Blunt and penetrating chest injuries

McSwain, Norman E.

doi:10.1007/bf02066993

Cited by 15 publications

(7 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Interestingly, this acute pain is attenuated by resetting and stabilizing the mineralized bone/apposed periosteum (Fig. 4) at the site of fracture and this intense pain can be reactivated within seconds by movement and mechanical distortion of the fractured femur (McSwain, 1992; Hedequist et al, 1999; Santy and Mackintosh, 2001; Bone et al, 2004; Camuso, 2006). This clinical picture would suggest that mechanosensitive nerve fibers including those present in the densely innervated periosteum, are pivotally involved in driving the initial fracture pain.…”

Section: Fracture Pain: Causes Consequences and Therapeutic Oppormentioning

confidence: 99%

New advances in musculoskeletal pain

Bove

Flatters

Inglis

et al. 2009

Brain Research Reviews

View full text Add to dashboard Cite

Non-malignant musculoskeletal pain is the most common clinical symptom that causes patients to seek medical attention and is a major cause of disability in the world. Musculoskeletal pain can arise from a variety of common conditions including osteoarthritis, rheumatoid arthritis, osteoporosis, surgery, low back pain and bone fracture. A major problem in designing new therapies to treat musculoskeletal pain is that the underlying mechanisms driving musculoskeletal pain are not well understood. This lack of knowledge is largely due to the scarcity of animal models that closely mirror the human condition which would allow the development of a mechanistic understanding and novel therapies to treat this pain. To begin to develop a mechanism-based understanding of the factors involved in generating musculoskeletal pain, in this review we present recent advances in preclinical models of osteoarthritis, post-surgical pain and bone fracture pain. The models discussed appear to offer an attractive platform for understanding the factors that drive this pain and the preclinical screening of novel therapies to treat musculoskeletal pain. Developing both an understanding of the mechanisms that drive persistent musculoskeletal pain and novel mechanism-based therapies to treat these unique pain states would address a major unmet clinical need and have significant clinical, economic and societal benefits.

show abstract

Section: Fracture Pain: Causes Consequences and Therapeutic Oppormentioning

confidence: 99%

New advances in musculoskeletal pain

Bove

Flatters

Inglis

et al. 2009

Brain Research Reviews

View full text Add to dashboard Cite

show abstract

“…Da 75 % der Unfallpatienten zum Zeitpunkt der Erstuntersuchung keine äußeren Verletzungszeichen am Brustkorb aufweisen, kommt der Analyse des Unfallmechanismus eine besondere Bedeutung zu [14]. Sie erlaubt Rückschlüsse auf Art und Ausmaß des Thoraxtraumas.…”

Section: Symptomatikunclassified

Strategien in Diagnostik und Therapie des Thoraxtraumas

Müller¹,

Hatz²

2005

Viszeralchirurgie

View full text Add to dashboard Cite

Chest injury is encountered in 20 % of all traumatized patients. 25-35 % have an isolated trauma to the chest. 65-75 % are seen as accompanying injuries in polytraumatized patients. Blunt trauma occurs in 90-95 % and penetrating injury in 5-10 %. Fractures to the thoracic bone structure are the most common type of injury, followed by contusions to the lung, hemothorax and pneumothorax. Injuries to the mediastinum and diaphragm are less frequent. Primary diagnosis is best established by computer tomography and sonography. If airway, oesophageal or cardiac injury are suspected special diagnostics such as bronchoscopy, esophageal endoscopy, echocardiography and coronary angiography should be employed. 90 % of all thoracic injuries can be treated conservatively with analgesics, oxygen, chest tube drainage and secretolysis. Primary surgical therapy is indicated in 10 %. Mortality is higher following blunt trauma than after penetrating injuries. Key wordsChest injury · polytrauma · blunt trauma · lung contusion · surgery ZusammenfassungIn bis zu 20 % aller Unfallverletzungen findet sich eine Beteiligung des Brustkorbes, die entweder als isoliertes Thoraxtrauma (25-35 %) oder als Mitverletzung des Thorax (65-75 %) bei Polytraumata beobachtet werden. Zu 90-95 % handelt es sich um stumpfe Thoraxtraumen, in 5-10 % um penetrierende Verletzungen. Führend sind Frakturen des knöchernen Thorax, Lungenkontusion und Hämato-/Pneumothorax. Seltener werden Verletzungen der Mediastinalorgane und des Zwerchfells beobachtet. Die apparative Primärdiagnostik erfolgt durch Computertomographie und Ultraschall, sie wird bei speziellen Organverletzungen durch Bronchoskopie und Ösophagoskopie, Echokardiographie und Koronarangiographie ergänzt. Zu 90 % ist eine konservative Therapie durch Gabe von Analgetika, Sauerstoff, Einlage einer Thoraxdrainage und Sekretolyse ausreichend. Eine primär operative Therapie ist in 10 % indiziert. Die Letalität ist höher nach stumpfem als nach penetrierendem Thoraxtrauma. SchlüsselwörterThoraxtrauma · Polytrauma · stumpfes Trauma · Lungenkontusion · chirurgische Therapie Originalarbeit 368 Heruntergeladen von: Universite Laval. Urheberrechtlich geschützt. Einleitung

show abstract

“…Several precordial impactions with cardiac squeezing between the sternum and spine is one possible mechanism [3,4]. In the English literature, however, this is the first case of a patient with pectus excavatum having a blunt rupture.…”

Section: Discussionmentioning

confidence: 99%

“…Patients with cardiac rupture following blunt thoracic trauma rarely survive and most die at the scene of the accident or soon after in the emergency room, before the cardiac lesions are detected [1,2]. Cardiac squeezing between the sternum and spine is postulated as the most likely trauma mechanism [3,4]. …”

Section: Introductionmentioning

confidence: 99%

Pectus excavatum in blunt chest trauma: a case report

et al. 2013

View full text Add to dashboard Cite

IntroductionBlunt cardiac rupture is an exceedingly rare injury.Case presentationWe report a case of blunt cardiac trauma in a 43-year-old Caucasian German mother with pectus excavatum who presented after a car accident in which she had been sitting in the front seat holding her two-year-old boy in her arms. The mother was awake and alert during the initial two hours after the accident but then proceeded to hemodynamically collapse. The child did not sustain any severe injuries. Intraoperatively, a combined one-cm laceration of the left atrium and right ventricle was found.ConclusionPatients with pectus excavatum have an increased risk for cardiac rupture after blunt chest trauma because of compression between the sternum and spine. Therefore, patients with pectus excavatum and blunt chest trauma should be admitted to a Level I Trauma Center with a high degree of suspicion.

show abstract

Blunt and penetrating chest injuries

Cited by 15 publications

References 25 publications

New advances in musculoskeletal pain

New advances in musculoskeletal pain

Strategien in Diagnostik und Therapie des Thoraxtraumas

Pectus excavatum in blunt chest trauma: a case report

Contact Info

Product

Resources

About