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Ann Otol Rhinol Laryngol 2021 Apr 9:34894211008100. Epub 2021 Apr 9.

Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, School of Medicine and Health Sciences, George Washington University, Washington, DC, USA.

Objectives: Fireworks are used commonly for celebrations in the United States, but can lead to severe injury to the head and neck. We aim to assess the incidence, types, and mechanisms of head and neck injuries associated with fireworks use from 2010 to 2019.

Methods: A retrospective cross-sectional study, using data from the National Electronic Injury Surveillance System, of individuals presenting to United States Emergency Departments with head and neck injuries caused by fireworks and flares from 2010 to 2019. Read More

Adolesc Health Med Ther 2021 29;12:17-25. Epub 2021 Mar 29.

Department of Obstetrics and Gynecology, Faculty of Medical Sciences, Wello University, Dessie, Ethiopia.

Background: Sexual assault cases are increasingly reported in Ethiopia and worldwide. However, in Ethiopia, sexual assaults' profile was not investigated well, regardless of its social, physical, and psychological impacts on survivors. Hence, this study assessed the survivors' characteristics, circumstances of the victims, and treatment offered with the view of describing the management process, and service responsiveness. Read More

Orthop Surg 2021 Apr 5. Epub 2021 Apr 5.

Orthopaedics Department, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.

Objective: The purpose of the present study was to discuss a new surgical strategy that combines percutaneous endoscopic transforaminal discectomy (PETD) with percutaneous endoscopic interlaminar discectomy (PEID) for L4/5 and L5/S1 two-level disc herniation.

Methods: This was a retrospective study. A total of 19 patients with L4/5 and L5/S1 two-level lumbar disc herniation (LDH) who underwent percutaneous endoscopic lumbar discectomy (PELD) in our hospital from January 2015 to June 2016 were retrospectively examined. Read More

JBJS Rev 2021 Apr 5;9(4). Epub 2021 Apr 5.

Department of Orthopaedic Surgery, Tripler Army Medical Center, Honolulu, Hawaii.

»: Surfing is safe: the risk of injury ranges from 0.26 to 0.90 injuries per surfer per year, 0. Read More

Case Rep Crit Care 2021 16;2021:8842522. Epub 2021 Mar 16.

Geisinger Community Medical Center, 1800 Mulberry Street, Scranton, PA 18510, USA.

Tetanus is a life-threatening infectious neurological disorder that is now a rare disease due to the institution of wide-spread vaccination strategies. We present an uncommon case of generalized severe tetanus with consequent respiratory failure requiring mechanical ventilation, which was associated with dysautonomia. A 20-year-old unvaccinated female presented with neck stiffness and diffuse muscle spasms following a laceration sustained 3 weeks prior. Read More

Clin Spine Surg 2021 Apr 1. Epub 2021 Apr 1.

Department of Spine Surgery, University Hospital of Strasbourg, Strasbourg, France.

Study Design: This was a retrospective clinical review.

Objective: The objective of this study was to analyze failure mechanisms after total lumbar disk replacement (TDR) and surgical revision strategies in patients with recurrent low back pain (LBP).

Summary And Background Data: Several reports indicate that TDR revision surgery carries a major risk and that it should not be recommended. Read More

Waste Manag 2021 Mar 29;126:291-308. Epub 2021 Mar 29.

National University, San Diego, CA, USA.

Informal waste picking is a common way for people to earn an income, especially in low-income countries; unfortunately, there are various occupational hazards and health outcomes associated with waste picking. This study focused on comprehensively identifying and exploring occupational hazards and health outcomes associated with informal waste picking. A systematic review of available relevant and peer-reviewed literature was completed to exhaustively analyze the full scope of these hazards and outcomes associated with informal waste picking; 58 papers were included. Read More

Intern Med 2021 Mar 29. Epub 2021 Mar 29.

Division of Diagnostic Pathology, Saitama Prefectural Cardiovascular and Respiratory Center, Japan.

A 30-year-old non-smoking man was referred to our hospital for the further examination of abnormal shadows revealed by chest X-ray. He had mild shortness of breath. Chest computed tomography revealed a fine-grained dendritic shadow with diffuse calcification in both lungs and as well as emphysematous changes in the upper lung lobes. Read More

Am J Obstet Gynecol MFM 2021 Mar 20:100359. Epub 2021 Mar 20.

Department of Obstetrics, Gynecology and Reproductive Sciences, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Houston, TX. Electronic address:

Background: While the neonatal morbidity associated with shoulder dystocia are well known, the maternal morbidity occurring with this obsetetric emergency is infrequently reported.

Objective: To assess the composite maternal and neonatal adverse outcomes among vaginal deliveries (at 34 weeks or later) with and without shoulder dystocia.

Material And Methods: This is a secondary analysis of Consortium of Safe Labor, an observational obstetrical cohort of all deliveries occurring at 19 hospitals (from 2002-2008) who delivered vaginally and had data on the occurrence of shoulder dystocia. Read More

J Parasit Dis 2021 Mar 15;45(1):159-168. Epub 2020 Oct 15.

Medical Parasitology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.

This study evaluated in vitro effect of different concentrations of () ethanol extract and honey against spp. cysts in comparison with chlorhexidine (the drug of choice for treatment of infection) at different incubation periods. Four different concentrations of the tested agents were used, 100, 200, 400, and 600 μg/ml for and 25, 50, 100, and 200 μg/ml for honey. Read More

J Craniofac Surg 2021 Mar 17. Epub 2021 Mar 17.

Department of Surgery, Division of Plastic Surgery, University of Miami Miller School of Medicine, Miami, FL.

Introduction: Soccer is a global sport played by millions annually with an increasing popularity in the United States. Game is played by a wide range of participants from all ages and levels of competition. This scenario leads to a potential disparity in the injury profile based on quantifiable demographics. Read More

J Clin Orthop Trauma 2021 May 18;16:226-229. Epub 2021 Feb 18.

Upper Limb Unit, Wrightington Hospital, Hall Lane, Appley Bridge, Wigan, WN6 9EP, UK.

Iatrogenic nerve injuries can cause patients and surgeons a great deal of distress and anxiety. To help prevent such injuries, surgeons should remain mindful for potential distortion of anatomy due to scarring and adhesions. Peripheral nerves are vulnerable to thermal injury, as well as mechanical injury by laceration and traction. Read More

J Craniofac Surg 2021 Mar 5. Epub 2021 Mar 5.

Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Miami Miller School of Medicine, Miami, FL.

Introduction: Hockey is a sport of high speeds, projectiles, and slick surfaces. A scenario is ripe for craniofacial injuries. Annually, over 1 million Americans, with many more abroad participate in organized hockey. Read More

Am J Obstet Gynecol MFM 2021 Mar 8:100346. Epub 2021 Mar 8.

Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Thomas Jefferson University Hospital, Philadelphia, PA, USA. Electronic address:

Objective: Persistent occiput posterior (OP) and occiput transverse (OT) positions are associated with adverse maternal and neonatal outcomes. The objective of this study is to assess if use of hands-and-knees posturing increases the rate of occiput anterior (OA) position immediately after posturing, in the second stage of labor, or at time of birth.

Data Sources: An electronic search of PubMed, EMBASE, Clinicaltrials. Read More

J Craniofac Surg 2021 Mar 1. Epub 2021 Mar 1.

Miller School of Medicine Division of Plastic, Aesthetic, and Reconstructive Surgery, University of Miami, Miami, FL.

Background: Number of female athletes continues to exponentially increase in all sports; however, available literature detailing craniofacial injuries remains scarce. Compared to male athletes, female athletes may experience different types of injuries. These may be related to sex differences such as craniofacial pain and dimensions. Read More

Pediatr Neurosurg 2021 1;56(2):140-145. Epub 2021 Mar 1.

Department of Neurosurgery, Virginia Commonwealth University, Richmond, Virginia, USA.

Background: Posttraumatic carotid artery dissection (PTCAD) is a common injury in motor vehicle accidents and other extension and rotation injuries, but rarely developed from being shaken vigorously.

Case Description: A 7-day-old infant presented to our facility after being attacked by a large dog. Initial examination revealed multiple puncture wounds and lacerations with visible dura. Read More

Laryngorhinootologie 2021 03 26;100(3):211-216. Epub 2021 Feb 26.

Universitätsklinik und Poliklinik für Augenheilkunde, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale).

Trauma of the medial canthal region can affect all parts of the lacrimal ducts. Depending on the patient's age, there may be different mechanisms of injury. Surgical reconstruction using two autostable ("self-retaining") monocanaliculonasal lacrimal tubes is demonstrated by two case reports. Read More

Cureus 2021 Jan 15;13(1):e12726. Epub 2021 Jan 15.

Emergency Medicine, Envision Physician Services, Plantation, USA.

We present the case of a young man with traumatic aortic dissection secondary to a motor vehicle collision. While the differential diagnosis for traumatic injury after a motor vehicle collision can include commonly studied and trained for cases, such as pneumo/hemothorax, pulmonary contusion, splenic laceration, and pelvic fractures, for example, one of the more deadly and hence rare presentations of motor vehicle trauma is aortic transection. The fact that the diagnostic studies included as part of the initial Advanced Trauma Life Support (ATLS) trauma survey are not well equipped to diagnose such an injury is also a deadly factor. Read More

Eur J Sport Sci 2021 Feb 19:1-13. Epub 2021 Feb 19.

Human Physiology Research Group (MFYS), Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium.

In 2013, the International Boxing Association (AIBA) prohibited the use of headguards for elite male Olympic boxing competitions. Could the removal of the headguard from elite male boxing competitions potentially cause increased injury risk for boxers? The aim of the literature review is to analyse current knowledge about the use of protective headgear and injury prevention in boxing, in order to determine if there are increased injury risks associated with headguard use. Peer-reviewed studies (language: English, Norwegian, Swedish, Danish and Dutch) published from 1980 and onwards were considered. Read More

Front Pediatr 2021 25;9:616247. Epub 2021 Jan 25.

Division of Neonatology, Department of Pediatrics, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan.

Neonatal splenic rupture/hemorrhage (SRH), an extremely rare and potentially fatal presentation, can spontaneously resolve without surgical treatment; However, treatment approaches remain controversial. The present study aimed to describe and analyze the clinical features and therapies of neonatal SRH and therapeutic approaches. We present the cases of two patients and review another 37 cases reported in English-literature. Read More

Skeletal Radiol 2021 Feb 4. Epub 2021 Feb 4.

Department of Orthopedic Surgery, Hospital for Special Surgery, 525 East 71st Street, 2nd Floor, New York, NY, 10021, USA.

Objective: Characterize the appearance of digital nerve injuries in different ultrasound planes and correlate the presence and size of neuromas with time from injury.

Materials And Methods: Surgically confirmed nerve injuries were retrospectively evaluated. Appearances of the nerve injury in the available imaging planes were reviewed by two readers. Read More

Trauma Surg Acute Care Open 2021 1;6(1):e000636. Epub 2021 Feb 1.

Surgery, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA.

Background: Trauma and sepsis are individually two of the leading causes of death worldwide. When combined, the mortality is greater than 50%. Thus, it is imperative to have a reproducible and reliable animal model to study the effects of polytrauma and sepsis and test novel treatment options. Read More

J Med Case Rep 2021 Feb 3;15(1):33. Epub 2021 Feb 3.

Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Japan.

Background: Pancreatic trauma is a rare condition with a wide presentation, ranging from hematoma or laceration without main pancreatic duct involvement, to massive destruction of the pancreatic head. The optimal diagnosis of pancreatic trauma and its management approaches are still under debate. The East Association of Surgery for Trauma (EAST) guidelines recommend operative management for high-grade pancreatic trauma; however, several reports have reported successful outcomes with nonoperative management (NOM) for grade III/IV pancreatic injuries. Read More

BMJ Case Rep 2021 Jan 26;14(1). Epub 2021 Jan 26.

Surgery, Tripler Army Medical Center, Honolulu, Hawaii, USA.

A complete perineal wound breakdown of a fourth degree laceration leading to a cloaca is a rare but devastating complication of vaginal childbirth. A 32-year-old primiparous woman presented with an obstetric cloaca 4 months following delivery. She underwent preoperative evaluation and, following extensive counselling, elected to proceed with operative repair. Read More

Ann Ital Chir 2021 Jan 20;10. Epub 2021 Jan 20.

Gastric perforations as a result of blunt abdominal traumas are rare, with a reported incidence of less than 2%. Usually associated with other solid visceral injuries, isolated gastric ruptures following a blunt abdominal injury are extremely uncommon. The severity of injury, timing of presentation, time elapsed since the last meal, as well as the presence of concomitant injuries are important prognostic factors. Read More

Wounds 2020 Dec;32(12):364-368

Natchitoches Regional Medical Center, Natchitoches, LA.

Introduction: Aquatic propeller injuries can pose significant complications in the care of a patient including gross contamination, delayed onset of ischemia, and exposure to unusual water-associated organisms. This case study highlights a circumstance where source control was achieved in a patient that suffered from a polymicrobial necrotizing Aeromonas hydrophila infection following a traumatic aquatic amputation.

Case Report: A 26-year-old female sustained a propeller injury in a lake with brackish water that resulted in multiple significant linear lacerations and avulsions as well as a Gustilo IIIB fracture. Read More

Am J Emerg Med 2021 04 5;42:55-59. Epub 2021 Jan 5.

Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

Background: Between October 2019 and February 2020, massive crowds protested in Lebanon against economic collapse. Various less than lethal weapons including riot control agents and rubber bullets were used by law enforcement, which led to several traumatic and chemical injuries among victims. This study describes the clinical presentation, management, outcome, and healthcare costs of injuries. Read More

Sci Rep 2021 Jan 12;11(1):694. Epub 2021 Jan 12.

Institute for Terrestrial and Aquatic Wildlife Research (ITAW), University of Veterinary Medicine Hannover, Foundation, Werftstraße 6, 25761, Büsum, Germany.

In order to conduct an objective evaluation of potential ecological effects of grey seal predation on marine mammals, it is essential to establish a broad knowledge base helping in the thorough identification of such cases during post-mortem examination. The aim of this work is to report and discuss outcomes resulting from a retrospective evaluation of harbour (Phoca vitulina) and grey seal (Halichoerus grypus) stranding and necropsy data (n = 3274). In addition, the results are compared to a recent case of definite grey seal predation from Germany as well as reports from other countries. Read More

FP Essent 2021 Jan;500:28-32

West Virginia University Department of Human Performance, 1 Medical Center Dr, Morgantown, WV 26506.

Patients with any laceration or wound over the hand need to be evaluated for tendon and neurovascular injuries. Patients with these injuries should receive urgent wound care as well as splinting and expeditious referral for surgical repair because lacerated tendons and nerves cannot heal without surgical approximation. Conversely, ligament injuries of the hand, such as disruption of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb, can sometimes be managed nonsurgically if the joint is stable and there is no Stener lesion. Read More