MyMedR

Fulltext An unusual injury to the mediastinum--case report

Visvanathan R

Singapore Med J, 1992 Dec;33(6):639-40.

A six-year-old boy sustained an accidental penetrating missile injury to his chest. Imaging studies revealed a metallic foreign body lodged between the pulmonary infundibulum and the right atrium of the heart. No cardiovascular compromise was produced. Surgical exploration was not required. The foreign body remained stable and non-migratory over a 16-month follow-up period.

Matched MeSH terms: Mediastinum/injuries*

Fulltext The effects of injury preventive warm-up programs on knee strength ratio in young male professional soccer players

Daneshjoo A, Mokhtar AH, Rahnama N, Yusof A

PLoS One, 2012;7(12):e50979.

PMID: 23226553 DOI: 10.1371/journal.pone.0050979

PURPOSE: We aimed to investigate the effect of FIFA 11+ (11+) and HarmoKnee injury preventive warm-up programs on conventional strength ratio (CSR), dynamic control ratio (DCR) and fast/slow speed ratio (FSR) in young male professional soccer players. These ratios are related to the risk of injury to the knee in soccer players.

METHODS: Thirty-six players were divided into 3 groups; FIFA 11+, HarmoKnee and control (n = 12 per group). These exercises were performed 3 times per week for 2 months (24 sessions). The CSR, DCR and FSR were measured before and after the intervention.

RESULTS: After training, the CSR and DCR of knee muscles in both groups were found to be lower than the published normal values (0.61, 0.72, and 0.78 during 60°.s(-1), 180°.s(-1) and 300°.s(-1), respectively). The CSR (60°.s(-1)) increased by 8% and FSR in the quadriceps of the non-dominant leg by 8% in the 11+. Meanwhile, the DCR in the dominant and non-dominant legs were reduced by 40% and 30% respectively in the 11+. The CSR (60°.s(-1)) in the non-dominant leg showed significant differences between the 11+, HarmoKnee and control groups (p = 0.02). As for the DCR analysis between groups, there were significant differences in the non-dominant leg between both programs with the control group (p = 0.04). For FSR no significant changes were found between groups.

CONCLUSIONS: It can be concluded that the 11+ improved CSR and FSR, but the HarmoKnee program did not demonstrate improvement. We suggest adding more training elements to the HarmoKnee program that aimed to enhance hamstring strength (CSR, DCR and FSR). Professional soccer players have higher predisposition of getting knee injuries because hamstring to quadriceps ratio were found to be lower than the average values. It seems that the 11+ have potentials to improve CSR and FSR as well as prevent knee injuries in soccer players.

Matched MeSH terms: Athletic Injuries/physiopathology; Athletic Injuries/prevention & control*; Knee Injuries/physiopathology*; Knee Injuries/prevention & control*; Soccer/injuries*

Fulltext Accidents and injuries related to powered paragliding: a cross-sectional study

Feletti F, Goin J

BMJ Open, 2014 Aug 28;4(8):e005508.

PMID: 25168039 DOI: 10.1136/bmjopen-2014-005508

OBJECTIVES: Powered paragliding (PPG) and paragliding are two totally different sports, mainly because of the use of an engine in powered paragliding. As a consequence, the pattern of injuries caused by each of these two sports may be different.

SETTING: To test this hypothesis, we analysed 384 incident reports gathered by the US Powered Paragliding Association from 1995 to 2012. The majority of the incidents occurred in the USA, while 26 incidents occurred elsewhere: Canada (8), Mexico (5), Panama (1), China (1), Japan (1), Malaysia (1), Indonesia (Java) (1), Europe (8): of which Spain (1), Belgium (1), UK (3), Italy (1), Romania (1), unknown (1).

OUTCOME: To identify the most affected body area and the most common type of injury sustained in PPG, and to highlight any differences from paragliding.

RESULTS: The most affected body areas in PPG were the upper limbs (44.5%), followed by the lower limbs (32%), the back (9.8%), the head (7%), the pelvis (3.1), the chest (2.7%) and the abdomen (0.7%) (p<0.001). The engine caused 43 accidents (11.2%) in our study and was responsible for the majority of injuries to the upper limbs. The number of fatal accidents in PPG is not lower than in paragliding and hang-gliding.

CONCLUSIONS: To help prevent the specific injuries of PPG, the most appropriate equipment should be identified. The results of this study also suggest that, in the future, this sport should be analysed separately from paragliding.

Matched MeSH terms: Arm Injuries/epidemiology*; Athletic Injuries/epidemiology*; Leg Injuries/epidemiology*; Back Injuries/epidemiology*

Dramatic lightning injury with exit wound

Murty OP

J Forensic Leg Med, 2007 May;14(4):225-7.

PMID: 16914357

This is a case report of an environmental accident due to lightning where one school boy sustained current, blast, and flame effects of it. A bolt of lightning directly struck the pole of a football ground and the scatter struck the child. In addition to burn injuries, he showed an exit wound of lightning in left foot. The exit wound of lightning current is a very rare finding. The body of victim had flame and heat effect of atmospheric electricity on head and neck, face, and trunk. In this incidence of lightning other team mates of the victim were safe. The patient survived the attack.

Matched MeSH terms: Lightning Injuries/pathology*; Foot Injuries/etiology; Foot Injuries/pathology*

[Clinical treatment of pancreatic traumatic injuries]

Balasegaram M

Pol Przegl Chir, 1974 Dec;46(12):1619-27.

PMID: 4445057

Matched MeSH terms: Pancreas/injuries*; Wounds and Injuries/mortality; Wounds and Injuries/surgery

Maxillofacial trauma with emphasis on soft-tissue injuries in Malaysia

Hussaini HM, Rahman NA, Rahman RA, Nor GM, Ai Idrus SM, Ramli R

Int J Oral Maxillofac Surg, 2007 Sep;36(9):797-801.

PMID: 17630250

Soft-tissue injuries with or without facial bone involvement are the most common presentation following maxillofacial trauma. The objective of this study was to look at the distribution, pattern and type of soft-tissue injury in relation to aetiology. Records of patients over a period of 5 years (1998-2002), who sustained maxillofacial injuries and were treated at Kajang Hospital, a secondary referral hospital, were reviewed. Out of 313 patients with maxillofacial injuries, 295 patients sustained soft-tissue injuries. Males (79%) between 21 and 30 years old (34%) were the majority of patients. Road-traffic accident was the main cause of soft-tissue injuries (75%) with motorcycle accident being the most frequent (40%). The upper lips (23%) and the lower lips (18%) were the most common extraoral site involved, while the labial mucosa and sulcular areas, both accounting for 21%, were the most common intraoral sites. Stringent road-traffic regulations should be practiced in developing countries, as morbidity arising from road-traffic accidents poses a national economic and social problem.

Matched MeSH terms: Facial Injuries/classification; Facial Injuries/etiology; Facial Injuries/epidemiology*; Maxillofacial Injuries/etiology; Maxillofacial Injuries/epidemiology*; Mouth/injuries; Soft Tissue Injuries/classification; Soft Tissue Injuries/etiology; Soft Tissue Injuries/epidemiology

Fulltext Penetrating ocular injury by durian fruit

Aziz S, Asokumaran T, Intan G

Med J Malaysia, 2009 Sep;64(3):244-5.

PMID: 20527280 MyJurnal

Durian may inflict severe body injury when it drops from the tree. This case report describes a patient who presented with facial and penetrating eye injury when a ripe durian fruit dropped onto her face while harvesting the fruits under the tree. The authors emphasized the importance of facial and eye protective devices during durian fruit harvesting season.

Matched MeSH terms: Eye Injuries, Penetrating/etiology*; Eye Injuries, Penetrating/surgery

Concomitant injuries and its influence on functional outcome after traumatic brain injury

Leong BK, Mazlan M, Abd Rahim RB, Ganesan D

Disabil Rehabil, 2013 Aug;35(18):1546-51.

PMID: 23294408 DOI: 10.3109/09638288.2012.748832

This study aims to describe the presence and severity of extracranial concomitant injuries in traumatic brain injury (TBI) patients and to ascertain their effect on long-term functional outcome.

Matched MeSH terms: Arm Injuries/epidemiology; Arm Injuries/rehabilitation; Brain Injuries/epidemiology*; Brain Injuries/rehabilitation; Facial Injuries/epidemiology; Facial Injuries/rehabilitation; Leg Injuries/epidemiology; Leg Injuries/rehabilitation

Radiographic artifact mimicking root fracture

Shanmuhasuntharam P

Oral Surg. Oral Med. Oral Pathol., 1993 Jul;76(1):131.

PMID: 8351112

Matched MeSH terms: Incisor/injuries*; Tooth Root/injuries*

Scrotal emergencies: An imaging perspective

Ong CYG, Low HM, Chinchure D

Med J Malaysia, 2018 12;73(6):445-451.

PMID: 30647231

Acute scrotal pain is a common complaint in emergency or primary care practice. A myriad of pathologies need to be considered, and while the clinical history often leads the clinician to the correct diagnosis, radiologists are often called upon to provide further diagnostic information through ultrasonography. Here, we present the sonographic features of various scrotal emergencies, as well as a few pitfalls. Through this, we explore the breadth of urgent pathologies that may be encountered, both traumatic and non-traumatic. For the clinician who performs point-of-care ultrasound, whether in clinic or in the emergency department, we hope that this pictorial article will lay a good foundation for confident and accurate image interpretation.

Matched MeSH terms: Genitalia, Male/injuries; Scrotum/injuries

Traumatic rupture of the ureter at the pelvi-ureteric junction in a congenital hydronephrotic kidney

Roe TN

Med J Malaya, 1969 Mar;23(3):203-7.

PMID: 4240075

Matched MeSH terms: Kidney Pelvis/injuries*; Ureter/injuries*

Fulltext Emergency repair of blunt traumatic bronchus injury presenting with massive air leak

Chuah JS, Raymond Lim ZM, Lee EP, Tan JH, Mohamad Y, Alwi RI

Chin J Traumatol, 2022 Nov;25(6):392-394.

PMID: 35031204 DOI: 10.1016/j.cjtee.2021.12.007

Blunt traumatic tracheobronchial injury is rare, but can be potentially life-threatening. It accounts for only 0.5%-2% of all trauma cases. Patients may present with non-specific signs and symptoms, requiring a high index of suspicion with accurate diagnosis and prompt treatment. A 26-year-old female was brought into the emergency department after sustained a blunt trauma to the chest from a high impact motor vehicle accident. She presented with signs of respiratory distress and extensive subcutaneous emphysema from the chest up to the neck. Her airway was secured and chest drain was inserted for right sided pneumothorax. CT of the neck and thorax revealed a collapsed right middle lung lobe with a massive pneumothorax, raising the suspicion of a right middle lobe bronchus injury. Diagnosis was confirmed by bronchoscopy. In view of the difficulty in maintaining her ventilation and persistent pneumothorax with a massive air leak, immediate right thoracotomy via posterolateral approach was performed. The right middle lobar bronchus tear was repaired. There were no intra- or post-operative complications. She made an uneventful recovery. She was asymptomatic at her first month follow-up. A repeated chest X-ray showed expanded lungs. Details of the case including clinical presentation, imaging and management were discussed with an emphasis on the early uses of bronchoscopy in case of suspected blunt traumatic tracheobronchial injury. A review of the current literature of tracheobronchial injury management was presented.

Matched MeSH terms: Bronchi/injuries; Trachea/injuries

Fulltext Reconstruction of the heel defect with in-step island flap. A report of four cases

Kwan MK, Marican AM, Ahmad TS

Med J Malaysia, 2005 Jul;60 Suppl C:104-7.

PMID: 16381293

Soft tissue loss of the heel is difficult to treat as it may cause significant morbidity particularly recurrent ulceration and subsequent chronic osteomyelitis. Reconstruction of such defect with local flap can provide good result. We report our experience in treating four patients with heel defect using the in-step island flap. The flap, which is based on the medial plantar neurovascular pedicle, provides a sensate durable tissue required for weight-bearing and normal gait.

Matched MeSH terms: Heel/injuries*; Soft Tissue Injuries/surgery

Fulltext Front to back ocular injury from a vaping-related explosion

Khairudin MN, Mohd Zahidin AZ, Bastion ML

BMJ Case Rep, 2016 Apr 05;2016.

PMID: 27048399 DOI: 10.1136/bcr-2016-214964

We describe a case of extensive ocular injury secondary to an electronic cigarette (e-cigarette)-related explosion. The explosion was the result of modifications made to a heating element of the e-cigarette device by a non-professional. Extensive ocular injuries that result from an explosion of an e-cigarette device can potentially cause significant and permanent visual impairment.

Matched MeSH terms: Blast Injuries/pathology*; Eye Injuries/etiology*

Comparative histamine levels in antemortem and postmortem wounds in the human skin by fluorescence spectrophotometry

Faridah MN, Shahrom AW

Malays J Pathol, 2001 Dec;23(2):111-4.

PMID: 12166591

This paper describes a modified method of quantitative determination of histamine in human skin wounds using fluorescence spectrophotometer. In this study, histamine was used as an indicator to differentiate antemortem from postmortem wounds. Skin samples were obtained from 20 corpses which were brought to Hospital Kuala Lumpur and Universiti Kebangsaan Malaysia for medicolegal autopsy. Sections of human skin were processed biochemically for histamine determination using fluorescence spectrophotometer. Results revealed no significant difference in the histamine content of the antemortem wounds in comparison to postmortem wounds. Based on these results, detection of histamine is not suitable to differentiate antemortem from postmortem wounds.

Matched MeSH terms: Skin/injuries*; Wounds and Injuries/metabolism*

Fulltext Delayed repair of rupture of the biceps femoris tendon--a case report

Pan KL, Ting F

Med J Malaysia, 2000 Sep;55(3):368-70.

PMID: 11200719

A rare case of an isolated rupture of the biceps femoris tendon at its insertion to the femoral head is presented. Delayed surgical repair has not been previously reported. In this patient, a successful repair was carried out four months after the injury.

Matched MeSH terms: Knee Injuries/surgery*; Tendon Injuries*

Fulltext Spinal cord injury without radiological abnormality (SCIWORA)

Izma MKO, Zulkharnain I, Ramli B, Muhamad AR, Harwant S

Med J Malaysia, 2003 Mar;58(1):105-10.

PMID: 14556334

SCIWORA or Spinal Cord Injury Without Radiological Abnormality; is a pre-MRI term that includes injuries to the spinal cord in the absence of radiological (plain radiographs, tomographs and CT scans) evidence of injury to the spinal column or cord. It occurs in skeletally immature spines because of the inherent plasticity of the bony structures in this age group. The prognosis is dependent on the extent of cord damage, and the role of active management is limited. A high index of suspicion is needed to establish a diagnosis. This diagnostic accuracy can be improved with the free availability of MRI scanning for the spines. We describe three cases of SCIWORA with a minimum follow-up of three years and a review of current literature.

Matched MeSH terms: Spinal Cord Injuries/pathology*; Spinal Cord Injuries/radiography*; Spinal Cord Injuries/therapy

Fulltext Rare combination of seven fractures in the same forearm and wrist

Pan KL, Masbah O, Razak M

Med J Malaysia, 2000 Jun;55(2):268-70.

PMID: 19839159

A rare combination of a segmental ulnar fracture with fracture dislocation of the head of the radius and intraarticular fracture of the distal radius concomitant with an ipsilateral scaphoid, lunate and coronoid process fractures is presented. The mechanism of injury could possibly be a tremendous impact on the outstretched hand with a dorsiflexed wrist, fracturing the carpal bones and the distal radius. Transmitted axial forces on the ulna in a pronating forearm resulted in the other fractures. To the best of our knowledge, no such case has been reported. Open reduction with screw fixation of the scaphoid, plating of the proximal ulna and Kirschner wiring of the distal radius and radial head dislocation were done.

Matched MeSH terms: Forearm Injuries*; Wrist Injuries*

Fulltext Splenorrhaphy: omental pouch

Lazim TR, Salleh M, Bakar AS

Med J Malaysia, 1995 Jun;50(2):145-9.

PMID: 7565184

This work studies the efficacy of an autogenous viable omental pouch as a means of splenorrhaphy for saving the traumatised spleen. One sheep and 9 goat spleens were mobilised and their vascular pedicles clamped. All spleens were subjected to AAST grade IV trauma. The injured spleens were put into omental pouches and manual pressure was applied for 10 minutes after removal of the vascular clamp. Bleeding was controlled in 8 animals which became fully active 12-36 hours postoperatively. Two animals died, one due to aspiration of gastric contents during surgery and the other due to bleeding 24 hours postoperatively. All remaining spleens were harvested after 6 weeks. They were surrounded by a fibrous capsule and the previously inflicted injuries were easily identifiable. Viable omental pouch based on left epiploic vascular pedicle offers itself as a good autogenous alternative other methods used for saving the injured spleen. This method has been used in two humans so far.

Matched MeSH terms: Spleen/injuries*; Wounds and Injuries/surgery*

Fulltext Neonatal proximal femoral epiphysiolysis (NPFE): a case report

Dhillon KS

Med J Malaysia, 1985 Mar;40(1):41-3.

PMID: 3831734

Neonatal epiphyseal separatton of the head of femur is a rare obstetrical injury. This is confused with the more common proximal femoral metaphysical fracture, dislocation of hip or even an infection. Such a case is reported in this paper. Management was conservative, with abduction splint for three weeks and the outcome was satisfactory.

Matched MeSH terms: Birth Injuries/diagnosis*; Femur Head/injuries*

Displaying publications 41 - 60 of 1133 in total