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Reduced rates of pneumonia after implementation of an electronic checklist for the management of patients with multiple rib fractures at a Level One Trauma Center.
Surg Pract Sci
September 2023
Department of Surgery, Boston University Medical Center, 725 Albany St, 3rd Floor, Suite 3A, Boston, MA 02118, USA.
Background: Traumatic rib fractures are associated with increased morbidity and mortality, with complications including pneumothorax, difficult to control pain, and pneumonia. Use of a bundled, multi-disciplinary approach to the care of patients with multiple rib fractures has been shown to reduce morbidity and mortality. In this study, we investigate the implementation of a checklist for the multidisciplinary management of patients with multiple rib fractures who present to an urban, level 1 trauma center and safety-net hospital.
View Article and Find Full Text PDFComparison of Glenoid Bone Loss After Unidirectional Versus Combined Shoulder Instability in a Military Population.
Orthop J Sports Med
January 2025
Department of Orthopaedic Surgery, Carthage Area Hospital, Carthage, New York, USA.
Background: While glenoid bone loss (GBL) after anterior shoulder instability correlates with poor functional outcomes, the specific effects of GBL in posterior and combined-type shoulder instability remain poorly characterized, especially in a high-risk military population.
Purpose/hypothesis: The purpose of this study was to compare GBL between unidirectional anterior or posterior instability versus combined-type instability in active-duty servicemembers. It was hypothesized that total GBL and GBL in the direction of instability would be greater in those with combined-type instability compared with unidirectional instability.
Traumatic dental injuries in the first year of life and related risk factors in three regions of Brazil: a multicenter birth cohort study.
BMC Oral Health
January 2025
Department of Pediatric Dentistry, Lutheran University of Brazil, Canoas, Brazil.
Background: Traumatic dental injuries (TDIs) in early childhood exert a negative impact on the quality of life of children and their families. However, there is no evidence from cohort studies on which to base prevention strategies at the beginning of life, when children are entirely dependent upon supervision. The aim of the present study was to estimate the incidence of TDI in the first year of life and explore risk factors in a birth cohort followed up in three major cities in different regions of Brazil.
View Article and Find Full Text PDFThe Contribution of Adverse Childhood Experiences and Neighborhood Characteristics on Outcomes Experienced by Urban Dwelling Black Men After Serious Traumatic Injury.
J Urban Health
January 2025
School of Nursing, University of Pennsylvania, 418 Curie Blvd, Fagin Hall, Philadelphia, PA, 19104, USA.
Depression and post-traumatic stress disorder (PTSD) are serious consequences of physical injuries. Stress associated with living in urban neighborhoods with socioecological disadvantages and the cumulative burdens of adverse childhood experiences (ACEs) can lead to poorer psychological outcomes. Limited research has explored how ACEs and socioecological environmental exposures in childhood and adulthood, together, impact post-injury outcomes.
View Article and Find Full Text PDFIncidence of peroneal tendon dislocation with talus fracture.
Foot Ankle Surg
January 2025
Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, IL, United States.
Background: Traumatic peroneal tendon dislocation (PTD) is known to occur with pilon and calcaneus fractures, however, literature describing PTD in concurrence with injury to the talus remains limited.
Methods: This was a retrospective review of adult patients with operatively treated talus fractures treated at a level I academic trauma center between 2007 and 2021. Charts, radiographs, and advanced imaging, when available, were reviewed for patient demographics, injury characteristics, and complications.
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