The deleterious impact of concomitant muscle injury on fracture healing and limb function is commonly considered part of the natural sequela of orthopedic trauma. Recent reports suggest that heightened inflammation in the surrounding traumatized musculature is a primary determinant of fracture healing. Relatedly, there are emerging potential therapeutic approaches for severe muscle trauma (e.g....

Fractures of the proximal tibia comprise a huge spectrum of injuries with different fracture configurations. The combination of tibia plateau fracture with diaphyseal extension is a rare injury with sparse literature being available on treatment of the same. Various treatment modalities can be adopted with the aim of achieving a well-aligned, congruous, stable joint, which allows early motion a...

Displaced intra-articular distal radius fractures are difficult to treat, with numerous associated complications. The potential onset of post-traumatic osteoarthritis (OA) is a major concern. The relationship between malreduced intra-articular fracture of the distal radius and subsequent early onset of radiocarpal OA is clinically important, yet poorly understood. To better understand this pres...

conclusions these findings suggest that nmr-based urinary metabonomics approach might be a useful tool for the clinical diagnosis of depression in hbv-infected patients and the six potential biomarkers could be helpful for developing an objective diagnostic method. limited by the number of recruited subjects, future studies are required to validate our conclusions. patients and methods in this ...

Background: Skull fractures are very serious type of trauma occurring in 15% severe head injuries, and there is a consistent association between the presence cranial fracture higher incidence intracranial lesions, neurological deficit, poor outcome. Objectives were to study various patterns skull associated injuries. Methods: A prospective case series 50 patients with due injury was selected fr...

BACKGROUND Inflation bone tamps are becoming increasingly popular as a reduction tool for depressed tibial plateau fractures. A number of recent publications have addressed the technical aspects of balloon inflation osteoplasty. However, no study has yet been published to describe the technical limitations, intraoperative complications, and surgical bailout strategies for this new technology. ...

BACKGROUND AND PURPOSE Tutankhamen, the last pharaoh of the XVIIIth dynasty, died unexpectedly at approximately age 18 years. A cause of death has never been established, but theories that the young king was murdered by a blow to the head have been proposed based on skull radiographs obtained by a team from the University of Liverpool in 1968. We recently had the opportunity to evaluate the sku...

Aim: In this study, we aimed to assess how the routine use of a second head computed tomography (CT) scan contributed therapeutic approach in children diagnosed with mild traumatic brain injury (TBI).Methods: The retrospective study included TBI who had lesions on initial CT and underwent as performed routinely at our pediatric emergency department between August 2010 2014. Patient data (age se...

pound depressed fracture on the right side of the head, rather in front of the upper part of the coronal suture. The patient was unable to speak, but he looked quite intelligent, and carried out various actions, such as putting out his tongue, raising his hand, etc., when asked to do so. Under chloroform, it was found necessary to remove two circles of bone and an intervening bridge before the ...

BMJ 2007;335:719-20 doi: 10.1136/bmj.39331.702951.47 • Age under 1 year and presence of bruise, swelling, or laceration (>5 cm) on the head • Dangerous mechanism of injury • Clinical suspicion of non-accidental injury • Loss of consciousness lasting more than fi ve minutes (witnessed) • Post-traumatic seizure but no history of epilepsy • Abnormal drowsiness • Suspected open or depressed skull i...