Injury

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Obesity is an epidemic facing the United States affecting nearly 40% of the population (93.3 million adults) [1, 2]. The prevalence of obesity is 35.7% in young adults aged 20-39, 42.8% in adults aged 40-59, and 41.0% in older adults aged 60 and older [2]. The estimated annual cost of obesity in the United States was $147 billion in 2008, and obese individuals had on average $1,429 in increased medical costs than those of normal weight [2].
Author: M. Kareem Shaath, Philip K. Lim, Reid Andrews, Milton L. Chip Routt Jr
Posted: August 13, 2020, 12:00 am
We have read the article by Pavone V et al titled “Surgical treatment with cannulated screws for pediatric femoral neck fractures; a case series” with great interest. [1] The authors have done a cordial study on a series of eight patients: the factors affecting the complications in pediatric femoral neck fractures have been debated well in the discussion. Pediatric femoral neck fractures are difficult injuries to manage and remain a challenge to the orthopaedic surgeon. Lucky are those children who sustain a femoral neck fracture in childhood and later have a normal functioning hip.
Author: Tabish Tahir Kirmani, Mir Samiullah, Khurshid Ahmad Kangoo
Posted: August 11, 2020, 12:00 am
Osteoporosis-related fragility fractures of the pelvic ring (FFP) differ fundamentally from pelvic fractures in younger patients concerning trauma mechanism, morphology of the fracture and treatment strategies [1–4]. Besides the differences concerning the fractures, the special demands of the mostly frail and multimorbid geriatric patients have to be considered in the treatment of FFP.
Author: J. Hack, Y. Kranz, T. Knauf, M. Bäumlein, D. Malcherczyk, S. Ruchholtz, L. Oberkircher
Posted: August 10, 2020, 12:00 am
Thoracolumbar (T-L) burst fractures mostly affect young patients and account for about 67%–80% of all traumatic spinal injuries [1]. Commonly complicated by spinal instability and acute or delayed neurological deficits, they represent a serious and common injury [2]. In cases with neurological deficits prompt surgical treatment is indicated. The aims of surgery are to provide immediate decompression of the neurological structures, reduce and stabilize the fracture to allow early mobilization, and prevent long-term complications including kyphotic deformity.
Author: L Piccone, V Cipolloni, LA Nasto, C Pripp, FC Tamburrelli, G Maccauro, E Pola
Posted: August 10, 2020, 12:00 am
A fracture of the distal part of the radius is one of the most common types of fracture, and its incidence increases with age, particularly in female patients [1]. Such fractures have been shown to be associated with osteoporosis [1-3].
Author: ChunXiao Ye, YingBin Guo, YouHui Zheng, ZhenBin Wu, KaiYu Chen, XiaoLing Zhang, LiangXiu Xiao, ZhiMing Chen
Posted: August 9, 2020, 12:00 am
Drowning remains a serious public health concern not only in the United States (U.S.) but around the world. As the 3rd leading cause of unintentional injury death, it results in more than 360,000 fatalities worldwide and $173 million in injury costs in the U.S. annually [1,2]. Victims brought to the Emergency Department (E.D.) for post-drowning care require hospitalization or transfer in more than 50% of encounters [3]. Despite public health efforts, males continue to be more likely to die than females, and approximately 1 in 5 of those who die from drowning is a child under the age of 14 [3,4].
Author: Kevin M Ryan, Julianne Dugas, Tyler Pina, Yevgeniy Maksimenko, James Liu
Posted: August 7, 2020, 12:00 am
In an effort to mitigate the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the coronavirus disease (COVID) pandemic of 2020, unprecedented social distancing measures and limitations of public life were implemented in many countries throughout the world. In the United States, these measures often progressed from the cancellation of large events to travel restrictions and ultimately “stay-at-home” or lockdown orders [11]. Hospitals and surgery centers were required to postpone non-emergent operative interventions to preserve resources and many hospitals imposed visiting restrictions for the families of patients [17].
Author: Stefan W. Leichtle, Edgar B. Rodas, Levi Procter, Jonathan Bennett, Robin Schrader, Michel B. Aboutanos
Posted: August 7, 2020, 12:00 am
We commend the esteemed group from Massachusetts General on another excellent contribution to the medical literature in their examination of pre-peritoneal pelvic packing vs. resuscitative endovascular balloon occlusion of the aorta (REBOA) using the Trauma Quality Improvement Program dataset [1]. The work is typical of the thought-provoking efforts that this outstanding group of trauma leaders is well known for. We would, however, like to offer the authors and the readers of Injury a few points of consideration regarding their work – which we hope the authors can expand upon as they are able.
Author: Melike N. Harfouche, Joseph J. DuBose
Posted: August 7, 2020, 12:00 am
Trauma registries have been established to collect comprehensive data for quality assessment, quality improvement and research purposes. These registries document a range of information on injured patients such as demographics, injury details, pre-hospital care, hospital presentation, interventions, and outcomes. Tohira et al. [1] identified 11 national trauma registries in 2011. Five of these National registries are in Europe of which the England and Wales, Trauma Audit and Research (TARN) registry and the German, Deutsche Gesellschaft für Unfallchirurgie (DGU) Trauma Register, are the most cited in European literature.
Author: M.L.S. Driessen, L.M. Sturms, F.W. Bloemers, H.J. ten Duis, M.J.R. Edwards, D. den Hartog, M.A.C. de Jongh, P.A. Leenhouts, M. Poeze, I.B. Schipper, W.R. Spanjersberg, K.W. Wendt, R.J. de Wit, S. van Zutphen, L.P.H. Leenen
Posted: August 7, 2020, 12:00 am
Trauma is the leading cause of death for children and adolescents, primarily due to traumatic brain injury and hemorrhage [1]. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is used to temporarily gain hemorrhage control in exsanguinating patients, but almost all reports have been in adults. The use of REBOA in pediatric trauma patients has been reported in one published retrospective cohort of 54 Japanese patients younger than 18 years old with a survival rate was 42.6% [2]. An additional case series of seven adolescent patients in the United States reported a 29% survival rate [3].
Author: Christina M. Theodorou, Megan Brenner, Jonathan J. Morrison, Thomas M. Scalea, Laura J. Moore, Jeremy Cannon, Mark Seamon, Joseph J. DuBose, Joseph M. Galante, AAST AORTA Study Group
Posted: August 7, 2020, 12:00 am
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