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13,337 results
  • Left Shoulder Pain After Routine Colonoscopy: An Unusual Presentation of Splenic Laceration. [Case Reports]
    Cureus. 2020 Apr 21; 12(4):e7755.Dziadkowiec KN, Stawinski PM, … Katz A
  • Splenic injury is an uncommon complication following a colonoscopy procedure. Splenic laceration typically presents with post-procedural abdominal pain. We present a case of non-specific shoulder pain, following an uneventful routine colonoscopy and highlight the importance of maintaining a high degree of clinical suspicion for the general gastroenterologist.
  • "Taken by surprise" - Women's experiences of the first eight weeks after a second degree perineal tear at childbirth. [Journal Article]
    Midwifery. 2020 May 18; 87:102748.Lindberg I, Persson M, … Lindqvist M
  • CONCLUSIONS: Although many women recovered fairly well the first months after a second degree perineal tear at childbirth, it was evident that a substantial number of women were unprepared for the pain and discomfort they experienced. It is apparent that also women with the "minor" perineal tears at childbirth need improved postpartum care with tailored analgesia and improved information, but also check-ups and reassurance of recovery from healthcare professionals. Health care professionals need to identify women with persisting problems so that they can be referred to inpatient care for additional assessments of the injury.
  • Distal Triceps Tendon Injuries. [Review]
    Clin Sports Med. 2020 Jul; 39(3):673-685.Walker CM, Noonan TJ
  • Distal triceps ruptures are uncommon, usually caused by a fall on an outstretched hand or a direct blow. Factors linked to injury include eccentric loading of a contracting triceps, anabolic steroid use, weightlifting, and traumatic laceration. Risk factors include local steroid injection, hyperparathyroidism, and olecranon bursitis. Initial diagnosis can be complicated by pain and swelling, and …
  • Acute liver abscess after non-operative management of blunt liver injury: A rare case managed with laparoscopic drainage. [Case Reports]
    Int J Surg Case Rep. 2020 May 14; 71:54-57.Lin MY, Liao CY, Lin BC
  • CONCLUSIONS: Liver abscess as a complication after NOM of blunt liver injury is a rare entity, with an incidence rate of 1.5%. It is usually seen in major liver injuries (grade III and above) and the abscesses take a median of 6 days (range, 1-12 days) to form and be diagnosed. The management of liver abscess may be by surgical drainage (laparotomy or laparoscopy) or percutaneous drainage.This report reminds us the liver abscess complication after NOM of blunt liver injury, although it is a rare entity. Results of this patient support drainage of the liver abscess can be safely and effectively performed by laparoscopy.
  • Demographics and Fracture Patterns of Patients Presenting to US Emergency Departments for Intimate Partner Violence. [Journal Article]
    J Am Acad Orthop Surg Glob Res Rev. 2020 Feb; 4(2)Loder RT, Momper L
  • CONCLUSIONS: As this study encompasses the entire United States, these results are germane to all US orthopaedic surgeons. Knowing typical fracture patterns/locations is helpful in identifying IPV patients, although the victim may not fully divulge the history and details of the event. Identification is important for the physical and mental health of the victim, and abuse often continues if intervention does not occur. The odds of a fracture in an IPV patient are greatest when the injury involved the extremities and increased with increasing age of the patient.
  • Identifying Predictors of Physical Abuse Evaluation of Injured Infants: Opportunities to Improve Recognition. [Journal Article]
    Pediatr Emerg Care. 2020 May 19 [Online ahead of print]Eismann EA, Shapiro RA, … Thackeray JD
  • CONCLUSIONS: Nearly half of preambulatory infants with visible injury were not evaluated for physical abuse. Targeted education is recommended as provider experience and training influenced the likelihood of physical abuse evaluation. Occult fractures and intracranial hemorrhage were often found in infants presenting with seemingly isolated "minor" injuries. Physical abuse should be considered when any injury is identified in an infant younger than 6 months.
  • Canalicular laceration repair using a self-retaining, bicanalicular, hydrophilic nasolacrimal stent. [Journal Article]
    Orbit. 2020 May 20 [Online ahead of print]Men CJ, Ko AC, … Korn BS
  • Purpose: To evaluate outcomes of primary eyelid and canalicular laceration repair using a self-retaining bicanalicular hydrophilic nasolacrimal stent.Methods: This study is a retrospective review of seven patients with canalicular laceration primarily repaired with a self-retaining bicanalicular nasolacrimal stent within 72 hours of initial injury. After lacrimal intubation, repair was performed …
  • Minimally invasive approach to low-velocity penetrating extraperitoneal rectal trauma. [Journal Article]
    Trauma Surg Acute Care Open. 2020; 5(1):e000396.Melland-Smith M, Chesney TR, … Brenneman F
  • Unlike intraperitoneal colorectal injuries, the standard of care for extraperitoneal rectal trauma includes a diverting colostomy due to relative inaccessibility of these injuries for primary repair. New technologies to enhance access to the extraperitoneal rectum have gained increasing use in benign and malignant rectal disease. We present two cases of low-velocity penetrating extraperitoneal re…
  • A Laparoscopic Approach to Post-Coital Vaginal Perforation in an Adolescent with Peritonitis and Hypovolemic Shock. [Case Reports]
    J Pediatr Adolesc Gynecol. 2020 May 13 [Online ahead of print]Cohen A, Ulrich A, Semenyuk N
  • CONCLUSIONS: Vaginal perforation with subsequent peritonitis and hemodynamic instability is a rare outcome in an adolescent who presents to the emergency department with pain or bleeding in the setting of recent penile intercourse. Delays in recognition can lead to further patient compromise with potential morbidity or mortality. In this patient cohort, we suggest maintaining a high clinical suspicion for this sequela, and a low threshold for surgery with perforations greater than 1 cm. In the event surgical management is warranted, we recommend a laparoscopic approach to increase visibility and improve post-operative outcomes.
  • Zone 2 Flexor Tendon Repair Location and Risk of Catching on the A2 Pulley. [Journal Article]
    J Hand Surg Am. 2020 May 12 [Online ahead of print]Altman PR, Fisher MWA, Goyal KS
  • CONCLUSIONS: An FDP repair proximal to the A4 pulley will slide under the A2 pulley with full active digital flexion after surgery. If the distal FDP stump lies underneath the A4 pulley with the digit fully extended, the FDP repair will not likely engage the A2 pulley with full flexion after surgery. The FDP excursion can be reliably predicted as a percentage of the A2 (distal) to the A4 (distal) pulley distance. Most importantly, the distance between the repair site and the A4 pulley approximately equals the length of the A2 pulley that requires release to avoid postoperative triggering.Knowledge of this high-risk region of flexor tendon repair will guide surgeons regarding the potential need for partial release of the A2 pulley.
  • Israeli Willingness to be Treated by a Physician Assistant. [Journal Article]
    J Community Health. 2020 May 13 [Online ahead of print]Berkowitz O, Hooker RS, … Zigdon A
  • Are Israelis willing to be seen by a physician assistant (PA) instead of a doctor if they can save time? PAs were introduced into Israel emergency departments 2 years prior to this study and few if any knew about them. A survey containing a series of scenarios involving hypothetical injuries was electronically distributed in 2019; over 7000 Israeli citizens responded. They were asked to choose be…
  • A Rare Case of Spontaneous Bilateral Subcapsular Renal Hematoma. [Journal Article]
    J Investig Med High Impact Case Rep. 2020 Jan-Dec; 8:2324709620918098.Bajaj T, Trang N, … Eppanapally S
  • Spontaneous bilateral renal subcapsular hematoma is a rare condition. On literature review, only 2 case reports have elucidated possible etiologies for such a presentation; however, no definite conclusions have been made. We present a rare case of a 52-year-old female with diabetes mellitus type 2, chronic kidney disease stage 4, hypertension, hyperlipidemia, prior traumatic brain injury via moto…
  • Tennis-related adult maxillofacial trauma injuries. [Journal Article]
    Phys Sportsmed. 2020 May 18 [Online ahead of print]Pueringer J, Cohn JE, … Sokoya M
  • Objectives: Tennis participation continues to increase amongst adults across the United States. The purpose of this study was to analyze trends in adult tennis-related facial injury epidemiology, demographics, diagnoses, and locations of injury.Materials and methods: The National Electronic Injury Surveillance System was evaluated for tennis-related facial injuries in adults from 2009 through 20…
  • Iatrogenic vascular laceration during posterior lumbar disc surgery: a literature review. [Review]
    Neurosurg Rev. 2020 May 12 [Online ahead of print]Akhaddar A, Alaoui M, … Hall W
  • Iatrogenic vascular laceration is a rare but well-known complication of posterior lumbar disc surgery (PLUDS). We performed a review of the literature to evaluate the management of this life-threatening complication. A total of 54 papers containing 100 cases of vascular laceration following PLUDS between 1969 and 2018 were analyzed with our representative case with a left common iliac artery (CIA…
  • Management of Foreign Bodies in the Ear: A Retrospective Review of 123 Cases in Nigeria. [Journal Article]
    Ear Nose Throat J. 2020 May 12 [Online ahead of print]Olajide TG, Ologe FE, Arigbede OO
  • Foreign bodies in the ear are relatively common in emergency medicine. However, attempts at removal made outside the healthcare setting by untrained persons can result in complications of varying degrees. We conducted a 3-year retrospective review of 123 cases of aural foreign bodies at our hospital in Nigeria. Our patient population was made up of 80 males and 43 females, aged 2 to 67 years (mea…
  • First Metatarsophalangeal Joint Arthrodesis Using Memory Staples: Clinical and Functional Results. [Journal Article]
    Foot Ankle Spec. 2020 May 11 [Online ahead of print]Challagundla SR, Thomas R, … Crane E
  • Background. We present clinical and functional results of first metatarsophalangeal joint (MTPJ) arthrodesis using Memory staples. Methods. This retrospective observational study reviewed MTPJ arthrodesis with Memory staples from 2012 to 2016. Results. The mean age of 50 patients (55 feet) was 63 years (range 41-77 years). Forty-one feet were in women. Indication was hallux rigidus (n = 49) and…
  • Injury pattern and the biomechanical assessment of skull fracture risk in blows with a rubber mallet. [Case Reports]
    Forensic Sci Int. 2020 Apr 23; 312:110303.Muggenthaler H, Hubig M, … Stiller D
  • Acts of violence often result in blunt force trauma. On behalf of the court, forensic experts not only have to assess injuries in terms of morphology or severity, but they also have to give statements regarding the risk of potential fatal injuries. We describe a case of domestic violence where a man hit the head of his wife using a rubber mallet. His wife sustained extensive and multiple parietal…
  • Splenic injury: a rare complication of lower endoscopy. [Journal Article]
    BMJ Case Rep. 2020 May 07; 13(5)Cathala Esberard B, Mohseni M
  • Splenic injury after colonoscopy is a rare (1:100 000) but serious complication after colonoscopy associated with high morbidity. Consequences range from a mild, self-limited splenic haematoma to the catastrophic shattered spleen and haemorrhagic shock. We present a case of a 68-year-old woman reporting to the emergency department with abdominal pain after colonoscopy. Abdominal CT with intraveno…
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