Articles
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700 results found
Article
Ankle fractures
Ankle fractures account for ~10% of fractures encountered in trauma, preceded only in incidence by proximal femoral fractures in the lower limb. They have a bimodal presentation, involving young males and older females. Ankle injuries play a major part in functional impairment after multi or pol...
Article
Urinary bladder trauma
Urinary bladder trauma describes a spectrum of damage that can be caused to the urinary bladder, usually in the context of significant trauma.
Epidemiology
Bladder trauma is generally associated with high energy injuries, and is associated with pelvic fractures in the majority of cases 3,6. Th...
Article
Acetabular fracture
Acetabular fractures are a type of pelvic fracture, which may also involve the ilium, ischium or pubis depending on fracture configuration.
Epidemiology
Acetabular fractures are uncommon. The reported incidence is approximately 3 per 100,000 per year. This study reported a 63% to 37% male to f...
Article
Middle phalanx fracture
Middle phalanx fractures are the least common of the phalanx fractures.
Radiographic features
These fractures are generally well visualized on plain radiographs. Ultrasonography can be used in unclear cases.
Treatment and prognosis
Non-displaced fractures can be treated conservatively with a...
Article
Anderson and D'Alonzo classification of odontoid process fracture
The Anderson and D'Alonzo classification is the most commonly used classification of fractures of the odontoid process of C2 1.
Another classification system is the Roy-Camille classification, which aids more in the management of odontoid fractures.
Classification
type I
rare
fracture of th...
Article
Vitreous hemorrhage
Vitreous hemorrhage refers to bleeding into the vitreous humor.
Epidemiology
Vitreous hemorrhage has an incidence of approximately 7 in 100,000 1,2.
Clinical presentation
The most common clinical presentation is with sudden, painless visual loss to varying degrees of severity 2. Associated...
Article
Globe rupture
Globe rupture is an ophthalmologic emergency. A ruptured globe or an open-globe injury must be assessed in any patient who has suffered orbital trauma because open-globe injuries are a major cause of blindness.
In blunt trauma, ruptures are most common just posterior to the insertions of the re...
Article
Flat tyre sign (globe rupture)
The flat tyre sign, also known as the mushroom sign, is one of the most specific signs of ruptured eye globe, due to the similarity between the abnormal contour of injured globe and the appearance of a flat tyre 1. It is classically described on CT but may be seen on ultrasound or MRI 2.
The mo...
Article
AAST spleen injury scale
The American Association for the Surgery of Trauma (AAST) splenic injury scale, most recently revised in 2018, is currently the most widely used grading system for splenic trauma.
The 2018 update incorporates "vascular injury" (i.e. pseudoaneurysm, arteriovenous fistula) into the imaging criter...
Article
Tubiana classification of mallet finger
Tubiana classification considers the size of the bony fragment and subluxation. It includes tendinous mallet deformities and correlates bone fragment size with volar subluxation.
Mallet fractures are avulsion fractures of the distal phalanx peri- or intra-articular base with involvement of the ...
Article
AAST injury scoring scales
The American Association for the Surgery of Trauma (AAST) injury scoring scales are the most widely accepted and used system of classifying and categorizing traumatic injuries. Injury grade reflects severity, guides management, and aids in prognosis. 32 different injury scores are available (c. ...
Article
Subdural hemorrhage
Subdural hemorrhage/hematoma (SDH) is a collection of blood accumulating in the subdural space. Subdural hemorrhage can happen in any age group, is mainly due to head trauma and CT scans are usually sufficient to make the diagnosis. Prognosis varies widely depending on the size and chronicity of...
Article
Intramuscular degloving injury
An intramuscular degloving injury is a term referred to as a circumferential intermuscular dissociation of inner and outer muscular components with or without retraction. It has been described in the rectus femoris muscle.
Terminology
An intramuscular degloving injury has been also described a...
Article
Bile duct injury
Bile duct injuries are a potentially serious surgical problem associated with high morbidity, mortality, and prolonged hospitalization 1,2. These injuries typically occur infrequently as a complication of technically difficult laparoscopic cholecystectomy procedures or in the setting of hepatobi...
Article
Splenic trauma
Splenic trauma can occur after blunt or penetrating trauma or secondary to medical intervention (i.e. iatrogenic). The spleen is the most frequently injured internal organ after blunt trauma.
Epidemiology
In blunt trauma, the spleen can account for up to 49% of abdominal organ injuries 2.
Cli...
Article
Torus fracture
Torus fractures, also known as buckle fractures, are incomplete fractures of the shaft of a long bone that is characterized by bulging of the cortex. They result from trabecular compression due to an axial loading force along the long axis of the bone. They are usually seen in children, frequent...
Article
Odontoid fracture
Odontoid process fracture, also known as a peg or dens fracture, occurs where there is a fracture through the odontoid process of C2.
Pathology
The mechanism of injury is variable, and can occur both during flexion or extension, and with or without compression 5.
Classification
There are two...
Article
Trauma in pregnancy
Trauma is a leading cause of mortality in pregnancy. Pregnancy increases the incidence and severity of abdominal trauma in females.
Epidemiology
Trauma affects up to 7% of pregnancies, and the incidence of pregnancy in level 1 trauma patients is estimated to be ~2% 1.
Pathology
Etiology
9...
Article
Rib fractures
Rib fractures are a common consequence of trauma and can cause life-threatening complications.
Epidemiology
Associations
Rib fractures are often associated with other injuries and the greater the number of rib fractures the more likely are associated injuries 1,3:
brachial plexus or subclavi...
Article
Manubriosternal dislocation
Manubriosternal dislocation (or sternomanubrial dislocation) represents a range of dislocation injuries of the sternomanubrial joint.
Terminology
Joint dislocations are named according to the distal component in relation to the proximal bone. Thus, as the manubrium is superior to the sternum a...
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