X-ray is a common modality for diagnosing cervical vertebrae injuries. Many injuries are missed by emergency physicians which later causes life threatening complications. Computer aided analysis of X-ray images has the potential to detect missed injuries. Segmentation of the vertebrae is a crucial step towards automatic injury detection system. Active shape model (ASM) is one of the most succes...

Critical care specialists should be familiar with the initial management of injured patients. Dividing the evaluation and treatment of the patient into the primary, secondary, and tertiary surveys ensures that the multiply injured patient will be managed expeditiously. The primary survey identifies the acute life-threatening problems that must be managed immediately. The secondary survey identi...

Lumbar artery pseudoaneurysms are infrequent complications of penetrating trauma. When present, they are often accompanied by other injuries; however, we report the case of an isolated traumatic lumbar artery aneurysm resulting from a single knife stab. The lesion was successfully treated with endovascular microcoil embolization. While these injuries are uncommon, the surgeon must maintain a hi...

Musculoskeletal injuries are frequently the reason children and adolescents seek care in the emergency department. In the skeletally immature patient, injury to the open growth plate can occur. When missed or mismanaged, these injuries can result in growth plate arrest. The emergency physician needs to remain vigilant for these injuries. This review article examines the clinical presentation, d...

BACKGROUND Guidelines are in place directing the clearance of the cervical spine in patients who are awake, alert, and oriented, but a gold standard has not been recognized for patients who are obtunded. Our study is designed to determine if magnetic resonance imaging (MRI) detects clinically significant injuries not seen on computed tomographic (CT) scans. METHODS The trauma registry was use...

A highly organized approach to the evaluation and treatment of penetrating torso injuries based on regional anatomy provides rapid diagnostic and therapeutic consistency. It also minimizes delays in diagnosis, missed injuries and nontherapeutic laparotomies. This review discusses an optimal sequence of structured rapid assessments that allow the clinician to rapidly proceed to gold standard the...

The ankle is a common site of sport injuries. These usually have their main manifestations at the ankle joint and are thus easily recognised. However, unstable ligamentous ankle injuries may be associated with a fracture of the proximal fibula which can dominate the clinical picture. This severe uncommon injury complex, known as Maisonneuve fracture, is easily missed and maltreated (Pankovich, ...

BACKGROUND Blunt ureteral and ureteropelvic (UPJ) injuries are extremely rare and very difficult to diagnose. Many of these injuries are missed by the initial trauma evaluation. METHODS Trauma registry data was used to identify all blunt trauma patients with ureteral or UPJ injuries, from 1 April 2001 to 30 November 2006. Demographics, injury information and outcomes were determined. Chart re...

Carpal dislocations are wrist injuries and Lunate dislocation is its severe form. Lunate and perilunate dislocations are uncommon. These injuries have significant clinical impact on the patient but are easily missed and lead to potentially devastating effect if mismanaged. This case report outlines the important clinical aspects and management of Lunate dislocation.