A 52-year-old male fell from his bike and sustained fractures of the right proximal humerus and the left distal radius, both of which were fixed in a single sitting a day after the injury. On postoperative day four, the patient developed features suggestive of acute pulmonary embolism.
Conclusion
Reports of acute pulmonary embolism developing after surgical fixation of bilateral upper extremity fractures are rare. A high index of suspicion especially in patients with predisposing risk factors is essential to identify the signs of a thromboembolic event and initiate appropriate intervention.
{"title":"A rare incidence of acute pulmonary embolism following surgical fixation of bilateral upper extremity fractures - A case report","authors":"Mohamed Zackariya , Sanjana Nandakumar , Dheenadhayalan Jayaramaraju , Devendra Agraharam , Rajasekaran Shanmuganathan","doi":"10.1016/j.tcr.2025.101133","DOIUrl":"10.1016/j.tcr.2025.101133","url":null,"abstract":"<div><h3>Case</h3><div>A 52-year-old male fell from his bike and sustained fractures of the right proximal humerus and the left distal radius, both of which were fixed in a single sitting a day after the injury. On postoperative day four, the patient developed features suggestive of acute pulmonary embolism.</div></div><div><h3>Conclusion</h3><div>Reports of acute pulmonary embolism developing after surgical fixation of bilateral upper extremity fractures are rare. A high index of suspicion especially in patients with predisposing risk factors is essential to identify the signs of a thromboembolic event and initiate appropriate intervention.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"55 ","pages":"Article 101133"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.tcr.2025.101132
Ellen Lutnick, Sophia Puertas, Mark Anders
Introduction
Revision quadriceps tendon repair is a challenging problem. In this four-case series, novel quadriceps tendon revision resulted in improved range of motion and durable repair for patients with recurrent rupture.
Methods
Our technique includes a combination of a running locked #5 FiberWire or 2 mm SutureTape suture placed through parallel medial, lateral, and central drill holes in the patella with running Krackow-type quadriceps tendon repair medially and laterally resulting in four strands, delivering the vastus medialis and medial quadriceps tendon to an anatomic repair at the superior pole of the patella, with 2 sutures passed centrally and 1 each passed medially and laterally and then tied. Reinforcement is performed using a tibialis anterior tendon allograft with placement at the inferior pole of the patella starting superolaterally coursing lateral to medial through infrapatellar tendon. It is then threaded medially into the centrally repaired portion of the quadriceps tendon, and then back down to the lateral suprapatellar and lateral patellar retinaculum, giving three crossing strands. This is repaired with multiple interrupted 0 Vicryl mattress sutures. Immobilization postoperatively was dictated by patient's body habitus.
Results
Patient 1 was a 79-year-old obese man treated after two prior revision periprosthetic quadriceps repair procedures. He was immobilized in a knee immobilizer for 8 weeks postoperatively. He was revised for TKA instability at 6 months postoperatively, and one month later returned to the operating room for persistent hematoma; repair was noted to be intact. Patient 2 was a 39-year-old morbidly obese man who was revised after failure of one revision quadriceps repair. He was protected with an external fixator for 6 weeks. Patient 3 was a 49-year-old obese man who was treated with four revision quadriceps repair procedures over the course of 15 years. Postoperatively he was treated with a knee immobilizer. Patient 4 was a 71-year-old obese man who was treated after failure of one prior revision quadriceps repair procedure. He was casted postoperatively for one month. On final follow up, all patients were able to maintain straight leg raise, with functional range of motion and ambulation.
Conclusion
Revision quadriceps tendon repair using an anterior tibialis tendon allograft is a viable solution for obese patients with recurrent quadriceps tendon ruptures.
{"title":"Revision quadriceps tendon repair: A case series and technique guide to a novel repair","authors":"Ellen Lutnick, Sophia Puertas, Mark Anders","doi":"10.1016/j.tcr.2025.101132","DOIUrl":"10.1016/j.tcr.2025.101132","url":null,"abstract":"<div><h3>Introduction</h3><div>Revision quadriceps tendon repair is a challenging problem. In this four-case series, novel quadriceps tendon revision resulted in improved range of motion and durable repair for patients with recurrent rupture.</div></div><div><h3>Methods</h3><div>Our technique includes a combination of a running locked #5 FiberWire or 2 mm SutureTape suture placed through parallel medial, lateral, and central drill holes in the patella with running Krackow-type quadriceps tendon repair medially and laterally resulting in four strands, delivering the vastus medialis and medial quadriceps tendon to an anatomic repair at the superior pole of the patella, with 2 sutures passed centrally and 1 each passed medially and laterally and then tied. Reinforcement is performed using a tibialis anterior tendon allograft with placement at the inferior pole of the patella starting superolaterally coursing lateral to medial through infrapatellar tendon. It is then threaded medially into the centrally repaired portion of the quadriceps tendon, and then back down to the lateral suprapatellar and lateral patellar retinaculum, giving three crossing strands. This is repaired with multiple interrupted 0 Vicryl mattress sutures. Immobilization postoperatively was dictated by patient's body habitus.</div></div><div><h3>Results</h3><div>Patient 1 was a 79-year-old obese man treated after two prior revision periprosthetic quadriceps repair procedures. He was immobilized in a knee immobilizer for 8 weeks postoperatively. He was revised for TKA instability at 6 months postoperatively, and one month later returned to the operating room for persistent hematoma; repair was noted to be intact. Patient 2 was a 39-year-old morbidly obese man who was revised after failure of one revision quadriceps repair. He was protected with an external fixator for 6 weeks. Patient 3 was a 49-year-old obese man who was treated with four revision quadriceps repair procedures over the course of 15 years. Postoperatively he was treated with a knee immobilizer. Patient 4 was a 71-year-old obese man who was treated after failure of one prior revision quadriceps repair procedure. He was casted postoperatively for one month. On final follow up, all patients were able to maintain straight leg raise, with functional range of motion and ambulation.</div></div><div><h3>Conclusion</h3><div>Revision quadriceps tendon repair using an anterior tibialis tendon allograft is a viable solution for obese patients with recurrent quadriceps tendon ruptures.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"55 ","pages":"Article 101132"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.tcr.2025.101129
Samy Bendjemil, Joseph D. Forrester
Blunt thoracic trauma, often leading to rib fractures and costal cartilage injuries, is a significant cause of morbidity and mortality in trauma patients. Rib fractures, occurring in up to 40 % of cases, frequently accompany other injuries and are commonly diagnosed. Conversely, costal cartilage fractures are challenging to diagnose, often necessitating advanced imaging techniques, exist on a spectrum from a simple fracture to complete costal margin disruption, and are likely underreported. The mainstay of therapy for costal cartilage injuries is pain management, although for more displaced or symptomatic fractures open reduction and internal fixation may offer benefit. Our paper presents a case series of two patients with costal cartilage injuries resulting from surfing-related trauma. These cases describe a unique injury pattern in surfing and successful surgical intervention for mal-union and ossification of fractured costal cartilage. Our observations contribute to a growing body of literature describing this injury pattern and treatment of these costal cartilage injuries.
{"title":"Breaking waves and cartilage: Surgical management of costal cartilage injuries in surfing-related trauma","authors":"Samy Bendjemil, Joseph D. Forrester","doi":"10.1016/j.tcr.2025.101129","DOIUrl":"10.1016/j.tcr.2025.101129","url":null,"abstract":"<div><div>Blunt thoracic trauma, often leading to rib fractures and costal cartilage injuries, is a significant cause of morbidity and mortality in trauma patients. Rib fractures, occurring in up to 40 % of cases, frequently accompany other injuries and are commonly diagnosed. Conversely, costal cartilage fractures are challenging to diagnose, often necessitating advanced imaging techniques, exist on a spectrum from a simple fracture to complete costal margin disruption, and are likely underreported. The mainstay of therapy for costal cartilage injuries is pain management, although for more displaced or symptomatic fractures open reduction and internal fixation may offer benefit. Our paper presents a case series of two patients with costal cartilage injuries resulting from surfing-related trauma. These cases describe a unique injury pattern in surfing and successful surgical intervention for mal-union and ossification of fractured costal cartilage. Our observations contribute to a growing body of literature describing this injury pattern and treatment of these costal cartilage injuries.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"55 ","pages":"Article 101129"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143178553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hybrid emergency rooms (ERs) allow computed tomography (CT) scanning, interventional radiology, and surgery all in the same suite. Severe trauma patients with blunt thoracic aortic injury (BTAI) require rapid diagnosis and treatment. Hybrid ERs allow the potential for clinicians to implement multiple therapeutic procedures, including thoracic endovascular aortic repair (TEVAR), for these types of conditions without the need to transport the patients.
Case presentation
A 35-year-old man sustained multiple injuries after a motor vehicle accident and was transferred to our hospital in shock status. CT revealed a grade IV BTAI rupturing into the thoracic cavity and pelvic fracture. Soon after preperitoneal pelvic packing and transcatheter arterial embolization for pelvic fracture, TEVAR was performed in the hybrid ER without transporting the patient. The patient was transferred to a rehabilitation hospital on postoperative day 41.
Conclusion
Hybrid ERs enable clinicians to perform all life-saving procedures, including stent grafting for traumatic patients with aortic injuries, in the same place.
{"title":"Blunt thoracic aortic injury treated with thoracic endovascular aortic repair in hybrid emergency room: A case report","authors":"Mayo Kondo, Takeshi Nishimura, Saki Maemura, Shinichi Ijuin, Haruki Nakayama, Shigenari Matsuyama, Satoshi Ishihara","doi":"10.1016/j.tcr.2025.101124","DOIUrl":"10.1016/j.tcr.2025.101124","url":null,"abstract":"<div><h3>Background</h3><div>Hybrid emergency rooms (ERs) allow computed tomography (CT) scanning, interventional radiology, and surgery all in the same suite. Severe trauma patients with blunt thoracic aortic injury (BTAI) require rapid diagnosis and treatment. Hybrid ERs allow the potential for clinicians to implement multiple therapeutic procedures, including thoracic endovascular aortic repair (TEVAR), for these types of conditions without the need to transport the patients.</div></div><div><h3>Case presentation</h3><div>A 35-year-old man sustained multiple injuries after a motor vehicle accident and was transferred to our hospital in shock status. CT revealed a grade IV BTAI rupturing into the thoracic cavity and pelvic fracture. Soon after preperitoneal pelvic packing and transcatheter arterial embolization for pelvic fracture, TEVAR was performed in the hybrid ER without transporting the patient. The patient was transferred to a rehabilitation hospital on postoperative day 41.</div></div><div><h3>Conclusion</h3><div>Hybrid ERs enable clinicians to perform all life-saving procedures, including stent grafting for traumatic patients with aortic injuries, in the same place.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"55 ","pages":"Article 101124"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-04DOI: 10.1016/j.tcr.2025.101126
Alexander Grüner, Florian Baumann, Markus Rupp, Volker Alt
This case report is about a 61-year-old patient with rapid destruction of both hip joints due to septic arthritis that was successfully treated with a staged implantation of silver-coated hip prostheses with an ultrathin silver multilayer coating. At a three-year follow-up, there were no signs of infection, a good state of all prosthetic components was noted and the functional outcome was excellent.
{"title":"Ultrathin silver multilayer coating for cementless hip prostheses shows successful clinical outcome with good osseointegration after bilateral destructive septic arthritis of the hip - A case report","authors":"Alexander Grüner, Florian Baumann, Markus Rupp, Volker Alt","doi":"10.1016/j.tcr.2025.101126","DOIUrl":"10.1016/j.tcr.2025.101126","url":null,"abstract":"<div><div>This case report is about a 61-year-old patient with rapid destruction of both hip joints due to septic arthritis that was successfully treated with a staged implantation of silver-coated hip prostheses with an ultrathin silver multilayer coating. At a three-year follow-up, there were no signs of infection, a good state of all prosthetic components was noted and the functional outcome was excellent.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"56 ","pages":"Article 101126"},"PeriodicalIF":0.0,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.tcr.2024.101119
Posatorn Suwanpongsai, Kongkhet Riansuwan
We report the treatment of femoral neck nonunion in an adult female who has remarkable femoral neck anatomy. The initial fracture was treated by closed reduction and multiple screws incorporated pin fixation. Eventually, nonunion with implant loosening developed after about 10 following months. Therefore, trochanteric valgus osteotomy and dynamic hip screw fixation was determined to treat the nonunion. As a result of implant-anatomy mismatching, the customized lag screw was designed to compromise both of the particular anatomy and the ordinary side plate. The implant was manufactured using a Computer Numerical Control (CNC) machine. Finally, the nonunion and osteotomy site completely healed without complication.
{"title":"A customized dynamic hip screw for valgus osteotomy in femoral neck nonunion with remarkable anatomy: A case report","authors":"Posatorn Suwanpongsai, Kongkhet Riansuwan","doi":"10.1016/j.tcr.2024.101119","DOIUrl":"10.1016/j.tcr.2024.101119","url":null,"abstract":"<div><div>We report the treatment of femoral neck nonunion in an adult female who has remarkable femoral neck anatomy. The initial fracture was treated by closed reduction and multiple screws incorporated pin fixation. Eventually, nonunion with implant loosening developed after about 10 following months. Therefore, trochanteric valgus osteotomy and dynamic hip screw fixation was determined to treat the nonunion. As a result of implant-anatomy mismatching, the customized lag screw was designed to compromise both of the particular anatomy and the ordinary side plate. The implant was manufactured using a Computer Numerical Control (CNC) machine. Finally, the nonunion and osteotomy site completely healed without complication.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"54 ","pages":"Article 101119"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.tcr.2024.101117
Nathaniel Grabill , Mena Louis , Nicole Redenius , Mariah Cawthon , Brian Gibson
Blunt esophageal injury is an exceptionally rare condition, with complete esophageal avulsion being almost unprecedented in adults. This case study details the clinical presentation, surgical management, and postoperative course of a 50-year-old male who sustained a complete esophageal avulsion following blunt abdominal trauma. The patient presented with increasing abdominal pain two hours after falling while stepping up onto a high truck step, striking his upper abdomen on the step. CT imaging revealed pneumomediastinum and pneumoperitoneum. Emergent exploratory laparotomy and thoracotomy uncovered a complete avulsion of the esophagus from the gastroesophageal junction. The surgical repair involved resection of the damaged esophagus and gastric cardia, an esophagogastric anastomosis using a 25 mm EEA stapler, and the creation of an omental pedicle flap. Postoperative management included antibiotic prophylaxis and intensive care monitoring.
Blunt traumatic esophageal injuries, although rare, pose significant diagnostic and therapeutic challenges due to their potential for severe complications such as mediastinitis, sepsis, and multi-organ failure. Prompt recognition of the injury through imaging and clinical assessment is essential for initiating timely surgical intervention. The surgical approach must be meticulously planned to address the complexity of the injury, often requiring a combination of thoracic and abdominal procedures. Additionally, the role of a multidisciplinary team, including surgeons, intensivists, and gastroenterologists, is crucial in managing both the immediate and long-term aspects of patient care. This case emphasizes the necessity for a comprehensive and coordinated treatment strategy to optimize outcomes. It highlights the importance of continued research and education in managing such rare and severe injuries.
钝性食管损伤是一种非常罕见的情况，完全食管撕脱伤在成人中几乎是前所未有的。本病例研究详细介绍了一位50岁男性患者的临床表现、手术处理和术后过程，他在腹部钝性创伤后持续完全性食管撕脱。患者在踏上高卡车台阶时跌倒2小时后腹痛加重，上腹部被台阶撞击。CT表现为纵隔气肿和腹膜气肿。紧急剖腹探查和开胸手术发现食管从胃食管连接处完全撕脱。手术修复包括切除受损的食管和贲门，使用25 mm EEA吻合器进行食管胃吻合，并制作大网膜蒂皮瓣。术后管理包括抗生素预防和重症监护监测。钝性外伤性食管损伤虽然罕见，但由于其潜在的严重并发症，如纵隔炎、败血症和多器官衰竭，给诊断和治疗带来了重大挑战。通过影像学和临床评估及时识别损伤是及时开始手术干预的必要条件。手术方法必须精心计划，以解决损伤的复杂性，通常需要胸腹手术的结合。此外，包括外科医生、重症医师和胃肠病学家在内的多学科团队在管理患者的即时和长期护理方面发挥着至关重要的作用。本病例强调需要一个全面和协调的治疗策略，以优化结果。它强调了在管理这种罕见和严重伤害方面继续进行研究和教育的重要性。
{"title":"Blunt trauma-induced complete esophageal avulsion: A case report on surgical intervention and clinical insights","authors":"Nathaniel Grabill , Mena Louis , Nicole Redenius , Mariah Cawthon , Brian Gibson","doi":"10.1016/j.tcr.2024.101117","DOIUrl":"10.1016/j.tcr.2024.101117","url":null,"abstract":"<div><div>Blunt esophageal injury is an exceptionally rare condition, with complete esophageal avulsion being almost unprecedented in adults. This case study details the clinical presentation, surgical management, and postoperative course of a 50-year-old male who sustained a complete esophageal avulsion following blunt abdominal trauma. The patient presented with increasing abdominal pain two hours after falling while stepping up onto a high truck step, striking his upper abdomen on the step. CT imaging revealed pneumomediastinum and pneumoperitoneum. Emergent exploratory laparotomy and thoracotomy uncovered a complete avulsion of the esophagus from the gastroesophageal junction. The surgical repair involved resection of the damaged esophagus and gastric cardia, an esophagogastric anastomosis using a 25 mm EEA stapler, and the creation of an omental pedicle flap. Postoperative management included antibiotic prophylaxis and intensive care monitoring.</div><div>Blunt traumatic esophageal injuries, although rare, pose significant diagnostic and therapeutic challenges due to their potential for severe complications such as mediastinitis, sepsis, and multi-organ failure. Prompt recognition of the injury through imaging and clinical assessment is essential for initiating timely surgical intervention. The surgical approach must be meticulously planned to address the complexity of the injury, often requiring a combination of thoracic and abdominal procedures. Additionally, the role of a multidisciplinary team, including surgeons, intensivists, and gastroenterologists, is crucial in managing both the immediate and long-term aspects of patient care. This case emphasizes the necessity for a comprehensive and coordinated treatment strategy to optimize outcomes. It highlights the importance of continued research and education in managing such rare and severe injuries.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"54 ","pages":"Article 101117"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.tcr.2024.101118
Neil Pathak, Xuan Luo, Matthew D. Riedel
A 13-year-old male presented with an open left humeral shaft fracture with intramuscular distal biceps rupture after being struck by a car. He underwent washout, humerus fixation, and open biceps repair. Immediate postoperative course was complicated by deep infection and failure of biceps repair. He subsequently required two additional surgeries. One year later, he exhibited full, painless elbow range of motion and biceps strength. This case is the first to report an open humeral shaft fracture with concomitant intramuscular, mid-substance biceps rupture in a pediatric patient. This was successfully treated with a full functional recovery.
{"title":"13-year-old-male with a left open humerus fracture with concomitant intramuscular mid-substance biceps rupture: A case report","authors":"Neil Pathak, Xuan Luo, Matthew D. Riedel","doi":"10.1016/j.tcr.2024.101118","DOIUrl":"10.1016/j.tcr.2024.101118","url":null,"abstract":"<div><div>A 13-year-old male presented with an open left humeral shaft fracture with intramuscular distal biceps rupture after being struck by a car. He underwent washout, humerus fixation, and open biceps repair. Immediate postoperative course was complicated by deep infection and failure of biceps repair. He subsequently required two additional surgeries. One year later, he exhibited full, painless elbow range of motion and biceps strength. This case is the first to report an open humeral shaft fracture with concomitant intramuscular, mid-substance biceps rupture in a pediatric patient. This was successfully treated with a full functional recovery.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"54 ","pages":"Article 101118"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pharyngeal perforation has been documented as a consequence of substantial external force applied to the neck. Such trauma is frequently accompanied by additional organ injury and cervical fracture. In this report, we present an exceptionally rare instance in which minor blunt trauma to the neck resulted in pharyngeal injury without concomitant damage to other organs.
Case presentation
An 18-year-old woman sustained a contusion of the neck due to blunt trauma to the left submandibular region from her bicycle handlebar grip following a collision with a motor vehicle. The patient exhibited a minor contusion of the neck, devoid of active bleeding or hematoma. Furthermore, she did not express any concerns regarding the condition of her neck or throat. A medical examination revealed the absence of abnormal breath sounds in the neck and the absence of any deformity or deviation of the airway. Despite the absence of a foreign body, computed tomography demonstrated the presence of free air extending through the interstitial space between the sternocleidomastoid muscle and larynx, reaching the posterior pharyngeal wall. While the wound was being cleansed with saline solution, the patient reported a sensation of water entering the mouth, which led to the confirmation of a perforation injury to the pharynx. No evidence of leakage was observed during the drinking tests, and the fistula was determined to be unidirectional. The patient was admitted to the hospital for follow-up and discharged on the third day without any additional complications. The outpatient examination conducted on the sixth day following the injury revealed no abnormalities in the physical findings.
Conclusion
Perforating pharyngeal injuries resulting from minor blunt trauma are exceedingly uncommon. In the present case, the water injection test and drinking test were instrumental in both confirming the diagnosis and determining the appropriate treatment plan.
{"title":"Perforating pharyngeal injury caused by minor blunt trauma to the neck: A case report","authors":"Makoto Kobayashi , Junnosuke Saito , Hiroki Fujino , Kyohei Sakurai , Yoshimatsu Ehama","doi":"10.1016/j.tcr.2024.101120","DOIUrl":"10.1016/j.tcr.2024.101120","url":null,"abstract":"<div><h3>Background</h3><div>Pharyngeal perforation has been documented as a consequence of substantial external force applied to the neck. Such trauma is frequently accompanied by additional organ injury and cervical fracture. In this report, we present an exceptionally rare instance in which minor blunt trauma to the neck resulted in pharyngeal injury without concomitant damage to other organs.</div></div><div><h3>Case presentation</h3><div>An 18-year-old woman sustained a contusion of the neck due to blunt trauma to the left submandibular region from her bicycle handlebar grip following a collision with a motor vehicle. The patient exhibited a minor contusion of the neck, devoid of active bleeding or hematoma. Furthermore, she did not express any concerns regarding the condition of her neck or throat. A medical examination revealed the absence of abnormal breath sounds in the neck and the absence of any deformity or deviation of the airway. Despite the absence of a foreign body, computed tomography demonstrated the presence of free air extending through the interstitial space between the sternocleidomastoid muscle and larynx, reaching the posterior pharyngeal wall. While the wound was being cleansed with saline solution, the patient reported a sensation of water entering the mouth, which led to the confirmation of a perforation injury to the pharynx. No evidence of leakage was observed during the drinking tests, and the fistula was determined to be unidirectional. The patient was admitted to the hospital for follow-up and discharged on the third day without any additional complications. The outpatient examination conducted on the sixth day following the injury revealed no abnormalities in the physical findings.</div></div><div><h3>Conclusion</h3><div>Perforating pharyngeal injuries resulting from minor blunt trauma are exceedingly uncommon. In the present case, the water injection test and drinking test were instrumental in both confirming the diagnosis and determining the appropriate treatment plan.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"54 ","pages":"Article 101120"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-25DOI: 10.1016/j.tcr.2024.101121
Guillaume Auberger, Philippe Leclerc, Simon Marmor
Introduction
Radial diaphyseal fractures are relatively common in daily trauma practice. We present a unique case of a bifocal radial fracture associated with a posterolateral elbow dislocation.
Case report
A 36-year-old obese female patient was admitted to our service after a low-energy fall in stairs. She presented with a radial diaphyseal fracture, a radial neck fracture with approximately 15° angulation, and a posterolateral elbow dislocation. The first procedure involved an urgent reduction of the elbow dislocation, followed by surgical fixation of the bifocal radial fractures and reattachment of the external and posterolateral elbow structures.
Conclusion
A bifocal radial fracture associated with an elbow dislocation is, to our knowledge, a previously unreported injury. The clinical outcome after osteosynthesis and elbow stabilization was favorable.
{"title":"Elbow dislocation associated with bifocal radial fracture: A case report","authors":"Guillaume Auberger, Philippe Leclerc, Simon Marmor","doi":"10.1016/j.tcr.2024.101121","DOIUrl":"10.1016/j.tcr.2024.101121","url":null,"abstract":"<div><h3>Introduction</h3><div>Radial diaphyseal fractures are relatively common in daily trauma practice. We present a unique case of a bifocal radial fracture associated with a posterolateral elbow dislocation.</div></div><div><h3>Case report</h3><div>A 36-year-old obese female patient was admitted to our service after a low-energy fall in stairs. She presented with a radial diaphyseal fracture, a radial neck fracture with approximately 15° angulation, and a posterolateral elbow dislocation. The first procedure involved an urgent reduction of the elbow dislocation, followed by surgical fixation of the bifocal radial fractures and reattachment of the external and posterolateral elbow structures.</div></div><div><h3>Conclusion</h3><div>A bifocal radial fracture associated with an elbow dislocation is, to our knowledge, a previously unreported injury. The clinical outcome after osteosynthesis and elbow stabilization was favorable.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"54 ","pages":"Article 101121"},"PeriodicalIF":0.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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