Trauma is the leading cause of death in young people. Radiologic evaluation of chest injuries in patients begins usually with a simple chest X-ray at the admission time. Unfortunately, chest X-ray has limited sensitivity in detecting thoracic injuries. Many thoracic injuries such as contusions, diaphragmatic injuries, pneumothorax and hemothorax are missed on chest X-ray. Computerized Tomograph...

BACKGROUND Injuries are common in contact sports like Australian football. The Australian Football League (AFL) has developed an extensive injury surveillance database that can be used for epidemiological studies. OBJECTIVES The purpose of this study is to identify any association between the three most prevalent injuries in the AFL. PATIENTS AND METHODS From the AFL injury surveillance dat...

OBJECTIVES To undertake a prospective epidemiological study of the injuries sustained in English professional football over two competitive seasons. METHODS Player injuries were annotated by club medical staff at 91 professional football clubs. A specific injury audit questionnaire was used together with a weekly form that documented each club's current injury status. RESULTS A total of 6,0...

Distal radioulnar joint (DRUJ) instability is a common clinical condition but a frequently missed diagnosis. Both surgical and nonsurgical treatments are possible for chronic cases of DRUJ instability. Nonsurgical treatment can be considered as the primary therapy in less active patients, while surgery should be considered to recover bone and ligament injuries if nonsurgical treatment fails to ...

Numerous orthopaedic injuries can follow a seizure and are often diagnosed late. This is the first documented case of a missed bilateral anterior shoulder dislocation following a seizure. The possible reasons for the greater incidence of posterior dislocations are examined and why bilateral anterior dislocations following a seizure are so rare. The article discusses the reasons for the delay an...

Trauma in elderly patients is often difficult to evaluate and neck injuries are probably more common than is documented. A case is described of a missed odontoid peg fracture with the unusual presentation of dysphagia and a rapidly developing cervicodorsal kyphos (head falling forward), which may well have been anticipated at several points in the management chain. The lessons to be learned are...

Gallbladder duplication with an incidence at autopsy of about 1 in 4000 is important in clinical practice, because it may cause some clinical, surgical, and diagnostic problems. Preoperative identification of this rare anomaly avoids biliary injuries and the other consequences of missed diagnosis. In this report, we present a case of ductular type duplex gallbladder diagnosed preoperatively by ...

BACKGROUND Little is known about injury risk or the pattern of injuries among competitive snowboarders. PURPOSE To describe the incidence and pattern of injuries among female and male snowboard athletes at the highest national level. STUDY DESIGN Descriptive epidemiology study. METHODS This study consists of 2 parts: prospective registration of injuries at snowboarding national cup events...

BACKGROUND Many trauma care providers often disregard the abdominal clinical examination in the presence of extra-abdominal distracting injuries and mandate abdominal computed tomographic scan in these patients. Ignoring the clinical examination may incur undue expense and radiation exposure. The purpose of this study was to assess the efficacy of abdominal clinical examination in patients with...

Right sided traumatic diaphragmatic rupture in children is uncommon and may escape early detection. Missed injuries are associated with high mortality and morbidity due to incarceration and strangulation of abdominal viscera. We report a 15-month-old child with blunt trauma chest and abdomen, who presented with bilateral hemothoraces and liver laceration seven days after the incident. Diagnosis...