Journal of Trauma and Injury

Missed Detection of an Occipito-atlanto-axial Instability: A Case Report: Shih Min Lee, Kyeong Wook Yoon; J Trauma Inj. 2014;27(1):1-4.

Abstract PDF: Occipito-atlanto-axial subluxation is a type of high cervical injury. Misdiagnosis of this instability might cause several complications, including neurologic deficits. A radiologic evaluation must be performed and specific parameters that imply cervical instability must be confirmed. Full understanding of these parameters may prevent not only delayed diagnosis but also unexpected complication. We report a case of delayed detection of a cervical instability and emphasize the role of proper diagnosis.; Summary

Surgical Treatment of Blunt Traumatic Cardiac Rupture: Two Case Reports: Tae Ook Noh, Pil Won Seo; J Trauma Inj. 2014;27(1):5-8.

Abstract PDF: Although blunt traumatic cardiac rupture is an uncommon injury, it can be associated with a high mortality rate. Two cases of cardiac rupture in blunt trauma patients are described herein. In those cases, applications of mechanical support devices such as ECMO (extracorporeal membrane oxygenation) and early surgery for exploration under cardiopulmonary bypass may be helpful for treating blunt chest trauma patients.; Summary

Case Report of a Simple Rib Fracture Caused by Coughing: Woo Ik Choi; J Trauma Inj. 2014;27(1):9-12.

Abstract PDF: Violent or severe persistent coughing is rarely associated with rib fracture. We report a rare case of a cough-induced rib fracture in a patient without any traumatic history or any other underlying disease. A 32-year-old female presented to the emergency department complaining of having had right-sided pleuritic chest pain for 5 days. She had a background of an 8-week coughing illness. A posteroanterior view of the chest radiograph showed no definite fractured line. Chest computed tomography revealed a subtle break cortical line of the 7th rib in the right-sided chest wall. Early identification of a cough-induced fracture of the rib by using computed tomography may avoid unnecessary further work-ups including laboratory examination and may lead to appropriate discharge instructions including rest and reassurance. The clinical presentations and radiologic findings of rib fractures caused by coughing are presented along with a review of the literature.; Summary

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