
Yangxing Luo, Yue Li, Li He, Enzhi Yin, Meiqi Gu, Zhe Xu, Hua Chen, Zhiyong Hou, Chengla Yi
Summary: This study aimed to investigate the surgical methods and clinical effects of lumbopelvic fixation (LPF) with S2 alar-iliac (S2AI) screws for U-shaped sacral fractures. The results showed that LPF with S2AI screws for the treatment of U-shaped sacral fractures has distinct advantages, including firm fixation, a low rate of surgical site complications, and satisfactory clinical efficacy.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Orthopedics
Raymond D. Wright, R. Carter Cassidy, Jonathan Kark
Summary: With the aging population, there is a rise in osteoporotic fractures, including U-shaped sacral fractures which can be difficult to diagnose and potentially lead to disability if left untreated. Surgical options for managing U-shaped sacral fractures are discussed to prevent rapid medical decline in elderly patients.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2021)
Article
Orthopedics
Eslam A. Elsherif, Morad O. Mokhtar
Summary: This study compared the effectiveness of direct and indirect decompression surgery for treating lumbosacral plexus injury associated with sacral fractures and found that indirect decompression had similar neurological recovery and functional outcomes compared to direct decompression. Restoring lumbosacropelvic stability and anatomical reduction seem to be more crucial for better functional outcomes and neurological recovery than direct decompression.
CLINICS IN ORTHOPEDIC SURGERY
(2023)
Article
Medical Laboratory Technology
Ya Zhang, Ruijie Xie, Jun Ou
Summary: This study found a U-shaped relationship between serum ALB and TT3, with an inflection point of ALB at 41 g/L, which provides a reference for screening thyroid dysfunction.
JOURNAL OF CLINICAL LABORATORY ANALYSIS
(2022)
Article
Clinical Neurology
Tetsuro Ohba, Hiroki Oba, Kotaro Oda, Nobuki Tanaka, Hirotaka Haro
Summary: This study compared the outcomes of surgery for osteoporotic vertebral fractures using two different procedures, X-core/PPS and VP. It was found that patients in the X-core/PPS group had significantly less correction loss of LKA and occurrence of AVF compared to the VP group, with better clinical outcomes.
Article
Orthopedics
Li He, Song Gong, Tianyu Li, Meiqi Gu, Zhe Xu, Hua Chen, Chengla Yi
Summary: This study presented a surgical technique for reducing and fixating the transverse parts of U-shaped sacral fractures simultaneously. The results showed that the surgical procedures were effective in restoring the normal position of the sacrum. Interestingly, there was a significant linear relationship between the Oswestry Disability Index and lumbar lordosis, but not between the index and pelvic incidence.
JOURNAL OF ORTHOPAEDIC SURGERY
(2022)
Article
Clinical Neurology
Emma A. Bateman, Jordan VanderEnde, Keith Sequeira, Heather M. MacKenzie
Summary: This study highlights the clinical features, treatment, and impact of Sinking Skin Flap Syndrome (SSFS) in patients with moderate/severe traumatic brain injury. It emphasizes the importance of timely diagnosis and management, including temporizing measures and cranioplasty, to improve patient outcomes.
NEUROREHABILITATION
(2021)
Article
Clinical Neurology
Philipp Kobbe, Gregory. D. Schroeder, Klaus. J. Schnake, Lorin. M. Benneker, Mark Lambrechts, Frank Hildebrand, Richard. M. Sellei
Summary: AO Spine C3 sacral fractures are high-energy injuries that result in separation of the spine including S1 from the pelvic ring. These fractures are associated with high biomechanical instability, neurological impairment, severe bony impaction, dislocation, and difficulties in management due to thin soft-tissue coverage.
CLINICAL SPINE SURGERY
(2023)
Article
Medicine, General & Internal
Vinayak Ganeshan, Daniel Denis
Summary: Sacral fractures, a type of pelvic ring injury, may require surgical treatment for certain subtypes. Spinopelvic fixation can restore stability and accelerate healing. In cases of fragility sacral fractures following prior lumbosacral fusion, percutaneous iliosacral osteosynthesis can achieve sacroiliac joint stabilization and fusion.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2023)
Article
Urology & Nephrology
Yuan-Hong Jiang, Hann-Chorng Kuo
Summary: This study used electrophysiologic studies to investigate the micturition reflex and external urethral sphincter conditions in patients with detrusor underactivity and chronic urinary retention. The findings revealed potential neurologic deficits which may impact treatment decisions for restoring voiding function in these patients.
NEUROUROLOGY AND URODYNAMICS
(2021)
Review
Orthopedics
Nathan Beucler, Paul Tannyeres, Arnaud Dagain
Summary: Unstable U-shaped sacral fractures and vertical shear Tile C pelvic ring disruptions are rare lesions occurring in patients with severe trauma. Emergency treatment often includes an anterior external pelvic fixator, but delayed surgery is needed for better outcomes. Treatment options include screws and triangular fixation, with a certain risk of complications.
ASIAN SPINE JOURNAL
(2023)
Article
Critical Care Medicine
Andrija Jurina, Valentina Delimar, Zlatko Giljevic, Tajana Filipec Kanizaj, Andro Matkovic, Dinko Vidovic, Nikolina Jurjevic, Vinko Vidjak, Zeljko Duic, Mario Cuk, Mladen Japjec, Tomislav Dujmovic, Andrea Radeljak, Mirjana Marjana Kardum Paro, Marijana Vucic-Lovrencic, Mario Staresinic
Summary: This study investigated the prevalence of fragility spinal fractures among liver transplant candidates with cirrhosis. The results showed the detrimental impact of chronic liver disease and hepatic osteodystrophy on bone strength, and the correlation between DXA measurement and lumbar fragility fractures. These findings highlight the importance of adequate bone evaluation in liver transplant candidates.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
M. Scrivano, A. Vadal, G. Fedeli, R. Di Niccolo, D. Topa, S. Porcino, F. Pallotta, A. De Carli
Summary: This study compares the outcomes and complications of Ilioinguinal versus modified Stoppa approach in Open Reduction and Internal Fixation (ORIF) of anterior column acetabulum fractures. The results show that the modified Stoppa approach has a shorter operative time, less intra-operative blood loss, and fewer complications. The ilioinguinal approach achieves better anatomic reduction. However, there were no significant differences in terms of vascular lesions, clinical and functional outcomes between the two groups.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Jacob Hartline, Christopher T. Cosgrove, Nathan N. O'Hara, Qasim M. Ghulam, Zachary D. Hannan, Robert V. O'Toole, Marcus F. Sciadini, Christopher G. Langhammer
Summary: In a young, healthy orthopedic trauma population with isolated extremity injury, traditional demographic factors and ballistic injury mechanism have a greater predictive value for long-term mortality after hospital discharge compared to popular markers of socioeconomic status.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Youngmin Kwon, Jihye Lim, Chunui Lee
Summary: This study aims to investigate dental traumatic injuries related to standing electric scooters and compare them with injuries caused by other factors. The results indicate that crown-root fractures and avulsions are more common in electric scooter accidents. Additionally, relatively minor dental injuries, such as concussions and subluxations, are more likely to occur as combined injuries in electric scooter accidents. The study suggests the need for strengthened policies and enforcement of laws to prevent severe dental and craniofacial trauma associated with electric scooter use.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Louise Kruse Jensen, Henrik Elvang Jensen, Hans Gottlieb
Summary: This study describes the histopathology of debrided bone tissue in chronic osteomyelitis (CO). The inflammatory response still exists after debridement, although it fades from the center. Sampling of debrided bone tissue must be performed initially during surgery to avoid underestimation of neutrophil infiltration.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Alejandro Alejandrez, Motasem Refaat, Yeng Vue
Summary: This study aims to assess the rate of operative fixation of sacral fractures in pelvises with dysmorphic and nondysmorphic sacrums, as well as whether a difference exists in fracture morphology between groups. The study found no statistical difference in operative fixation rates between pelvises with dysmorphic and nondysmorphic sacrums, but a difference in fracture patterns was observed.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Dong Wang, Shuo Diao, Xiaobin Zhou, Junlin Zhou, Yang Liu
Summary: This study discussed the role of fracture site tissue exosomes lncRNAs-mRNAs networks on post-injury adaptation (PIA) promoting bone mesenchymal stem cells (BMSCs) proliferation and migration. The results confirmed that PIA accelerated BMSCs proliferation and migration, and identified tissue exosomes as the key factor in this process. By analyzing the tissue exosomes lncRNAs-mRNAs networks, several hub genes, such as Akt1, Actb, and Uba52, were identified, and Kif11 was found to be a key gene in BMSCs regulated by tissue-derived exosomes of PIA treated rats.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Lisa Reider, Jason R. Falvey, Safiyyah M. Okoye, Jennifer L. Wolff, Joseph F. Levy
Summary: Falls are a leading cause of injury and hospital readmissions in older adults, with over 3 million seeking hospital care for fall injuries annually in the United States. The annual acute treatment costs for these injuries amount to $20 billion, indicating the urgent need for evidence-based fall prevention interventions and investments in geriatric emergency departments.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Mohamed Elbuzidi, Alyssa N. Wenzel, Andrew Harris, Majd Marrache, Julius K. Oni, Harpal S. Khanuja, Vishal Hegde
Summary: A retrospective propensity score matched cohort study was conducted using the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database to compare outcomes for patients with recently diagnosed COVID-19 infection and those without COVID-19 infection undergoing operative treatment of hip fractures. The results showed that COVID-19-positive patients had a higher risk of 30-day mortality, pneumonia, unplanned intubation, septic shock, longer length of hospital stay, and discharge to an acute care hospital. Active COVID-19 infection is an independent risk factor for complications and increased resource utilization in these patients.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Review
Critical Care Medicine
Jorge Mayor, Vera Birgel, Jan-Dierk Clausen, Goekmen Aktas, Stephan Sehmisch, Ann-Kathrin Einfeldt, Vasilis Giannoudis, Ahmed H. K. Abdelaal, Emmanouil Liodakis
Summary: This study provides a comprehensive overview of biomechanical research on the treatment of intertrochanteric fractures using cephalomedullary devices. Through a systematic literature search and synthesis analysis, the study highlights the need for standardization in biomechanical studies, and suggests strategies to enhance construct stability. The findings emphasize the importance of further research and meta-analyses to establish standardized protocols and enhance reliability.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Patricia Rodarte, Jamieson O'Marr, Billy Haonga, Deogratias Patrick, Kian Niknam, Mayur Urva, Abigail Cortez, Willem-Jan Metsemakers, David Shearer, Saam Morshed
Summary: This study evaluates the diagnostic performance of telephone questionnaires in identifying patients with fracture-related infections (FRIs) after open tibia fracture fixation in Tanzania. The study shows that telephone questionnaires have adequate diagnostic performance, with drainage being the main indicator for FRIs.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Review
Critical Care Medicine
Zhiyi Liu, Guodong Hou, Wencong Zhang, Junyan Lin, Jinrong Yin, Huan Chen, Guowei Huang, Aiguo Li
Summary: Calcaneal tuberosity avulsion fracture, an extra-articular injury, is a rare fracture caused internally by intense contraction of the gastrocnemius-soleus complex, and externally by low-energy (possibly high-energy). The risk of injuries to the skin and Achilles tendon around the calcaneal tuberosity is closely related to the Lee classification and Carnero-Martin de Soto Classification of this type of fracture. Diagnosis is typically confirmed through X-ray, digital imaging, and CT, but MRI should also be used to assess the soft tissue. Recent advances in understanding this fracture have led to the development of different internal fixation devices and surgical procedures that provide stable fracture reduction and resistance to Achilles tendon forces. This article reviews the new insights into the anatomy, classification, risk factors, and treatment modalities of calcaneal tuberosity avulsion fracture in recent years.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Win Wah, Janneke Berecki-Gisolf, Karen Walker-Bone
Summary: This study aimed to identify the incidence and factors associated with in-hospital complications of work-related musculoskeletal injuries. The results showed that age, gender, area-level disadvantage, hospital type, comorbidity, emergency admissions, anesthesia, and the type of injury were all associated with in-hospital complications. The most common complications were cardiovascular, gastrointestinal complications and adverse drug events.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Gareth Rooke, Paul Sharplin, Richard Buckley
Summary: A 31-year-old female suffered a right fibula fracture with deltoid ligament injury after falling while climbing on wet rocks. She had ORIF surgery and recovered well, but has developed vague pain and hardware sensation at the lateral ankle 6 months later. Her past medical history includes breast reduction surgery and vaginal delivery, and she has a social history of alcohol consumption and past recreational drug use.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Review
Critical Care Medicine
Yuwei Wen, Danjiang Zhu, Qiang Wang, Baojian Song, Wei Feng
Summary: This study compared the clinical outcomes of compression screw and non-weight-bearing techniques in treating pediatric Jones fractures. The results showed that compared to non-weight-bearing techniques, compression screw fixation can shorten the radiographic union time, immobilization time, and facilitate earlier return to full weight bearing and daily life. We recommend the use of compression screw fixation for widely displaced fractures and school-age active adolescents.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)