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Penetrating liver injury
220
InjUtY
(1987)
18.220-221
Printedin
Great Britain
Abstracts INJURIES
OF THE HEAD AND SPINE
Magnetic resonance imaging of brain injuries Fifty patients were subjected to MRI within a week of head injury. Forty-six were shown to have cortical lesions and 20 also had more deeply seated lesions. which were more likely to occur with the lower levels of responsiveness. Computed tomography showed only half the lesion shown by NMI. Jenkins A.. Teasdale G.. tiadley M. D. M.. Mayshenson P. and Rowan J. 0. (IYX6) Brain lesions detected by magnetic resonance imaging in mild and severe head injuries. kr,lce/ ii. 445.
liver alone had been damaged and the belly was soft. They recovered uneventfully without any operation. Demetriades D.. Rabinowitz B. and Sofianos C. (IYXh) Non-operative management of penetrating liver injuries. Br. J. .Sr/rcq. 73. 736.
FRACTURES AND DISLOCATIONS Treatment
CT enema for penetrating
back injury
The information obtained made it possible to decide confdently that further tests or surgical exploration were required or that observation would suffice. Phillips T.. Selafari S. J. A.. Golstein A.. Sealea T.. Panetta T. and Shaftan G. (IYXh) Use of the contrastenhanced c.t. enema in the management of penetrating trauma to the Hank and back. J. Tr~wmt 26. SY3.
THORACIC AND ABDOMINAL
INJURIES
CTfor blunt abdominal injury Computed tomography was of particular value in patients whose clinical picture was obscured by the effects of other injuries or by paralysis and artificial ventilation. Eighty-six per cent of laparotomies were fully justified. Injuries of the pancreas may escape detection. Peitzman A. B.. Makaroun M. S.. Lansky B. S. and Ritter P. (lY86) Prospective study of computed tomography in initial management of blunt abdominal trauma. 1. Truwnu 26. 5x5.
Blunt rupture of the heart Ten patients were treated in I I years; 7 survived. Five were operated on within 25 minutes of arrival and 9 within 90 minutes. Calhoon J. H., Hoffmann T. H.. Trinkle J. K.. Harman P. K. and Grover F. L. (lY86) Management of blunt rupture of the heart. J. Traumu 26. 405.
CT vs lavage for abdominal
injury
Computed tomography was more expensive than lavage and offered no particular advantage when there was no obvious reason to explore the belly. Fabian T. C., Mangiante E. C.. White T. J., Patterson C. R.. Boldreghini S. and Britt L. G. (1986) A prospective study of 91 patients undergoing both computed tomography and peritoneal lavage following blunt abdominal trauma. J. Trauma 26, 652.
Penetrating
liver injury
Forty-three patients showed signs of acute abdominal disorder and made uncomplicated recoveries after suture and drainage of the liver. Twenty-one others had evidence of internal bleeding but the site of wounding suggested that the
of ankle frahures
There was no material difference between the two groups 20 weeks after injury. Rowley D. J.. Norris S. H. and Duckworth T. (1086) A prospective trial comparing operative and manipulative treatment of ankle fractures. J. Bow Joint Surg. 68B. 610.
Femoral neck fractures in children Forty-one patients were examined 13-23 years after injury; 51 others were not available. Eighty-three per cent of the hips showed some radiological abnormality; 24 per cent caused discomfort. limp or a short limb but all but one of the patients had worked normally during adult life. Poor results followed the more displaced fractures even though they had been well fixed in good positions. It was noteworthy that what were at first good results deteriorated in later years. Leung P. C. and Lam S. F. (1986) Long-term follow-up of children with femoral neck fractures. 1. Bone Joint Surg. 68B, 537.
Vertebral fracture in young children Five children from &IX months old were treated for this injury by means of gentle traction or a plaster; four united and one required a stabilizing operation. Pizzutillo P. D., Rocha E. F.. D’Astons J.. Kling T. F. and McCarthy R. E. (1986) Bilateral fracture of the pedicle of the second cervical vertebra in the young child. J. Bone Joint Swg. 68A. X92.
Supplementary
feeding after femoral neck fracture
Patients’ ages ranged from 65 to Y6. What the patients ate of ward food during the 10 days after operation left them short of nitrogen and calories. Supplementary ‘sip feeding’ with protein foods reduced the deficiencies but did not abolish them. The changes were greater after trochanteric than after subcapital fractures. Stableforth P. G. (1986) Supplement feeds and nitrogen and calorie balance following femoral neck fracture. Br. 1. Surg. 73. 651.
Radial head excision Thirty-one of 36 patients were satisfied with the results 3-27 years after the operation. Only 3 lacked 30” or more of flexion. Goldberg L.. Peylan J. and Yosipovitch Z. (1986) Late results of excision of the radial head for an isolated closed fracture. J. Bone Joint Surg. 68A, 675.
InjUtY
(1987)
18.220-221
Printedin
Great Britain
Abstracts INJURIES
OF THE HEAD AND SPINE
Magnetic resonance imaging of brain injuries Fifty patients were subjected to MRI within a week of head injury. Forty-six were shown to have cortical lesions and 20 also had more deeply seated lesions. which were more likely to occur with the lower levels of responsiveness. Computed tomography showed only half the lesion shown by NMI. Jenkins A.. Teasdale G.. tiadley M. D. M.. Mayshenson P. and Rowan J. 0. (IYX6) Brain lesions detected by magnetic resonance imaging in mild and severe head injuries. kr,lce/ ii. 445.
liver alone had been damaged and the belly was soft. They recovered uneventfully without any operation. Demetriades D.. Rabinowitz B. and Sofianos C. (IYXh) Non-operative management of penetrating liver injuries. Br. J. .Sr/rcq. 73. 736.
FRACTURES AND DISLOCATIONS Treatment
CT enema for penetrating
back injury
The information obtained made it possible to decide confdently that further tests or surgical exploration were required or that observation would suffice. Phillips T.. Selafari S. J. A.. Golstein A.. Sealea T.. Panetta T. and Shaftan G. (IYXh) Use of the contrastenhanced c.t. enema in the management of penetrating trauma to the Hank and back. J. Tr~wmt 26. SY3.
THORACIC AND ABDOMINAL
INJURIES
CTfor blunt abdominal injury Computed tomography was of particular value in patients whose clinical picture was obscured by the effects of other injuries or by paralysis and artificial ventilation. Eighty-six per cent of laparotomies were fully justified. Injuries of the pancreas may escape detection. Peitzman A. B.. Makaroun M. S.. Lansky B. S. and Ritter P. (lY86) Prospective study of computed tomography in initial management of blunt abdominal trauma. 1. Truwnu 26. 5x5.
Blunt rupture of the heart Ten patients were treated in I I years; 7 survived. Five were operated on within 25 minutes of arrival and 9 within 90 minutes. Calhoon J. H., Hoffmann T. H.. Trinkle J. K.. Harman P. K. and Grover F. L. (lY86) Management of blunt rupture of the heart. J. Traumu 26. 405.
CT vs lavage for abdominal
injury
Computed tomography was more expensive than lavage and offered no particular advantage when there was no obvious reason to explore the belly. Fabian T. C., Mangiante E. C.. White T. J., Patterson C. R.. Boldreghini S. and Britt L. G. (1986) A prospective study of 91 patients undergoing both computed tomography and peritoneal lavage following blunt abdominal trauma. J. Trauma 26, 652.
Penetrating
liver injury
Forty-three patients showed signs of acute abdominal disorder and made uncomplicated recoveries after suture and drainage of the liver. Twenty-one others had evidence of internal bleeding but the site of wounding suggested that the
of ankle frahures
There was no material difference between the two groups 20 weeks after injury. Rowley D. J.. Norris S. H. and Duckworth T. (1086) A prospective trial comparing operative and manipulative treatment of ankle fractures. J. Bow Joint Surg. 68B. 610.
Femoral neck fractures in children Forty-one patients were examined 13-23 years after injury; 51 others were not available. Eighty-three per cent of the hips showed some radiological abnormality; 24 per cent caused discomfort. limp or a short limb but all but one of the patients had worked normally during adult life. Poor results followed the more displaced fractures even though they had been well fixed in good positions. It was noteworthy that what were at first good results deteriorated in later years. Leung P. C. and Lam S. F. (1986) Long-term follow-up of children with femoral neck fractures. 1. Bone Joint Surg. 68B, 537.
Vertebral fracture in young children Five children from &IX months old were treated for this injury by means of gentle traction or a plaster; four united and one required a stabilizing operation. Pizzutillo P. D., Rocha E. F.. D’Astons J.. Kling T. F. and McCarthy R. E. (1986) Bilateral fracture of the pedicle of the second cervical vertebra in the young child. J. Bone Joint Swg. 68A. X92.
Supplementary
feeding after femoral neck fracture
Patients’ ages ranged from 65 to Y6. What the patients ate of ward food during the 10 days after operation left them short of nitrogen and calories. Supplementary ‘sip feeding’ with protein foods reduced the deficiencies but did not abolish them. The changes were greater after trochanteric than after subcapital fractures. Stableforth P. G. (1986) Supplement feeds and nitrogen and calorie balance following femoral neck fracture. Br. 1. Surg. 73. 651.
Radial head excision Thirty-one of 36 patients were satisfied with the results 3-27 years after the operation. Only 3 lacked 30” or more of flexion. Goldberg L.. Peylan J. and Yosipovitch Z. (1986) Late results of excision of the radial head for an isolated closed fracture. J. Bone Joint Surg. 68A, 675.