Journal articles on the topic 'Injuries'
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1
Jovanovic, Milos, Anica Bobic-Radovanovic, Dragan Vukovic, and Vujica Markovic. "Unusual eye injuries." Acta chirurgica Iugoslavica 59, no. 1 (2012): 101–4. http://dx.doi.org/10.2298/aci1201101j.
Abstract:
Purpose: The analysis of ten unusual eye injuries, and the discussion of appropriate preventive measures. Case outline: Ten patients hospitalized at the Clinic of Eye Diseases, Clinical Center of Serbia, Belgrade, in the period from January 2000. to December 2009. were presented. Following data were taken in account: sex and age of the patient, injured eye, the mechanism of injury, type of the injury, applied treatment and final visual acuity. The circumstances of the eye injuring of ten patients were described. The eye injuries in all cases occurred in a bizarre way and they were severe enough to require hospital admission. The surgery was necessary in seven patients. Three injured eyes resulted in blindness, and two additional had subnormal vision. Conclusion: In three quarters of discussed cases injuries can be avoided. It is necessary to implement protective measures constantly and consistently and to think about the possible consequences of certain activities. Particular attention should be paid on safety of children. The iatrogenic injuries require special consideration.
2
Golub’, E. V., and A. P. Golub’. "TRAUMATIZATION BY LAMPREYS OF SOCKEYE SALMON ONCORHYNCHUS NERKA (WALBAUM, 1792) IN THE MEYNYPIL’GYN LAKE-RIVER SYSTEM (KORYAK COAST OF CHUKOTKA)." Izvestiya TINRO 198 (October 2, 2019): 3–18. http://dx.doi.org/10.26428/1606-9919-2019-198-3-18.
Abstract:
Data on traumatization of sockeye salmon Oncorhynchus nerka spawners in the Meynypil’gyn lake-river system by lampreys are presented on results of observations in 1998– 2018. Features and localization of injuries are described comparing the injuries of males and females and biological parameters of fish with and without the injuries. In the Meynypil’gyn lake-river system, relative to other areas of Russian Far East, the portion of fish with injuries from lampreys is medium for sockeye salmon, and low for pink salmon Oncorhynchus gorbuscha and charr Salvеlinus malma. Judging by size of the wounds, the injuries were caused mostly by arctic lamprey Entosphenus tridentatus. Generally, about 68 % of sockeye spawners were attacked by lampreys during their pre-spawning migrations just before entering the fresh waters, but the percentage (P) depends on length (L) of fish: P = 1.2026 . L + 1.2192 (R2 = 0.879). So, the portion of injured fish increased from 2.7 % for the sockeye producers with length < 500 mm to 31.2 % for those with length 671–680 mm. Mean size and weight of the male and female sockeye spawners with traces of lampreys were statistically significantly higher than these parameters for the fish without injuries. The males injured by lampreys were larger than the males without injures in 18 mm and 295 g, the females — in 5 mm and 80 g, on average. Sockeye females had weaker and less numerous damages, so their portion among the fish with 1 injury was 45.4 %, among the fish with 2 injuries — 42.9 %, among the fish with 3 or more injures — 37.0 %. Besides, mean size of the injured sockeye increased with a number of injures and for the groups with 1, 2, and 3 or more injures it was for females: 604, 608, and 613 mm, for males: 655, 667, and 674 mm, respectively. Such dependencies of alive fish traumatization on their size are caused by higher mortality of small fish after lampreys attacks. There is concluded that arctic lamprey affects significantly on sexual and size composition of sockeye spawners in the Meynypil’gyn lake-river system providing selection of fish with larger size and weight, in particular males.
3
Arif, Mariam, and Syed Hamad Rasool. "PHYSICAL INJURIES;." Professional Medical Journal 24, no. 11 (November 3, 2017): 1727–32. http://dx.doi.org/10.29309/tpmj/2017.24.11.660.
Abstract:
Introduction: Injury is one of the leading causes of mortality and morbidityworldwide. Objectives: The aim of the study was to determine the pattern of physical injuriesin medicolegal cases presented to Services hospital, Lahore. Study Design: Descriptive study.Setting: Accident and emergency department of Services hospital, Lahore. Period: 1stJanuary2014 and 31stDecember 2014. Method: All cases presenting for medico legal examination withphysical injuries were included. Data was collected regarding age, gender, types of injuries,body area involved, causative weapon and whether certification of injuries was done accordingto Qisas and Diyat Ordinance. Results: A total of 86.4% cases were of physical injuries. Out ofthese cases, 73% of blunt weapon, 11% of firearm weapon, 10% of sharp weapon, 4%of roadtraffic accidents and1.5 % of bomb blast presented in the medico-legal clinic. Males (87.4%)outnumbered females (12.5%) Almost two-third of victims (64.2%) were between 21 and 40years of age. The head and neck were the areas most commonly injured in cases of blunttrauma 48.3% while limbs were more likely to be involved in other physical injuries. All caseswere certified according to Qisas and Diyat Ordinance. Conclusion: It is the hour of need thatboth public and private sectors work together in devising and implementing effective injuryprevention programs.
4
Stankovic, Nebojsa. "War liver injuries." Vojnosanitetski pregled 62, no. 1 (2005): 3–10. http://dx.doi.org/10.2298/vsp0501003s.
Abstract:
Aim. To provide a retrospective analysis of our results and experience in primary surgical treatment of subjects with war liver injuries. Methods. From July 1991 to December 1999, 204 subjects with war liver injuries were treated. A total of 82.8% of the injured were with the liver injuries combined with the injuries of other organs. In 93.7%, the injuries were caused by fragments of explosive devices or bullets of various calibers. In 140 (68.6%) of the injured there were minor lesions (grade I to II), treated with simple repair or drainage. There were complex injuries of the liver (grade III-V) in 64 (31.4%) of the injured. Those injuries required complex repair (hepatorrhaphy, hepatotomy, resection debridement, resection, packing alone). The technique of perihepatic packing and planned reoperation had a crucial and life-saving role when severe bleeding was present. Routine peritoneal drainage was applied in all of the injured. Primary management of 74.0% of the injured was performed in war hospitals. Results. After primary treatment, 72 (35.3%) of the injured were with postoperative complications. Reoperation was done in 66 injured. Total mortality rate in 204 injured was 18.1%. All the deceased had significant combined injuries. Mortality rates due to the liver injury of the grade III, IV and V were 16.6%, 70.0% and 83.3%, respectively. Conclusion. Complex liver injuries caused very high mortality rate and the management of the injured was delicate under war circumstances (if the injured reached the hospital alive). Our experience under war circumstances and with war surgeons of limited knowledge of the liver surgery and war surgery, confirmed that it was necessary to apply compressive abdominal packing alone or in combination with other techniques for hemostasis in the treatment of liver injuries grade III-V, resuscitation and rapid transportation to specialized hospitals.
5
Baris, Veysel Karani, Seyda Seren Intepeler, and Emine Yasemin Yeginboy. "The Cost of Serious Patient Fall-Related Injuries at Hospitals in Turkey: A Matched Case-Control Study." Clinical Nursing Research 27, no. 2 (September 29, 2016): 162–79. http://dx.doi.org/10.1177/1054773816671521.
Abstract:
Patient falls cause economic loss in hospitals, as well as patient injuries. This study aimed to calculate the additional hospital cost and length of stay (LOS) due to fall-related serious injuries and to identify the determining factors for both outcomes. A matched case-control design was used in the study. It was conducted with a case group of 39 patients and a control group of 39 patients in 28 hospitals in İzmir, Turkey. The additional hospital cost and LOS due to fall-related serious injuries were calculated to be US$3,302.60 and 14.61 days, respectively. Precautionary initiatives for the injurious falls can prevent patients from getting injured and avoid increases in cost and LOS due to these injuries.
6
Koźlenia, Dawid, and Jarosław Domaradzki. "Risk of incidental and recurrent injuries among young athletes of selected team games." Sport i Turystyka. Środkowoeuropejskie Czasopismo Naukowe 3, no. 3 (2020): 91–102. http://dx.doi.org/10.16926/sit.2020.03.23.
Abstract:
Purpose: The research aimed to assess the risk of incidental and recurrent injuries in young athletes according to the training experience, training weekly volume, and morphological features.Methods: One hundred and twenty-five male athletes were included in the study (22 American football players, 30 football players, 49 handball players, and 24 volleyball players). Injures data were collected with the questionnaire.Results: Most of the young players were injured. The basic risk factors of incidental injuries are the length of the training experience. In the case of recurrent injuries, it is also a training internship and a weekly training volume. The risk of incidental injury increases with 30% every year. In the case of recurrent injuries, the risks associated with each year of training by 28%, and 26% with an increase in training volume. The morphological did not increase injury risk.Conclusion: With the training experience, training volume, the risk of sports injury increases. Long-term activities are required in the training process with proper training loads, methods of preventing sports injuries, and regeneration techniques for the protection of young athletes from injuries.
7
Abdulrahman, Chyavan Mohammed. "An analytical study to identify the most common types, causes and areas for injuries among students of Physical Education College at university of Duhok." Academic Journal of Nawroz University 9, no. 2 (June 19, 2020): 12. http://dx.doi.org/10.25007/ajnu.v9n2a682.
Abstract:
The current research aims to Identify the most common types of sports injuries that occurring to students of the Faculty of physical Education at University of Duhok, Identifying the most areas of the body that exposed to this injuries and most important reasons that lead to these injuries among students. A questionnaire was designed for the study included three tables, the first table includes common types of injuries, the second table included the common reasons that lead to injuries and the third table included the most common areas of the body exposed to injuries. The reliability and the validity of the questions were evaluated. The researcher has used descriptive method .The sample of research included injured students of the faculty of Physical Education . The survey included a total sample of 675 students .The total number of sports injuries from both gender reported of the all four-stages students in the college that covered by the study was 98 (14.51%) .Data were collected from the questionnaires and SPSS version 22 was used to analyze them . the result show that Knee injuries were the most areas of the body exposed to injury for physical education students, the muscle rupture injuries were the most common type of injurie and warming-up was one of the main causes of injuries.
8
Sosenkina, I. M., N. A. Osokin, and A. Yu Klimentova. "ECONOMIC IMPACT OF ICE AND SNOW RELATED INJURIES IN RUSSIAN REGIONS." Strategic decisions and risk management, no. 1 (May 2, 2019): 58–69. http://dx.doi.org/10.17747/2618-947x-2019-1-58-69.
Abstract:
In recent years, there has been a dynamic increase in injuries associated with winter slippery conditions on the streets of settlements. Injures directly affect the quality of life and costs of specific people, and indirectly – the economic performance of various organizations and foundations to which the injured is related. The costs and loss of profit of organizations, municipalities and the state, due to the winter injuries of the population are analyzed. To this end, an analysis of foreign and Russian studies and various aspects of injuries associated with a controlled cause, icing has been carried out. Developed tools and methods of calculation. The results of the paper indicate that injuries derived from winter slipperiness can has a substantial negative effect on a region’s economy by decreasing it GDP by more than 0.1%. In conclusion the authors stress the importance of enhancing the current statistical monitoring system in Russia to help prevent winter related injuries and implement efficient methodsof preventing road icing to minimize the negative economic impact.
9
Digiacomo, Jody C., Noam Gerber, L. D. George Angus, Swapna Munnangi, and Sara Cardozo-Stolberg. "Blunt Adrenal Injury: Results of a State Trauma Registry Review." American Surgeon 85, no. 4 (April 2019): 390–96. http://dx.doi.org/10.1177/000313481908500430.
Abstract:
In the past, injuries to the adrenal glands due to blunt trauma were considered rare, and were reported to be associated with high Injury Severity Scores (ISSs) and high mortality. Recent reports have reported a much high incidence associated with lower ISS and lower mortality. The purpose of this study was to assess the incidence of adrenal gland injuries due to blunt trauma in a large state trauma registry and determine whether these injuries are associated with a higher ISS and increased risk for mortality. A retrospective review was performed on the New York State Trauma Registry comparing blunt injured adults with adrenal injuries to those who did not. Concurrent organ injuries, ISS, and inhospital mortality were compared. Three hundred thirty-nine patients with adrenal gland injuries were identified. Concurrent liver and kidney injuries were more prevalent in the adrenal injured group, and concurrent injuries to the small and large intestine and spleen were more prevalent in the nonadrenal injured group. There was no difference in ISS or mortality between the adrenal injured and nonadrenal injured populations. The results of this study are consistent with recent smaller studies which identified incidence rates which were higher than previously reported and that ISS and mortality risk were unchanged by the presence of blunt adrenal gland injuries. Adrenal gland injuries due to blunt trauma are not uncommon, with an incidence rate of 0.61 per cent. Adrenal gland injuries are not associated with higher ISS or an increased risk of mortality.
10
Allen, Courtney E., Janet Figueroa, Maneesha Agarwal, and Wendalyn K. Little. "Pediatric Scald Injuries Sustained From Instant Soup and Noodle Products." Clinical Pediatrics 60, no. 1 (July 25, 2020): 16–19. http://dx.doi.org/10.1177/0009922820944394.
Abstract:
Background and Objective. Scald burns are a major cause of pediatric burn injuries. Instant soups have been identified as one source of these injuries. This study aims to quantify and characterize these injuries in pediatric patients. Methods. Ten-year query of National Electronic Injury Surveillance System (NEISS) database identified instant soup- and noodle-related scald burns in children aged 4 to 12 years. Data included patient demographics, injured body part, case narratives, and emergency department disposition. Results. A total of 4518 cases were identified, yielding an estimate of 9521 cases/year in the United States. Younger children were affected more than the older. Trunk was the most commonly burned body area. Approximately 10% of injuries required admission or transfer for further care. Conclusion. Instant soup and noodle products are a common cause of pediatric scald burns, potentially injuring 25 children per day in the United States and leading to high rates of health care utilization.
11
Bixby-Hammett, Doris M. "Pediatric Equestrian Injuries." Pediatrics 89, no. 6 (June 1, 1992): 1173–76. http://dx.doi.org/10.1542/peds.89.6.1173.
Abstract:
Using data from four sources, horse-related injuries are summarized for persons younger than 25 years of age. Head injury caused 57% of deaths. The upper extremity was the most common area injured, with the next most frequent areas the lower extremity (National Park Service data) and the head (United States Pony Clubs [USPC] data). Injured females outnumbered injured males and had a greater percentage of participants injured (USPC data). Injuries occurred at home in 41% (National Electronic Injury Surveillance System data). USPC figures suggest that greater knowledge may reduce the severity of horse-related injuries. Previous horse-related injury had occurred in 1 of 4 of those injured (USPC data). One third of accidents occurred during lessons (USPC data). Riding instructors should be certified by a recognized organization, and parents should evaluate an instructor's personal riding and their safety records with students. The pediatrician's role should be in counseling parents with children who ride and in offering recommendations for safety to governing boards of youth horse activities.
12
Beierle, Elizabeth A., Mike K. Chen, Max R. Langham, David W. Kays, and James L. Talbert. "Small Watercraft Injuries in Children." American Surgeon 68, no. 6 (June 2002): 535–38. http://dx.doi.org/10.1177/000313480206800606.
Abstract:
The speed and use of small watercraft have increased dramatically in recent years. We report our experience with pediatric trauma resulting from small watercraft accidents. We conducted a retrospective chart review including all children admitted with injuries sustained in small watercraft accidents. Sixteen children were included; nine were injured in jet ski accidents and seven in accidents involving other craft. Jet ski accidents tended to result in more serious injuries (closed-head injuries, hollow and solid viscus injuries, chest trauma, spinal injuries leading to paralysis, and death) than those sustained in accidents with small boats. Skin and soft-tissue injuries and long-bone fractures were the most frequent injuries following accidents with other small boats. Six of eight children (75%) injured on jet skis required operative interventions. Only three of seven (43%) children in other watercraft accidents required surgery ( P < 0.05 jet ski vs other watercraft). When compared with children injured in accidents involving small boats those involved in jet ski accidents tended to have more serious injuries and require operative intervention more frequently. A high index of suspicion for serious injuries must be maintained when evaluating children with this mechanism of injury.
13
Rodoplu, Ülkümen, Jeffrey L. Arnold, Rifat Tokyay, Gurkan Ersoy, Serkan Cetiner, and Tayfun Yücel. "Mass-Casualty Terrorist Bombings In Istanbul, Turkey, November 2003: Report of the Events and the Prehospital Emergency Response." Prehospital and Disaster Medicine 19, no. 2 (June 2004): 133–45. http://dx.doi.org/10.1017/s1049023x00001643.
Abstract:
AbstractBackground:This paper describes the two mass-casualty, terrorist attacks that occurred in Istanbul, Turkey in November 2003, and the resulting prehospital emergency response.Methods:A complex, retrospective, descriptive study was performed, using open source reports, interviews, direct measurements of street distances, and hospital records from the American Hospital (AH) and Taksim Education and Research State Hospital (TERSH) in Istanbul.Results:On 15 November, improvised explosive devices (IEDs) in trucks were detonated outside the Neve Shalom and Beth Israel Synagogues, killing 30 persons and injuring an estimated additional 300. Victims were maldistributed to 16 medical facilities. For example, AH, a private hospital located six km from both synagogues, received 69 injured survivors, of which 86% had secondary blast injuries and 13% were admitted to the hospital. The TERSH, a government hospital located 1 km from both synagogues, received 48 injured survivors. On 20 November, IEDs in trucks were detonated outside the Hong Kong Shanghai Banking Corporation (HSBC) headquarters and the British Consulate (BC), killing 33 and injuring an estimated additional 450. Victims were maldistributed to 16 medical facilities. For example, TERSH, located 18 km from the HSBC site and 2 km from the the BC received 184 injured survivors, of which 93% had secondary blast injuries and 15% were hospitalized. The AH, located 9 km from the HSBC site and 6 km from the BC, received 16 victims.Conclusion:The twin suicide truck bombings on 15 and 20 November 2003 were the two largest terrorist attacks in modern Turkish history, collectively killing 63 persons and injuring an estimated 750 others. The vast majority of victims had secondary blast injuries, which did not require hospitalization. Factors associated with the maldistribution of casualties to medical facilities appeared to include the distance from each bombing site, the type of medical facility, and the personal preference of injured survivors.
14
Berger, Lawrence R., Summers Kalishman, and Frederick P. Rivara. "Injuries from Fireworks." Pediatrics 75, no. 5 (May 1, 1985): 877–82. http://dx.doi.org/10.1542/peds.75.5.877.
Abstract:
In 1983, there were more than 8,200 victims of fireworks-related injuries treated in US emergency rooms. Half of those injured were children less than 15 years of age, and 11% of the injuries resulted in hospitalization. The eyes are the body part most often injured, followed by hands and fingers. Burns account for the majority of injuries. Every type of fireworks legally available has resulted in serious injury or death. Firecrackers, bottle rockets, and sparklers contribute to the most hospitalizations. States that allow a wide variety of fireworks to be sold for personal use have a rate of fireworks-related fires 50 times greater than states that strictly limit the availability of fireworks. The rate of fireworks-related injuries is more than seven times greater in the less restrictive states.
15
Meshram, Prashant. "Clinical and radiological presentation in patients with conserved blunt liver and splenic injuries at a tertiary care center in western India." International Surgery Journal 6, no. 6 (May 28, 2019): 1991. http://dx.doi.org/10.18203/2349-2902.isj20192151.
Abstract:
Background: There has been an increase in abdominal injuries following industrialisation and urbanisation. The mortality due to these injuries however has shown a declining trend worldwide. This is most probably due to early presentation, better access to health care and improved monitoring and treatment modalities.Methods: 51 patients of conserved blunt liver and/or splenic injuries admitted in the trauma ICU of a tertiary care center were studied over a year for demographics, mode of injuries, pre- hospital delay, clinical and radiological presentation.Results: Majority of the patients were males in the age group of 16-30 years. Vehicular accidents were the commonest mode of injuries. Liver was commonly injured. Both liver and spleen were injured in only 3 patients. 20 out of the injured 51 patients received blood transfusion and majority of them had high grade injuries. The severity of injuries was graded with both USG abdomen and CT scan of the abdomen. There was not much difference in grading of liver and splenic injuries by Ultrasound and CT scan.Conclusions: Blunt liver and splenic injuries were commonly seen in young males. Blood transfusion was required in patients with high grade injuries. USG abdomen can be safely used to grade injuries without much discrepancy when compared to CT abdomen.
16
Satku, Mala, Mark Edward Puhaindran, and Alphonsus Khin Sze Chong. "Characteristics of Fingertip Injuries in Children in Singapore." Hand Surgery 20, no. 03 (September 21, 2015): 410–14. http://dx.doi.org/10.1142/s021881041550032x.
Abstract:
Fingertip injuries are common in children, with varying degrees of severity. However, there is limited epidemiological information in the literature. An understanding of the characteristics of these injuries can be used as a basis to prevent such injuries. Epidemiological data was gathered through a retrospective review of all fingertip injuries affecting children, that presented to our department. There were 202 children with 234 injured fingertips in a period of 36 months. Most children were boys and most children injured their left hand. The mode age affected was 2 years. Accidental crush injuries in doors was the most common cause of fingertip injuries in children. An unexpectedly high number of children have fingertip injuries, with many requiring surgical treatment. Safety awareness and prevention of door crush injuries could reduce a large number of fingertip injuries in young children.
17
MATHUR, N., and K. K. R. SHARMA. "Medico-Economic Implications of Industrial Hand Injuries in India." Journal of Hand Surgery 13, no. 3 (June 1988): 325–27. http://dx.doi.org/10.1016/0266-7681_88_90101-5.
Abstract:
625 five consecutive cases of industrial hand injuries attending the Employee’s State Insurance Hospital, Jaipur, have been studied from 1983 to October 1986. The incidence of injuries was 361 per 10,000 workers per year. 47% were due to entrapment of the hand in active machines, 25% occurred during lifting and transportation of heavy objects and 12% while handling tools. The injuries resulted in residual deficit in 55% of cases and were serious enough to require absence from work of more than four weeks in 48% of cases. On an average 35 days were lost per injure worker. The average economic loss per injured worker was Rs. 6900 (approximately £275) for workers in the wage-range of Rs. 5400 to 19,200 (£216 to £768) per annum.
18
Jabbar, Mohammed Abdulrazzaq Jabbar, Jayesh Chandran, Ong Yi Yuan, and Retneswari Masilamani. "PREVALENCE OF MUSCULOSKELETAL INJURIES AMONG TAEKWONDO PLAYERS IN MALAYSIA." Malaysian Journal of Public Health Medicine 21, no. 2 (August 28, 2021): 382–93. http://dx.doi.org/10.37268/mjphm/vol.21/no.2/art.1072.
Abstract:
To determine the rate and types of musculoskeletal injuries among Taekwondo players from Taekwondo clubs in Malaysia. A total of 490 Taekwondo players from various clubs in Malaysia were involved in a cross-sectional study using a self-response questionnaire adopted from different studies and validated before the commencement of the study. The players were recruited from various clubs in different states of Malaysia. The number of players suffered from injuries was 300 as compared to 190 with no injuries. Males players suffered from musculoskeletal injures more than females (p = 0.019). Also, males complained of multiple injuries more than females (p = 0.019). The rate of the injuries among black belt holders was higher as compared to the colour belt (p < 0.001) and black belt holders more liable for multiple injuries (p <0.001). The semi-professional players complained of sport injures more than others (p = 0.021). The longer the experience the higher rate of injuries (p < 0.001). Most of Taekwondo players have suffered from injuries, these injuries sometimes are dangerous. These injuries are more common among male and semi-professional players. Coaches and players must emphasize on warming-up and stretching before the training/ competitions and cooling-down after, that will help to reduce the rate and severity of the injuries. In addition to that, awareness compaing among the players will help the palyers to become more careful during training and competitions sessions.
19
Steven F, Habusta. "Intent to Injure and Severe Head Injuries in NCAA Division I Women’s Ice Hockey." Journal of Natural & Ayurvedic Medicine 3, no. 2 (April 16, 2019): 1–8. http://dx.doi.org/10.23880/jonam-16000180.
Abstract:
Women’s ice hockey has the highest rate of concussion injuries of any NCAA sport. Unanticipated checking in ice hockey is a significant contributor to the rate of serious head injuries. This study evaluated NCAA Division I women ice hockey players’, coaches’, and referees’ opinions as to intent to injure, aggression, and the non-checking rule. Major penalty minutes were also analyzed for the 2013-2014 season. Data revealed that intent to injure is not recognized by referees. Education of referees and the use of referees dedicated only to women’s ice hockey are recommended as an attempt to decrease injuries.
20
Jägerbrand, Annika, and Ing-Marie Gren. "Consequences of Increases in Wild Boar-Vehicle Accidents 2003–2016 in Sweden on Personal Injuries and Costs." Safety 4, no. 4 (November 19, 2018): 53. http://dx.doi.org/10.3390/safety4040053.
Abstract:
This study examined whether the rising trends of wild boar (Sus scrofa)-vehicle accidents in Sweden are accompanied by a higher amount of personal injuries and costs. Temporal trends in accident frequencies and the number of persons injured in wild boar-vehicle accidents were examined for 2003–2016, and the cost of wild boar-vehicle accidents was calculated. Results show increases in the number of personal injuries, and increased costs, particularly after 2010–2012. The total number of wild boar accidents correlated with the number of injured persons as well as with the number of accidents with personal injuries. Approximately one person (1.13%) is injured per 100 wild boar-vehicle accidents, and approximately one accident per 200 wild boar-vehicle accidents will result in one or more persons with injuries (0.5%). However, most of the persons injured have slighter injuries. Although the number of wild boar-vehicle accidents and the number of persons injured in the accidents have increased, the frequency of accidents resulting in personal injuries is still at low levels in comparison with, for example, frequencies of personal injuries for moose accidents. The cost for wild boar-vehicle accidents has increased between 2003 to 2016 and is currently estimated to vary between approximately EUR 9.66–12.31 million per year.
21
Farooqi, Ali S., Alexander Lee, Eric Abreu, Divya Talwar, and Kathleen J. Maguire. "Epidemiology of Pediatric Baseball and Softball Player Injuries." Orthopaedic Journal of Sports Medicine 9, no. 12 (December 1, 2021): 232596712110525. http://dx.doi.org/10.1177/23259671211052585.
Abstract:
Background: Baseball and softball are popular sports in the United States and are responsible for a large number of youth sports injuries each year. Purpose: To investigate recent differences in youth baseball and softball injuries evaluated in nationwide emergency departments. Study Design: Descriptive epidemiology study. Methods: The National Electronic Injury Surveillance System (NEISS) database was examined for softball and baseball injuries in pediatric patients (age, 7-21 years) from 2010 through 2019. Patients were classified as children (age, 7-13 years), adolescents (age, 14-18 years), or young adults (age, 19-21 years). Case narratives were used to categorize injuries as contact injuries (hit by bat or ball), field injuries (sliding into base, collision with another player, catching, or running), throwing injuries, or other. Results: An unweighted total of 24,717 baseball injuries and 13,162 softball injuries were recorded. A nationwide estimate of 861,456 baseball injuries and 511,117 softball injuries were sustained during the studied time period, with estimated respective injury rates of 86,146 and 51,112 per year. Injured softball players were most commonly adolescent (47%) and female (92%), while injured baseball players were most commonly children (54%) and male (90%). There was a greater proportion of baseball-related injuries involving the head/neck (41%) as compared with softball-related injuries (30%) ( P < .01). Conversely, a greater proportion of softball-related injuries involved the lower extremity (32%) as compared with baseball-related injuries (19%) ( P < .01). When comparing diagnosis, softball injuries were more often sprains/strains (28%) than baseball injuries (18%) ( P < .01). When comparing mechanisms of injury, baseball athletes were more likely to be evaluated with contact injuries than were softball athletes (49% vs 40%, P < .01). Conclusion: Youth baseball athletes were more likely to be injured through contact mechanisms and had a higher proportion of injuries related to the head/neck/face, whereas softball injuries more frequently involved the lower extremity and resulted in a sprain/strain. League guidelines should focus on reducing contact injuries within youth baseball, and injury-prevention programs should focus on reducing lower extremity injuries in youth softball.
22
Cannell, Hugh, A. Paterson, and R. Loukota. "Maxillofacial injuries in multiply injured patients." British Journal of Oral and Maxillofacial Surgery 34, no. 4 (August 1996): 303–8. http://dx.doi.org/10.1016/s0266-4356(96)90007-8.
23
CANNELL, H., P. V. DYER, and A. PATERSON. "Maxillofacial injuries in the multiply injured." European Journal of Emergency Medicine 3, no. 1 (March 1996): 43–47. http://dx.doi.org/10.1097/00063110-199603000-00008.
24
Holloway-Beth, Alfreda, Rachel Rubin, Kiran Joshi, Linda Rae Murray, and Lee Friedman. "A 5-Year Retrospective Analysis of Legal Intervention Injuries and Mortality in Illinois." International Journal of Health Services 49, no. 3 (March 21, 2019): 606–22. http://dx.doi.org/10.1177/0020731419836080.
Abstract:
There has been a public outcry for the accountability of law enforcement agents who kill and injure citizens. Epidemiological surveillance can underscore the magnitude of morbidity and mortality of citizens at the hands of law enforcement. We used hospital outpatient and inpatient databases to conduct a retrospective analysis of legal interventions in Illinois between 2010 and 2015. We calculated injury and mortality rates based on demographics, spatial distribution, and cause of injury. During the study period, 8,384 patients were treated for injuries caused during contact with law enforcement personnel. Most were male, the mean age was 32.7, and those injured were disproportionately black. Nearly all patients were treated as outpatients, and those who were admitted to the hospital had a mean of length of stay of 6 days. Most patients were discharged home or to an acute or long-term care facility (83.7%). It is unclear if those discharged home or to a different medical facility were arrested, accidentally injured, injured when no crime was committed, or injured when a crime was committed. Surveillance of law enforcement–related injuries and deaths should be implemented, and injuries caused during legal interventions should be recognized as a public health issue rather than a criminal justice issue.
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Heinsimer, Kevin R., Nicolas G. Nelson, Kristin J. Roberts, and Lara B. McKenzie. "Water Tubing–Related Injuries Treated in US Emergency Departments, 1991−2009." Journal of Physical Activity and Health 10, no. 2 (February 2013): 151–59. http://dx.doi.org/10.1123/jpah.10.2.151.
Abstract:
Background:The objective was to describe the patterns and mechanisms of water tubing–related injuries treated in U.S. emergency departments.Methods:The National Electronic Injury Surveillance System was used to examine cases of water tubing–related injuries. Sample weights were used to calculate national estimates of water tubing–related injuries. Analyses were conducted in 2010.Results:From 1991−2009 an estimated 69,471 injuries were treated in US emergency departments for water tubing–related injuries. The annual number of cases increased 250% over the 19-year study period (P < .001). Sprains and strains accounted for the largest portion of injuries (27.2%). The head was the most frequently injured body part (27.5%). Children and adolescents ≤ 19 years were more likely to be injured by contact with another person (OR: 2.47; 95% CI = 1.61−3.80) and were more likely to sustain injuries to the head (OR: 2.61; 95% CI = 2.01−3.38) compared with adults. Adults ≥ 20 years, were more likely than individuals ≤ 19 years to sustain sprains and strains (OR: 2.11; 95% CI = 1.64−2.71) and were most commonly injured by impact with the water (54.6%).Conclusions:Patterns of water tubing–related injuries differ for children and adults. Research is needed to determine how best to reduce these injuries.
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Schwellnus, Martin P., Esme Jordaan, Charl Janse van Rensburg, Helen Bayne, Wayne Derman, Clint Readhead, Rob Collins, Alan Kourie, Jason Suter, and Org Strauss. "Match injury incidence during the Super Rugby tournament is high: a prospective cohort study over five seasons involving 93 641 player-hours." British Journal of Sports Medicine 53, no. 10 (June 29, 2018): 620–27. http://dx.doi.org/10.1136/bjsports-2018-099105.
Abstract:
ObjectivesTo determine the incidence and nature of injuries in the Super Rugby tournament over a 5-year period.Methods482 male professional rugby union players from six South African teams participating in the Super Rugby tournament were studied (1020 player-seasons). Medical staff of participating teams (2012–2016 tournaments) recorded all time loss injuries (total injuries and match injuries) and exposure hours (93 641 total playing hours; 8032 match hours). Injury incidence, injured player proportion, severity (time lost), anatomical location, tissue type and activity/phase during which injury occurred are reported.ResultsThe overall incidence of match injuries (per 1000 player-hours; 95% CI) for each year was as follows: 2012 (83.3; 69.4–99.2); 2013 (115.1; 98.7–133.5); 2014 (95.9; 80.8–113.1), 2015 (112.3; 96.6–129.9) and 2016 (93.2; 79.9–107.9). The injured player proportion for each year was as follows: 2012 (54.6%); 2013 (49.4%); 2014 (52.0%); 2015 (50.0%); and 2016 (39.8%). The thigh, knee, head/face and shoulder/clavicle are the most frequently injured locations, and muscle/tendon and joint/ligament injuries account for the majority of injuries. Most injuries (79%) occur in contact situations, in particular during a tackle (54%).ConclusionThe incidence of match injuries and the injured player proportion in South African teams competing in the Super Rugby tournament is high. Match injury incidence is consistently higher than previously reported for senior male rugby players at elite/professional level. Targeted risk management strategies are therefore needed in the Super Rugby tournament to manage risk of injury.
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Marx, Robert G., and Isabel A. Wolfe. "ACL Reconstruction in the Multiple Ligament Injured Knee." Journal of Knee Surgery 33, no. 05 (December 3, 2019): 418–20. http://dx.doi.org/10.1055/s-0039-3400842.
Abstract:
AbstractMultiple ligament knee injuries are complex and can result from sports injuries or high energy trauma. The proper diagnosis and treatment of multiple ligament knee injuries are essential, and careful evaluation and planning are required to achieve successful outcomes. Anterior cruciate ligament (ACL) reconstruction in the multiple ligament injured knee is complicated by several factors, necessitating additional technical considerations. Patient selection, surgical timing, graft selection, and surgical technique require consideration specific to the ACL component of these injuries. We present a summary of the current knowledge with respect to the treatment of ACL injuries in the context of the multiple ligament injured knee.
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Woodward, George A., Ron Furnival, and Jeff E. Schunk. "Trampolines Revisited: A Review of 114 Pediatric Recreational Trampoline Injuries." Pediatrics 89, no. 5 (May 1, 1992): 849–54. http://dx.doi.org/10.1542/peds.89.5.849.
Abstract:
A search of the medical literature failed to reveal any articles that discuss pediatric injuries acquired on privately owned recreational trampolines. This study was undertaken to quantify and qualify pediatric injuries from recreational trampoline use. A group of 114 patients who presented to the Emergency Department at Primary Children's Medical Center in Salt Lake City, Utah, with injuries directly related to use of a trampoline are discussed. There was a 1.2:1 male-female ratio. The average age was 8.0 years. Forty-eight percent of the patients were injured on their family's trampoline, with the remainder injured on a friend's, neighbor's, relative's, or gymnasium's equipment. The majority of injuries involved group use of the trampoline and the youngest person in a group was most often the injured participant. Extremity injuries were seen in 55% of the patient and head or neck injuries in 37%. Seventy-five percent of the patients required radiographs, 23% hospitalization, and 17% operative intervention. The history of the trampoline and medical literature discussions concerning injuries and safety are reviewed.
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Weaver, Jessica L., Charles W. Kimbrough, Kimberly Broughton-Miller, Michelle Frisbie, Jodi Wojcik, Karina Pentecost, Matthew C. Bozeman, Nicholas A. Nash, and Brian G. Harbrecht. "Danger on the Farm: A Comparison of Agricultural and Animal-Related Injuries." American Surgeon 83, no. 5 (May 2017): 507–11. http://dx.doi.org/10.1177/000313481708300527.
Abstract:
Animal-related injuries are common in rural areas. Agricultural workers can suffer severe injuries involving farm machinery or falls. The spectrum of injuries related to rural activities is poorly defined and characterizing these injuries will improve injury prevention efforts. Records for injured patients admitted between 2010 and 2013 were retrospectively reviewed. Patients with a mechanism of injury involving a large animal or with the injury site listed as “farm” were included. Patients with agricultural injuries (n = 85) were older with more multisystem injuries than patients injured by animals (n = 132) but the Injury Severity Score was equivalent. There was no difference in intensive care unit length of stay, ventilator days, or mortality. There was no difference in frequency of solid organ injury, pelvic fractures, rib fractures, or hemo- or pneumothorax between groups. Animal injuries had more frequent traumatic brain injuries (22.4% vs 10.5%, P = 0.03), whereas agricultural injuries had more vertebral fractures (20.5% vs 9.2%). Of toxicology screens performed, 25 per cent (22/88) were positive. No significant differences were found between occupational versus recreational animal injuries. Agricultural and animal-related injuries have different characteristics but Injury Severity Score and mortality were similar. Severe injuries from both mechanisms are common in rural communities and injury prevention activities are needed in both settings.
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Kim, Maro, Dongbum Suh, Jin Hee Lee, Hyuksool Kwon, Yujin Choi, Joo Jeong, Sola Kim, Soyun Hwang, Joong Wan Park, and You Hwan Jo. "Characteristics of injuries associated with electric personal mobility devices: a nationwide cross-sectional study in South Korea." Journal of Trauma and Injury 35, no. 1 (March 31, 2022): 3–11. http://dx.doi.org/10.20408/jti.2021.0044.
Abstract:
Purpose: The increasing use of electric personal mobility devices (ePMDs) has been accompanied by an increasing incidence of associated accidents. This study aimed to investigate the characteristics of ePMD-related injuries and their associated factors. Methods: This cross-sectional study was conducted using data from the Emergency Department-based Injury In-depth Surveillance database from 2014 to 2018. All patients who were injured while operating an ePMD were eligible. The primary outcome was the rate of severe injury, defined as an excess mortality ratio-adjusted Injury Severity Score of ≥25. We calculated the adjusted odds ratios (AORs) of outcomes associated with ePMD-related injuries. Results: Of 1,391,980 injured patients, 684 (0.05%) were eligible for inclusion in this study. Their median age was 28 years old, and most injuries were sustained by men (68.0%). The rate of ePMD-related injuries increased from 3.1 injuries per 100,000 population in 2014 to 100.3 per 100,000 population in 2018. A majority of the injuries occurred on the street (32.7%). The most commonly injured area was the head and face (49.6%), and the most common diagnosis was superficial injuries or contusions (32.9%). Being aged 55 years or older (AOR=3.88; 95% confidence interval [CI] 1.33–11.36) and operating an ePMD while intoxicated (AOR=2.78; 95% CI 1.52–5.08) were associated with severe injuries. Conclusions: The number of emergency room visits due to ePMD-related injuries is increasing. Old age and drunk driving are both associated with serious injuries. Active traffic enforcement and safety regulations regarding ePMDs should be implemented to prevent severe injuries caused by ePMD-related accidents.
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Yongqiang, Zhao, H. Dousheng, L. Yanning, M. Xin, and W. Kunping. "Peacekeepers suffered combat-related injuries in Mali: a retrospective, descriptive study." BMJ Military Health 166, no. 3 (November 9, 2018): 161–66. http://dx.doi.org/10.1136/jramc-2018-001010.
Abstract:
PurposeTo describe the combat-related injuries cured by Chinese Level 2 medical treatment facility (CHN L2) in Mali from 1 March 2016 to 1 March 2018, including type of weapon, mortality, nature of injuries, degree and location of injuries and surgical procedures.Methods A retrospective, descriptive study of 176 injured cases that met the terrorist attacks was conducted. The medical data were collected by an electronic database system. All collected data were entered into an Excel spreadsheet for calculation.ResultsWe found that improvised explosive devices (114/176, 65%) were the most commonly used weapons of attack in Mali. 68.75% of the injuries (121/176) were classified as 'minor injuries according to Abbreviated Injury Scale score. As one patient may suffer multiple injuries, each location and nature of injuries was counted separately. Surface injuries were the top (116/197, 58.88%), followed by orthopaedic injuries (52/197, 26.39%) and internal injuries (29/197, 14.72%). The extremities were the most frequently injured body parts (144/197, 73.09%). We operated 175 surgeries to deal with the 176 combat-related injuries, which accounted for 40.05% of all 437 surgeries. The surgical debridement to remove fragments of explosive was the most frequently performed surgery. We also admitted 20 cases (18/176, 34%) into intensive care unit and transferred 40 cases to Level 3 medical facility.Conclusion Peacekeepers taking protective measures for head and trunk frequently got surface injuries. And their unprotected extremities often got injured. The fragment removal was the top surgery and the damage control surgery was the highly technical nature surgery we performed. Chinese military should offer advanced surgical training course to military surgeons who carry out overseas operations.
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Haxhiu, Bekim, Ardiana Murtezani, Bedri Zahiti, Ismet Shalaj, and Sabit Sllamniku. "Risk Factors for Injuries in Professional Football Players / Факторы Риска Получения Травм Профессиональными Футболистами." Folia Medica 57, no. 2 (June 1, 2015): 138–43. http://dx.doi.org/10.1515/folmed-2015-0033.
Abstract:
AbstractAIM: The aim of this study was to identify risk factors related to the occurrence of injuries in football players. MATERIALS AND METHODS: The study included 216 football players from 12 teams in the elite football league. Football-related injury data were collected prospectively during the 2012/2013 competitive season. At baseline the following information was collected for the players: anthropometric measurements (weight, height, BMI, subcutaneous skinfolds), playing experience, injury history, physical fitness performance test (agility run), peak oxygen uptake. The incidence, type and severity of injuries and training and game exposure times were prospectively documented for each player. RESULTS: Most of the players (n = 155, 71.7%) sustained the injures during the study period. The overall injury incidence during the regular season was 6.3 injuries per 1000 athlete-exposures (95% confidence interval, 4.31-9.67). Multivariate logistic regression analysis showed that playing experience (odds ratio [OR] = 0.44; 95% CI = 0.32-0.61, p < 0.01), age (OR = 2.05; 95% CI = 1.49-2.81, p < 0.01) and a previous injury (OR = 4.4; 95% CI = 2.14-9.07, p < 0.01) were significantly correlated to increased risk of injuries. Body mass index was not associated with risk of injury. Strains (34.19%) and sprains (25.81%) were the major injury types. Twenty-seven percent of injured players were absent from football for more than 1 month, with knee injuries (25.42%) being the most severe type. CONCLUSION: The risk factors that increase injury rates in football players were previous injury, higher age and years of playing. Future research should include adequate rehabilitation program to reduce the risk of injuries.
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Leźnicka, Katarzyna, Ewelina Żyźniewska-Banaszak, Magdalena Gębska, Anna Machoy-Mokrzyńska, Anna Krajewska-Pędzik, Agnieszka Maciejewska-Skrendo, and Agata Leońska-Duniec. "Interactions between Gene Variants within the COL1A1 and COL5A1 Genes and Musculoskeletal Injuries in Physically Active Caucasian." Genes 12, no. 7 (July 9, 2021): 1056. http://dx.doi.org/10.3390/genes12071056.
Abstract:
The COL1A1 and COL5A1 variants have been associated with the risk of musculoskeletal injuries. Therefore, the main aim of the study was to investigate the association between three polymorphisms within two genes (rs1800012 in COL1A1, as well as rs12722 and rs13946 in COL5A1) and the reported, yet rarely described in the literature, injuries of the joint and muscle area in a physically active Caucasian population. Polish students (n = 114) were recruited and divided into the following two groups: students with (n = 53) and without (n = 61) injures. Genotyping was carried out using real-time PCR. The results obtained revealed a statistically significant association between rs1800012 COL1A1 and injury under an overdominant model. Specifically, when adjusted for age and sex, the GT heterozygotes had a 2.2 times higher chance of being injured compared with both homozygotes (TT and GG, 95% CI 0.59–5.07, p = 0.040). However, no significant interaction between the COL5A1 variants, either individually or in haplotype combination, and susceptibility to injury were found. In addition, the gene–gene interaction analysis did not reveal important relationships with the musculoskeletal injury status. It was demonstrated that rs1800012 COL1A1 may be positively associated with physical activity-related injuries in a Caucasian population. Harboring the specific GT genotype may be linked to a higher risk of being injured.
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Onyemaechi, Ndubuisi O. "Epidemiology and pattern of paediatric injuries in a developing country: an analysis of 170 injuries." Malawi Medical Journal 32, no. 2 (June 30, 2020): 95–100. http://dx.doi.org/10.4314/mmj.v32i2.7.
Abstract:
BackgroundPaediatric injuries have significant physical, psychological and socioeconomic consequences. This study aimed to determine the epidemiology and pattern of paediatric injuries presenting at a teaching hospital in Enugu South-East Nigeria. MethodsA retrospective study of injured patients less than 18 years who presented to the Accident and Emergency department of University of Nigeria Teaching Hospital Ituku/Ozalla, in Enugu Nigeria, was conducted from 1st January to 31st December 2015. Analysis of data was done using Statistical Package for the Social Sciences version 22.0. ResultsA total of 1191 children presented to the hospital within the study period and 120 injured paediatric patients (10.1%) with 170 injuries were attended to in the A & E. Adolescents (12 -17 years) accounted for 34.2% of injuries and males (70%) were more affected than the females. Road traffic crashes and falls were the most common causes of paediatric injuries. There was a significant correlation between age of the children and the aetiology of the injuries (X2 = 28.08, p = 0.001). Bruises/lacerations/abrasions (27.6%) and fractures (27.1%) were the most common types of injuries sustained. The injury severity score (ISS) of the patients ranged from 1-25 with a mean of 6.4 + 2.8. Roadside/street (35%), school (23.3%) and home (21.7%) were the main locations where injuries occurred. Mean injury-arrival interval was 1.2 + 0.7 days. Majority (67.5%) of children had full recovery and the mortality rate was 5.8%.ConclusionsRoad traffic crashes and falls were the most common cause of paediatric injuries. Soft tissue trauma and fractures were the predominant types of injuries. Roadside, school and home were the leading locations of childhood injuries. Prevention of road traffic crashes and falls, prompt treatment of injuries, and rehabilitation of injured children will reduce the negative impact of paediatric injuries.
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Jovanovic, Milos. "Mechanical injuries of the eyeball: Frequency, structure, and possibility of the prevention." Srpski arhiv za celokupno lekarstvo 134, no. 1-2 (2006): 11–21. http://dx.doi.org/10.2298/sarh0602011j.
Abstract:
Introduction. Some factors significant for development of mechanical injuries of the eyeball have been analyzed in the study. Objective. Basic objective of such analysis was prevention and reduction of these injuries. Method. Mechanical injuries of the eyeball in patients hospitalized at the Institute of Eye Disease, CCS in Belgrade, in five year period have been analyzed. Only patients with severe eye injuries were hospitalized. The following parameters were analyzed: sex, age, occupation of patients, residence, time of the inflicted injury, i.e. by months in a year, days in a week and hours in a day, place and way of inflicting the injury as well as visual acuity on admission. In addition, the type of injury was analyzed, i.e. contusion or penetrating with all resulting complications. Finally, the timing of primary surgical management of the eye injury was specified, if required. Results. A total number of hospitalized patients with mechanical eye injuries was 1642 during the last five years, meaning that one injury occurred daily. There were 1381 males and 261 females, meaning that males were 5.3 times more the victims of mechanical eye injuries. Out of all the injured, 861 (52.4%) were from rural environment, while 781 (47.6%) were urban population. The proportion of injuries of the right or the left eye was nearly equal, while both eyes were simultaneously injured in 21 (1.3%) cases. The injuries were inflicted in all ages, but most frequently in working population ranging from 16 to 55 years, accounting for 60.8%. Unfortunately, a lot of the injured were children up to 15 years of age - 19.4%. The most commonly injured were workers - 39.8%, followed by students - 17.5%. A piece of wood was the cause of injury in 21.8%, sharp and pointed objects in 17.2%, hammer and metal in 14.2%, glass in 11.6%, and other different causes in varying percentage. There were also rare causes of injuries, such as those caused by zip, dog bite, rooster?s bill, etc. According to months in a year and days in a week, the injuries were almost evenly distributed. Considering the period of a day, even 77.4% of the injuries occurred during daytime, from 10 a.m. to 10 p.m. The highest percentage - 43.5% - of the injuries occurred while working something out of working place, while 24.5% of injuries were inflicted at working places. On admission, the majority of patients - 32.9% had visual acuity L+P+, but this visual acuity ranged from amaurosis to 1.0. There were 746 (45.4%) contusion injuries and 870 (53.0%) penetrating injuries. The rest were the injuries of other ocular adnexa. The majority of primary wound managements were performed in the first 24 hours of the injury - 67.1%. Conclusion. It may be concluded that working population and students are most commonly injured, and that men are five times more frequently injured than women; then, a piece of wood, sharp objects and glass are the most often causes of injury; the number of contusion and penetrating injuries is equal, and that required primary surgical wound management is most often performed in the first 24 hours from the injury. Further analysis of these factors suggests that many of these injuries could have been prevented, and consequently long-term treatment and treatment costs could have been evaded. Most important is that permanent disability due to visual impairment or even blindness of the injured eye could have been avoided.
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Meshram, Prashant. "Study of outcomes in patients with conserved blunt liver and splenic injuries." International Surgery Journal 6, no. 6 (May 28, 2019): 1881. http://dx.doi.org/10.18203/2349-2902.isj20192224.
Abstract:
Background: Blunt abdominal injuries in the modern day are common due to vehicular accidents. Young males are more commonly involved and liver and spleen are the commonest organs injured. During the last century, the management of blunt force trauma has changed from observation and expectant management in the early part of the 1900s to operative intervention for all injuries, to the current practice of selective operative and nonoperative management.Methods: We studied outcomes of conservatively managed liver and splenic injuries in 51 patients who presented to a tertiary referral center over a period of 1 year. Patient demographics and outcomes were studied.Results: Males in the age group of 16-30 years were commonly involved. Liver was the commonest organ injured. Both liver and spleen were injured together only in 3 patients. One patient of liver injury was subjected to delayed surgery and 2 patients of splenic injury failed conservative management. Thus, the success rate of conservative management of blunt liver injuries was 96.87% and in splenic injuries was 90.91%.Conclusions: Outcome of conservative management of blunt liver and splenic injuries is extremely good, especially in patients who maintained hemodynamic stability. Nonoperative management of blunt liver splenic injuries should be the treatment modality of choice in hemodynamically stable patients with any grades of injuries.
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Vossoughi, Faranak, Brent Krantz, and Stephen Fann. "Hand Injuries as an Indicator of Other Associated Severe Injuries." American Surgeon 73, no. 7 (July 2007): 706–8. http://dx.doi.org/10.1177/000313480707300714.
Abstract:
The purpose of this study was to investigate the incidence of disabling or life-threatening injuries in patients with hand injuries. Retrospective data were collected from a level 1 trauma center registry. A total of 472 patients with hand injuries were admitted to the trauma unit between January 2000 and March 2004. Forty-four per cent of patients with hand injuries had life-threatening injuries. Fifty-one per cent of them had motor vehicle crash-related injuries. Motorcycle crashes were the next most common cause followed by explosions, falls, gunshots, machinery, stabs, bites, crushes, and so on. Frequency of associated injuries was as follows: head injuries, 31 per cent, including skull fractures, 22 per cent; spine injuries, 18 per cent, including spine fractures 18 per cent; chest injuries, 36 per cent, including rib fractures, 15 per cent; and abdominal injuries, 13 per cent. The authors focused on the incidence of disabling or life-threatening injuries in patients with hand injuries. Motor vehicle crashes were most common cause of hand injuries. The most common organs to be injured were chest and head. The most common head injury was skull fracture. Other injuries in decreasing order were spine and rib fractures. These data may be helpful in assessing ambulatory patients in the emergency room, in those hand injuries maybe indicative of other simultaneous life-threatening or disabling injuries.
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Ristic, Vladimir, Sinisa Ristic, Mirsad Maljanovic, Vladimir Djan, Vukadin Milankov, and Vladimir Harhaji. "Risk factors for bilateral anterior cruciate ligament injuries." Medical review 68, no. 5-6 (2015): 192–97. http://dx.doi.org/10.2298/mpns1506192r.
Abstract:
Introduction. The aim of this study has been to identify which risk factors can influence bilateral anterior cruciate ligament injury. Material and Methods. Thirty-two operated patients took part in this survey during the period of ten years. There were 5 women and 27 men, with average age of 30.46 years (19-55). The respondents filled in the questionnaire by answering the questions regarding the time when getting injured and operated, mechanism of injuries, genetic and anthropometric data, characteristics of sports and every day activities. Results. The incidence of reconstructed bilateral injuries in relation to unilateral ones was 2.3% (50/2168). The age of respondents and side of the injured knee did not correlate significantly with the achieved subjective physical activity level after the second knee surgery. The average time from the first injury to operation was 10 months and 4.3 years since that moment up to the injury of the other knee. It took more than 9 months on average until the reconstruction of contralateral anterior cruciate ligament. The most of athletes were injured in football matches. Three-quarters of athletes returned to competition activities after the first operation, which caused the same injury of the contralateral knee. Discussion and Conclusion. Anterior cruciate ligament rupture of the contralateral knee most often occurs in young active athletes within the first four years after the initial reconstruction. Its frequency is not affected by sex, side of extremity, genetic predisposition, type of sport, concomitant injuries and the choice of graft. Returning to the same or higher level of sports activities after the first reconstruction is one of the preconditions for injuring the other knee in the same way.
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Pilija, Vladimir, Maja Buljcik, Marija Mihalj, Slobodan Savovic, and Goran Stojiljkovic. "Classification and qualification of nose injuries: Clinical and forensic aspects." Medical review 58, no. 1-2 (2005): 33–36. http://dx.doi.org/10.2298/mpns0502033p.
Abstract:
Introduction Nose injuries are of great importance in ENT and medico-legal practice. The importance lies in the frequency of injuries, diverse approaches to diagnosis, treatment and qualification of injuries used in legal proceedings in court. Objective assessment of health impairments due to an injury, requires knowledge about morphofunctional nasal characteristic, therapeutic procedures and medico-legal expertise. Nose injures: etiology and diagnosis Nasal fractures are the most common types of facial fractures which occur in different situations. They are often combined with soft tissue injuries. The diagnosis of nasal injuries involves clinical examination, radiography and nasal endoscopy. Classification and therapy of nose injuries There are several classifications of nasal injuries depending on pathological findings. The most acceptable one is the modified categorization after Harrison. The treatment of nasal injuries depends on the type of injury and possible complications. Qualification of nose injuries Nasal soft tissue injuries, nasal fractures, dislocations and partial dislocations should be assessed at the time of diagnosis. Conclusion Medical assessment of injuries is of utmost importance for legal purposes and regarding medico-legal aspects. .
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Grandizio, Louis C., Benjamin Wagner, Jove Graham, and Joel C. Klena. "Upper Extremity Trauma Resulting From Agricultural Accidents: Mechanism and Severity for Patients With and Without Upper Extremity Injury." HAND 13, no. 4 (June 23, 2017): 384–90. http://dx.doi.org/10.1177/1558944717715140.
Abstract:
Background: Farming remains the most dangerous occupation in the United States and upper extremity (UE) injuries occur frequently in agricultural accidents. The purpose of this study is to describe the injury mechanisms, severity, and health care costs of UE injuries resulting from agricultural accidents and to compare patients with and without injuries to the UE. Methods: We performed a 6-year retrospective review of our level I trauma center registry from January 2006 to May 2013, identifying all patients injured in an agricultural accident. Data collection included baseline demographics, injury type and mechanism, costs and treatment. Patients with UE injuries were compared with those without UE injuries. Results: Ninety-six of 273 patients (35%) sustained an UE injury with fractures of the phalanx and radius/ulna occurring most frequently. Patients with UE injuries were more likely to be injured from table saws ( P = .0003) and farm machinery ( P < .0001). Twenty-one percent with UE injuries sustained a mangled extremity. Patients with UE injuries were more likely to require surgery (68% vs 36%, P < .0001) and were more likely to be readmitted (17% vs 5%, P = .0007) with risk factors for readmission including age >18 years, falls from height, and surgery. Mean hospital charges were $95 147. Conclusions: Patients sustaining agricultural UE injuries have longer lengths of stay and more frequently require surgery despite similar hospital charges compared with non-UE injured patients. Hospital readmissions occur frequently for patients with UE injuries. Understanding injury mechanisms and the epidemiology of these potentially devastating and costly injuries may help guide agricultural injury prevention programs.
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Gosalia, Vibha V., Dhara V. Thakrar, and Rajesh K. Chudasama. "Epidemiological profile of injuries in urban and urban slum areas of Rajkot city, India: a community based study." International Journal Of Community Medicine And Public Health 6, no. 4 (March 27, 2019): 1652. http://dx.doi.org/10.18203/2394-6040.ijcmph20191400.
Abstract:
Background: Injuries and violence are among the most prominent public health problems in the world. Objective was to study the epidemiological profile of injuries in urban and urban slum areas of Rajkot city, India.Methods: A community based study was conducted in Rajkot city with sample size of 540 households. Total 30 clusters (society) were selected from 805 notified societies including 20 clusters from urban areas and 10 clusters from urban slum areas of Rajkot city. From identified cluster, 18 households were selected to achieve targeted sample size 540. All injuries reported among all household members in the last 12 months were included in the study. A total of 2,367 persons of all ages were interviewed.Results: The prevalence of injury was 14% among 2,367 study participants. Almost all injuries (99.1%) were unintentional in nature. The leading causes of injures were falls (49.2%) and road traffic accidents (RTAs) (35.7%). Significant numbers of injuries were reported among males (p<0.01). The males reported RTAs (46.9%) and females reported falls (64.2%) as a common type of injury (p<0.01). Lower limb (70.1%) was the most commonly affected body part and road (38.4%) was the most common place of injury occurrence. Average money spent by injured person was Rs. 7,000. Only 11.3 % study participants had health insurance.Conclusions: Injury prevention priorities should be focused on the leading causes such as falls and RTAs to develop specific preventive strategies.
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Fischer, Felix, Christian Hoser, Cornelia Blank, Wolfgang Schobersberger, Caroline Hepperger, Peter Gföller, and Christian Fink. "Injuries in Austrian football players: Are they an issue?" Sportverletzung · Sportschaden 33, no. 01 (March 12, 2018): 43–50. http://dx.doi.org/10.1055/s-0043-125000.
Abstract:
Abstract Purpose and Hypothesis With its load characteristics, the team sport of football places high physical demands on players and thus is associated with a high risk of injury. Therefore, the purpose of this study was to collect information about injuries suffered by football players in Austria during training or matches to enable participating clubs to learn about injuries. Methods One hundred and forty-five players from seven teams with age ranging from 16 to 38 years participated in this prospective study during the 2015/16 season. Injury surveillance was conducted according to the consensus statement of Fuller et al. (2006). Results During the period of study, a total of 83 injuries were recorded, which represents an overall incidence of 4.5 injuries/1000 hours (2.3 injuries/1000 hours in training and 14.2 injuries/1000 hours of match play). There was a significant difference for older age in injured players compared to non-injured players (p = 0.019). No differences in BMI were detected (p = 0.427). Ninety-four percent of all injuries occurred in the lower extremity, with the thigh (25.8 %), ankle (19.3 %) and knee (13.3 %) being the major locations of injuries. Muscle tendon injuries were the most common non-contact injuries (78.9 %). Conclusion Lower extremity injuries are the most common injury in Austrian football. The incidence of muscle injuries is high, especially injuries of the posterior thigh. There are promising preventive strategies for the most common injury types. The implementation of these strategies is essential in order to reduce the incidence or recurrence of these football injuries.
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Nuhu, Assuman, and Matthew Kutz. "Descriptive Epidemiology of Soccer Injury During Elite International Competition in Africa." International Journal of Athletic Therapy and Training 22, no. 2 (March 2017): 21–28. http://dx.doi.org/10.1123/ijatt.2015-0100.
Abstract:
Epidemiological research on soccer injuries during African soccer competition is sparse. This study was conducted among 12 teams in the Council of East and Central Africa Football Association (CECAFA) challenge cup tournament. Fifty-seven injuries were reported (2.7 injuries per match), or 82.25 injuries per 1,000 match hours. The ankle was most often injured (23%). The majority (81%) of injuries occurred as a result of traumatic contact, with the most injuries occurring in the last 30 min of the match. A majority (84%) of athletes who sustained injuries continued to play. African medical personnel should be trained to handle the unique constraints and variety of injuries sustained during soccer competition.
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Slater, Lindsay V., Erin B. Wasserman, and Joseph M. Hart. "Trends in Recurrent Anterior Cruciate Ligament Injuries Differ From New Anterior Cruciate Ligament Injuries in College and High School Sports: 2009-2010 Through 2016-2017." Orthopaedic Journal of Sports Medicine 7, no. 11 (November 1, 2019): 232596711988386. http://dx.doi.org/10.1177/2325967119883867.
Abstract:
Background: Knee injuries are common and result in extended time missed from sports participation. Little is known regarding the comparative characteristics of recurrent versus first-time anterior cruciate ligament (ACL) injuries sustained during athletic events and how they are influenced by sex, sports participation level, and game-time features. Purpose: To evaluate the characteristics (sex, sports level, and game timing [ie, early vs late in the game]) of recurrent ACL injury in National Collegiate Athletic Association (NCAA) and high school athletes compared with first-time ACL injury. Study Design: Descriptive epidemiology study. Methods: Athletic trainers reported ACL injury occurrences and characteristics for collegiate athletes during the 2009-2010 through 2016-2017 academic years and for high school athletes during the 2011-2012 through 2013-2014 academic years. Logistic regression was used to estimate odds ratios (ORs) and 95% CIs for recurrent versus first-time ACL injury. The number of ACL injuries, proportions, and ORs were calculated by sex, competition level, and time in game played. Results were also classified according to injury mechanism: noncontact, overuse, or surface contact. Results: A total of 705 ACL injuries were reported, including 644 first-time injures and 61 recurrent injuries. When restricting to noncontact ACL injuries, 416 were reported (373 first-time injuries and 43 recurrent injuries). The odds of a recurrent versus new ACL injury in NCAA student-athletes were 4.6 times that of high school student-athletes (95% CI, 1.41-15.24; P = .01). When restricting to noncontact ACL injuries, the odds of a recurrent versus new ACL injury during postseason and preseason were 4.5 and 2.8 times that during the regular season, respectively. Athletes in limited-contact and noncontact sports had greater odds of a recurrent versus new ACL injury compared with athletes playing football and other contact and collision sports. There was no significant difference in the odds of a recurrent ACL injury by sex or time in game. Conclusion: Based on the current study, the odds of recurrent ACL injuries are associated with the level of competition but not associated with sex or timing of game play. Determinants of reinjury after primary ACL reconstruction will help advance care for young injured athletes who continue to participate in competitive sports.
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Kandel, Ishwor Sharma, Karuna Acharya, Sandip Gupta, and Bhola Shrestha. "Spectrum of paediatric orthopaedic injuries in Patient attending emergency department of Gandaki Medical College of Pokhara, Nepal." Medical Journal of Pokhara Academy of Health Sciences 1, no. 2 (December 31, 2018): 56–60. http://dx.doi.org/10.3126/mjpahs.v1i2.23390.
Abstract:
Background: Children are vulnerable to musculoskeletal injuries both at home and on the street for various reasons. Morbidity and disabilities resulting from these, mostly preventable, injuries, make them a burden to their families and society. The role of various factors associated with injuries is often not documented.
Methods: This prospective, cross sectional study was done on 80 children aged below 16 years with musculoskeletal trauma, data were collected and analysis was done using Microsoft excel and frequency table. The various modes of injuries, place of injuries, pattern of injuries and regional distribution of injuries were analyzed.
Results: One in every four to five patient was a child below 16 years of age. Boys were injured more than girls. Injuries, especially fractures, were most common in the extremities, the upper limb more commonly injured than the lower limb. Most of the injuries occurred at home. The most common mode of injuries was falls that happened while playing both within and outside the home, followed by road traffic accidents. Most injuries occurred during daytime.
Conclusions: Many injuries in children were found to be preventable. Small interventions and modification while constructing homes and surroundings can contribute tremendously to injury prevention and control in children. Parental awareness about the various modes of injury, role of supervised playing and their responsibility towards injury prevention can play a key role in reducing the morbidity associated with childhood fractures.
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Bramah, Christopher, Stephen J. Preece, Niamh Gill, and Lee Herrington. "Is There a Pathological Gait Associated With Common Soft Tissue Running Injuries?" American Journal of Sports Medicine 46, no. 12 (September 7, 2018): 3023–31. http://dx.doi.org/10.1177/0363546518793657.
Abstract:
Background: Previous research has demonstrated clear associations between specific running injuries and patterns of lower limb kinematics. However, there has been minimal research investigating whether the same kinematic patterns could underlie multiple different soft tissue running injuries. If they do, such kinematic patterns could be considered global contributors to running injuries. Hypothesis: Injured runners will demonstrate differences in running kinematics when compared with injury-free controls. These kinematic patterns will be consistent among injured subgroups. Study Design: Controlled laboratory study. Methods: The authors studied 72 injured runners and 36 healthy controls. The injured group contained 4 subgroups of runners with either patellofemoral pain, iliotibial band syndrome, medial tibial stress syndrome, or Achilles tendinopathy (n = 18 each). Three-dimensional running kinematics were compared between injured and healthy runners and then between the 4 injured subgroups. A logistic regression model was used to determine which parameters could be used to identify injured runners. Results: The injured runners demonstrated greater contralateral pelvic drop (CPD) and forward trunk lean at midstance and a more extended knee and dorsiflexed ankle at initial contact. The subgroup analysis of variance found that these kinematic patterns were consistent across each of the 4 injured subgroups. CPD was found to be the most important variable predicting the classification of participants as healthy or injured. Importantly, for every 1° increase in pelvic drop, there was an 80% increase in the odds of being classified as injured. Conclusion: This study identified a number of global kinematic contributors to common running injuries. In particular, we found injured runners to run with greater peak CPD and trunk forward lean as well as an extended knee and dorsiflexed ankle at initial contact. CPD appears to be the variable most strongly associated with common running-related injuries. Clinical Relevance: The identified kinematic patterns may prove beneficial for clinicians when assessing for biomechanical contributors to running injuries.
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Jovanovic, Milos, and Ivan Stefanovic. "Mechanical injuries of the eye: Incidence, structure and possibilities for prevention." Vojnosanitetski pregled 67, no. 12 (2010): 983–90. http://dx.doi.org/10.2298/vsp1012983j.
Abstract:
Background/Aim. Despite technological advances used in everyday clinical practice, injuries of the eye caused by various agents still produce blindness and poor vision in a significant number of people. The aim of this study was to analyze factors leading to occurrence of mechanical injuries of the eye. Methods. Mechanic injuries of the eye in patients treated at the Institute for Eye Diseases of the Clinical Center of Serbia in Belgrade, in an eight-year period were analyzed. Investigated parameters were: sex and age of patients, their profession, time of injury (months, days and hours), place and way of injury and a visual acuity on admission and dismiss, as well as further follow-up. Type of injury (closed or opened injuries of the eyeball), with all the complications that followed were carefully noted and monitored. The time of primary surgical repair was noted and analyzed, whenever necessary. Results. In the period of eight years, 2701 patients (2 257 males and 444 females) were treated in the hospital due to mechanical injury of the eye. Almost equally, both the right (50.5%) and the left eye (49.5%) were injured, while in 39 (1.4%) patients both eyes were injured at the same time. The injuries occurred in all age groups, but mostly in adults, employed persons, aged from 16 to 65 (70%). Among injured children, 18.8% were beyond the age of 15. Most frequent injuries occurred in workers (39%), and then in pupils (16.3%). Wood was the mean of injury in 23.7% of cases, sharp and pointed objects in 16.1%, hammering and metal particles in 14.4%, glass in 10.1%, and other different objects in the rest of 35.7% of all injured persons. There were other very serious means or mechanisms of eye injuries, like hair band, dog bite, rooster?s beak, rubber bullet, etc. Considering months in the year and days in the week, the injuries were almost equally distributed, and related to the time of day even 75% occurred between 10 a.m. and 10 p.m. Most injuries (38.2%) occurred while doing some work out of professional working place, while only 25.4% injuries occurred at the working place. Most of the patients (30.3%) had visual acuity L+P+ (light perception with correct projection) only, on attendance, but it varied from complete blindness to 1.0. There were 1 282 blunt injuries (contusion) (47.5%) and 1 373 penetrating eyeball injuries (50.8%), while the rest (1.7%) were injuries of ocular adnexa. Most of the primary surgical treatments (63.7%) were done in the first 24 hours from the moment of the injury. At dismiss, visual acuity was normal in 53.2%, the eye was blind in 19.1% injured patients. Conclusion. The results of this study showed that the injuries occurred most frequently in actively working people and pupils, that men were injured five times more often than women; that wood, sharp objects and glass were the most common means, that there was an equal number of blunt injuries and penetrating wounds, and that it was very important to treat injury promptly, preferably within the first 24 hours. By further analysis, it might be concluded that many injuries could have been prevented, avoiding long medical treatment and accompanying costs, and what is most important - permanent invalidity caused by reduced visual function or blindness of the injured eye is avoidable.
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LJUNGBERG, E., H. E. ROSBERG, and L. B. DAHLIN. "Hand Injuries in Young Children." Journal of Hand Surgery 28, no. 4 (August 2003): 376–80. http://dx.doi.org/10.1016/s0266-7681(03)00101-3.
Abstract:
Four hundred and fifty five young children (0–6 years old) were treated for hand injuries between 1996 and 2000. Boys (61%) were injured more often and a higher number of injuries occurred during May and September. Fingertip injuries were the most common injuries (37%), and were often caused by jamming in doors at home. Fractures were caused by falls and punches and tendon/nerve injuries by sharp objects. The incidence of hand injuries increased from 20.4/10,000/year in 1996 to 45.3/10,000/year in 2000. Only 4% of the children had complex injuries but these placed a high demand on resources. The incidence of injuries was not higher amongst children from immigrant families.
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Nunes, Guilherme S., Alessandro Haupenthal, Manuela Karloh, Valentine Zimermann Vargas, Daniela Pacheco dos Santos Haupenthal, and Bruna Wageck. "Sport injuries treated at a physiotherapy center specialized in sports." Fisioterapia em Movimento 30, no. 3 (September 2017): 579–85. http://dx.doi.org/10.1590/1980-5918.030.003.ao16.
Abstract:
Abstract Introduction: The risk of injuries related to physical activity and sports may increase if there is predisposition, inappropriate training and/or coach guidance, and absence of sports medicine follow-up. Objective: To assess the frequency of injuries in athletes treated at a physiotherapy center specialized in sports. Methods: For the data collection was carried out the survey of injuries in records of athletes treated in eight years of activities. The data collected included: characteristics of patients, sport, injury kind, injury characteristics and affected body part. Results: From 1090 patient/athlete records, the average age was 25 years old, the athletes were spread across 44 different sports modalities, being the great majority men (75%). The most common type of injury was joint injury, followed by muscular and bone injuries. Chronic injury was the most frequent (47%), while the most common body part injured was the knee, followed by ankle and shoulder. Among all the sports, soccer, futsal, and track and field presented the highest number of injured athletes, respectively. Conclusion: Soccer was the most common sport among the injured athletes, injury kind most frequent was joint injuries and knee was the body part most injured. Chronic injuries were the most common.
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Steinberg, Nili, Itzhak Siev-Ner, Smadar Peleg, Gali Dar, Youssef Masharawi, Aviva Zeev, and Israel Hershkovitz. "Injuries in Female Dancers Aged 8 to 16 Years." Journal of Athletic Training 48, no. 1 (January 1, 2013): 118–23. http://dx.doi.org/10.4085/1062-6050-48.1.06.
Abstract:
Context Most studies of injured dancers have been carried out on professional adult dancers; data on young, nonprofessional injured dancers are sparse. Objective To identify the types of injuries sustained by recreational dancers and to examine their association with age, joint range of motion, body structure, age at menarche, presence of anatomic anomalies, and physical burden (ie, practice hours en pointe). Design Descriptive epidemiology study. Setting The Israel Performing Arts Medicine Center, Tel Aviv. Patients or Other Participants A total of 569 injured female dancers, aged 8 to 16 years. Main Outcome Measure(s) Dependent variables were 61 types of current injuries that were later classified into 4 major categories: knee injuries, foot and ankle tendinopathy, back injuries, and other injuries. Independent variables were age, joint range of motion, body size and shape, age at menarche, anatomic anomalies, and dance discipline (eg, hours of practice per week en pointe). Results At least 1 previous injury had been sustained by 42.4% of the dancers. The most common injuries involved the knee (40.4%), followed by other injuries (23.4%). The relative frequency of back injuries and tendinopathy decreased with age, whereas knee injuries increased. Types of injuries were significantly associated with ankle plantar flexion, hip external rotation, hip abduction, and knee flexion. Multinomial regression analysis revealed only 3 predictive variables (with other as baseline), all for back injury: scoliosis, age, and hip external rotation. Conclusions Joint range of motion and scoliosis may signal the potential for future injury. Young dancers (less than 10 years of age) should not be exposed to overload (especially of the back) or extensive stretching exercises.