{"id":484,"date":"2013-06-19T15:28:58","date_gmt":"2013-06-19T15:28:58","guid":{"rendered":"http:\/\/www.library.wmuh.nhs.uk\/wp\/?page_id=484"},"modified":"2018-12-18T15:34:28","modified_gmt":"2018-12-18T15:34:28","slug":"injury","status":"publish","type":"page","link":"https:\/\/www.library.wmuh.nhs.uk\/wp\/other-updates\/accident-emergency-medicine\/injury\/","title":{"rendered":"Injury"},"content":{"rendered":"<p><span style=\"color: #ff9900;\"><strong>Full-text is not available but print copy is available in the library<\/strong><\/span><\/p>\n<style>\nh3.hungryfeed_feed_title {}\ndiv.hungryfeed_feed_description {}\ndiv.hungryfeed_feed_content {}\ndiv.hungryfeed_items {}\ndiv.hungryfeed_item {margin-bottom: 10px;}\ndiv.hungryfeed_item_title {font-weight: bold;}\ndiv.hungryfeed_item_description {}\ndiv.hungryfeed_item_author {}\ndiv.hungryfeed_item_date {}\n<\/style>\n<script type=\"text\/javascript\">\n\/\/ Custom Javascript here...\n<\/script>\n<div class=\"hungryfeed_items\">\n<div class=\"hungryfeed_item\">\n<div class=\"hungryfeed_item_title\"><a href=\"https:\/\/www.injuryjournal.com\/article\/S0020-1383(26)00251-2\/fulltext?rss=yes\" >The Mental Stigma: influence of psychiatric comorbidity on treatment timelines and discharge processes in Patients with Pelvic Injuries<\/a><\/div>\n<div class=\"hungryfeed_item_description\">Individuals with psychiatric disorders and substance use are at greater risk of sustaining severe injuries due to behavioral impulsivity, impaired judgment, and medication effects. The influence of psychiatric comorbidities on the hospitalization of patients with pelvic fractures remains underexplored. This study investigates the impact of psychiatric disorders and substance abuse on hospitalization outcomes for these patients.<\/div>\n<div class=\"hungryfeed_item_author\">Author: Adele Arnone, Domenico De Mauro, Elena Gabrielli, Zaira Chiara Prencipe, Alessandro Bumbaca, Luigi Pizzimenti, Giulio Maccauro, Raffaele Vitiello<\/div>\n<div class=\"hungryfeed_item_date\">Posted: April 16, 2026, 12:00 am<\/div>\n<\/div>\n<div class=\"hungryfeed_item\">\n<div class=\"hungryfeed_item_title\"><a href=\"https:\/\/www.injuryjournal.com\/article\/S0020-1383(26)00280-9\/fulltext?rss=yes\" >Interhospital Variation in Highest-Level Trauma Activation and Its Association with Mortality: A 37-center Cohort Study of Level I and II Trauma Centers in the US<\/a><\/div>\n<div class=\"hungryfeed_item_description\">Trauma team activation protocols are critical for mobilizing resources in the care of severely injured patients. In the US, the American College of Surgeons (ACS) specifies minimum criteria for the highest-level (full) trauma activation (fTA), but hospitals retain discretion to add criteria, potentially leading to variability in activation practices and resource utilization. The extent of this variation and its impact on patient outcomes is unknown. The aim of this study was to quantify inter-hospital variability in fTA use and its relationship to mortality.<\/div>\n<div class=\"hungryfeed_item_author\">Author: Alessandro Orlando, Harun Mazumder, Stefan Leichtle, Michaela A. West, Bellal Joseph, Haytham Kaafarani, John P. Hunt, Yan Shen, Samir M. Fakhry, the Geriatric Trauma Activation Criteria Research Study Group<\/div>\n<div class=\"hungryfeed_item_date\">Posted: April 16, 2026, 12:00 am<\/div>\n<\/div>\n<div class=\"hungryfeed_item\">\n<div class=\"hungryfeed_item_title\"><a href=\"https:\/\/www.injuryjournal.com\/article\/S0020-1383(26)00281-0\/fulltext?rss=yes\" >Nail Plate Combination for Su Type III Periprosthetic Distal Femur Fractures Results in Early Ambulation and Favorable Clinical Outcomes: A Comparative Case Series and Technical Points<\/a><\/div>\n<div class=\"hungryfeed_item_description\">Periprosthetic distal femur fractures are deleterious injuries, found commonly in the elderly osteoporotic population, typically addressed with open reduction internal fixation (ORIF). Fractures that are very distal (Su type III) require special considerations due to limited distal bone stock for fixation. The utilization of the nail-plate combination (NPC) technique for these patients aims for an early return to ambulation by maximizing distal fixation and stability while allowing for immediate postoperative weight-bearing.<\/div>\n<div class=\"hungryfeed_item_author\">Author: Daniel E Pereira, Brian D Rust, Gregory W Angelides, David W Barton, Jenna-Leigh Wilson, Mitchel R Obey, Christopher M McAndrew, Marschall B Berkes<\/div>\n<div class=\"hungryfeed_item_date\">Posted: April 16, 2026, 12:00 am<\/div>\n<\/div>\n<div class=\"hungryfeed_item\">\n<div class=\"hungryfeed_item_title\"><a href=\"https:\/\/www.injuryjournal.com\/article\/S0020-1383(26)00271-8\/fulltext?rss=yes\" >Barriers to Care and Intimate Partner Violence Screen in Orthopaedic Trauma Clinic<\/a><\/div>\n<div class=\"hungryfeed_item_description\">To evaluate the prevalence of barriers to care and IPV risk and assessed associations between economic hardship and violence.<\/div>\n<div class=\"hungryfeed_item_author\">Author: Ellen Lutnick, Taylor Rick, Nicholas Frappa, Aashi Acharya, Jamie J Bousleiman, Sarah Goehle, Sonja Pavlesen, Mark Anders, Susan Daoust<\/div>\n<div class=\"hungryfeed_item_date\">Posted: April 15, 2026, 12:00 am<\/div>\n<\/div>\n<div class=\"hungryfeed_item\">\n<div class=\"hungryfeed_item_title\"><a href=\"https:\/\/www.injuryjournal.com\/article\/S0020-1383(26)00272-X\/fulltext?rss=yes\" >Alternative trials of recipient site vessel in maxillomandibular reconstruction with multisegment fibular flaps including only one pedicle anastomosis<\/a><\/div>\n<div class=\"hungryfeed_item_description\">The objective of this study is to closely examine the preferred anastomoses of the superior thyroid artery, facial artery, lingual artery, maxillary artery, and superficial temporal artery anastomoses for the reconstruction of maxillomandibular defects caused by firearm injuries. The study will also examine the reasons for choosing these arteries, their advantages and disadvantages, surgical techniques, complications, and their postoperatively clinically and\u00a0scintigraphically\u00a0assessable viability.<\/div>\n<div class=\"hungryfeed_item_author\">Author: Ercan Akbay, M.\u0130hsan G\u00fclmez<\/div>\n<div class=\"hungryfeed_item_date\">Posted: April 15, 2026, 12:00 am<\/div>\n<\/div>\n<div class=\"hungryfeed_item\">\n<div class=\"hungryfeed_item_title\"><a href=\"https:\/\/www.injuryjournal.com\/article\/S0020-1383(26)00277-9\/fulltext?rss=yes\" >Integrated Surgical Management of Forequarter Lateral Implosion Injury: Technical Considerations and Early Outcomes<\/a><\/div>\n<div class=\"hungryfeed_item_description\">Concomitant ipsilateral fractures of the clavicle, scapula, and ribs, termed forequarter lateral implosion injury, represent a severe but underrecognized injury pattern resulting from high-energy lateral shoulder trauma. While the surgical indications for isolated chest wall and shoulder girdle injuries are well described, guidance on the integrated management of this combined injury complex remains limited. We describe a reproducible multidisciplinary approach for the concurrent surgical fixation of clavicle, scapula, and rib fractures, illustrated through two cases of forequarter lateral implosion injury resulting from high-energy road traffic accidents.<\/div>\n<div class=\"hungryfeed_item_author\">Author: Shaun Kai Kiat Chua, Sunder Balasubramaniam, Peter A. Cole, Bryan Yijia Tan<\/div>\n<div class=\"hungryfeed_item_date\">Posted: April 15, 2026, 12:00 am<\/div>\n<\/div>\n<div class=\"hungryfeed_item\">\n<div class=\"hungryfeed_item_title\"><a href=\"https:\/\/www.injuryjournal.com\/article\/S0020-1383(26)00278-0\/fulltext?rss=yes\" >Emotions of the Patient and Characteristics of the Good Surgeon in the Operating Room<\/a><\/div>\n<div class=\"hungryfeed_item_description\">Each week I go into the operating room and \u201cperform\u201d an operation on a patient. If one ever wonders why the operating room is called a \u201ctheatre\u201d, it was based upon the early period of observational learning that young physicians would be expected to be a part of. Their famous elder surgical mentors would \u201cperform\u201d in front of them with crude tools and methods such as amputating a mangled leg or teaching proper anatomic dissection. Can you imagine the racing\/raging emotions of those first patients as they went to the OR \u201ctheatre\u201d (especially before introduction of successful anaesthetic)? Would this surgical performance in the \u201ctheatre\u201d lead to a \u201cdrama\u201d, a \u201ctragedy\u201d, or \u201cimprovisational art\u201d? And what of the emotions of the surgeon who is meant to perform successfully before the audience of young learners and aspiring future surgical disciples? I know how I feel as a surgeon before most operations \u2013 superficially calm but deep down I know that this surgery may end up as a theatrical stalemate between the orthopaedic trauma pathology presented by the patient and the balance of my experienced team\u2019s best planning, skills and ingenuity.<\/div>\n<div class=\"hungryfeed_item_author\">Author: Richard Buckley<\/div>\n<div class=\"hungryfeed_item_date\">Posted: April 15, 2026, 12:00 am<\/div>\n<\/div>\n<div class=\"hungryfeed_item\">\n<div class=\"hungryfeed_item_title\"><a href=\"https:\/\/www.injuryjournal.com\/article\/S0020-1383(26)00245-7\/fulltext?rss=yes\" >Paralyzing herniated disc: To operate or not to operate, and when is the right time?<\/a><\/div>\n<div class=\"hungryfeed_item_description\">This study investigates the pathophysiological mechanisms, risk factors, and conditions contributing to the occurrence of paralyzing disc herniation (PDH) following L4-L5 disc herniation surgery. Despite the significance of PDH, comprehensive understanding remains limited due to the inherent challenges in recruiting patients with neurologic deficits and the variability in research methodologies.<\/div>\n<div class=\"hungryfeed_item_author\">Author: Keyvan Mostofi, Kamran shirbache, Ali Shirbacheh, Morad Peyravi, Nikou Nikmaram<\/div>\n<div class=\"hungryfeed_item_date\">Posted: April 14, 2026, 12:00 am<\/div>\n<\/div>\n<div class=\"hungryfeed_item\">\n<div class=\"hungryfeed_item_title\"><a href=\"https:\/\/www.injuryjournal.com\/article\/S0020-1383(26)00253-6\/fulltext?rss=yes\" >Venous thromboembolism in pelvic ring and acetabular fractures \u2212 A prospective cohort study<\/a><\/div>\n<div class=\"hungryfeed_item_description\">Venous thromboembolism (VTE) is a major complication in pelvic ring and acetabular fractures (PAF). Evidence on incidence and optimal prophylaxis strategies remains limited. This study aimed to investigate the incidence of VTE in PAF patients under a standardized prophylaxis regimen.<\/div>\n<div class=\"hungryfeed_item_author\">Author: Carolina Vogel, Alexandra Goebel, Elias Zimmermann, Gabriel Keller, Laura E. Streck, Mika F. Rollmann, Tina Histing, Markus A. K\u00fcper, Steven C. Herath<\/div>\n<div class=\"hungryfeed_item_date\">Posted: April 14, 2026, 12:00 am<\/div>\n<\/div>\n<div class=\"hungryfeed_item\">\n<div class=\"hungryfeed_item_title\"><a href=\"https:\/\/www.injuryjournal.com\/article\/S0020-1383(26)00265-2\/fulltext?rss=yes\" >Fixation failure following femoral neck system fixation for intracapsular femoral neck fractures: Association with fracture orientation<\/a><\/div>\n<div class=\"hungryfeed_item_description\">To evaluate fixation failure following femoral neck system fixation (FNS) for intracapsular femoral neck fractures (FNF) and to determine whether fracture characteristics, particularly fracture orientation, were associated with fixation failure.<\/div>\n<div class=\"hungryfeed_item_author\">Author: Dhivakaran Gengatharan, Justin Chou Zi Xian, Michael Shen Xuanrong, Colin Wang Tzong-Yee, Merng-Koon Wong<\/div>\n<div class=\"hungryfeed_item_date\">Posted: April 14, 2026, 12:00 am<\/div>\n<\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Full-text is not available but print copy is available in the library<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":154,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.library.wmuh.nhs.uk\/wp\/wp-json\/wp\/v2\/pages\/484"}],"collection":[{"href":"https:\/\/www.library.wmuh.nhs.uk\/wp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.library.wmuh.nhs.uk\/wp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.wmuh.nhs.uk\/wp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.wmuh.nhs.uk\/wp\/wp-json\/wp\/v2\/comments?post=484"}],"version-history":[{"count":8,"href":"https:\/\/www.library.wmuh.nhs.uk\/wp\/wp-json\/wp\/v2\/pages\/484\/revisions"}],"predecessor-version":[{"id":5101,"href":"https:\/\/www.library.wmuh.nhs.uk\/wp\/wp-json\/wp\/v2\/pages\/484\/revisions\/5101"}],"up":[{"embeddable":true,"href":"https:\/\/www.library.wmuh.nhs.uk\/wp\/wp-json\/wp\/v2\/pages\/154"}],"wp:attachment":[{"href":"https:\/\/www.library.wmuh.nhs.uk\/wp\/wp-json\/wp\/v2\/media?parent=484"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}