Open fractures of the tibial diaphysis are often associated with severe bone and soft-tissue injury. Contamination of the fracture site and devitalization of the soft-tissue envelope greatly increase the risk of infection, nonunion, and wound complications. Management of open tibial shaft fractures begins with a thorough patient evaluation, including assessment of the bone and soft tissue surro...

Bicycle spoke injury is the most common cycling-related injury. It is due to foot entrapment in the spokes of the bicycle's rotating wheel, resulting in a variety of injuries. It may include soft tissue injuries as well as fractures of the tibia, fibula or foot bones. There is no universally accepted classification for such injuries. Soft tissue damage is the most important prognostic factor in...

Marine and freshwater animals can cause injury to humans by biting, stinging, being poisonous to eat, and causing infections. Biting aquatic animals in Florida include sharks, barracudas, alligators, and moray eels. Devitalized tissue should be débrided, and vascular, neurologic, and tendinous injuries should be repaired. Radiographs should be obtained to examine the injury sit for fractures an...

Controversy surrounds the capacity of extracorporeal shock wave lithotripsy to cause soft tissue injury. This study examines the influence of different dosages of shock waves on the gall bladder in both humans and an animal model. Sixty one guinea pigs were divided into groups and subjected to different numbers of shock waves (6,000, 24,000, and 48,000) at different frequencies (2.5, 5.0, 10, 2...

crush injury of an extremity occurs when a limb is compressed between two hard surfaces, to the point where vascular supply is impaired and vulnerable tissues undergo necrosis. most commonly, limbs are crushed during auto versus pedestrian accidents, motor vehicle crashes, and industrial accidents. however, during natural disasters such as earthquakes, buildings collapse, landslides, mine cave-...

To identify anatomic and physiologic characteristics of children which are different from adults and to explain major patterns and responses of different types of injuries and to apply ATLS principles in management of injured kids and to emphasize on injury prevention to reduce the impact of injury in children. Children have larger head, smaller jaw, shorter, narrower, funnel shaped airway, sof...

INTRODUCTION Burn injury and its subsequent multisystem effects are commonly encountered by acute care practitioners. Resuscitation is the major component of initial burn care and must be managed to restore and preserve remote organ function. Later complications of burn injury are dominated by infection. Burn centers are often called to manage soft tissue problems outside thermal injury includi...

Rock climbing is an increasingly popular sport. Its standards of difficulty have undergone a revolution in the past ten years. Regular training is now almost mandatory for the aspiring climber, but little has been published about the patterns of soft tissue injury to which climbers are susceptible. This paper aims to identify some of the common injuries that may be encountered, some of which do...

to identify anatomic and physiologic characteristics of children which are different from adults and to explain major patterns and responses of different types of injuries and to apply atls principles in management of injured kids and to emphasize on injury prevention to reduce the impact of injury in children. children have larger head, smaller jaw, shorter, narrower, funnel shaped airway, sof...