MyMedR

Chiu CK, Yin-Wei Chan C, Saw LB, Kwan MK

Eur J Trauma Emerg Surg, 2010 Apr;36(2):180-2.

PMID: 26815695 DOI: 10.1007/s00068-009-8212-3

BACKGROUND: Injury to the cervical spine due to a scarfassociated accident has not been reported in the literature. We present a case of a hangman's fracture in a 43-year-old woman that resulted from a scarfrelated injury as a consequence of a motor vehicle accident.

PURPOSE: To identify the mechanism of a scarf-related injury causing Hangman's fracture.

CASE REPORT: A 43-year-old woman was involved in a motor vehicle accident. She was wearing a scarf, which is a common clothing accessory for women in Malaysia. The scarf was violently torn off her head during the injury, causing a type I hangman's fracture. A halo vest for a total period of 3 months was applied.

CONCLUSION: A scarf-related injury can cause an injury that resembles judicial hanging, leading to a traumatic spondylolisthesis of the axis. Careful evaluation of the cervical spine radiographs is crucial as occult fracture of the axis can be missed.

Is nonoperative treatment still indicated for Jones fracture?

Chiu CK, Vivek AS

Eur J Trauma Emerg Surg, 2009 Aug;35(4):407.

PMID: 26815058 DOI: 10.1007/s00068-008-8148-z

INTRODUCTION: The issue of whether to treat Jones fracture surgically or nonsurgically is still controversial. In our institution, most acute Jones fractures are treated conservatively.

OBJECTIVES: This study assessed the functional outcomes of patients with acute Jones fractures that were treated conservatively by means of radiographic assessment, a physician-based scoring system and patient-based questionnaires.

METHODOLOGY: In this study, 25 patients with Jones fracture treated in our institution between January 2002 to December 2006, were retrospectively reviewed. Injuries were classified according to Jones' original description and the Torg classification. A simple patient satisfaction questionnaire was completed. Radiographic assessment of fracture union was recorded. Outcome instruments used were (a) the American Orthopaedic Foot and Ankle Society (AOFAS) clinical rating systemand (b) the American Academy of Orthopaedic Surgeons (AAOS) foot and ankle outcome questionnaire.

RESULTS: Of the 25 patients reviewed, 60% were very satisfied with the outcome, 28% were satisfied, 8% were fairly satisfied, and 4% were very dissatisfied. Based on radiographic and clinical assessments, one patient had delayed union and was treated surgically. The functional outcome scores were: mean AOFAS clinical rating score of 95.6 ± 7.7% (P < 0.005), mean AAOS foot and ankle score of 97.0 ± 4.4% (P < 0.005) and mean AAOS shoe comfort score of 90.2 ± 19.6% (P < 0.005).

CONCLUSIONS: Acute Jones fracture can be treated conservatively with good functional outcome.

Antegrade Versus Retrograde Locked Intramedullary Nailing for Femoral Fractures: Which Is Better?

Yu CK, Singh VA, Mariapan S, Chong ST

Eur J Trauma Emerg Surg, 2007 Apr;33(2):135-40.

PMID: 26816143 DOI: 10.1007/s00068-007-6156-z

Locked intramedullary nailing or interlocking nailing (ILN) is a proven mode of treatment for femoral shaft fractures. It can be inserted via the antegrade or retrograde approach. Retrograde approach is technically less demanding especially if the patient is overweight. But there are concerns with regard to the violation of the knee and its effect on subsequent knee function.

Facial Fractures in Kajang Hospital, Malaysia: A 5-Year Review

Rahman RA, Hussaini HM, Rahman NA, Rahman SR, Nor GM, Ai Idrus SM, et al.

Eur J Trauma Emerg Surg, 2007 Feb;33(1):90-5.

PMID: 26815981 DOI: 10.1007/s00068-007-5154-5

The objective of this study was to determine the demographic data as well as other relevant data pertaining to the management of patients with maxillofacial injury in a Malaysian government regional hospital.

Association between the time to definitive care and trauma patient outcomes: every minute in the golden hour matters

Hsieh SL, Hsiao CH, Chiang WC, Shin SD, Jamaluddin SF, Son DN, et al.

Eur J Trauma Emerg Surg, 2021 Nov 25.

PMID: 34825274 DOI: 10.1007/s00068-021-01816-8

PURPOSE: This study examined the association between lapsed time and trauma patients, suggesting that a shorter time to definitive care leads to a better outcome.

METHODS: We used the Pan-Asian Trauma Outcome Study registry to analyze a retrospective cohort of 963 trauma patients who received surgical intervention or transarterial embolization within 2 h of injury in Asian countries between January 2016 and December 2020. Exposure measurement was recorded every 30 min from injury to definitive care. The 30 day mortality rate and functional outcome were studied using the Modified Rankin Scale ratings of 0-3 vs 4-6 for favorable vs poor functional outcomes, respectively. Subgroup analyses of different injury severities and patterns were performed.

RESULTS: The mean time from injury to definitive care was 1.28 ± 0.69 h, with cases categorized into the following subgroups:

Acute pancreatitis: is early CT necessary?

Ariffin AC, Ngadiron H

Eur J Trauma Emerg Surg, 2017 12;43(6):883-884.

PMID: 28936579 DOI: 10.1007/s00068-017-0843-1

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