Motorcycle crashes and upper extremity trauma

Cravez, Erin M; Rankin, Kelsey A; Ondeck, Nathaniel T.; Yaari, Lee; Leslie, Michael David; Swigart, Carrie R.; Wiznia, Daniel H.

doi:10.1051/sicotj/2021007

Cited by 3 publications

(1 citation statement)

References 20 publications

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“…Proximal humerus fractures and shoulder dislocations are fairly prevalent traumatic injuries, particularly in the context of high-risk sports such as motorbike racing, where 47.5% of accidents can result in upper extremity injury [ 1 ]. Greater tuberosity fractures may occur in up to 20% of those cases presenting with anterior shoulder dislocations.…”

Section: Introductionmentioning

confidence: 99%

Proximal Humerus Fracture/Dislocation: Look for the Greater Tuberosity

Zadeh¹,

Abdelghafour²,

Assiotis³

2023

Cureus

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The shoulder is the commonest major joint involved in dislocations. These are often associated with fractures of the surgical neck and/or of the greater tuberosity of the proximal humerus. A good functional recovery is associated with a successful union of the tuberosity fragment, as this carries the insertion of the superior and posterior rotator cuff tendons. A 29-year-old male patient presented to our Emergency Department (ED) after a fall off his motorbike, resulting in a left shoulder fracture dislocation and an axillary nerve injury. His shoulder was reduced under sedation in the ED, with post-reduction radiographs demonstrating a seemingly satisfactory fracture position. Later on, a computerized tomography (CT) scan was arranged which actually confirmed significant displacement of his greater tuberosity, which was not picked up on initial post-reduction radiographs. As a result of identifying the displacement, surgical fixation with a locking plate and suture construct was undertaken. This case demonstrates the ease with which greater tuberosity fractures can mistakenly be presumed as reduced on post-reduction films, whilst in fact they can be significantly displaced. This risk is especially great when only one radiographic view is obtained. The sign of the 'disappearing tuberosity' on a plain radiograph should prompt the clinician to seek further imaging by way of CT, to uncover the true position of the greater tuberosity.

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Section: Introductionmentioning

confidence: 99%

Proximal Humerus Fracture/Dislocation: Look for the Greater Tuberosity

Zadeh¹,

Abdelghafour²,

Assiotis³

2023

Cureus

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Motorcycle injuries: a systematic review for forensic evaluation

Giovannini,

Santelli,

Pelletti

et al. 2024

Int J Legal Med

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The intricate interplay of exposure and speed leave motorcyclists vulnerable, leading to high mortality rates. During the collision, the driver and the passenger are usually projected away from the motorcycle, with variable trajectories or final positions. Injuries resulting from the crash can exhibit distinct and specific characteristics depending on the circumstances of the occurrence.The aim of this study is to provide a systematic review of the literature on injuries sustained by motorcyclists involved in road accidents describing and analyzing elements that are useful for forensic assessment.The literature search was performed using PubMed, Scopus and Web of Science from January 1970 to June 2023. Eligible studies have investigated issues of interest to forensic medicine about during traffic accidents involving motorcycle. A total of 142 studies met the inclusion criteria and were classified and analyzed based on the anatomical regions of the body affected (head, neck, thoraco-abdominal, pelvis, and limb injuries). Moreover, also the strategies for preventing lesions and assessing injuries in the reconstruction of motorcycle accidents were examined and discussed.This review highlights that, beyond injuries commonly associated with motorcycle accidents, such as head injuries, there are also unique lesions linked to the specific dynamics of accidents. These include factors like the seating position of the passenger or impact with the helmet or motorbike components. The forensic assessment of injury distribution could serve as support in reconstructing the sequence of events leading to the crash and defining the cause of death in trauma fatalities.

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Hand telerehabilitation for polytrauma patients following road traffic accidents

Hospodarskyy,

Marchenkova,

Kopytchak

et al. 2024

Wiad Lek

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Aim: This study aimed to examine the characteristics of upper limb and shoulder injuries combined with chest trauma in road accident victims and evaluate the effectiveness of telemedical monitoring and a newly developed telerehabilitation model in patient recovery. Materials and Methods: Our study incorporated 136 medical records of inpatients who had sustained upper extremity and chest injuries, constituting a retrospective group. Additionally, in the main group, we included 73 patients with similar injuries of the upper extremity and chest. Results: We analyze the functional results between the retrospective group and the main group, providing valuable insights into the effectiveness of traditional rehabilitation versus telerehabilitation. Focusing first on the average time spent on rehabilitation exercises per day, we observe a noticeable difference: while the retrospective group dedicated an average of 29}8 minutes daily, the main group invested more time, averaging 42}4 minutes. The retrospective group reported an average of 12}2 visits, in stark contrast to the main group, which averaged only 4}2 visits. The rehabilitators spent considerably less time with each patient in the main group (92}14 minutes) compared to the retrospective group (263}15 minutes), with a significant difference (p<0.005). The discovery in our study that there was no notable statistical difference in the functional outcomes, as evaluated by QuickDASH scores, between patients undergoing telerehabilitation and those receiving traditional rehabilitation is of significant importance. Conclusions: The findings reveal that telerehabilitation can significantly increase patient engagement in rehabilitation exercises, primarily due to its convenience and accessibility.

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Motorcycle crashes and upper extremity trauma

Cited by 3 publications

References 20 publications

Proximal Humerus Fracture/Dislocation: Look for the Greater Tuberosity

Proximal Humerus Fracture/Dislocation: Look for the Greater Tuberosity

Motorcycle injuries: a systematic review for forensic evaluation

Hand telerehabilitation for polytrauma patients following road traffic accidents

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