1,826 results match your criteria: "Blunt Force Trauma"

Morel-Lavallée lesion (MLL) is a closed soft tissue injury following trauma that is often missed. If not treated appropriately, they can lead to infection and is difficult to treat. High-energy trauma with shear forces should be treated with MLL in mind.

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Background: Pharyngeal perforation has been documented as a consequence of substantial external force applied to the neck. Such trauma is frequently accompanied by additional organ injury and cervical fracture. In this report, we present an exceptionally rare instance in which minor blunt trauma to the neck resulted in pharyngeal injury without concomitant damage to other organs.

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Musculoskeletal injuries from gender-based violence at a tertiary hospital orthopaedic centre, central South Africa.

Injury

November 2024

Department of Biostatistics, School of Biomedical Sciences, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.

Introduction: Limited research describing the pattern of orthopaedic musculoskeletal injuries among gender-based violence (GBV) victims has been conducted in South Africa. With the high prevalence of GBV in our locality, there is a need for healthcare workers to identify this vulnerable population for early management, intervention, and prevention of subsequent assaults. This study aimed to describe the pattern of musculoskeletal injuries resulting from physical assaults due to GBV.

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Investigating skeletal fracture patterns in truck occupants involved in fatal motor vehicle incidents.

Int J Legal Med

November 2024

Department of Forensic Medicine, School of Public Health and Preventive Medicine, Monash University, 65 Kavanagh Street, Southbank, VIC, 3006, Australia.

Globally, thousands of truck occupants die annually from motor vehicle incidents. During medico-legal investigations of such incidents, forensic practitioners are required to undertake thorough examinations of the injuries present. Despite this, very few studies assessing skeletal fractures in particular, in deceased truck occupants are currently available in the literature for practitioners.

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Blunt force trauma (BFT), the injury of the body by forceful impacts such as falls, motor vehicle crashes and collisions, causes damage to bio-organs that can lead to life-threatening situations. To address the unmet need of bioprotection materials for BFT, we developed a novel, liquid nanofoam (LN)-based system. The LN system employs a unique mechanism of energy absorption, i.

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Article Synopsis
  • Aotearoa New Zealand has a significant rate of abusive head trauma (AHT) among children, prompting the need for referrals to a specialized child protection team (CPT), but no prior research has explored what influences these referral decisions.
  • The study analyzed data from children under 5 years old with head injuries from 2010 to 2019 to identify factors affecting the likelihood of being referred to the CPT.
  • Results showed that various factors, like age under one, inconsistent injury histories, and social concerns, significantly influenced referral decisions, aligning with existing literature and resulting in a high model accuracy (AUROC of 0.95).
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Mild traumatic brain injury (mTBI) is a common occurrence around the world, associated with a variety of blunt force and torsion injuries affecting all age groups. Most never reach medical attention, and the identification of acute injury and later clearance to return to usual activities is relegated to clinical evaluation-particularly in sports injuries. Advanced structural imaging is rarely performed due to the usual absence of associated acute anatomic/hemorrhagic changes.

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  • The study aimed to find out how much force is required to cause ruptures in the eyes of deceased dogs and where these ruptures typically occur.
  • A total of 66 canine eyes were tested using a mechanical device that applied force to the cornea or equator until rupture happened.
  • Results showed that larger body weight and globe diameter increased the force needed for rupture, with ruptures often located around the equator and extending posteriorly by about 1 cm, which might not be easily seen during a clinical exam.
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A forensic overview of deaths in mountainous terrain.

Forensic Sci Med Pathol

November 2024

School of Biomedicine, The University of Adelaide, Level 2, Room N237, Helen Mayo North, Frome Road, Adelaide, SA, 5005, Australia.

Deaths at high altitudes may arise from a range of quite disparate entities including trauma (e.g. falls), environmental factors (e.

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Forensic investigation into head trauma in combat sports, blunt force homicides, and traditional martial arts.

Forensic Sci Int

December 2024

Department of Orthopaedic and Trauma Surgery, Institute of Motion Analysis and Research, The Ninewells Hospital and Medical School, The University of Dundee, Dundee, UK.

Background: The analysis of circumstantial elements in post-mortem examinations is crucial for identifying perpetrators in unarmed close-range homicides. This study explores the forensic analysis of head trauma fatalities related to combat sports, blunt force trauma homicides, and traditional martial arts (TMA), aiming to bridge the gap between historical martial arts documentation and modern forensic pathology.

Materials And Methods: Following PRISMA guidelines, we conducted a systematic literature review and interdisciplinary analysis combining traditional forensic methods with the study of TMA manuscripts and consultations with martial arts experts.

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Article Synopsis
  • - Hemorrhage is the main cause of preventable death in trauma situations, leading to military and civilian advancements in medical practices, particularly through the use of tourniquets to manage extremity bleeding and save lives.
  • - While tourniquets have significantly decreased deaths from bleeding in military settings, noncompressible hemorrhage still poses a major risk, especially before patients receive definitive medical care.
  • - The study explores using a small, disposable pressure monitor during resuscitative endovascular balloon occlusion of the aorta (REBOA) to enhance blood pressure monitoring, facilitate better resuscitation practices, and reduce the need for blood products in extreme environments.
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Introduction: Neovascularization of the lens is a rare entity linked to lens-induced inflammation due to many causes like trauma. We describe a case managed using suprachoroidal triamcinolone, an anti-VEGF injection, in conjunction with cataract surgery and IOL implantation.

Patient And Clinical Findings: A male patient, 27, presented with a severe reduction in vision in his right eye (RE) accompanied by redness for one month.

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  • Bronchial rupture should be considered in cases of significant air leaks from intercostal drain tubes after major chest trauma, as indicated by X-rays and CT scans.
  • A case study of a 15-year-old boy involved in a car accident showed severe chest injuries, including rib fractures and pneumothorax, but no clear signs of bronchial rupture were found.
  • Mechanical ventilation parameters indicated low pressures and tidal volume, which may signal bronchial rupture as a critical complication of blunt chest trauma.
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Surgical management of traumatic spondyloptosis: a case series.

J Med Case Rep

October 2024

Maharajgunj Medical Campus, Maharajgunj, Kathmandu, 44600, Nepal.

Article Synopsis
  • Traumatic spondyloptosis is a rare and serious spinal injury where one vertebra shifts completely forward over another, often leading to significant nerve damage.
  • The study presents two cases of this injury: one in a 30-year-old man who had severe back pain and paralysis after a tree-cutting accident, and another in a 35-year-old woman who suffered similar symptoms following a fall from a cliff.
  • Both patients underwent surgery for stabilization, highlighting the need for quick recognition and treatment of such injuries to improve patient outcomes.
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  • The study focused on the clinical presentation of traumatic tympanic membrane perforation in children under 18 years old, conducted from February 2023 to February 2024.
  • A total of 384 children were analyzed, with the majority being male, and physical assault was identified as the leading cause of these injuries.
  • The most common symptoms observed included ear blockage and hearing loss, with more than half of the children experiencing conductive hearing loss.
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  • The technique for reshaping the nasal pyramid has advanced greatly in the last two decades, focusing on reducing bone trauma during surgical procedures.
  • Recent mechanical instruments may unintentionally cause fractures that affect bone stability and surface quality.
  • Electric and piezoelectric instruments have been introduced to enhance precision in nasal surgeries, with the article evaluating the pros and cons of these tools for common rhinoplasty procedures.
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  • Pickaxe injuries are not well-studied in forensic science, which is important for understanding violent incidents.
  • A case involving a 28-year-old victim revealed distinct injury patterns from pickaxe blows to the head, abdomen, and hands, resembling both chop wounds and blunt force trauma.
  • The severity of injuries was linked to the force used, indicating that pickaxe injuries combine characteristics of various injury types and should be taken into account during forensic investigations.
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Analysis of unique atypical screwdriver injuries.

J Forensic Sci

November 2024

Cook County Medical Examiner's Office, Chicago, Illinois, USA.

Article Synopsis
  • Fatalities from sharp objects like screwdrivers are rare in the U.S., but the shape of the screwdriver tip can influence the type of wounds inflicted.
  • In a case study, a male found dead had injuries consistent with a Torx screwdriver, an uncommon deadly weapon that creates both penetrating and blunt force trauma.
  • The case underscores the need for forensic pathologists to identify unusual wound patterns and document injuries in detail to help pinpoint rare weapons used in crimes.
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  • Understanding the cause of death in road traffic incidents is essential for forensic and public health investigations, as it aids in identifying contributing factors.
  • In this case, the autopsy of a 53-year-old male driver revealed multiple blunt force injuries and chewing gum in his larynx, which complicated the determination of his cause of death.
  • The report emphasizes the need for thorough airway evaluations and proper documentation during emergency responses to avoid potential misdiagnoses and ensure better outcomes in similar cases.
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  • Nonoperative management (NOM) is increasingly used for blunt splenic injuries (BSIs) in Germany, showing high success rates even in severe cases, with guidelines supporting this practice.
  • A study analyzed data from 2,782 patients with BSIs, revealing that 57.5% received NOM while angioembolization (ANGIO) was used in only 1.0% of cases, mainly for less severe injuries.
  • The findings suggest a disconnect between clinical practice and guidelines, as more severe injuries typically led to splenectomy instead of ANGIO, highlighting the potential need for improved local treatment protocols.
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