AIM Identifying cervical spine injuries in confused or comatose patients with multiple injuries provides a diagnostic challenge. Our aim was to investigate the protocols which are used for the clearance of the cervical spine in these patients in English hospitals. PATIENTS AND METHODS All hospitals in England with an Emergency Department were asked about the protocols which they use for asses...

BACKGROUND Triceps tendon avulsion is one of the rare tendinous injuries. Such injuries can easily be missed, and should be kept as a differential diagnosis in all patients who present with pain and swelling at the back of the elbow after a traumatic event. CASE DETAILS We present a case of triceps tendon avulsion which was missed in the initial workup by a local practitioner. Careful physica...

Triceps rupture is the least common among all tendon injuries. The usual mechanism of injury is a fall on an outstretched hand, although direct contact injuries have also been reported to cause this injury. The diagnosis of acute triceps tendon rupture may be missed, which can result in prolonged disability and delayed operative management. We presented three cases of acute triceps tendon ruptu...

Segmental clavicle fractures are uncommon injuries. When they do present, they tend to comprise a distal and mid-shaft fracture. A clavicular injury with proximal and distal fractures is a rarer presentation still which is sparsely covered in the literature. These injuries, which have been termed bipolar, are easily missed at presentation and due to their infrequency the optimal method of manag...

OBJECTIVES To establish the true prevalence of clinically recognisable and occult obstetric anal sphincter injuries (OASIS). DESIGN Prospective interventional study. SETTING Busy district general hospital. SAMPLE Two hundred and fifty-four women having their first vaginal delivery over a 12-month period were invited. Two hundred and forty-one (95%) participated and 208 (86%) attended foll...

BACKGROUND Very little is known about the injury characteristics of beach volleyball. PURPOSE To describe the incidence and pattern of injuries among professional male and female beach volleyball players. STUDY DESIGN Cohort study--retrospective injury recall and prospective registration. METHODS Injuries occurring over a 7.5-week interval of the summer season were retrospectively registe...

OBJECTIVE To review iatrogenic ureteric and urinary bladder injuries from obstetric and gynaecological surgeries treated in the urology department analysing; ureteric anatomy, aetiologic factors, diagnosis, treatment and outcomes. DESIGN A retrospective study. SETTING Institute of Urology, Kilimanjaro Christian Medical Center (KCMC), Moshi, Tanzania. SUBJECTS Twenty three women were treat...

Syndesmosis injuries -also known as high ankle sprainshave an increasing popularity because of an increased awareness of diagnosis. Different from lateral ankle sprains, mechanism of injury mostly involves external rotation, eversion and excessive dorsiflexion. Other mechanisms can also cause sydesmosis injuries. Because of high levels of missed injuries the real prevalence of syndesmosis injur...

BACKGROUND Oblique injuries are known to be a common cause of time out of play for professional baseball players, and prior work has suggested that injury rates may be on the rise in Major League Baseball (MLB). PURPOSE To better understand the current incidence of oblique injuries, determine their impact based on time out of play, and to identify common injury patterns that may guide future ...

STUDY DESIGN Literature review. OBJECTIVE The aim of this review is to describe the injuries associated with sacral fractures and to analyze their impact on patient outcome. METHODS A comprehensive narrative review of the literature was performed to identify the injuries associated with sacral fractures. RESULTS Sacral fractures are uncommon injuries that result from high-energy trauma, a...