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Emerg Med Australas 2019 Feb 19. Epub 2019 Feb 19.

Emergency Department, Mount Isa Base Hospital, Mornington, Queensland, Australia.

Non-fatal strangulation (NFS) can be a cause of severe injury. However, the prevalence and rates of injuries from NFS are unknown, as few victims present to medical attention after strangulation. As up to 40% of fatal strangulations have no external signs, and the majority of surviving victims have few or minor injuries, finding those people severely injured remains challenging. Read More

Iran J Otorhinolaryngol 2019 Jan;31(102):65-68

Department of Otorhinolaryngology, JIPMER, Puducherry 605009, India.

Introduction:  Penetration injury to the neck constitutes 5-10% of all trauma cases. Penetration of a foreign body into the trachea with subsequent impaction into the tracheoesophageal party wall is extremely rare. We present a patient with an unusual penetrating injury of the neck caused by a metallic foreign body embedded into the tracheoesophageal party wall, and its management. Read More

Iran J Otorhinolaryngol 2019 Jan;31(102):55-59

Department of Humanities, Language and Information, Pusan National University, Pusan, South Korea.

Introduction: Laryngeal burns cause long-term voice disorders due to mucosal changes of the vocal folds. Inhalation injuries affect voice production and result in changes in the mucosal thickness and voice quality.

Case Report: A 47-year-old woman was transferred to our department with laryngeal burns sustained during a house fire. Read More

J Craniovertebr Junction Spine 2018 Oct-Dec;9(4):274-276

Lilavati Hospital and Research Center, Mumbai, Maharashtra, India.

Neglected cervical spine trauma is rare with very few case series reported in literature. There are no clear guidelines for its treatment. If operative treatment is sought, the role of skull traction, type of approach (anterior only, posterior only, or combined), sequence of surgery, type of instrumentation, etc. Read More

J Craniovertebr Junction Spine 2018 Oct-Dec;9(4):254-259

Department of Orthopaedic and Trauma Surgery, Orthopaedic and Trauma Centre, Azienda Ospedaliero Universitaria Città della Salute e della Scienza, University of Turin, Turin, Italy.

Purpose: Odontoid fracture is a very common cervical injury, especially in elderly patients. Despite the high frequency, the appropriate management is still debated. The aim of this study is to evaluate clinical and radiological outcomes after anterior screw fixation or halo vest (HV) in type II odontoid fracture in elderly patients. Read More

Injury 2019 Feb 13. Epub 2019 Feb 13.

Dept. for Trauma, Orthopaedics and Sportsmedicine, BG Clinic Hamburg and Dept. for Trauma and Orthopaedics, University Medical Centre Lübeck, Germany.

Introduction: The annual incidence of proximal femoral fractures is 100-150/100,000 and continues to increase with an aging population. Cut-out of hip screws after fracture fixation has been quoted as 8% in the literature. The tip-apex distance (TAD) is the strongest predictor for cut-out after operative fracture stabilisation. Read More

Am J Sports Med 2019 Feb 19:363546518825380. Epub 2019 Feb 19.

La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Bundoora, Australia.

Background:: Injuries are common in rugby sevens, but studies to date have been limited to short, noncontinuous periods and reporting of match injuries only.

Purpose:: To report the injury incidence rate (IIR), severity, and burden of injuries sustained by men and women in the Australian rugby sevens program and to provide the first longitudinal investigation of subsequent injury occurrence in rugby sevens looking beyond tournament injuries only.

Study Design:: Descriptive epidemiology study. Read More

J Orthop Trauma 2019 Mar;33(3):116-119

Department of Orthopaedic Surgery, Boston Medical Center, Boston University School of Medicine, Boston, MA.

Objectives: To report on the final displacement after in situ percutaneous pinning for Garden type 1 and 2 fractures in height, femoral neck fracture collapse, and loss of offset.

Design: Retrospectively reviewed case series.

Setting: Three Academic Medical Centers. Read More

Radiologia 2019 Feb 15. Epub 2019 Feb 15.

Departamento de Radiología, Hospital Universitario La Paz, Madrid, España.

Fractures of the petrous part of the temporal bone are a common lesion of the base of the skull; most of these fractures result from high-energy trauma. In patients with multiple trauma, these injuries can be detected on CT scans of the head and neck, where the direct and indirect signs are usually sufficient to establish the diagnosis. It is important to these fractures because the temporal bone has critical structures and the complexity of this region increases the risk of error unless special care is taken. Read More

BMC Musculoskelet Disord 2019 Feb 18;20(1):86. Epub 2019 Feb 18.

Faculty of Physical Education and Sport sciences, Department of Biomechanics and Sport injuries, Kharazmi University, Tehran, Islamic Republic of Iran.

Background: The purpose of this study is to evaluate the effect of a six-week combined manual therapy (MT) and stabilizing exercises (SEs), with a one-month follow-up on neck pain and improving function and posture in patients with forward head and rounded shoulder postures (FHRSP).

Methods: Sixty women with neck pain and FHRSP were randomized into three groups: Group 1 performed SE and received MT (n = 20), Group 2 performed SE (n = 20) and Group 3 performed home exercises (n = 20) for six weeks. The follow-up time was one month after the post test. Read More

Osteoporos Sarcopenia 2017 Dec 18;3(4):164-169. Epub 2017 Dec 18.

Division of Endocrinology and Metabolism, Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.

Severe osteoporosis is classified as those with a bone mineral density (BMD) T-score of -2.5 or lower, and demonstrate one or more of osteoporotic, low-trauma, fragility fractures. According to the general principle of surgical approach, patients with severe osteoporosis require not only more thorough pre- and postoperative treatment plans, but improvements in surgical fixtures and techniques such as the concept of a locking plate to prevent bone deformity and maximizing the blood flow to the fracture site by using a minimally invasive plate osteosynthesis. Read More

Global Spine J 2019 Feb 31;9(1):104-118. Epub 2019 Jan 31.

Swedish Neuroscience Institute, Seattle, WA, USA.

Study Design: Systematic review.

Introduction: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease, ultimately resulting in paralysis and death. The condition is considered to be caused by a complex interaction between environmental and genetic factors. Read More

Beijing Da Xue Xue Bao Yi Xue Ban 2019 Feb;51(1):165-170

Department of Endocrinology, Peking University First Hospital, Beijing 100034, China.

Objective: To discuss the clinical characteristics and diagnostic and therapeutic considerations of primary thyroid lymphoma (PTL) by reviewing PTL cases.

Methods: In the study, 12 cases of PTL diagnosed and treated in Peking University First Hospital between January 1995 and September 2015 were identified. The clinical characteristics, management experiences and prognosis of these cases were reviewed retrospectively. Read More

Arch Orthop Trauma Surg 2019 Feb 15. Epub 2019 Feb 15.

Orthomedic Frankfurt Offenbach, Herrnstraße 57, 63065, Offenbach, Germany.

Introduction: Impingement of the prominent anterior inferior iliac spine (AIIS) against the femoral neck has recently been described as another type of impingement. The purpose of this study is to provide a distribution of AIIS types using the classification proposed by Hetsroni and thus report on the prevalence of prominent types.

Materials And Methods: A total of 400 patients were included in the study with an average age 27. Read More

Eur J Trauma Emerg Surg 2019 Feb 15. Epub 2019 Feb 15.

Department of Surgery, Section Trauma Surgery, Amsterdam University Medical Center, Location VUmc, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands.

Background: A medical-psychiatric unit (MPU) is a special ward where staff is trained in caring for patients with psychiatric or behavioural problems that need hospitalisation for physical health problems. It is well known that these patients are at higher risk of complications and have a longer length of stay resulting in higher costs than patients without psychiatric comorbidity. The objective of this study was to analyse the trauma patient population of the first 10 years of existence of the MPU in a level I trauma center. Read More

J Shoulder Elbow Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of Orthopedics and Traumatology, University Medical Center of Johannes Gutenberg University, Mainz, Germany.

Background: Internal fixation of complex radial head and neck (CRHN) fractures is difficult, and postoperative complications are common. This study evaluated elbow function and patient clinical status after internal fixation of CRHN fractures with modern locking plates.

Methods: We included 40 patients with 41 fractures (1 bilateral lesion). Read More

J Plast Reconstr Aesthet Surg 2019 Jan 11. Epub 2019 Jan 11.

Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, Hand and Plastic Surgery, University of Heidelberg, Ludwig-Guttmann-Strasse 13, 67071 Heidelberg, Germany. Electronic address:

Background: Though technically feasible, free tissue transfer carries the risk of perioperative morbidity and mortality in elderly patients. To minimize the operative treatment time and complication rates, we choose the rectus abdominis muscle (RAM) flap.

Methods: Between 2012 and 2017, 34 patients (mean age: 74±7 years, range: 65-89 years) with comorbidities underwent defect reconstruction with a free RAM flap. Read More

Injury 2019 Feb 2. Epub 2019 Feb 2.

Department of Orthopaedics and Traumatologic Surgery, AOU Policlinico-Vittorio Emanuele, University of Catania, Catania, Italy.

Introduction: Femoral neck fractures are uncommon injuries in children, but the high incidence of long-term complications makes it important clinical entity. Early surgical treatment to achieve optimal results and to avoid a high rate of complications is widely advised. The purpose of this study was to retrospectively analyze the outcome of 8 children who sustained a femoral neck fracture. Read More

Pediatr Emerg Care 2019 Feb 13. Epub 2019 Feb 13.

Johns Hopkins All Children's Hospital, St Petersburg, FL.

Background: Extracranial carotid aneurysms in children are extremely rare but carry a high mortality and morbidity. For pediatric patients, they are often complications of pharyngeal infections and surgical trauma but can also arise from congenital and inflammatory diseases. They have a wide range of presentation from an asymptomatic mass to a rapidly fatal hemorrhage. Read More

Middle East Afr J Ophthalmol 2018 Jul-Dec;25(3-4):170-172

Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto-University of São Paulo, Brazil.

This study aims to describe a case of double lower lacrimal punctum-canaliculi in a dry eye patient treated with a punctal plug. A 60-year-old healthy female presented with complaints of tearing, itchy eyes, and foreign body sensation in the right eye for many years. There was no history of trauma or inflammation. Read More

World Neurosurg 2019 Feb 11. Epub 2019 Feb 11.

Department of Biochemistry, Erzurum Research-Training Hospital -Erzurum/Turkey.

JAMA Otolaryngol Head Neck Surg 2019 Feb 14. Epub 2019 Feb 14.

Division of Trauma, Emergency Surgery, Critical Care, and Burns, Department of Surgery, University of Arizona, Tucson.

Turk J Med Sci 2019 Feb 11;49(1):258-264. Epub 2019 Feb 11.

Background/aim: We aimed to compare the effectivity of percutaneous disc coagulation therapy (PDCT) and navigable ablation decompression treatment (L-DISQ) in patients who were diagnosed with cervical disc herniation.

Materials And Methods: Visual analog scale (VAS) and Neck Pain Index (NPI) scores were recorded initially and at the 1st, 3rd, 6th, and 12th months after the procedures. Patient Satisfaction Scale (PSS) scores were recorded 12 months after the procedures

Results: Mean VAS scores were 7. Read More

Handchir Mikrochir Plast Chir 2019 Feb 13. Epub 2019 Feb 13.

Klinika za djecje bolesti Zagreb Pediatric Surgery.

Introduction: Fractures of the phalanges in children can often be underappreciated by the physician of first contact. Therefore it is necessary to point out which of these fractures, because of the risk of possible future complications, need special mention.

Materials And Methods: A retrospective review of 512 fractures of the phalanges in children and adolescents during an one year period. Read More

Med Biol Eng Comput 2019 Feb 12. Epub 2019 Feb 12.

National Center for International Research on Green Optoelectronics, South China Normal University, Waihuan West Road 378, Guangzhou, 510006, People's Republic of China.

Therapeutic hypothermia is a treatment method to reduce brain injuries after stroke, especially for cerebral ischemia. This study investigates in the temperature distribution of the head within selective brain cooling (SBC). Anatomically accurate geometries based on CT images of head and neck regions are used to develop the 3D geometry and physical model for the finite element modeling. Read More

Hip Int 2018 Nov;28(2_suppl):28-34

1 Joint Replacement Division, Department of Orthopedic Surgery and Trauma, ASST Niguarda Hospital, Milan, Italy.

Introduction:: This prospective study aims to evaluate the mid-term clinical and radiological performance of a new short, neck-preserving femoral stem in total hip arthroplasty (THA).

Patients And Methods:: 178 consecutive patients (190 hips) underwent THA from November 2008 to July 2016. Mean follow-up is 62. Read More

Hip Int 2018 Nov;28(2_suppl):78-83

1 I.R.C.C.S. - Istituto Ortopedico Rizzoli, Bologna, Italy.

Introduction:: Hip fractures represent an enormous challenge for our health care system. The aim of this randomised controlled trial was to assess both efficacy and safety of a novel device called Prevention Nail System (PNS) and developed for the surgical prevention of a contralateral femoral neck fracture (FNF) in elderly osteoporotic patients.

Methods:: Primary outcome was to evaluate, in patients suffering from osteoporotic FNF, the effectiveness of PNS in reducing the incidence of a contralateral hip fracture. Read More

Int J Pediatr Otorhinolaryngol 2019 Feb 3;120:36-39. Epub 2019 Feb 3.

Department of Vascular Surgery, Turku University Hospital and University of Turku, Turku, Finland.

Objectives: Patient injuries in children can have lifelong effects on the patient and a marked impact on the whole family. The aim of this study was to identify the errors and incidents leading to patient injuries in pediatric otorhinolaryngology (ORL) by evaluating accepted patient injury claims.

Methods: The records of all accepted patient injury claims in ORL between 2001 and 2011 were searched from the nationwide Patient Insurance Centre registry. Read More

Br Med Bull 2019 Feb 7. Epub 2019 Feb 7.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00100 Rome, Italy.

Background: Femoral neck fractures account for <1% of the fractures in children, and are produced by high energy trauma. The most commonly accepted treatment for such fractures is gentle manual anatomical reduction and internal fixation, yielding a healing rate between 80% and 90%.

Sources Of Data: Electronic search through major web databases (Medline, Cochrane and Google Scholar). Read More

Am Surg 2018 Oct;84(10):1626-1629

Division of Trauma/Acute Care Surgery/Surgical Critical Care, Department of Surgery, Harbor-UCLA Medical Center, Torrance, California, USA.

Presently, there are no standardized guidelines regarding the necessity or timing of repeat head imaging in patients on antithrombotics (antiplatelet agents, warfarin, or novel oral anticoagulants) with suspected traumatic brain injury. This is a two-year single institutional retrospective analysis of patients with suspected traumatic brain injury on antithrombotic medications. Patients with a stable or negative repeat head CT were compared with patients who developed a new bleed or demonstrated progression of intracranial hemorrhage (ICH). Read More

J Vasc Interv Neurol 2018 Nov;10(2):28-32

Department of Neurosurgery, University of Patras, Patras, Greece.

Background: Hereditary multiple exostoses (HME) is an inherited genetic condition, characterized by the formation of multiple osteochondromas, developing throughout childhood and into puberty. Vascular complications associated with HME are uncommon.

Methods: A case of a patient with HME who was admitted to hospital with subarachnoid hemorrhage (SAH), as a result of acute rupture of a basilar tip aneurysm (BTA), will be presented. Read More

Acta Otorhinolaryngol Ital 2019 Jan 31. Epub 2019 Jan 31.

Neurology Unit, Department of Medicine, UKMMC, Kuala Lumpur, Malaysia.

Iatrogenic internal carotid artery injury is a catastrophic but uncommon complication of endonasal sinus surgery. We present our experience in managing this emergency situation. A 52-year-old man underwent revision endoscopic repair of recurrent cerebrospinal fluid leak that was complicated with profuse haemorrhage during removal of the anterior wall of sphenoid sinus using a Hajek sphenoid punch forceps. Read More

Chin J Traumatol 2018 Dec 30. Epub 2018 Dec 30.

Department of Orthopaedics & Traumatology, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.

Simultaneous ipsilateral fractures involving radial head and distal end of radius are uncommon. We present our thoughts on which fracture should be addressed first. A 68-year-old lady sustained an ipsilateral fracture of the right radial head and distal end of radius following a fall. Read More

Otol Neurotol 2019 Mar;40(3):e244-e247

Faculty of Medicine and Health Sciences, Macquarie University.

Introduction: Handle of malleus fracture is a rare condition with <100 cases having been reported. The clinical presentation is conductive hearing loss following a history of trauma, typically, during manipulation of the external auditory canal. The diagnosis of the condition is clinical and radiological. Read More

Healthc Q 2018 Oct;21(3):42-50

Was born and educated in Alberta but moved to Ontario for his postgraduate training in orthopedic surgery at the University of Toronto. He has occupied a number of positions at St. Michael's Hospital, including surgeon-in-chief and medical director of the Trauma Program, and completed 10 years as professor and chairman, Division of Orthopaedic Surgery at University of Toronto. In 2006, Dr. Waddell became the provincial lead for orthopaedic surgery for Access to Care and is responsible for the Orthopaedic Surgery Wait Times portfolio.

In 2009, the Ontario Ministry of Health and Long-Term Care engaged Cancer Care Ontario to expand the Wait Time Information System to capture surgical consultation data (Wait 1). Over the years, an increasing number of patient and provider reports have shown that Wait 1 wait times account for a significant portion of the total wait time for surgery. With data published online by the ministry in late summer 2017, patients were given access to consultation wait time information for over 200 types of procedures at 92 surgical facilities in Ontario. Read More

J Orthop Case Rep 2018 Sep-Oct;8(5):86-88

Department of Orthopedics and Trauma, CHUV Centre Hospitalier Universitaire Vaudois, Rue du Bugnon 46, 1011 Lausanne, Switzerland.

Introduction: Osteogenesis imperfecta (OI)-related femoral neck fractures are rare. This is rarely described in the literature. This article presents a way to surgically treat such a fracture. Read More

J Orthop Case Rep 2018 Sep-Oct;8(5):75-77

Department of Orthopaedics, Ramaiah Medical College & Hospitals, Bengaluru, Karnataka, India.

Introduction: Antiretroviral drugs are known to cause osteoporosis making the bones susceptible to fracture. Osteoporotic fractures are majorly seen in the vertebral bodies. Pathological fractures need to be fixed without much delay to start mobilization of the patients. Read More

Arch Orthop Trauma Surg 2019 Feb 8. Epub 2019 Feb 8.

Department of Trauma Surgery, University Hospitals Leuven, 3000, Leuven, Belgium.

Introduction: Re-establishing anatomic rotational alignment of shaft fractures of the lower extremities remains challenging. Clinical evaluation in combination with radiological measurements is important in pre- and post-surgical assessment. Based on computed tomography (CT), a range of reference values for femoral torsion (FT) and tibial torsion (TT) have historically been reported, which require standardization to optimize the significant intra- and inter-observer variability. Read More

BMJ Case Rep 2019 Feb 7;12(2). Epub 2019 Feb 7.

Department of Otolaryngology Head and Neck Surgery, St. James's Hospital, Dublin, Ireland.

We report an extremely rare case of a hybrid tumour of the maxillary sinus. A 51-year-old man presented with a 6-week history of nasal congestion and epiphora. Radiological imaging demonstrated a maxillary sinus tumour, with extensive local invasion. Read More

Ann Otol Rhinol Laryngol 2019 Feb 8:3489419830114. Epub 2019 Feb 8.

1 Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.

Objectives:: "Young adulthood" is a term used to define individuals falling within the 18- to 22-year-old age range. Injuries account for more than a third of emergency department visits in this population. A particular area of concern is accidents that lead to injuries of the facial bones because they can have long-term functional, aesthetic, and psychosocial impacts. Read More

Burns 2019 Feb 4. Epub 2019 Feb 4.

Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA, United States. Electronic address:

Introduction: Burns affecting the head and neck (H&N) can lead to significant changes in appearance. It is postulated that such injuries have a negative impact on patients' social functioning, quality of life, physical health, and satisfaction with appearance, but there has been little investigation of these effects using patient reported outcome measures. This study evaluates the effect of H&N burns on long-term patient reported outcomes compared to patients who sustained burns to other areas. Read More

J Orthop Trauma 2019 Jan 30. Epub 2019 Jan 30.

Wake Forest Baptist Medical Center.

Objectives: To report on our results using a proximal femoral locking plate for the treatment of peritrochanteric femur fractures DESIGN:: Retrospective SETTING:: Level I Academic Medical Center PATIENTS:: Sixty-eight patients with sixty- eight fractures INTERVENTION:: Demographics, fracture morphology, preoperative imaging, rationale against nailing, and outcomes were collected.

Main Outcome Measurements: Outcomes were grouped into no complication, minor complication, or major complication. Minor complications included healed fractures with implant failure or change in alignment from immediate post-operative radiographs which did not require intervention, or elective implant removal. Read More

JAMA Surg 2019 Feb 6. Epub 2019 Feb 6.

Department of Traumatology, University Medical Center Utrecht, Utrecht, the Netherlands.

Importance: Prehospital trauma triage protocols are used worldwide to get the right patient to the right hospital and thereby improve the chance of survival and avert lifelong disabilities. The American College of Surgeons Committee on Trauma set target levels for undertriage rates of less than 5%. None of the existing triage protocols has been able to achieve this target in isolation. Read More

Aesthet Surg J 2019 Feb 5. Epub 2019 Feb 5.

Plastic Surgeon and Head of the in The Malopolska Center for Burns and Plastic Surgery, The Ludwik Rydygier Hospital, Krakow, Poland.

Background: The facial artery is the main blood vessel supplying the anterior face and an understanding of its anatomy is crucial in facial reconstruction and aesthetic procedures.

Objectives: The aim of this study was to assess the many anatomical features of the facial artery using a multidimensional approach.

Methods: Head and neck computed tomographic angiographies of 131 patients (255 facial arteries) with good image quality were evaluated. Read More

SAGE Open Med Case Rep 2019 11;7:2050313X18823387. Epub 2019 Jan 11.

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Hamburg-Eppendorf, Hamburg, Germany.

Instabilities of the craniocervical junction can be of rheumatic, traumatic, or congenital origin. The reported patient has a congenital malformation of the cervical spine, which is frequently observed in patients with Klippel-Feil syndrome. Her posterior arch of the atlas (C1) is hypoplastic and a chronic subluxation of the atlanto-axial joint would be possible. Read More

Acta Orthop 2019 Feb;90(1):21-25

c Department of Orthopaedics , University of Maryland, R Adams Cowley Shock Trauma Center , Baltimore , MD , USA.

Background and purpose - Most often, the goal of non-geriatric femoral neck fracture surgery is to preserve the native hip joint. However, reoperations for painful implants, osteonecrosis, and nonunion are common. We determined the reoperation rate and time-to-reoperation following internal fixation of these fractures in a large population cohort. Read More

Acta Neurochir (Wien) 2019 Feb 2. Epub 2019 Feb 2.

Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine, Dongil-ro 1342, Nowon-gu, Seoul, 01757, South Korea.

Background: Unstable atlas fractures with concomitant transverse atlantal ligament (TAL) injury may be conservatively managed by halo-vest immobilization (HVI) or surgically treated by various fixation techniques. Many surgeons prefer surgical management due to complications, nonunion, and further dislocations with HVI. There are no comparative studies on surgical and nonsurgical management of unstable atlas fractures. Read More

J Orthop Sci 2019 Jan 29. Epub 2019 Jan 29.

Department of Orthopedic Surgery and Joint Reconstructive Surgery, Toyama Municipal Hospital, Toyama, Japan.

Background: Early surgery improves the prognosis of elderly patients with hip fractures. However, many patients take antiplatelet and anticoagulant therapies for comorbidities. This study compared perioperative outcomes and 1-year mortality rates with early surgery in elderly patients with hip fractures taking or not taking these agents preoperatively. Read More