Showing 4 results for Trauma
Mahmoud Jabalameli, Majid Abedi, Mehran Radi, Hooman Yahyazadeh, Seyed Jalil Hamidi,
Volume 5, Issue 4 (11-2018)
Abstract
Traumatic bilateral patellar tendon rupture (BPTR) is a rare injury with low levels of clinical suspicion, especially in young adults. Since early diagnosis of the BPTR is the cornerstone of a successful management, BPTR reports are valuable as they raise awareness of the careful clinical and radiologic workout in similar cases. Here, we present a case of BPTR in a 34-year-old male following a motorcycle accident. At the emergency department, the necessary examinations including clinical, physical, and radiologic tests were performed and BPTR was diagnosed accordingly. The patient underwent reconstruction surgery the day after the injury. At the last follow-up, the patient was able to perform active straight leg raise with 130° flexion and no extension lag. The superior results of BPTR reconstruction in this report further emphasize the importance of early diagnosis and repair of BPTR. Active straight leg raise test is necessary to perform for all patients with a history of an eccentric load of the knee extensor mechanism, and if positive, extensor mechanism rupture should be strongly suspected.
Omid Mahmoudi Nasab, Mohsen Heidari, Sam Haji Alilu Sami, Mohammad Mehdi Azizi, Mohammad Reza Kooshesh,
Volume 6, Issue 3 (8-2019)
Abstract
Introduction: Post-traumatic Pseudoaneurysm (PTP) is a rare condition. Because of its clinical course and presentation like a tumor lesion, its early diagnosis and appropriate treatment is necessary.
Case Presentation: In this study, we present a case of PTP in the left peroneal artery two years after trauma that presented with calf mass.
Conclousion: Magnetic resonance imaging and magnetic resonance angiography were used for the diagnosis, and the patient was successfully managed with endovascular stenting.
Dr Ali Yeganeh, Dr Amir Ebrahimzadeh Babaki, Dr Anahid Bagheripour,
Volume 9, Issue 3 (8-2022)
Abstract
Background and Objectives: Acquired local hypertrichosis occurs unilaterally in the same organ, causing asymmetry and beauty-related issues. This study investigates the prevalence of hypertrichosis after the casting of limb fractures, addressing patient concerns, preventive measures, and timely treatment.
Methods: In this prospective cohort study, 82 patients who were hospitalized in the orthopedic department of Hazrat Rasul Akram educational, research and treatment complex in 2019 and required limb casting due to fractures or trauma were included. Demographic and clinical information of the patients were collected through interviews or by consulting the patient’s clinical file. The severity of the trauma and the presence of hypertrichosis were also determined by clinical examination.
Results: Out of a total of 82 participants in the study, 41(50%) were male and 41(50%) were female. The mean age was 41.04±22.14 years. The mean duration of casting was 4.65±1.02 weeks. Meanwhile, 80(97.6%) people had undergone plaster casting once; however, 43 people (52.4%) had minor fractures. The most commonly injured site was the distal tibia, accounting for 30.48% of cases. The patients with hypertrichosis and patients without hypertrichosis were the two study groups, and the mean age in each group was significantly different from the other (P=0.0001); however, no other significant relationships or differences were discovered (P>0.05).
Conclusion: The incidence of hypertrichosis in Iranian society is 8.5%, which is slightly lower compared to other societies. Younger patients in Iran are more susceptible to developing hypertrichosis after limb casting of broken limbs.
Omid Momen, Habib Gorgani Firouzjah, Afshin Sahebjamei, Mansoor Paryab, Mahsa Arab, Hasan Ghandhari,
Volume 10, Issue 2 (5-2023)
Abstract
Background: Traumatic spinal cord injury (TSCI) is a recognized health challenge worldwide that may lead to physical and neurological disorders. Neurological recovery following TSCI depends on several factors.
Objectives: This study aims to investigate predictors of neurological recovery in patients with TSCI.
Methods: In this multicenter cohort study, the medical profile of 120 TSCI patients referred to the emergency room of two educational centers affiliated with Golestan University of Medical Sciences between 2014 and 2018 were examined. A definitive diagnosis of TSCI was made based on neurological examination and radiographic results. Patient information was collected using a two-part checklist that included demographic characteristics and clinical results. TSCI severity was assessed using the American spinal cord injury scale (ASIA) 12 months after surgery. Multivariate logistic regression analysis was used to investigate predictors of improvement in neurological recovery.
Results: The average age was 35.16±13.61 years. A total of 96 people (80%) were men. The average duration of surgical injury in TSCI patients was 5.3±2.3 days. The results of multivariate analysis showed that age >30 years (odds ratio (OR) adj=1.44; 95% confidence interval (CI), 1.03−1.85; P=0.04), female gender (OR adj=1.54; 95% CI, 1.09%, 2.08%; P=0.032), body mass index (BMI) >26 kg/m2 (OR adj=1.41; 95% CI, 1.02%, 1.88%; P=0.006), duration of injury to surgery >4 days (OR adj=1.62; 95% CI, 1.11%, 2.12%; P=0.04) and the severity of the initial injury (A and B vs C and D) (OR adj=1.81; 95% CI, 1.12%, 254%; P=0.001), were significantly related to neurological recovery.
Conclusion: Our study showed that neurological recovery was higher in men younger than 30 years with a standard BMI. Delayed treatment and the severity of the initial injury were significantly associated with decreased neurological recovery.
