7,076 results match your criteria Imaging in Skull Fractures

Development of Inappropriate Vasopressin Secretion in Association With Lumbar Cerebrospinal Fluid Drainage in an Adult With Traumatic Basilar Skull Fracture.

Jane Rhyu Run Yu

AACE Clin Case Rep 2021 Mar-Apr;7(2):124-126. Epub 2020 Dec 28.

University of California Los Angeles (UCLA), Department of Internal Medicine, Division of Endocrinology, Diabetes, and Metabolism, Los Angeles, California.

Objective: Hyponatremia associated with cerebrospinal fluid (CSF) drainage is primarily limited to pediatric patients. Only 1 case in an adult, after pituitary surgery, has been described. We present the first adult case, to our knowledge, of lumbar CSF drainage associated with the syndrome of inappropriate antidiuretic hormone (SIADH) in a patient with a traumatic basilar skull fracture. Read More

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December 2020

Statistical learning of blunt cerebrovascular injury risk factors using the elastic net.

Emerg Radiol 2021 May 27. Epub 2021 May 27.

Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1364 Clifton Road, NE, Suite BG20, GA, Atlanta, 30222, USA.

Purpose: To compare logistic regression to elastic net for identifying and ranking clinical risk factors for blunt cerebrovascular injury (BCVI).

Materials And Methods: Consecutive trauma patients undergoing screening CTA at a level 1 trauma center over a 2-year period. Each internal carotid artery (ICA) and vertebral artery (VA) was independently graded by 2 neuroradiologists using the Denver grading scale. Read More

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Cranial Suture Evaluation in Pediatric Head Trauma: Importance in Differentiating Abusive From Accidental Injury.

Pediatr Emerg Care 2021 May 25. Epub 2021 May 25.

From the Department of Radiology, Norton Children's Hospital, Louisville KY.

Objectives: Pediatric skull fracture association with the cranial sutures (crossing, widening, or contacting 2 or more cranial sutures) is suggestive of abusive injury. We studied the efficacy of head computed tomography (CT) versus skull radiographs in identifying pediatric skull fracture association with cranial sutures and reviewed head CT literature recommendations for pediatric head trauma.

Methods: Retrospective review was performed of skull radiographs and head CT at a tertiary care, free-standing children's hospital (2012-2019). Read More

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Extraoral approach to a bilateral unfavourable mandibular fracture under local anaesthesia: A case report.

Gerodontology 2021 Jun;38(2):228-231

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Akdeniz University, Antalya, Turkey.

Objective: To present a feasible treatment method for fractures of severely atrophic mandibles in high-risk patients undergoing general anaesthesia (GA).

Case Report: A 77-year-old man presented with bilateral unfavourable fractures in an atrophic mandible. Pre-anaesthetic consultation revealed that the patient was at high risk for GA due to significant medical comorbid conditions of the patient, such as advanced age, chronic obstructive respiratory disease, diabetes mellitus and atherosclerosis. Read More

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Osteitis Fibrosa Cystica and pathological fractures-the classic but neglected skeletal manifestation of primary hyperparathyroidism: a case report.

BMC Musculoskelet Disord 2021 May 14;22(1):443. Epub 2021 May 14.

Division of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Background: Osteitis fibrosa cystica is the classic manifestation of primary hyperparathyroidism (PHPT), occurs after prolonged exposure of bone to high serum parathyroid hormone (PTH) level. It has become increasingly rare due to early detection of PHPT.

Case Presentation: A 37-year-old woman was referred to our institution for fixation of multiple fractures of upper and lower extremities that had been reoccurring in the past 5 years. Read More

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Traumatic Frontal Sinus Fractures Management: Experience from High-Trauma Centre.

Korean J Neurotrauma 2021 Apr 18;17(1):15-24. Epub 2021 Mar 18.

Department of Neurosurgery, Faculty of Medicine, Kasr Al-Ainy Medical College, Cairo, Egypt.

Objective: Analysis of our traumatic brain injury data, reviewing current literatures and assessing planning valuable decision making in frontal sinus fracture for young neurosurgeons.

Methods: Hospital data base for head trauma was retrieved after board permission for retrospective analysis of cases admitted from 2010-2020. Patients with frontal sinus fractures and head trauma were identified according to a flow chart. Read More

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Agreement of Magnetic Resonance Imaging With Computed Tomography in the Assessment for Acute Skull Fractures in a Canine and Feline Cadaver Model.

Front Vet Sci 2021 22;8:603775. Epub 2021 Apr 22.

Office of Information Technology, University of Tennessee, Knoxville, TN, United States.

Computed tomography (CT) is the imaging modality of choice to evaluate patients with acute head trauma. However, magnetic resonance imaging (MRI) may be chosen in select cases. The objectives of this study were to evaluate the agreement of MRI with CT in the assessment for presence or absence of acute skull fractures in a canine and feline cadaver model, compare seven different MRI sequences (T1-W, T2-W, T2-FLAIR, PD-W, T2-W, "SPACE" and "VIBE"), and determine agreement of four different MRI readers with CT data. Read More

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Multidisciplinary management of a traumatic posterior meningeal artery pseudoaneurysm: A case report and review of the literature.

Int J Surg Case Rep 2021 May 29;82:105933. Epub 2021 Apr 29.

Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, FL, USA; University of South Florida, Tampa, FL, USA.

Background: Meningeal arterial injuries represent <1% of all blunt traumatic brain injuries (TBIs). Middle meningeal artery (MMA) lesions comprise the majority. However, there is little clinical data on posterior meningeal artery (PMA) injuries. Read More

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Association between shape of the mandibular condylar head and the occurrence of unilateral condylar fracture - A retrospective computed tomographic study.

J Craniomaxillofac Surg 2021 Jun 21;49(6):488-493. Epub 2021 Apr 21.

Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College, India.

This retrospective study aims to evaluate the correlation between the shape of the mandibular condylar head and the incidence of unilateral condylar fracture using computed tomography. Medical records of patients diagnosed with unilateral condylar fractures from the year 2012-2019 were reviewed. The shape of the condylar head on the non - fractured side was analysed using a Radiant Dicom Viewer. Read More

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An evaluation of the differences in paediatric skeletal trauma between fatal simple short falls and physical abuse blunt impact loads: An international multicentre pilot study.

Forensic Sci Int 2021 Apr 20;323:110788. Epub 2021 Apr 20.

NIHR Great Ormond Street Hospital Biomedical Research Centre, London WC1N 3JH, United Kingdom; UCL Great Ormond Street Institute of Child Health, 30 Guilford Street, London WC1N 1EH, United Kingdom.

In cases where a deceased child exhibits trauma as a result of a physical abuse blunt impact load, a parent/caregiver may provide a simple short fall (SSF) as the justification for that trauma. The skeletal fractures remain difficult to differentiate between a SSF and physical abuse however, as both are the result of a blunt impact load, and are therefore biomechanically alike, and the rare nature of these fatalities means only anecdotal research has been available to validate such claims. The aim of this pilot study was to investigate if there may be differences in the skeletal fracture patterns and types resulting from SSFs compared with those resulting from physical abuse blunt impacts. Read More

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Pediatric Skull Fractures Contacting Sutures: Relevance in Abusive Head Trauma.

AJR Am J Roentgenol 2021 Apr 28:1-5. Epub 2021 Apr 28.

Department of Radiology, Norton Children's Hospital, 231 Chestnut St, Louisville, KY 40202.

The purpose of this study was to assess the incidence of pediatric skull fractures contacting cranial sutures in abusive versus accidental trauma. A retrospective review was conducted of head CT studies performed for pediatric head trauma at a free-standing tertiary care children's hospital from 2012 to 2019. Statistical odds ratios were evaluated to assess the significance of skull fracture extension to sutures in abusive versus accidental injury. Read More

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[Effect of conservative treatment on jaw symmetry of children with unilateral condylar fracture].

Shanghai Kou Qiang Yi Xue 2021 Feb;30(1):77-80

Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital and Stomatological Hospital of Xinjiang Medical University. Urumqi 830054, Xinjiang Uyghur Autonomous Region, China.

Purpose: To investigate the effect of conservative treatment of unilateral condylar fractures on jaw symmetry in children.

Methods: Twenty-four children with unilateral condylar fractures were divided into control group and experimental group according to the treatment methods, with 12 cases in each group. The control group received surgery, and the experimental group received conservative treatment with intermaxillary traction combined with occlusal pads. Read More

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February 2021

Rehabilitation in the treatment of mandibular condyle fractures.

Dent Med Probl 2021 Jan-Mar;58(1):89-96

Department of Maxillofacial Surgery, Pomeranian Medical University of Szczecin, Poland.

Background: The objective of rehabilitation after the treatment of a mandibular condyle fracture is to retrieve the effortless, symmetrical opening of the jaws with the preservation of appropriate movements to the sides, and appropriate occlusion without a sense of tension in the mastication muscles or pain sensations.

Objectives: The aim of the article was to establish the conditions of the rehabilitation of temporomandibular joint (TMJ) after the surgical treatment of a fractured condyle.

Material And Methods: The research featured 46 of patients treated surgically between January 2, 2017 and December 30, 2017. Read More

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Radiological assessment of facial fractures: a comparative study between surgeon and radiologist.

ANZ J Surg 2021 05 12;91(5):962-968. Epub 2021 Apr 12.

Department of Plastics, Hand and Faciomaxillary surgery, Alfred Hospital, Melbourne, Victoria, Australia.

Background: The authors aimed to examine the differences in CT facial bone interpretation by the faciomaxillary surgeon and the radiologist, in order to improve communication gaps and subsequently, the quality and consistency of patient care.

Methods: This study was conducted at a level I tertiary trauma centre. Patients with facial trauma who were referred to the faciomaxillary unit following a facial CT examination from August 2017 to September 2018 were eligible for inclusion. Read More

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Predicting need for hospital admission in patients with traumatic brain injury or skull fractures identified on CT imaging: a machine learning approach.

Emerg Med J 2021 Apr 8. Epub 2021 Apr 8.

Hull York Medical School Department of Health Sciences, University of York, York, UK.

Background: Patients with mild traumatic brain injury on CT scan are routinely admitted for inpatient observation. Only a small proportion of patients require clinical intervention. We recently developed a decision rule using traditional statistical techniques that found neurologically intact patients with isolated simple skull fractures or single bleeds <5 mm with no preinjury antiplatelet or anticoagulant use may be safely discharged from the emergency department. Read More

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Skull fracture and epidural hematoma caused by use of a Mayfield skull clamp in an adult patient with chronic hemodialysis: a case report.

J Med Case Rep 2021 Apr 9;15(1):154. Epub 2021 Apr 9.

Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-Ku, Chiba-shi, Chiba, 260-8677, Japan.

Background: Mayfield skull clamps are widely used and indispensable in current neurosurgery. Complications such as skull fractures or intracranial hematoma from using a Mayfield skull clamp have largely been reported in the pediatric population, are likely related to the relative thinness of the skull, such as in patients with hydrocephalus, and are extremely rare in adults. Here, we report a case of skull fracture and epidural hematoma caused by a Mayfield skull clamp used for posterior decompression surgery in an adult patient with chronic hemodialysis. Read More

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CT of Skull Base Fractures: Classification Systems, Complications, and Management.

Radiographics 2021 May-Jun;41(3):762-782. Epub 2021 Apr 2.

From the Department of Diagnostic Radiology and Nuclear Medicine (D.D., K.C., D.G., R.E.M.), R. Adams Cowley Shock Trauma Center (D.D., B.A., A.J.N.), Department of Neurosurgery (B.A.), Division of Plastic Surgery (A.J.N.), and Department of Otorhinolaryngology-Head and Neck Surgery (D.J.E.), University of Maryland Medical Center, 22 S Greene St, Baltimore, MD 21201; Department of Radiology, Boston Medical Center, Boston University School of Medicine, Boston, Mass (O.S.); and Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD (K.C.).

As advances in prehospital and early hospital care improve survival of the head-injured patient, radiologists are increasingly charged with understanding the myriad skull base fracture management implications conferred by CT. Successfully parlaying knowledge of skull base anatomy and fracture patterns into precise actionable clinical recommendations is a challenging task. The authors aim to provide a pragmatic overview of CT for skull base fractures within the broader context of diagnostic and treatment planning algorithms. Read More

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Clinical outcomes of open treatment of old condylar head fractures in adults.

J Craniomaxillofac Surg 2021 Jun 28;49(6):480-487. Epub 2021 Feb 28.

State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan University, No. 14, 3rd Section of Ren Min Nan Lu Road, Chengdu, China. Electronic address:

The aim of this study was to classify the clinical feasibility and outcomes of open reduction treatment of old condylar head fractures (CHFs). This was a retrospective case series study of patients with old CHFs that were treated with open reduction and internal fixation, with anatomic reduction and sutured fixation of the articular disc. Preoperative and postoperative examinations were recorded and analyzed, including temporomandibular joint (TMJ) symptoms, occlusion, maximum interincisal opening (MIO), and mandibular deviation. Read More

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Delayed Spontaneous Resolution of a Traumatic Middle Meningeal Artery Pseudoaneurysm.

Am J Case Rep 2021 Mar 21;22:e926852. Epub 2021 Mar 21.

Department of Diagnostic Radiology, University of Puerto Rico - School of Medicine, San Juan, Puerto Rico.

BACKGROUND Middle meningeal artery (MMA) aneurysms are a very rare entity, comprising less than 1% of all intracranial aneurysms. In particular, traumatic MMA pseudoaneurysms (MMAP) are reported in the literature to have a poor outcome in about 20% of cases. Moreover, in extremely rare cases, MMAPs can spontaneously thrombose. Read More

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Cesk Slov Oftalmol 2021 ;77(1):45-48

Orbital fractures may be accompanied with severe damage of the eye bulb and other intraorbital tissues. Early clinical findings can be very mild, therefore it is vital to actively seek not only for any damage done to the soft tissues of the orbit, but also for extraorbital complications such as liquorrhea or meningitis. We report a relatively rare case of blow-in fracture of orbital roof in eleven years old boy. Read More

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Clinical outcome of patients with orbital fractures treated with patient specific CAD/CAM ceramic implants - A retrospective study.

J Craniomaxillofac Surg 2021 Jun 27;49(6):468-479. Epub 2021 Feb 27.

Department of Oral and Maxillofacial Surgery, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Glueckstrasse 11, 91054, Erlangen, Germany; Practice for Oral, Maxillofacial and Plastic Surgery, Fürther Straße 4a, 90429, Nürnberg, Germany.

The aim of this study was to determine whether patients benefit from a secondary reconstruction since it carries the risks of no improvement or worsening of their current situation. Patients treated with individual computer-aided-design/computer-aided-manufacturing (CAD/CAM) ceramic implants were reviewed. To ascertain changes throughout the secondary reconstruction, the study investigators reviewed ophthalmological examinations, took volumetric measurements of the orbits and asked the patients for evaluation of their situation before and after the reconstruction. Read More

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Navigation-Assisted Posterior Open Reduction and Internal Fixation in a C-CLAMP Fashion for an Isolated C1 Fracture.

J Neurol Surg B Skull Base 2021 Feb 20;82(Suppl 1):S61-S62. Epub 2020 Mar 20.

Neurosurgical and Spine division, Centre Hospitaliere Universitaire Vadois, Lausanne, Switzerland.

C1 fractures with an intact transverse ligament are usually treated conservatively. Patients who present with a progressive diastasis of bone fragments and a progressive articular subluxation mainly attributed to progressive lengthening of the transverse ligament (TAL) fibers can be treated with a C1 "C-clamp" fusion. A 75-year-old male who sustained a motor vehicle accident was neurologically intact. Read More

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February 2021

Mandibular traumas by gunshot. A systematic review with meta-analysis and algorithm of treatment.

Br J Oral Maxillofac Surg 2021 04 15;59(3):e99-e108. Epub 2020 Aug 15.

Institute Doc. José Frota Hospital, Fortaleza, Ceará, Brazil.

The treatment of mandibular fractures by gunshot ranges from late conservative repair to more aggressive early repair in a single stage. Treatments that preserve bony architecture as much as possible should be used, minimising patient morbidity and the complexity of future surgeries. The purpose of this study was to use a systematic review to determine which method of treatment was most effective for mandibular fractures by gunshot. Read More

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Recurrent variant c.1680C>A in FAM20C gene and genotype-phenotype correlation in a patient with Raine syndrome: a case report.

BMC Pediatr 2021 03 6;21(1):113. Epub 2021 Mar 6.

FRIGE's Institute of Human Genetics, FRIGE House, Jodhpur Gam Road, Satellite, Ahmedabad, 380015, India.

Background: Bi-allelic mutations in FAM20C gene are known to cause a rare genetic disorder- Raine syndrome (RS). The FAM20C protein binds calcium and phosphorylates proteins involved in biomineralization of bones and teeth. RS is recognized as an osteosclerotic bone dysplasia. Read More

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Occipital condyle fracture-A rare but severe injury in cranial fracture patients.

J Craniomaxillofac Surg 2021 May 12;49(5):381-386. Epub 2021 Feb 12.

Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Haartmaninkatu 4 E, PO Box 220, 00029 HUS, Helsinki, Finland. Electronic address:

We clarified occurrence, severity, and associated injuries of occipital condyle fractures (OCFs) in a cranial fracture population. Retrospective data of cranial fracture patients were analyzed. The outcome variable was presence of OCF in cranial fracture patients. Read More

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Tracking mesenchymal stem cells with Ir(III) complex-encapsulated nanospheres in cranium defect with postmenopausal osteoporosis.

Mater Sci Eng C Mater Biol Appl 2021 Mar 6;122:111842. Epub 2021 Jan 6.

Department of Radiology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, No. 301 Yanchang Road, Shanghai 200072, P. R. China. Electronic address:

Osteoporosis (OP) is a significant public health problem with associated fragility fractures, thereby causing large bone defects and difficulty in self-repair. The introduction of human mesenchymal stem cells (hMSCs) is the most promising platform in bone tissue engineering for OP therapy, which induces less side effects than conventional medication. However, the safety and efficiency of the cell-based OP therapy requires the ability to monitor the cell's outcome and biodistribution after cell transplantation. Read More

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Parenchymal brain injuries in abusive head trauma.

Pediatr Radiol 2021 May 27;51(6):898-910. Epub 2021 Feb 27.

Department of Radiology, Great Ormond Street Hospital, Great Ormond Street, London, WC1N 3JH, UK.

The consequences of abusive head trauma (AHT) can be devastating for both the individual child and for wider society. Death is undoubtedly a very real possibility, but even for those children who survive, there is often very significant morbidity with the potential for gross motor and cognitive impairment, behavioural problems, blindness and epilepsy, which can greatly affect their quality of life. Caring for such children places a vast financial and infrastructural burden on society that frequently extends well into adulthood. Read More

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Tension pneumocephalus following an implant removal from spine.

BMJ Case Rep 2021 Feb 24;14(2). Epub 2021 Feb 24.

Orthopaedics, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Pneumocephalus is commonly seen after skull and maxillofacial fractures. It can also occur following cerebrospinal fluid leak after skull base surgery and epidural catheter placement. We report a rare case report of a 20-year-old man who developed tension pneumocephalus following implant removal from the spine. Read More

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February 2021

Pediatric Palate Fractures: An Assessment of Patterns and Management at a Level 1 Trauma Center.

Craniomaxillofac Trauma Reconstr 2021 Mar 7;14(1):23-28. Epub 2020 Jul 7.

Division of Plastic and Reconstructive Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.

Study Design: Literature discussing palate fractures in the pediatric population is limited. We performed a retrospective review of pediatric palatal fractures at our institution to better understand the impact of this fracture pattern in the pediatric patient.

Objectives: The goal of our study is to analyze our institutional experience with pediatric palate fractures, focusing on epidemiology, concomitant injuries, and fracture management. Read More

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Is Zygomatic Osteotomy a Viable Option to Achieve Symmetry and Stability in Post-traumatic Residual Deformity of the Zygomaticomaxillary Complex?

J Oral Maxillofac Surg 2021 06 26;79(6):1328.e1-1328.e13. Epub 2021 Jan 26.

Senior Resident, Division of Oral and Maxillofacial Surgery, CDER, All India Institute of Medical Sciences, New Delhi, India.

Purpose: In residual deformity cases, it is difficult to reposition the zygomaticomaxillary-complex (ZMC) intraoperatively, due to resorbed fracture edges, and lack of zygoma analysis to 3-dimensionally quantify the deformity. Instability after zygomatic osteotomy and miniplate fixation (ZOMF) due to the gap between osteotomized segments, scar tissue, muscle pull, and other factors is also unknown. The study aims to evaluate symmetry and stability after ZOMF. Read More

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