We present four patients who had sustained a traumatic dislocation of the atlanto-occipital joint. The diagnosis was initially missed in two patients. One patient, who was neurologically intact, was treated non-operatively. The remaining three recovered neurologically after an occipitocervical fusion. Early recognition of the injury, especially in multiply-injured patients with head injuries, a...

Ureteral injury is a rare but potentially serious complication that can occur during a variety of abdominal and pelvic surgical procedures. Knowledge of the course of the ureter is the first step toward preventing ureteral injuries. While some injuries are noticed intraoperatively, most are missed and present later with pain, sepsis, urinary drainage, or renal loss. The choice of treatment is b...

BACKGROUND Hamstring injuries are the most common injury in Australian Rules football. It was the aims to investigate whether a sports chiropractic manual therapy intervention protocol provided in addition to the current best practice management could prevent the occurrence of and weeks missed due to hamstring and other lower-limb injuries at the semi-elite level of Australian football. METHO...

Trapezium fractures are rare injuries which should not be missed. We report a case of a 27-year-old right hand dominant man who sustained a closed vertical trapezium fracture and first carpometacarpal joint dislocation which was treated with closed reduction and percutaneous Kirschner-wire fixation, a technique familiar to all orthopaedic surgeons. Satisfactory functional outcome was achieved a...

INTRODUCTION To determine if increased trauma team response results in alterations in resource use in a population of children <6 years, especially in those least injured. METHODS We conducted a retrospective before and after study of children <6 years sustaining blunt trauma and meeting defined prehospital criteria. We compared hospitalization rates and missed injuries (injuries identified a...

Parotid gland or duct injury can be caused by assault with a knife, bottle, or more rarely, gunshot. Post-traumatic parotid gland and duct injuries are not common.The low rate of occurence of parotid injury may account for the missed diagnosis of parotid and duct injury on admission and, after a varying period, sialoceles or fistulas. This report describes a case of a post-traumatic sialocele o...

Injuries to the tarsometatarsal joint complex, also known as the Lisfranc joint, are relatively uncommon. However, the importance of an accurate diagnosis cannot be overstated. These injuries, especially when missed, may result in considerable long-term disability as the result of posttraumatic arthritis. A high level of suspicion, recognition of the clinical signs of injury, and appropriate ra...

in a letter published in this issue of Journal of Rehabilitation Medicine, sosa et al. (1) comment on a recent publication in Injury by Puljula et al. (2) and highlight some issues related to mild traumatic brain injury (Mtbi). Puljula et al. demonstrated that Mtbi may be missed in patients with craniofacial injuries. We agree that this is an important message. We also agree with the recommenda...

Introduction: Cuboid dislocations in isolation are rare injuries often associated with high energy mechanisms, but here we present a case of college football player low mechanism that underwent surgical treatment. Case Report: We report an 18-year-old who injured his left foot after tripping over dog and falling down the stairs. His injury was initially missed, he later found to have cuboid dis...