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Injury Patterns and Associated Demographics of Intimate Partner Violence in Older Adults Presenting to U.S. Emergency Departments.

J Interpers Violence 2021 Jun 12:8862605211022060. Epub 2021 Jun 12.

Riley Children's Hospital, Indianapolis, IN, USA.

Intimate partner violence (IPV) is a global public health issue and occurs in intimate relationships regardless of age or sexual orientation. Several studies, most of them relying on small-scale samples, have explored the prevalence and risk factors of IPV in older adults. Still, none have focused on the demographics and injury patterns in older adult victims. Read More

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The outcomes of quadriceps tendon autograft for anterior cruciate ligament reconstruction in adolescent athletes: a retrospective case series.

Eur J Orthop Surg Traumatol 2021 Jun 10. Epub 2021 Jun 10.

Department of Orthopaedics, Penn State Health Milton S. Hershey Medical Center, 500 University Dr., 414 Hallmark South, Hershey, PA, 17033, USA.

Background: Multiple graft options exist for anterior cruciate ligament (ACL) reconstruction in an adolescent athlete. Patellar tendon harvest can lead to anterior knee pain, while hamstring tendon harvest can affect knee flexion strength and alter mechanics. Allograft is less desirable in pediatric patients due to the higher failure rate and slight risk of disease transmission. Read More

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Recreational Drone-Related Injuries in Children: A Review of National Electronic Injury Surveillance System (NEISS) Data.

Cureus 2021 Jun 2;13(6):e15390. Epub 2021 Jun 2.

Pediatric Emergency Medicine, Loma Linda University Medical Center, Loma Linda, USA.

Introduction Drones are unmanned aerial vehicles controlled by a person on the ground, used for recreational purposes. The purpose of the study is to describe characteristics and patterns of injuries reported in children from recreational drones. Methods We extracted data from the National Electronic Injury Surveillance System involving (NEISS) over a period of 10 years from 2010 to 2019 regarding injuries to children for ages zero up to 18 years. Read More

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Maintaining Medical Resources to Treat Paediatric Injuries during COVID-19 Lockdown Is Essential-An Epidemiological Analysis of a Level 1 Trauma Centre in Central Europe.

Int J Environ Res Public Health 2021 05 28;18(11). Epub 2021 May 28.

Department of Trauma Surgery, University Clinic of Orthopaedics and Trauma Surgery, Medical University of Vienna, 1090 Vienna, Austria.

Background: This study examined the effect of the COVID-19 pandemic and the resulting decrease in the incidence of various categories of injuries, with the main focus on fractures and mild traumatic brain injuries in a paediatric population.

Methods: This retrospective cohort study evaluated all children from 0 to 18 years of age presenting with an injury at the level 1 trauma centre of the University Clinic of Orthopaedics and Trauma Surgery in Vienna during the lockdown from 16 March to 29 May 2020 compared to records over the same timeframe from 2015 to 2019.

Results: In total, 14,707 patients with injuries were included. Read More

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Parental neurotic excoriation injury of children: A case series of hidden physical abuse.

Pediatr Dermatol 2021 Jun 1. Epub 2021 Jun 1.

Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.

Background: Recognizable skin findings of child physical abuse include bruises, abrasions, lacerations, bite marks, burns, and oral injuries. Self-induced skin picking, or neurotic excoriation, can correspond to emotional stress, underlying psychiatric illness, or substance abuse. Parental neurotic excoriation injury of children has not been reported previously as a form of physical abuse. Read More

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Added Value of Three-Plane Multiecho Fast Field Echo MRI Sequence in the Evaluation of Acute Spinal Trauma Using Sensitivity: A Prospective Study.

Cureus 2021 Apr 26;13(4):e14694. Epub 2021 Apr 26.

Radiodiagnosis, Sikkim Manipal Institute of Medical Science, Gangtok, IND.

Background Multiecho fast field echo (mFFE) MRI sequence provides added value to the conventional MR imaging in evaluation of acute spinal trauma, especially for detecting spinal cord hemorrhage which is a best predictor for patient prognosis. Objective This study aims to evaluate the diagnostic efficacies of three-plane mFFE MRI sequence along with the conventional MRI sequences in acute spinal trauma patients using sensitivity.  Materials and methods This prospective study comprised of 48 patients of acute spinal trauma. Read More

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Men's Lacrosse Injuries in the 2018 International World Championship Play.

Orthop J Sports Med 2021 May 19;9(5):23259671211007951. Epub 2021 May 19.

Hospital for Special Surgery/Cornell Medical Center Program, New York, New York, USA.

Background: Limited data exist on injuries in men's lacrosse at the international level. As lacrosse's popularity grows rapidly across the globe, health care providers must understand how to treat lacrosse athletes.

Purpose: To analyze injury data from the 2018 Men's World Lacrosse Championship. Read More

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Deciphering acute shoulder trauma with normal initial X-ray: contributions of ultrasonography and MRI.

Orthop Traumatol Surg Res 2021 May 22:102965. Epub 2021 May 22.

Service de Chirurgie de l'Arthrose et du Sport, Urgences Traumatiques des Membres. CHU de Grenoble-Alpes, Hôpital Sud, Avenue de Kimberley, BP 338, 38434, Échirolles, Cedex, France.

Introduction: Shoulder trauma with normal radiographs is a frequent emergency presentation. The predominance of pain makes clinical examination unreliable, and complementary imaging is often needed for diagnosis. The aim of the present study was to assess the contribution of ultrasonography (US) and magnetic resonance imaging (MRI) in deciphering such trauma. Read More

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Diagnostic value of multi-slice spiral CT scan in lung compression ratio of patients with pulmonary contusion complicated by pneumothorax or hydropneumothorax.

Am J Transl Res 2021 15;13(4):3004-3009. Epub 2021 Apr 15.

Department of Imaging, 521 Hospital of Norinco Group Xi'an, Shaanxi Province, China.

Objective: This study was designed to explore the diagnostic value of multi-slice spiral CT (MSCT) scanning in lung compression ratio of patients with pulmonary contusion complicated by pneumothorax or hydropneumothorax.

Methods: Seventy-eight patients with pulmonary contusions complicated by pneumothorax or hydropneumothorax treated in the Department of Emergency Surgery of our hospital were examined by CT and X-ray, and the diagnostic value of these two methods was observed. The correlation of lung compression ratio measured by multiplanar reconstruction (MPR) and volume rendering (VR) with W/D ratio was studied, and the formula between VR-measured lung compression ratio and W/D ratio was constructed using a one-variable linear regression equation. Read More

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The utility of routine post-hospitalization CT imaging in patients with non-operative mild to moderate traumatic brain injury.

Brain Inj 2021 Jun 16;35(7):778-782. Epub 2021 May 16.

Department of Neurosurgery, University of Florida College of Medicine, Gainesville, Florida, USA.

The purpose of this study was to determine the utility of CT imaging in patients with non-operative mild-moderate TBI with respect to changes in management. We conducted a retrospective analysis for 191 patients over a 5-year interval to examine whether follow-up CT initiated a change in management. We created a logistic regression model to incorporate different variables contributing to change in management. Read More

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Accidents and injuries in elite MotoGP motorcycle riders.

J Clin Orthop Trauma 2021 Jul 14;18:25-29. Epub 2021 Apr 14.

ICATME, Hospital Universitari Quiron-Dexeus, Barcelona, Spain.

Objective: Evaluating incidence, characteristics and risk factors of accidents and injuries in each elite motorcycle racing class (MotoGP, Moto2 and Moto3), 2013-2017.

Design: Descriptive epidemiological study.

Setting: MotoGP Medical Team, Dorna Sports SL. Read More

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Effects of Physical Agents on Muscle Healing with a Focus on Animal Model Research.

Miki Sakamoto

Phys Ther Res 2021 24;24(1):1-8. Epub 2021 Feb 24.

Department of Physical Therapy, School of Allied Health Sciences, Kitasato University, Japan.

Skeletal muscle injury is caused by a variety of events, such as muscle laceration, contusions, or strain. Muscle fibers respond to minor damage with immediate repair mechanisms that reseal the cell membrane. On the other hand, repair of irreversibly damaged fibers is achieved by activation of muscle precursor cells. Read More

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February 2021

Acute injuries in American collegiate taekwondo competitions: a prospective study spanning four competitive seasons.

J Sports Med Phys Fitness 2021 May 10. Epub 2021 May 10.

Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA -

Background: Injury patterns are well-documented for taekwondo competitions prior to the use of an electronic chest protector for scoring tabulation. To see if injury rates and types changed following this rule change that transformed the fighting style in taekwondo, we investigated injuries in collegiate taekwondo competitions in the United States.

Methods: Data were collected at eight collegiate taekwondo tournaments from April 2018 to December 2019. Read More

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Sucking Bruises in Infancy: A Mimicker of Child Abuse.

Mayo Clin Proc 2021 05;96(5):1369-1371

Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN.

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Traumatic Brain Injury: Mechanistic Insight on Pathophysiology and Potential Therapeutic Targets.

J Mol Neurosci 2021 May 6. Epub 2021 May 6.

Chitkara College of Pharmacy, Chitkara University, Punjab, India.

Traumatic brain injury (TBI) causes brain damage, which involves primary and secondary injury mechanisms. Primary injury causes local brain damage, while secondary damage begins with inflammatory activity followed by disruption of the blood-brain barrier (BBB), peripheral blood cells infiltration, brain edema, and the discharge of numerous immune mediators including chemotactic factors and interleukins. TBI alters molecular signaling, cell structures, and functions. Read More

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Stair-Related Injuries Among Pregnant Women Treated in United States Emergency Departments.

Matern Child Health J 2021 Jun 5;25(6):892-899. Epub 2021 May 5.

College of Nursing, Washington State University, 412 E. Spokane Falls Blvd, Spokane, WA, 99201, USA.

Objectives: Falls are one of the leading causes of trauma during pregnancy, and most falls occur on stairs. The purpose of this study was to describe stair-related falls among pregnant women who were treated in United States emergency departments during a 10-year period.

Methods: This study utilized a cross-sectional analysis of National Electronic Injury Surveillance System (NEISS) data, 2008-2017. Read More

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Bilateral Posterior Temporal Lobe Contusions as a Rare Pattern of Traumatic Brain Injury.

Neurology 2021 May 4. Epub 2021 May 4.

Department of Neurology, Imeldahospital Bonheiden, Bonheiden, Belgium

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Abcc8 (Sulfonylurea Receptor-1) Impact on Brain Atrophy after TBI Varies by Sex.

J Neurotrauma 2021 May 3. Epub 2021 May 3.

Barrow Neurological Institute, 115467, 240 W. Thomas Rd., Suite 404, Phoenix, Arizona, United States, 85013-4409;

Females have been understudied in preclinical and clinical TBI, despite distinct biology and worse clinical outcomes vs males. Sulfonylurea receptor 1(SUR1) inhibition has shown promising results in predominantly male traumatic brain injury (TBI). A phase-II trial is ongoing. Read More

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A Focus on Non-Amputation Combat Extremity Injury: 2001-2018.

Mil Med 2021 May 3. Epub 2021 May 3.

Medical Modeling and Simulation, Naval Health Research Center, San Diego, CA 92106-3521, USA.

Introduction: Extremity injuries have comprised the majority of battlefield injuries in modern U.S. conflicts since World War II. Read More

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The banding phenomenon: injury or hypostasis?

Forensic Sci Med Pathol 2021 May 3. Epub 2021 May 3.

Institute of Forensic Medicine, University of Belgrade - School of Medicine, Belgrade, Serbia.

Correct interpretation of autopsy findings related to neck structures can be challenging and has tremendous legal importance. We describe a case of a 30-year-old man who was found dead in a hotel courtyard, facedown. The window of his hotel room on the 5th floor was wide open. Read More

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Non-fatal senior pickleball and tennis-related injuries treated in United States emergency departments, 2010-2019.

Inj Epidemiol 2021 May 3;8(1):34. Epub 2021 May 3.

Department of Surgery, NYU Grossman School of Medicine, New York, USA.

Background: Pickleball is growing rapidly with a passionate senior following. Understanding and comparing players' injury experience through analysis of a nationally representative hospital emergency department sample helps inform senior injury prevention and fitness goals.

Methods: A cross-sectional descriptive study was performed using 2010 to 2019 data from the U. Read More

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Growing role for arnica in cosmetic dermatology: Lose the bruise.

J Cosmet Dermatol 2021 Jul 15;20(7):2062-2068. Epub 2021 May 15.

Laser & Skin Surgery Center of New York, New York, NY, USA.

This commentary examines the utility of arnica in cosmetic dermatology. For many years, arnica has been used to reduce the morbidity associated with various procedures, including surgeries and treatments with lasers and other energy-based devices. Arnica is a traditional homeopathic remedy that can reduce post-procedural edema and bruising. Read More

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[Epidemiological aspects and prognostic factors of severe traumatic brain injury].

Neurochirurgie 2021 Apr 23. Epub 2021 Apr 23.

Service de neurochirurgie, hôpital Ibn Tofail, CHU Mohammed 6 Marrakech, Maroc. Electronic address:

Objective: To determine the severity factors in severe traumatic brain injuries.

Methods: A prospective descriptive study of severe head injuries admitted to the emergency department at Ibn Tofail Hospital at the University Hospital of Marrakesh over a period of six months from May to October 2015. The following data was collected: circumstances, clinical, biology, radiology, treatment and evolution. Read More

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Characteristics of Ophthalmic Trauma in Fall-Related Hospitalizations in the United States from 2000 to 2017.

Ophthalmic Epidemiol 2021 Apr 26:1-10. Epub 2021 Apr 26.

The Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Falls is a leading cause of injuries nationally and can lead to serious ophthalmic injuries. The purpose of this study is to examine the incidence and characteristics of ophthalmic trauma in patients with fall-related hospitalizations in the United States. Retrospective, cross-sectional study. Read More

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Diaphragm Motor-Evoked Potential Induced by Cervical Magnetic Stimulation following Cervical Spinal Cord Contusion in the Rat.

J Neurotrauma 2021 May 24. Epub 2021 May 24.

Université Paris-Saclay, UVSQ, Inserm, END-ICAP, Versailles, France.

Cervical spinal injury is typically associated with respiratory impairments due to damage to bulbospinal respiratory pathways and phrenic motoneurons. Magnetic stimulation is a non-invasive approach for the evaluation and modulation of the nervous system. The present study was designed to examine whether cervical magnetic stimulation can be applied to evaluate diaphragmatic motor outputs in a pre-clinical rat model of cervical spinal injury. Read More

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Characteristics and outcomes following motorized and non-motorized vehicular trauma in a resource-limited setting.

Injury 2021 Apr 18. Epub 2021 Apr 18.

Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States. Electronic address:

Introduction: Despite the ubiquity of motorized vehicular transport, non-motorized transportation continues to be common in sub-Saharan Africa.

Methods: We performed a retrospective analysis of trauma patients presenting to Kamuzu Central Hospital in Malawi from February 2008 to May 2018. Demographic and clinical variables including injury characteristics and outcomes were collected. Read More

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Acute foot and ankle injuries and time return to sport.

SICOT J 2021 15;7:27. Epub 2021 Apr 15.

Consultant Foot and Ankle Orthopedic Surgeon, Dr. Nasef OrthoClinic Medical Center, 11617 Cairo, Egypt.

Foot and ankle sports injuries encompass a wide spectrum of conditions from simple contusions or sprains that resolve within days to more severe injuries that change the trajectory of an athlete's sporting career. If missed, severe injuries could lead to prolonged absence from the sport and therefore a catastrophic impact on future performance. In this article, we discuss the presentation of the commonest foot and ankle sports injuries and share recent evidence to support an accurate diagnosis and best management practice. Read More

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Injury Profile of Mixed Martial Arts Competitions in the United States.

Orthop J Sports Med 2021 Mar 24;9(3):2325967121991560. Epub 2021 Mar 24.

Department of Orthopaedic Surgery, School of Medicine, Tulane University, New Orleans, Louisiana, USA.

Background: The popularity of mixed martial arts (MMA) continues to grow in the United States. Although prior work has provided valuable insight concerning injuries in the sport, much of the available literature is limited by factors such as small sample sizes, varying athlete demographics, and inconsistent data collection methods.

Purpose: To report injury rates and types in MMA and analyze potential variance between competition and match variables. Read More

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[Saddle Bruise From Mountainbiking - Just a Trifle?]

Praxis (Bern 1994) 2021 Apr;110(5):269-274

Universitätsspital Zürich, Institut für Notfallmedizin, Permanence Flughafen Circle 59, Flughafen Zürich.

Saddle Bruise From Mountainbiking - Just a Trifle? Using the term of behavioral psychology, this review with case report illustrates how a necrotisizing fasciitis following a blunt soft tissue trauma got misinterpreted as pulmonary embolism. In addition to the most important red flags we describe the typical course of disease and provide relevant tools to differentiate upatient between minor ailments and this life-threatening disease on first presentation of the patient. Read More

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Popeye sign with ecchymosis.

BMJ Case Rep 2021 Apr 12;14(4). Epub 2021 Apr 12.

Department of General Internal Medicine, Toyota Regional Medical Center, Toyota, Aichi, Japan.

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