Presentation
The authors present evidence that supports a predominantly accidental etiology for isolated spiral tibial fractures of young children. [ncbi.nlm.nih.gov]
Entire Body System
- Turkish
A Retrospective Comparative Study between Intramedullary Nailing and Biologic Plating,” Turkish Journal of Trauma & Emergency Surgery, Vol. 15, No. 3, 2009, pp. 243-248. T. W. Lau, F. Leung, C. F. Chan and S. P. [file.scirp.org]
Cardiovascular
- Hypotension
The deleterious effect of intraoperative hypotension on outcome in patients with severe head injuries. J Trauma 1992;33:403—7.: 11. RECOMMENDATIONS 1. [slideshare.net]
- Heart Disease
Exclusion criteria were patients being on permanent medications and undergoing therapy for diabetes mellitus, ischemic heart diseases, chronic renal failure, endocrine diseases, and corticosteroid treatment for bronchial asthma, rheumatoid arthritis, [karger.com]
- Hypertension
Severe cases may cause pulmonary hypertension and acute cor pulmonale. 5 Management Treatment is generally supportive. Other treatable causes of neurological decline such as diffuse edema, contusions, or herniation should be ruled out. [emdocs.net]
Musculoskeletal
- Contusion
Other treatable causes of neurological decline such as diffuse edema, contusions, or herniation should be ruled out. Most are hypovolemic and require volume resuscitation. Supplemental oxygen or ventilatory support are often needed. [emdocs.net]
Mild contusions with local bone trauma will heal easily, whereas severely comminuted injuries with extensive soft tissue damage heal poorly. [boneandspine.com]
[…] data for groups A and B were skull fractures in 33 versus 24, cranial bones only in 24 versus 18, subdural hematoma in 30 versus 16, subarachnoid hemorrhage in 28 versus 13, diffuse brain edema in 23 versus 32, and lobe and intracerebral hemorrhage contusion [karger.com]
- Bone Disorder
An injury that results from the effects of an underlying problem with the bone is known as a pathologic fracture. The most common causes of pathologic bone fractures are arthritis, osteoporosis, genetic bone disorders, and cancer. [drallison.org]
They may also result from overuse of tendons and certain bone disorders such as infection that can affect the normal growth and development of the bone. [motion-ortho.com]
Psychiatrical
- Suggestibility
Results are suggestive of a possible interaction between IGF-I and bone repair processes as other investigators have suggested on the basis of animal experiments. [ncbi.nlm.nih.gov]
Urogenital
- Kidney Failure
Metabolic diseases – Diseases such as kidney failure and hormonal disturbances affect the proper functioning of the growth plates and increase susceptibility to fractures. [motion-ortho.com]
Treatment
The aim of this study was to determine the rates of long-bone fractures and the proportion of misalignments as indicators of failed treatment or no treatment at all in skeletons from the Giza Necropolis dating to the Old Kingdom period (2700-2190 BC). [ncbi.nlm.nih.gov]
Non-surgical treatment may be recommended if little displacement (gap) and/or few bone fragments are present. If your overall health makes you a poor candidate for surgery, non-surgical treatment may also be considered. Initial treatment. [thpg.org]
Antibiotic cement-coated interlocking nail for the treatment of infected nonunions and segmental bone defects. J Orthop Trauma. 2007;21:258–68. Klemm K. Treatment of infected pseudarthrosis of the femur and tibia with an interlocking nail. [ijoro.org]
Several options are available for operative treatment but with the development of flexible nail the treatment of long bone fractures, particularly femur has undergone a dramatic change [3]. [ijoonline.com]
These included biodata, aetiology of fractures, fracture type, injury presentation interval, associated lesions, outcome as well as complications and challenges in treatment. [ajol.info]
Prognosis
RESULTS: After adjusting for age, gender, race, insurance, and comorbidities, the HR of mortality was 2.89 (95% CI, 2.56-3.28; p CONCLUSIONS: This data suggests that open fracture carries a worse prognosis compared to closed fracture at the same anatomical [ncbi.nlm.nih.gov]
The classification is arranged in order of increasing severity according to the complexities of the fracture, difficulty of treatment and worsening prognosis. [trauma.org]
UTSW / Parkland Memorial Hospital) and Stephen Alerhand, MD (@SAlerhand) Overview: When to suspect fat embolism syndrome (FES) Diagnosis of FES and further workup Pathophysiology of the syndrome Management of the critical patient with suspected FES Prognosis [emdocs.net]
Thus, they have a different prognosis and need to be treated differently. [bmcmusculoskeletdisord.biomedcentral.com]
Prognosis The older you are, the longer it takes to recover from a fracture. Children heal better and more rapidly, so that often after several years there is no visible trace of a fracture on X-rays. [whenithurtstomove.org]
Etiology
The authors present evidence that supports a predominantly accidental etiology for isolated spiral tibial fractures of young children. [ncbi.nlm.nih.gov]
In our patient, however, the constellation of long bone fractures, sudden hypoxemic respiratory failure, and focal neurologic findings suggested a specific etiology: fat embolism syndrome (FES). [emdocs.net]
Epidemiology
CONCLUSION: This 12-year interval retrospective study revealed modern epidemiologic results for FES in long bone fracture. [ncbi.nlm.nih.gov]
Borja-Aburto VH, Bustamante-Montes P, Garcia-Sancho MC, Villa-Romero AR (1990) Ionising radiation at low doses and cancer: epidemiological controversy. Rev Invest Clin 42: 312-316. [orthopedics.imedpub.com]
"The epidemiology of open fractures in adults. A 15-year review". Injury. 43 (6): 891–897. doi : 10.1016/j.injury.2011.12.007. ISSN 1879-0267. PMID 22204774. ^ a b c "Trauma Education and Prevention". [en.wikipedia.org]
They play a key role in the reporting of clinical and epidemiological data, allowing for uniform comparison and documentation of different conditions. [bmcmusculoskeletdisord.biomedcentral.com]
Pathophysiology
The aim of this study was to evaluate possible differences in the serum concentrations of TGF-b1 in cigarette-smoking vs. non-smoking patients with timely and delayed fracture healing in order to understand pathophysiological pathways through which smoking [ncbi.nlm.nih.gov]
Emergency Medicine) // Edited by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Stephen Alerhand, MD (@SAlerhand) Overview: When to suspect fat embolism syndrome (FES) Diagnosis of FES and further workup Pathophysiology [emdocs.net]
[…] vessels Injury to muscles and tendons Injury to joints Injury to viscera Local Infection Compartment syndrome Others Avascular necrosis Shortening Joint stiffness Sudeck's dystrophy Osteomyelitis Ischaemic contracture Myositis ossificans Osteoarthritis Pathophysiology [en.wikipedia.org]
Prevention
Strategies to prevent it and or identify early its development are desirable in order to improve the clinical course of the affected patients and their outcomes. [ncbi.nlm.nih.gov]
Also, the injured person is given a vaccine to prevent tetanus and antibiotics to prevent infection. [merckmanuals.com]
In other words, NSAIDS may prevent or delay bone healing. These results, however, have not been tested prospectively in humans. [clinicaltrials.gov]
Wearing protective gear, such as pads, braces, or a helmet, can all help you prevent a future fracture. [healthline.com]
A thorough clinical history is important to establish the cause of the injury and to apply preventive measures (AU) [pesquisa.bvsalud.org]