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Letter to the editor regarding " The paediatric polytrauma CT-indication (PePCI)-score-development of a prognostic model to reduce unnecessary CT scans in paediatric trauma patients". 致编辑的信,内容涉及 "儿科多发性创伤 CT 适应症(PePCI)评分--开发预后模型以减少儿科创伤患者不必要的 CT 扫描"。
Pub Date : 2024-08-05 DOI: 10.1016/j.injury.2024.111788
Emre Kudu, Melis Efeoğlu Saçak
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引用次数: 0
Letter to the Editor: Enhanced sciatic nerve regeneration with fibrin scaffold containing human endometrial stem cells and insulin encapsulated chitosan particles. 致编辑的信:用含有人类子宫内膜干细胞和胰岛素包裹壳聚糖颗粒的纤维蛋白支架增强坐骨神经再生。
Pub Date : 2024-08-05 DOI: 10.1016/j.injury.2024.111787
Meivelu Moovendhan
{"title":"Letter to the Editor: Enhanced sciatic nerve regeneration with fibrin scaffold containing human endometrial stem cells and insulin encapsulated chitosan particles.","authors":"Meivelu Moovendhan","doi":"10.1016/j.injury.2024.111787","DOIUrl":"https://doi.org/10.1016/j.injury.2024.111787","url":null,"abstract":"","PeriodicalId":94042,"journal":{"name":"Injury","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antiplatelet versus anticoagulant therapy in blunt cerebrovascular injury: More evidence needed before changing clinical practice. 钝性脑血管损伤中的抗血小板疗法与抗凝疗法:在改变临床实践之前需要更多证据。
Pub Date : 2024-08-05 DOI: 10.1016/j.injury.2024.111799
Kuo-Chuan Hung, Li-Chen Chang, I-Wen Chen
{"title":"Antiplatelet versus anticoagulant therapy in blunt cerebrovascular injury: More evidence needed before changing clinical practice.","authors":"Kuo-Chuan Hung, Li-Chen Chang, I-Wen Chen","doi":"10.1016/j.injury.2024.111799","DOIUrl":"https://doi.org/10.1016/j.injury.2024.111799","url":null,"abstract":"","PeriodicalId":94042,"journal":{"name":"Injury","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141997101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comments on "Long-term differences in clinical prognosis between crossed- and parallel-cannulated screw fixation in vertical femoral neck fractures of non-geriatric patients". 关于 "非老年垂直股骨颈骨折中交叉和平行环形螺钉固定的长期临床预后差异 "的评论
Pub Date : 2024-08-05 DOI: 10.1016/j.injury.2024.111791
Udit Kumar Jayant, Sanjay Singh, Devashish Chhuttani
{"title":"Comments on \"Long-term differences in clinical prognosis between crossed- and parallel-cannulated screw fixation in vertical femoral neck fractures of non-geriatric patients\".","authors":"Udit Kumar Jayant, Sanjay Singh, Devashish Chhuttani","doi":"10.1016/j.injury.2024.111791","DOIUrl":"https://doi.org/10.1016/j.injury.2024.111791","url":null,"abstract":"","PeriodicalId":94042,"journal":{"name":"Injury","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141997103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Managing B2 periprosthetic femoral fractures: ORIF vs stem-revision. 处理 B2 股骨假体周围骨折:人工股骨头置换术与骨干修补术
Pub Date : 2024-08-05 DOI: 10.1016/j.injury.2024.111789
S Pombo-Alonso, I Gabarain, N Nunes, G De la Herrán

Background: The gold-standard treatment for Vancouver type B2 and B3 fractures is revision arthroplasty. This procedure can be prolonged and complex, posing challenges for patients with severe medical comorbidities and reduced physical status. Recently, osteosynthesis has been proposed as an alternative treatment for B2 periprosthetic femoral fractures (PFF) in frail patients, though its efficacy compared to revision arthroplasty has not been studied in detail.

Methods: A retrospective study was conducted from 2012 to 2022, comparing complications, mortality, length of stay, gait ability, hemoglobin decrease, and blood transfusion rates between 44 patients undergoing treatment for B2 or B3 PPF with either stem-revision arthroplasty (n = 28) or open reduction and internal fixation (ORIF) with plates and screws (n = 16).

Results: The results showed no significant differences in mortality, complications, hemoglobin decrease, blood transfusion rate, or length of stay between the two groups. In the stem-revision group, 11 patients (60.7 %) experienced a medical complication, while 7 patients (43.8 %) in the ORIF group had complications (p = 0.778). The mortality rate within the first year post-surgery was 17.9 % (5 patients) in the stem-revision group compared to 18.8 % (3 patients) in the ORIF group (p = 0.943). Surgical complications occurred in 2 patients (7.1 %) in the stem-revision group and in 4 patients (25 %) in the ORIF group (p = 0.101). Blood transfusions were required in 17 patients (60.7 %) in the stem-revision group and in 8 patients (50 %) in the ORIF group (p = 0.829).

Conclusions: This study suggests that ORIF is an acceptable treatment option for patients with B2 or B3 PFF, especially for those with severe medical comorbidities and reduced physical status who may not tolerate revision arthroplasty. However, further research with larger sample sizes and longer follow-up periods is needed to confirm these findings.

Level of evidence: IV.

背景:治疗温哥华B2型和B3型骨折的金标准是翻修关节置换术。这种手术时间长且复杂,对合并严重疾病和身体状况较差的患者来说是一种挑战。最近,有人提出了骨合成术,作为体弱患者B2股骨假体周围骨折(PFF)的替代治疗方法,但与翻修关节置换术相比,骨合成术的疗效尚未得到详细研究:方法: 2012年至2022年期间进行了一项回顾性研究,比较了44例接受干翻修关节置换术(28例)或钢板和螺钉切开复位内固定术(ORIF)治疗的B2或B3 PPF患者(16例)的并发症、死亡率、住院时间、步态能力、血红蛋白下降率和输血率:结果显示,两组患者在死亡率、并发症、血红蛋白下降率、输血率和住院时间方面无明显差异。骨干修补术组有11名患者(60.7%)出现医疗并发症,而骨干修补术组有7名患者(43.8%)出现并发症(P = 0.778)。骨干修补术组术后第一年的死亡率为17.9%(5名患者),而ORIF组为18.8%(3名患者)(p = 0.943)。干细胞修补术组有2名患者(7.1%)出现手术并发症,ORIF组有4名患者(25%)出现并发症(p = 0.101)。干细胞修补术组有17名患者(60.7%)需要输血,ORIF组有8名患者(50%)需要输血(p = 0.829):本研究表明,ORIF是B2或B3 PFF患者可接受的治疗选择,尤其是对于那些有严重医疗合并症和身体状况下降、可能无法忍受翻修关节置换术的患者。不过,还需要更多样本量和更长随访时间的进一步研究来证实这些发现:证据等级:IV。
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引用次数: 0
Comments on "Body surface area is a predictor of 90-day all-cause mortality in critically ill patients with acute kidney injury". 关于 "体表面积是急性肾损伤重症患者 90 天全因死亡率的预测因素 "的评论
Pub Date : 2024-08-05 DOI: 10.1016/j.injury.2024.111785
Elaheh Sanjari, Hadi Raeisi Shahraki
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引用次数: 0
Letter to the Editor in response to comment on "Biomechanics of internal fixation in Hoffa fractures-A comparison of four different constructs", Injury (2024), doi: https://doi.org/10.1016/j.injury.2024.111577. 致编辑的信,回复关于 "Hoffa 骨折内固定的生物力学--四种不同结构的比较 "的评论,《损伤》(2024 年),doi: https://doi.org/10.1016/j.injury.2024.111577。
Pub Date : 2024-08-05 DOI: 10.1016/j.injury.2024.111792
Robinson Esteves Pires, João Marcos Guimarães Rabelo, Carlos Alberto Cimini, Estevam Barbosa de Las Casas, Antônio Tufi Neder Filho, Vincenzo Giordano, Mauricio Kfuri, Marco Antônio Percope de Andrade
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引用次数: 0
Blood far forward: A cross-sectional analysis of prehospital transfusion practices in the Canadian Armed Forces. 血液向前流动:加拿大武装部队院前输血实践的横断面分析。
Pub Date : 2024-08-03 DOI: 10.1016/j.injury.2024.111771
Pierre-Marc Dion, Brodie Nolan, Christopher Funk, Colin Laverty, Jeffrey Scott, Damien Miller, Andrew Beckett

Background: Canadian Armed Forces (CAF) operate in environments that challenge patient care, especially trauma. Military personnel often find themselves in remote settings without conventional healthcare facilities. Treating traumatic injuries, particularly hemorrhagic shock, often necessitates prehospital blood transfusion. This study aims to present an overview of the current CAF prehospital transfusion practices. Furthermore, the study compared current and developing protocols against expert-recommended guidelines.

Methods: A cross-sectional survey design was employed to describe and compare CAF prehospital blood transfusion practices and protocols against expert recommendations. Topics included protocols, equipment, and procedures. An online survey targeted medical leadership and providers within CAF, with data collected from August 15 to December 15, 2023. Results were summarized descriptively. This study received approval from the Unity Health Toronto Research Ethics Board (REB 23-087).

Results: Units and teams with prehospital blood transfusion capabilities were contacted, achieving a 100 % response rate. Within CAF, Canadian Special Operations Forces Command (CANSOFCOM), Mobile Surgical Resuscitation Team (MSRT), and Canadian Medical Emergency Response Team (CMERT) possess these capabilities, established between 2013 and 2018. These programs are crucial for military operations. CAF has access to standard blood components, cold Leuko-Reduced Whole Blood (LrWB), and factor concentrates from Canadian Blood Services (CBS), available for both domestic and international missions given adequate planning and favorable conditions. Key findings indicate high adherence to recommended practices, some variability in the transfusion process, and potential benefits of standardizing prehospital transfusion practices.

Conclusions: This study provided insights into CAF's implementation of prehospital transfusion practices, highlighting high adherence to national expert recommendations and the importance of structured protocols in military prehospital trauma management.

Implications of key findings: CAF's approach and adoption of prehospital transfusion protocols lay a strong foundation for managing trauma patients in remote settings and for expanding prehospital transfusion capabilities across CFHS deployed assets. Further research is needed to advance military trauma care by adapting prehospital blood transfusion to dynamic tactical landscapes and evolving technologies.

背景:加拿大武装部队(CAF)的工作环境对病人护理,尤其是创伤护理提出了挑战。军人经常身处偏远地区,没有常规的医疗设施。治疗创伤,尤其是失血性休克,往往需要进行院前输血。本研究旨在概述目前中国空军的院前输血实践。此外,该研究还将当前和正在制定的方案与专家建议的指南进行了比较:方法:采用横断面调查设计来描述和比较中国民航飞行学院的院前输血实践和方案与专家建议。主题包括协议、设备和程序。在线调查的对象是 CAF 的医疗领导和医疗服务提供者,数据收集时间为 2023 年 8 月 15 日至 12 月 15 日。调查结果以描述性方式进行总结。这项研究获得了多伦多联合健康组织研究伦理委员会(REB 23-087)的批准:我们联系了具有院前输血能力的单位和团队,回复率达到 100%。在加拿大空军内部,加拿大特种作战部队司令部(CANSOFCOM)、移动外科复苏小组(MSRT)和加拿大医疗应急小组(CMERT)拥有这些能力,成立于2013年至2018年。这些计划对军事行动至关重要。加拿大空军可从加拿大血液服务公司(CBS)获得标准血液成分、冷白细胞还原全血(LrWB)和浓缩因子,在充分规划和有利条件下,可用于国内和国际任务。主要研究结果表明,院前输血实践中建议的做法得到了高度遵守,输血过程中存在一些差异,院前输血实践标准化可能会带来益处:本研究对中国空军院前输血实践的实施情况进行了深入了解,突出强调了对国家专家建议的高度遵守以及结构化协议在军队院前创伤管理中的重要性:CAF 的方法和院前输血协议的采用为管理偏远地区的创伤患者以及在 CFHS 部署的资产中扩大院前输血能力奠定了坚实的基础。需要进一步开展研究,使院前输血适应动态的战术环境和不断发展的技术,从而推进军事创伤救治工作。
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引用次数: 0
Transarterial embolization to treat hemodynamically unstable trauma patients with splenic injuries: A retrospective multicenter observational study. 经动脉栓塞治疗血流动力学不稳定的脾损伤外伤患者:一项回顾性多中心观察研究。
Pub Date : 2024-08-03 DOI: 10.1016/j.injury.2024.111768
Naohiro Okada, Hidenori Mitani, Takuya Mori, Masatomo Ueda, Keigo Chosa, Wataru Fukumoto, Kazuki Urata, Ryoichiro Hata, Hajime Okazaki, Masashi Hieda, Kazuo Awai

Purpose: We described clinical outcomes for patients with blunt splenic injuries treated with transarterial embolization (TAE) based on their hemodynamic status.

Materials and methods: This is a retrospective two-center study of adult patients with splenic injuries who underwent emergency TAE between January 2011 and December 2022. Patients were divided into two groups; hemodynamically unstable (HDU) and hemodynamically stable (HDS) patients. HDU patients were defined as transient- or non-responders to fluid resuscitation and HDS as responders. When immediate laparotomy was not possible for HDU patients, angiography and embolization were performed. The primary outcome was the survival discharge rate. Rebleeding and splenectomy rate was also investigated.

Results: Of 38 patients underwent emergency TAE for splenic trauma, 17 were HDU patients and 21 were HDS patients. The survival discharge rate was 88.2 % (15/17) in the HDU- and 100 % in HDS patients (p = 0.193). Rebleeding rate was 23.5 % (4/17) in HDU- and 5.0 % (1/21) in HDS patients (p = 0.15). Splenectomy was required for one HDU patient (5.9 %) for rebleeding.

Conclusion: The survival discharge rate of TAE for splenic trauma in HDU patients was acceptable with a low rate of splenectomy. Further comparative studies of TAE versus operative management in HDU patients are needed to prove the usefulness of TAE.

目的:我们根据钝性脾损伤患者的血液动力学状态,描述了经动脉栓塞(TAE)治疗的临床结果:这是一项双中心回顾性研究,研究对象为2011年1月至2022年12月期间接受急诊TAE治疗的脾损伤成人患者。患者分为两组:血流动力学不稳定(HDU)患者和血流动力学稳定(HDS)患者。HDU患者被定义为对液体复苏有短暂反应或无反应者,HDS患者被定义为有反应者。如果 HDU 患者无法立即进行开腹手术,则进行血管造影和栓塞治疗。主要结果是出院存活率。此外,还对再出血率和脾切除率进行了调查:结果:38 名因脾脏外伤接受急诊 TAE 的患者中,17 名是 HDU 患者,21 名是 HDS 患者。HDU患者的出院存活率为88.2%(15/17),HDS患者的出院存活率为100%(P = 0.193)。HDU-患者的再出血率为23.5%(4/17),HDS患者为5.0%(1/21)(p = 0.15)。一名 HDU 患者(5.9%)因再出血而需要进行脾切除术:结论:TAE治疗HDU患者脾脏创伤的存活出院率是可以接受的,脾脏切除率较低。为证明TAE的实用性,需要进一步对HDU患者进行TAE与手术治疗的比较研究。
{"title":"Transarterial embolization to treat hemodynamically unstable trauma patients with splenic injuries: A retrospective multicenter observational study.","authors":"Naohiro Okada, Hidenori Mitani, Takuya Mori, Masatomo Ueda, Keigo Chosa, Wataru Fukumoto, Kazuki Urata, Ryoichiro Hata, Hajime Okazaki, Masashi Hieda, Kazuo Awai","doi":"10.1016/j.injury.2024.111768","DOIUrl":"https://doi.org/10.1016/j.injury.2024.111768","url":null,"abstract":"<p><strong>Purpose: </strong>We described clinical outcomes for patients with blunt splenic injuries treated with transarterial embolization (TAE) based on their hemodynamic status.</p><p><strong>Materials and methods: </strong>This is a retrospective two-center study of adult patients with splenic injuries who underwent emergency TAE between January 2011 and December 2022. Patients were divided into two groups; hemodynamically unstable (HDU) and hemodynamically stable (HDS) patients. HDU patients were defined as transient- or non-responders to fluid resuscitation and HDS as responders. When immediate laparotomy was not possible for HDU patients, angiography and embolization were performed. The primary outcome was the survival discharge rate. Rebleeding and splenectomy rate was also investigated.</p><p><strong>Results: </strong>Of 38 patients underwent emergency TAE for splenic trauma, 17 were HDU patients and 21 were HDS patients. The survival discharge rate was 88.2 % (15/17) in the HDU- and 100 % in HDS patients (p = 0.193). Rebleeding rate was 23.5 % (4/17) in HDU- and 5.0 % (1/21) in HDS patients (p = 0.15). Splenectomy was required for one HDU patient (5.9 %) for rebleeding.</p><p><strong>Conclusion: </strong>The survival discharge rate of TAE for splenic trauma in HDU patients was acceptable with a low rate of splenectomy. Further comparative studies of TAE versus operative management in HDU patients are needed to prove the usefulness of TAE.</p>","PeriodicalId":94042,"journal":{"name":"Injury","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Imaging findings in penetrating injuries in the paediatric population - Experience from a major trauma Centre. 儿科穿透伤的影像学发现--一家大型创伤中心的经验。
Pub Date : 2024-08-02 DOI: 10.1016/j.injury.2024.111760
Sara Ffrench-Constant, Chris Aylwin, Nicola Batrick, Elizabeth Dick, Elika Kashef

Objective: The primary objective of this study is to assess common sites of injury and the associated imaging findings in penetrating injuries. We pay particular attention to gluteal, anterior abdominal wall and junctional zone injuries. The aim is to highlight areas of diagnostic uncertainty and discrepancy between imaging and surgical findings, to improve review areas in trauma reporting.

Methods: A retrospective, observational study reviewing all paediatric admissions to the emergency department of a major trauma Centre with a penetrating injury, from 2015 to 2019.

Results: Gluteal penetrating injuries are by far the most commonly sustained injury in the adolescent population, making up over 1/3 of cases. The vast majority of these cases sustained superficial injuries or shallow intramuscular haematomas, however in a small group (15%), serious vascular or rectal injuries were demonstrated on dual phase CT, requiring emergent surgical or endovascular treatment. Penetrating injuries to the anterior abdominal wall and junctional zone are less common but are associated with higher morbidity, with 43% of cases demonstrating solid organ or bowel injury. These cases also lead to an increased degree of diagnostic uncertainty.

Conclusion: Gluteal injuries are common and although the overall morbidity of these cases is low, these patients are at risk of serious and life threatening consequences such as vascular and rectal injury and it is imperative that these complications are considered and ruled out via dual phase CT or direct visualization. Anterior abdominal wall and junctional zone injuries are less common, but lead to greater morbidity and also greater diagnostic uncertainty. The use of other salient findings as described in this report can aid diagnostic accuracy and reduce discrepancies.

研究目的本研究的主要目的是评估穿透性损伤的常见受伤部位和相关影像学检查结果。我们特别关注臀部、前腹壁和交界区损伤。目的是突出诊断不确定性和影像学与手术结果不一致的领域,以改进创伤报告中的审查领域:一项回顾性观察研究,回顾了 2015 年至 2019 年期间一家大型创伤中心急诊科收治的所有穿透性损伤的儿科患者:臀部穿透伤是迄今为止青少年人群中最常见的损伤,占病例总数的三分之一以上。这些病例中绝大多数都是表皮损伤或浅层肌肉内血肿,但也有一小部分病例(15%)在双相位 CT 上显示出严重的血管或直肠损伤,需要紧急手术或血管内治疗。前腹壁和交界区的穿透伤较少见,但发病率较高,43%的病例显示有实体器官或肠道损伤。这些病例也增加了诊断的不确定性:结论:臀部损伤很常见,虽然这些病例的总体发病率较低,但这些患者有可能出现严重和危及生命的后果,如血管和直肠损伤,因此必须通过双相 CT 或直接观察来考虑和排除这些并发症。前腹壁和交界区损伤不太常见,但发病率更高,诊断的不确定性也更大。使用本报告中描述的其他突出检查结果有助于提高诊断准确性并减少差异。
{"title":"Imaging findings in penetrating injuries in the paediatric population - Experience from a major trauma Centre.","authors":"Sara Ffrench-Constant, Chris Aylwin, Nicola Batrick, Elizabeth Dick, Elika Kashef","doi":"10.1016/j.injury.2024.111760","DOIUrl":"https://doi.org/10.1016/j.injury.2024.111760","url":null,"abstract":"<p><strong>Objective: </strong>The primary objective of this study is to assess common sites of injury and the associated imaging findings in penetrating injuries. We pay particular attention to gluteal, anterior abdominal wall and junctional zone injuries. The aim is to highlight areas of diagnostic uncertainty and discrepancy between imaging and surgical findings, to improve review areas in trauma reporting.</p><p><strong>Methods: </strong>A retrospective, observational study reviewing all paediatric admissions to the emergency department of a major trauma Centre with a penetrating injury, from 2015 to 2019.</p><p><strong>Results: </strong>Gluteal penetrating injuries are by far the most commonly sustained injury in the adolescent population, making up over 1/3 of cases. The vast majority of these cases sustained superficial injuries or shallow intramuscular haematomas, however in a small group (15%), serious vascular or rectal injuries were demonstrated on dual phase CT, requiring emergent surgical or endovascular treatment. Penetrating injuries to the anterior abdominal wall and junctional zone are less common but are associated with higher morbidity, with 43% of cases demonstrating solid organ or bowel injury. These cases also lead to an increased degree of diagnostic uncertainty.</p><p><strong>Conclusion: </strong>Gluteal injuries are common and although the overall morbidity of these cases is low, these patients are at risk of serious and life threatening consequences such as vascular and rectal injury and it is imperative that these complications are considered and ruled out via dual phase CT or direct visualization. Anterior abdominal wall and junctional zone injuries are less common, but lead to greater morbidity and also greater diagnostic uncertainty. The use of other salient findings as described in this report can aid diagnostic accuracy and reduce discrepancies.</p>","PeriodicalId":94042,"journal":{"name":"Injury","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Injury
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