OBJECTIVE: The purpose of this retrospective study was to determine the incidence of fibular fractures as an associated injury in tibial plateau fractures according to CT scan. We also attempt to introduce a new morphological sub-classification on this associated injury and to analyze the correlation between this classification and tibial plateau fractures. METHODS: We selected cases with fibular fractures from all the tibial plateau fracture patients. The cases were further divided into 2 groups: unicondylar group and bicondylar group. On the basis of our new classification system of fibular fracture, all the included cases were divided into 5 subgroups. RESULTS: Finally, a total of 150 cases associated with fibular fractures in 502 tibial plateau fracture cases were identified from our institution database. The incidence of fibular head fracture in tibial plateau fractures was 29.88% (150/502). Seventy-one cases (47.3%) were involved one condyle, and 79 cases (52.7%) involved both. It shows significant difference in the subgroup of avulsion fracture with horizontal fracture line (Type A) which is ratio of 16.9% in unicondylar group and 1.27% in bicondylar group. CONCLUSION: A new classification of this associated injury describing the morphology of the fracture fragments may improve operative planning.
Fibula/injuries , Fractures, Multiple/classification , Tibial Fractures/classification , Adolescent , Adult , Aged , Female , Fibula/diagnostic imaging , Fractures, Multiple/diagnostic imaging , Humans , Intra-Articular Fractures/classification , Intra-Articular Fractures/diagnostic imaging , Knee Injuries/classification , Knee Injuries/diagnostic imaging , Male , Middle Aged , Retrospective Studies , Tibial Fractures/diagnostic imaging , Tomography, X-Ray Computed , Young Adult
Fatal falls from heights (Ë3 m) often result in blunt force trauma (BFT) to the skeleton. The fracture patterns that result from this BFT mechanism are well understood in forensic anthropology and forensic pathology; however, details of the specific types of fractures that result remain poorly documented. The aim of this study was to provide a detailed examination of the types of fractures that may result from fatal high falls. Fractures were recorded from 95 full-body postmortem computed tomography scans of individuals known to have died from a high fall. Trauma was then analyzed taking into account the extrinsic and intrinsic variables known to influence a fall using multiple logistic regression. A total of 339 types of fractures were classified, of which 16 were significantly associated with this BFT mechanism. Classified fracture types will augment anthropological interpretations of the circumstances of death from BFT in cases of suspected high falls.
Accidental Falls , Fractures, Multiple/diagnostic imaging , Accidents/mortality , Adolescent , Adult , Aged , Female , Forensic Anthropology , Fractures, Multiple/classification , Homicide/statistics & numerical data , Humans , Image Processing, Computer-Assisted , Logistic Models , Male , Middle Aged , Retrospective Studies , Suicide/statistics & numerical data , Tomography, Spiral Computed , Young Adult
El trauma pediátrico es la principal causa de mortalidad en el paciente pediátrico, pero a pesar de esto sigue siendo mucho menor su incidencia respecto al trauma adulto. en el pasado la atención se limitaba a extrapolar los conocimientos adquiridos en el adulto para atender a los niños, pero gracias a importantes campañas de concienciación y prevención se han desarrollado sistemas protocolizados de atención al paciente pediátrico específicos. El objetivo de esta revisión es dar una visión global sobre el estado actual de la atención al paciente politraumatizado, haciendo especial hincapié en las actualizaciones y particularidades de este grupo de edad
Pediatric trauma is the leading cause of mortality in children, but it comprises a almost insignificant part of the overall politraumatic events in the hole population. pediatric attention used to be a copy of the well-developed adult trauma protocols, but, thanks to a great concienciation campaigns carry on for the governments specific pediatric trauma scores and protocols has been developed. the aim of this review is to provide a global overview of the current-state in this issue as well as to emphasize on pediatric particularities and actualizations
Humans , Child , Fractures, Multiple/classification , Fractures, Multiple/therapy , Multiple Trauma/classification , Multiple Trauma/therapy , Glasgow Outcome Scale , Trauma Severity Indices
