7,700 results match your criteria Thorax Trauma


Traumatic aortic root rupture leading to acute aortic regurgitation and acute type A aortic dissection.

Echocardiography 2021 Jun 10. Epub 2021 Jun 10.

Department of Radiology, SUNY Upstate Medical University, Syracuse, NY, USA.

A 17-year-old male sustained a blunt thoracic trauma after he had a dirt bike accident. He was admitted for the management of multiple fractures, was hemodynamically stable, and presented without any cardiac symptoms. The patient underwent transthoracic echocardiography and CT angiogram of the thorax as the workup of possible cardiac injury as he had a new aortic regurgitation murmur, troponin rise, and a new RBBB. Read More

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Are There Any Significant Differences in Terms of Age and Sex in Pedestrian and Cyclist Accidents?

Front Bioeng Biotechnol 2021 24;9:677952. Epub 2021 May 24.

Vehicle Safety Institute, Graz University of Technology, Graz, Austria.

This study has analyzed sex-specific differences in pedestrian and cyclist accidents involving passenger cars. The most frequently injured body regions, types of injuries, which show sex-specific differences and the general accident parameters of females and males were compared. Accident data from three different European countries (Austria, Netherlands, Sweden) were analyzed. Read More

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Quality of Life in Adult Patients Receiving Cervical Fusion for Fresh Subaxial Cervical Injury: The Role of Associated Spinal Cord Injury.

Biomed Res Int 2021 15;2021:9931535. Epub 2021 May 15.

Open University, Patras, Greece.

Purpose: To study postoperative Health-Related Quality of Life (HRQOL) after instrumented fusion for fresh subaxial cervical trauma and the effect of spinal cord injury (SCI).

Methods: From a total of 65 patients, 17 (26%) patients suffered on admission from SCI. Twenty-five patients underwent anterior, 25 posterior, and 15 circumferential cervical surgery for a single cervical injury. Read More

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Severity and patterns of injury in helmeted vs. non-helmeted motorcyclists in a rural state.

J Safety Res 2021 Jun 20;77:212-216. Epub 2021 Mar 20.

Department of Surgery, Maine Medical Center, Portland, ME 04102, USA. Electronic address:

Introduction: Under current law in our rural state, there is no universal requirement for motorcyclists to wear helmets. Roughly 500 motorcycle crashes are reported by the state each year and only a fraction of those riders wear helmets. We sought to determine the difference in injury patterns and severity in helmeted versus non-helmeted riders. Read More

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Transdiaphragmatic Intercostal Hernia-An Unusual Hepatic Injury After a Car Accident: A Case Report and Review of the Literature.

Discoveries (Craiova) 2021 Mar 4;9(1):e123. Epub 2021 Mar 4.

4th Academic Department of Surgery, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece.

Transdiaphragmatic intercostal hernia, in which the abdominal contents of the hernia protrude through the diaphragm and the thoracic wall defect. is a very rare type of hernia with only a few cases having been reported in the literature. That type of hernia is usually manifested in male patients after trauma, penetrating or blunt. Read More

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Non-fatal gunshot wounds among military police in Rio de Janeiro: health as a field of emergency against the naturalization of violence.

Cien Saude Colet 2021 May;26(5):1911-1922

Departamento Estudos de Violência e Saúde Jorge Careli, Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. Rua Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.

This article discusses health problems due to firearm injuries suffered on duty military police officers in the metropolitan region of Rio de Janeiro (RJ). Medical records analysis was con ducted referring to military police officers who were treated at the Military Police's Central Hos pital (MPCH) due to gunshot wounds from June 2015 to December 2017 according to professional profile, the characteristics of the event and the le sion, the spatial distribution of the incidents in volving gunshot wounds, and the healthcare units involved in their care. Firearms injured four hun dred seventy-five military police officers: 98. Read More

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Ectopic right thoracic kidney associated with Bochdalek hernia as the cause of diagnostic confusion.

Forensic Sci Med Pathol 2021 Jun 1. Epub 2021 Jun 1.

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

A 61-year-old man who was a psychiatric patient and an alcoholic was admitted to hospital after a fall in his bathroom. He showed signs of hemorrhagic shock, and CT scans showed the presence of the right kidney and part of the right retroperitoneum in the right hemithorax, surrounded by liquid. Surgery showed that the right hemidiaphragm was intact and that no intraabdominal viscera prolapsed into thoracic cavity. Read More

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Poland's syndrome mimicking traumatic chest injury.

BMJ Case Rep 2021 May 31;14(5). Epub 2021 May 31.

Surgery Department, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia.

Poland's syndrome (PS) is a rare developmental anomaly that can manifest mild (pectoralis muscles involvement) to severe deformities (rib hypoplasia and hand deformities). We report a case of 69-year-old man who presented to the emergency department with a traumatic chest injury after a fall. It was initially thought to have a significant chest injury as the trauma survey revealed a palpable defect and tenderness in the right anterior chest wall. Read More

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Transgastric repair of transfixing gastroesophageal junction gunshot wound: video case report.

J Surg Case Rep 2021 May 21;2021(5):rjab160. Epub 2021 May 21.

Surgery Department, Complejo Asistencial Dr. Sótero del Río, Santiago, Chile.

Managing traumatic injuries of the gastroesophageal junction (GEJ) is infrequent due to associated lesions of adjacent highly vascularized organs. Its anatomical localization in the upper abdomen makes the repair challenging to perform. A stable 23-year-old male was presented at the emergency department with two thorax gunshot wounds. Read More

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Unusual case of retrosternal chest pain: a twist in the tale.

BMJ Case Rep 2021 May 24;14(5). Epub 2021 May 24.

Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.

A 62-year-old man was referred to the emergency department with retrosternal chest pain for 4 days. Coronary angiogram and ECG showed no occlusion of coronary vessels. Contrast-enhanced CT of thorax showed b/l pleural effusion, pneumomediastinum, right hydropneumothorax, with the underlying collapse of lungs and intercostal drainage tube in situ. Read More

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Surgical treatment of sternum comminuted fracture with memory alloy embracing fixator.

J Thorac Dis 2021 Apr;13(4):2194-2202

Department of Thoracic Surgery, The 901st Hospital of the Joint Logistics Support Force of PLA, Hefei, China.

Background: Sternal fracture can result from multiple types of severe chest trauma and carries significant risk. Surgical fixation is an effective method for sternal fracture.

Methods: The clinical data of patients with sternal fractures who presented to our hospital between August 2016 and July 2019 were collected. Read More

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Genetic fate-mapping reveals surface accumulation but not deep organ invasion of pleural and peritoneal cavity macrophages following injury.

Nat Commun 2021 05 17;12(1):2863. Epub 2021 May 17.

State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry and Cell Biology, Center for Excellence in Molecular Cell Science, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Shanghai, China.

During injury, monocytes are recruited from the circulation to inflamed tissues and differentiate locally into mature macrophages, with prior reports showing that cavity macrophages of the peritoneum and pericardium invade deeply into the respective organs to promote repair. Here we report a dual recombinase-mediated genetic system designed to trace cavity macrophages in vivo by intersectional detection of two characteristic markers. Lineage tracing with this method shows accumulation of cavity macrophages during lung and liver injury on the surface of visceral organs without penetration into the parenchyma. Read More

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Protective Effect of Asiaticoside on Radiation-induced Proliferation Inhibition and DNA Damage of Fibroblasts and Mice Death.

Open Life Sci 2020 6;15:145-151. Epub 2020 Apr 6.

Department of Plastic Surgery, Affiliated Hangzhou People's Hospital Zhejiang University School of Medicine, Hangzhou, 310003, P.R. China.

Background: Radiation-induced injuries (RII) mainly result from reactive oxygen species (ROS), which are harmful compounds that can damage DNA. Asiaticoside (AC), one of the main functional components extracted from Centella asiatica, has potent pharmacological effects such as anti-inflammatory and anti-oxidant activity. However, its role in RII remains unclear. Read More

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Medical planning for disaster response: Identifying risk factors for developing adult respiratory distress syndrome among trauma patients.

Am J Disaster Med 2021 Winter;16(1):43-48

Anesthesiology and Critical Care Medicine, The George Washington University, Washington, DC.

Introduction: Adult respiratory distress syndrome (ARDS) is a well-described complication of critical illness. We hy-pothesized that rates of comorbid diseases in a population may influence the risk for developing ARDS in trauma pa-tients. This can help plan medical responses. Read More

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Changes in the Trunk and Lower Extremity Kinematics Due to Fatigue Can Predispose to Chronic Injuries in Cycling.

Int J Environ Res Public Health 2021 04 2;18(7). Epub 2021 Apr 2.

Sports Research Centre, Department of Sport Sciences, Miguel Hernández University, 03202 Elche, Spain.

Kinematic analysis of the cycling position is a determining factor in injury prevention and optimal performance. Fatigue caused by high volume training can alter the kinematics of the lower body and spinal structures, thus increasing the risk of chronic injury. However, very few studies have established relationships between fatigue and postural change, being these in 2D analysis or incremental intensity protocols. Read More

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Regarding "Myocardial tissue embolism in lung due to gunshot wound to the chest".

J Forensic Leg Med 2021 04 30;79:102009. Epub 2020 Jun 30.

Institute of Forensic Medicine, University of Belgrade - School of Medicine, Belgrade, Serbia. Electronic address:

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A rare case of pneumomediastinum after blown tire.

Ulus Travma Acil Cerrahi Derg 2021 May;27(5):374-376

Department of Emergency Medicine, University of Health Sciences Gülhane Faculty of Medicine, Ankara-Turkey.

Subcutaneous facial emphysema is a well-known consequence of oral and maxillofacial traumatic injury. In some rare cases, the subcutaneous air collection could spread through the retropharyngeal and paralatero-cervical spaces, reaching the mediastinum. A 55-year-old man was presented to the emergency room after a blast injury caused by a blown truck tire while trying to change tires. Read More

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Injuries and molting interference in a trilobite from the Cambrian (Furongian) of South China.

Authors:
Ruiwen Zong

PeerJ 2021 7;9:e11201. Epub 2021 Apr 7.

State Key Laboratory of Biogeology and Environmental Geology, China University of Geosciences, Wuhan, China.

An injured Zhu, Hughes & Peng, 2007 (Trilobita, Asaphida) was collected from the Furongian of Guangxi, South China. The injuries occurred in the left thoracic pleurae possessing two marked V-shaped gaps. It led to substantial transverse shortening of the left pleural segments, with barely perceptible traces of healing. Read More

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Successful Treatment of GSW to the Intrapericardial Inferior Vena Cava wall: Case Report.

Int J Surg Case Rep 2021 May 6;82:105864. Epub 2021 Apr 6.

Department of Surgery, Fatemi Hospital, Ardabil University of Medical Sciences, Ardabil, Iran. Electronic address:

Introduction: Penetrating traumas to the thorax could be potentially serious. Vena caval wounds are highly lethal, so that half of the patients die before reaching the hospital, and another 50% may die perioperatively. Although rare, most of them are the result of gunshot wounds. Read More

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Attributable mortality of acute respiratory distress syndrome: a systematic review, meta-analysis and survival analysis using targeted minimum loss-based estimation.

Thorax 2021 Apr 16. Epub 2021 Apr 16.

Department of Medicine, Division of Pulmonary and Critical Care Medicine, NewYork-Presbyterian Hospital/Weill Cornell Medical Center, New York, New York, USA

Background: Although acute respiratory distress syndrome (ARDS) is associated with high mortality, its direct causal link with death is unclear. Clarifying this link is important to justify costly research on prevention of ARDS.

Objective: To estimate the attributable mortality, if any, of ARDS. Read More

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Identification of miRNA Associated with Reduced Survival after Whole-Thorax Lung Irradiation in Non-Human Primates.

Radiat Res 2021 Apr 15. Epub 2021 Apr 15.

ChromoLogic LLC, Monrovia, California 91016.

Thoracic exposure to ionizing radiation can lead to delayed injuries to the heart and lung that are serious and even life-threatening. These injuries are difficult to predict since they manifest over many weeks and months. To identify non-invasive, tissue-specific biomarkers for the early detection of late radiation injury, circulating microRNA (miRNA) levels were measured in non-human primates (NHP, Macaca mulatta) that received a single exposure of whole-thorax lung irradiation (WTLI) at a dose likely to result in 20% or 75% mortality within 180 days (9. Read More

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Human bite wounds as a portal of entry for infective endocarditis and purulent pericarditis: a very rare association.

BMJ Case Rep 2021 Apr 9;14(4). Epub 2021 Apr 9.

Internal Medicine, University of Chile, Santiago, Chile.

Human bites are an infrequent cause of emergency department visits and hospital admissions. There are rarely published cases of complicated infection, such as infective endocarditis. We present a rare case of a patient with acute infective endocarditis in a healthy native valve and purulent pericarditis from a human bite. Read More

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Mitigation of Radiation-Induced Lung and Heart Injuries in Mice by Oral Sepiapterin after Irradiation.

Radiat Res 2021 May;195(5):463-473

Department of Radiation Oncology, Division of Cardiology, Pauley Heart Center, Virginia Commonwealth University, Richmond, Virginia.

After radiation exposure, endothelium-dependent vasorelaxation is impaired due to impaired nitric oxide production. Endothelial dysfunction is characterized by uncoupled endothelial nitric oxide synthase activity, oxidation of the reduced cofactor tetrahydrobiopterin to dihydrobiopterin as one well recognized mechanism. Oral treatment with sepiapterin, a tetrahydrobiopterin precursor, decreased infiltrating inflammatory cells and cytokine levels in mice with colitis. Read More

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Pulmonary laceration.

Trauma Case Rep 2021 Apr 27;32:100449. Epub 2021 Feb 27.

Adult Intensive Care Unit, Hospital Italiano de Buenos Aires, Teniente Peron 4190, Buenos Aires, Argentina.

Introduction: Pulmonary laceration is usually caused by penetrating trauma but it can also be found in non-penetrating trauma. It usually resolves quickly and with few problems if proper and timely treatment is given for which an adequate diagnosis is mandatory. In some cases it may require a surgical approach. Read More

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Laboratory Markers in the Management of Pediatric Polytrauma: Current Role and Areas of Future Research.

Front Pediatr 2021 16;9:622753. Epub 2021 Mar 16.

Department of Traumatology, Hand-, Plastic- and Reconstructive Surgery, Center of Surgery, University of Ulm, Ulm, Germany.

Severe trauma is the most common cause of mortality in children and is associated with a high socioeconomic burden. The most frequently injured organs in children are the head and thorax, followed by the extremities and by abdominal injuries. The efficient and early assessment and management of these injuries is essential to improve patients' outcome. Read More

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INTRAVASCULAR LIPOMA OF THE RIGHT BRACHIOCEPHALIC VEIN AND SUPERIOR VENA CAVA: A CASE REPORT AND LITERATURE REVIEW.

Authors:
A Podobed

Georgian Med News 2021 Feb(311):33-36

Department of Thoracic Surgery, N.N. Alexandrov National Cancer Center of Belarus, Minsk, Belarus.

Lipomas of the major central veins are very rare tumors that have mostly been described in the inferior vena cava. They may be identified in as many as 0.5% of all CT scans. Read More

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February 2021

Ballistic impact response of a fluid/structure coupling-based modification of human thorax modelling.

J Mech Behav Biomed Mater 2021 07 27;119:104493. Epub 2021 Mar 27.

Royal Military Academy (RMA), 1000, Brussels, Belgium.

Studying the mechanical response of the human thorax submitted to ballistic impact is a challenging field of research. For ethical reasons, it is not possible to perform tests on the human body. Numerical simulations are therefore one of the alternatives for evaluating the mechanical response of the human thorax. Read More

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When less is more: A minimally invasive, intrathoracic approach to surgical stabilization of rib fractures.

Trauma Case Rep 2021 Apr 11;32:100452. Epub 2021 Mar 11.

Division of Trauma, Emergency General Surgery and Critical Care Surgery, Department of Surgery, University of Nebraska Medical Center, Omaha, NE 68198, USA.

Rib fractures are a common and serious injury in both blunt and penetrating trauma to the thorax. The morbidity and mortality associated with these fractures is often due to impaired respiratory mechanics, leading to a number of pulmonary complications and lengthy hospitalization. Surgical stabilization of rib fractures has become an increasingly popular treatment option within the trauma community, but the definitive role in management is still being established. Read More

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