Thoracic type B2 fractures are high-energy injuries. It is crucial to maintain a high index of suspicion for concomitant visceral injuries. A 33-year-old man presented after a motor vehicle accident with a T4 type B2.3 fracture with an associated sternum fracture. He was treated with a T4 corpectomy and an expandable titanium cage and lateral plate construct at T3-T5. Two months later he develo...

INTRODUCTION Doing Chest X Ray (CXR) for all trauma patients is not efficient and cost effective due to its low diagnostic value. The present study was designed aiming to evaluate the diagnostic accuracy of thoracic injury rule out criteria (TIRC) in prediction of traumatic intra-thoracic injuries and need for CXR. METHOD The present study is a prospective cross-sectional study that has been ...

In general the passive safety capability is much greater in newer versus older cars due to the stiff compartment preventing intrusion in severe collisions. However, the stiffer structure which increases the deceleration can lead to a change in injury patterns. In order to analyse possible injury mechanisms for thoracic and lumbar spine injuries, data from the German In‐Depth Acciden...

esophageal perforation continues to be a difficult diagnostic and management problem. recommendations regarding treatment remain controversial. 17 patients with perforation of the esophagus were retrospectively reviewed at the thoracic surgery unit of imam khomeini hospital between 1981 and 1992. the majority of the injuries involved the thoracic esophagus (10 or 59%), followed by the cervical ...

objective: to determine the predictive and diagnostic value of thorax trauma severity score (ttss) in a population of thoracic trauma patients admitted to a secondary level trauma center. methods : a retrospective analysis of patients admitted over a period of two years with idc-9 codes related to thoracic trauma was undertaken. the association of ttss with complications and mortality was evalu...

BACKGROUND Mortality from thoracic injuries has declined significantly from 63% in the Civil War to 3% in Vietnam. We reviewed the injury patterns, procedures, blood products, and mortality of US soldiers sustaining a thoracic injury during Operation Enduring Freedom and Iraqi Freedom (OEF/OIF). METHODS Data on US soldiers with a thoracic injury during OEF/OIF from January 2003 to May 2011 wa...

We present a case of motorcyclist involved in multi-vehicle motor vehicle accident (MVA), where he was rear-ended by motorcar, collided head-on into second motorcar and subsequently flung off his motorcycle. There no suggestion runover. At autopsy, the torso showed extensive brush abrasions with open wounds. Internally, there were devastating injuries, complete separation thoracic abdominal vis...

objective: free radicals generated by ionizing radiation attack various cellular components such as lipids. the lung is a very radiosensitive organ and its damage is a doselimiting factor in radiotherapy treatments. melatonin (mlt), the major product of the pineal gland acts as a radioprotective agent. this study aims to investigate the radioprotective effects of mlt on malondialdehyde (mda) le...