1/20. Galeazzi fracture resulting from electrical shock.Electrical injuries may cause tetanic contractions capable of producing fractures, even at very low voltages. patients with localized pain and swelling require radiographs to assess for fracture, even in the absence of other associated trauma.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
2/20. Triple "E" syndrome: bilateral locked posterior fracture dislocation of the shoulders.Bilateral locked posterior fracture dislocation of the shoulders is one of the least common injuries of the shoulder, and this injury has been suggested to be pathognomonic of seizures when diagnosed in the absence of trauma. The authors present a case of idiopathic bilateral locked posterior fracture dislocations of the shoulder, along with a review of the medical literature. The authors also present the "triple E syndrome," describing the possible etiologies of this injury: epilepsy (or any convulsive seizure), electrocution, or extreme trauma.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
3/20. Peripheral nerve compression associated with low-voltage electrical injury without associated significant cutaneous burn.Although peripheral-nerve injury has been described as clearly related to electrical injury, that electrical injury is usually associated with third- and often fourth-degree burns. The report presented here describes three cases of low-voltage electrical injury with associated peripheral-nerve symptoms but without clinically significant cutaneous burns. The symptoms and clinical findings resembled peripheral-nerve compression. The presence of these symptoms and findings in the upper- and lower-extremities and the presence of bilateral involvement suggest a systemic electrical injury that resembles a peripheral neuropathy. Symptoms were relieved by the decompression of nerves at multiple sites in each extremity. Perineurial fibrosis was identified at the time of nerve decompression. It is proposed that the electrical injury causes maximal heat production at areas of minimal limb cross-sectional area. In these areas, the peripheral nerve is in close proximity to bone and fibrous tissue. This results in perineurial fibrosis and symptoms of a compressive peripheral neuropathy.- - - - - - - - - - ranking = 0.021386421453317keywords = compression (Clic here for more details about this article) |
4/20. Use of open chest cardiopulmonary resuscitation after failure of standard closed chest CPR: illustrative cases.Compared to standard closed chest CPR, open chest cardiac massage improves vital organ perfusion and survival in animal models of medical cardiac arrest. Yet its use is essentially limited to the treatment of traumatic arrest. Three cases of medical cardiac arrest are presented in which open chest compression was used after failure of external chest compression. These cases illustrate the range of potential outcomes and how this therapy can be optimally applied. Approaches we have used to prevent application of futile intensive therapy in patients unlikely to be neurologically intact survivors are described. Replacement of open chest CPR by closed chest CPR as the standard of care for the in-hospital cardiac arrest was not justified by experimental data. The circumstances of refractory cardiac arrest make it unlikely that well controlled human studies will be able to demonstrate the superiority of open chest CPR in selected patients. The decision to use this therapy will likely remain within the art of medicine.- - - - - - - - - - ranking = 0.0061104061295192keywords = compression (Clic here for more details about this article) |
5/20. Bilateral scapular fractures secondary to electrical shock.Fractures of the scapula are rare injuries. Usually the scapula requires a high-energy impact to sustain a fracture. Various fractures have been noted as a result of convulsive seizures. We report bilateral scapular fractures caused by electric shock and discuss their pathomechanical origin.- - - - - - - - - - ranking = 1.1666666666667keywords = fracture (Clic here for more details about this article) |
6/20. Missed posterior fracture-dislocation of the humeral head following an electrocution injury to the arm.Posterior dislocation of the shoulder is a rare and commonly missed injury. While prompt diagnosis and treatment is important to prevent untoward sequelae, it is often diagnosed and treated too late. The first reported case of a posterior fracture-dislocation of the humeral head following a domestic electrocution accident in singapore is described in a 52-year-old man. The injury was missed by several doctors before a humeral head replacement was done. The diagnostic pitfalls and management of this injury and ways to avoid a missed or delayed diagnosis are discussed.- - - - - - - - - - ranking = 0.83333333333333keywords = fracture (Clic here for more details about this article) |
7/20. Opposite-direction bilateral fracture dislocation of the shoulders after an electric shock.Injuries after an electric shock, such as dermal burns, motor and sensory nerve deficits, fractures and dislocations, are reported in the literature. Posterior dislocation of the shoulder after electric-shock is the common musculoskeletal injury. Bilateral dislocation, either anterior or posterior, is rarely seen and reported. We report a case of bilateral shoulder fracture dislocation in opposite directions following an electric-shock and discuss the mechanism, the diagnosis and the treatment.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
8/20. Scapular fracture after electric shock.Scapular fracture as a direct result of electric shock is a rare injury. We present a case report and review of the literature.- - - - - - - - - - ranking = 0.83333333333333keywords = fracture (Clic here for more details about this article) |
9/20. Comminuted fracture of the scapula following electric shock. A case report.A case of a comminuted fracture of the scapula, following electric shock, is reported. Recovery was uneventful, and normal function returned after conservative treatment.- - - - - - - - - - ranking = 0.83333333333333keywords = fracture (Clic here for more details about this article) |
10/20. Bilateral simultaneous fractures of the femoral neck: case report.A case of bilateral fractures of the femoral neck resulting from high-voltage electric injury is reported. Surgeons caring for patients with electrical injuries must be aware of the possibility of this injury as well as other skeletal injuries which may result from muscle contraction or falls related to electric shock. Without vigilance for these injuries, diagnosis may be delayed.- - - - - - - - - - ranking = 0.83333333333333keywords = fracture (Clic here for more details about this article) |
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