Thoracic Injuries: General or unspecified injuries to the chest area.Poetry as Topic: Literary and oral genre expressing meaning via symbolism and following formal or informal patterns.Greek World: A historical and cultural entity dispersed across a wide geographical area under the influence of Greek civilization, culture, and science. The Greek Empire extended from the Greek mainland and the Aegean islands from the 16th century B.C., to the Indus Valley in the 4th century under Alexander the Great, and to southern Italy and Sicily. Greek medicine began with Homeric and Aesculapian medicine and continued unbroken to Hippocrates (480-355 B.C.). The classic period of Greek medicine was 460-136 B.C. and the Graeco-Roman period, 156 B.C.-576 A.D. (From A. Castiglioni, A History of Medicine, 2d ed; from F. H. Garrison, An Introduction to the History of Medicine, 4th ed)Air Bags: Automotive safety devices consisting of a bag designed to inflate upon collision and prevent passengers from pitching forward. (American Heritage Dictionary, 1982)Rib FracturesMedicine in Literature: Written or other literary works whose subject matter is medical or about the profession of medicine and related areas.Wounds, Nonpenetrating: Injuries caused by impact with a blunt object where there is no penetration of the skin.Accidents, Traffic: Accidents on streets, roads, and highways involving drivers, passengers, pedestrians, or vehicles. Traffic accidents refer to AUTOMOBILES (passenger cars, buses, and trucks), BICYCLING, and MOTORCYCLES but not OFF-ROAD MOTOR VEHICLES; RAILROADS nor snowmobiles.Wounds and Injuries: Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.Brain Injuries: Acute and chronic (see also BRAIN INJURIES, CHRONIC) injuries to the brain, including the cerebral hemispheres, CEREBELLUM, and BRAIN STEM. Clinical manifestations depend on the nature of injury. Diffuse trauma to the brain is frequently associated with DIFFUSE AXONAL INJURY or COMA, POST-TRAUMATIC. Localized injuries may be associated with NEUROBEHAVIORAL MANIFESTATIONS; HEMIPARESIS, or other focal neurologic deficits.Athletic Injuries: Injuries incurred during participation in competitive or non-competitive sports.Spinal Cord Injuries: Penetrating and non-penetrating injuries to the spinal cord resulting from traumatic external forces (e.g., WOUNDS, GUNSHOT; WHIPLASH INJURIES; etc.).Reperfusion Injury: Adverse functional, metabolic, or structural changes in ischemic tissues resulting from the restoration of blood flow to the tissue (REPERFUSION), including swelling; HEMORRHAGE; NECROSIS; and damage from FREE RADICALS. The most common instance is MYOCARDIAL REPERFUSION INJURY.Injury Severity Score: An anatomic severity scale based on the Abbreviated Injury Scale (AIS) and developed specifically to score multiple traumatic injuries. It has been used as a predictor of mortality.Leg Injuries: General or unspecified injuries involving the leg.Aorta, Thoracic: The portion of the descending aorta proceeding from the arch of the aorta and extending to the DIAPHRAGM, eventually connecting to the ABDOMINAL AORTA.Aortography: Radiographic visualization of the aorta and its branches by injection of contrast media, using percutaneous puncture or catheterization procedures.Vascular System Injuries: Injuries to blood vessels caused by laceration, contusion, puncture, or crush and other types of injuries. Symptoms vary by site and mode of injuries and may include bleeding, bruising, swelling, pain, and numbness. It does not include injuries secondary to pathologic function or diseases such as ATHEROSCLEROSIS.Abbreviated Injury Scale: Classification system for assessing impact injury severity developed and published by the American Association for Automotive Medicine. It is the system of choice for coding single injuries and is the foundation for methods assessing multiple injuries or for assessing cumulative effects of more than one injury. These include Maximum AIS (MAIS), Injury Severity Score (ISS), and Probability of Death Score (PODS).Fellowships and Scholarships: Stipends or grants-in-aid granted by foundations or institutions to individuals for study.Internet: A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange.Trauma Centers: Specialized hospital facilities which provide diagnostic and therapeutic services for trauma patients.Trauma Severity Indices: Systems for assessing, classifying, and coding injuries. These systems are used in medical records, surveillance systems, and state and national registries to aid in the collection and reporting of trauma.Thoracic Vertebrae: A group of twelve VERTEBRAE connected to the ribs that support the upper trunk region.Spinal Injuries: Injuries involving the vertebral column.Spinal Fractures: Broken bones in the vertebral column.Respiration Disorders: Diseases of the respiratory system in general or unspecified or for a specific respiratory disease not available.Cervical Vertebrae: The first seven VERTEBRAE of the SPINAL COLUMN, which correspond to the VERTEBRAE of the NECK.Mortality: All deaths reported in a given population.Bone Screws: Specialized devices used in ORTHOPEDIC SURGERY to repair bone fractures.Stainless Steel: Stainless steel. A steel containing Ni, Cr, or both. It does not tarnish on exposure and is used in corrosive environments. (Grant & Hack's Chemical Dictionary, 5th ed)Spine: The spinal or vertebral column.Cardiology: The study of the heart, its physiology, and its functions.Sleep Medicine Specialty: A medical specialty concerned with the diagnosis and treatment of SLEEP WAKE DISORDERS and their causes.Emergency Medicine: The branch of medicine concerned with the evaluation and initial treatment of urgent and emergent medical problems, such as those caused by accidents, trauma, sudden illness, poisoning, or disasters. Emergency medical care can be provided at the hospital or at sites outside the medical facility.Gastroenterology: A subspecialty of internal medicine concerned with the study of the physiology and diseases of the digestive system and related structures (esophagus, liver, gallbladder, and pancreas).Endocrinology: A subspecialty of internal medicine concerned with the metabolism, physiology, and disorders of the ENDOCRINE SYSTEM.Nephrology: A subspecialty of internal medicine concerned with the anatomy, physiology, and pathology of the kidney.Neurology: A medical specialty concerned with the study of the structures, functions, and diseases of the nervous system.Access to Information: Individual's rights to obtain and use information collected or generated by others.Thoracic Arteries: Arteries originating from the subclavian or axillary arteries and distributing to the anterior thoracic wall, mediastinal structures, diaphragm, pectoral muscles, mammary gland and the axillary aspect of the chest wall.Wounds, Penetrating: Wounds caused by objects penetrating the skin.Mammary Arteries: Arteries originating from the subclavian or axillary arteries and distributing to the anterior thoracic wall, mediastinal structures, diaphragm, pectoral muscles and mammary gland.Journal Impact Factor: A quantitative measure of the frequency on average with which articles in a journal have been cited in a given period of time.Hemothorax: Hemorrhage within the pleural cavity.Spinal Cord: A cylindrical column of tissue that lies within the vertebral canal. It is composed of WHITE MATTER and GRAY MATTER.Quadriplegia: Severe or complete loss of motor function in all four limbs which may result from BRAIN DISEASES; SPINAL CORD DISEASES; PERIPHERAL NERVOUS SYSTEM DISEASES; NEUROMUSCULAR DISEASES; or rarely MUSCULAR DISEASES. The locked-in syndrome is characterized by quadriplegia in combination with cranial muscle paralysis. Consciousness is spared and the only retained voluntary motor activity may be limited eye movements. This condition is usually caused by a lesion in the upper BRAIN STEM which injures the descending cortico-spinal and cortico-bulbar tracts.Bones of Lower Extremity: The bones of the upper and lower LEG. They include the PELVIC BONES.Paraplegia: Severe or complete loss of motor function in the lower extremities and lower portions of the trunk. This condition is most often associated with SPINAL CORD DISEASES, although BRAIN DISEASES; PERIPHERAL NERVOUS SYSTEM DISEASES; NEUROMUSCULAR DISEASES; and MUSCULAR DISEASES may also cause bilateral leg weakness.Thrombophlebitis: Inflammation of a vein associated with a blood clot (THROMBUS).Acute Disease: Disease having a short and relatively severe course.
Non-fatal injuries sustained by seatbelt wearers: a comparative study. (1/363)
The injuries sustained by 969 drivers and front-seat passengers in road-traffic accidents were studied. Altogether 196 (20-2%) of the drivers and passengers were wearing seat belts and 773 (79-8%) were not. The injuries among the two groups differed greatly in both severity and distribution. A total of 54 (27-6%) of the seatbelt wearers sustained one or more fractures compared with 300 (38-8%) of the non-wearers, and 18 (9-2%) of the seatbelt wearers were severely injured compared with 300 (38-8%) of the non-wearers. Soft-tissue injuries to the face were sustained by only 29 (14-8%) of the seatbelt wearers compared with 425 (55%) of the non-wearers. Since wearing seatbelts may become compulsory, the type and pattern of injuries to be expected in wearers should be appreciated. (+info)Prospective, randomized comparison of epidural versus parenteral opioid analgesia in thoracic trauma. (2/363)
OBJECTIVE: To evaluate systemic versus epidural opioid administration for analgesia in patients sustaining thoracic trauma. SUMMARY BACKGROUND DATA: The authors have previously shown that epidural analgesia significantly reduces the pain associated with significant chest wall injury. Recent studies report that epidural analgesia is associated with a lower catecholamine and cytokine response in patients undergoing elective thoracotomy compared with patient-controlled analgesia (PCA). This study compares the effect of epidural analgesia and PCA on pain relief, pulmonary function, cathechol release, and immune response in patients sustaining significant thoracic trauma. METHODS: Patients (ages 18 to 60 years) sustaining thoracic injury were prospectively randomized to receive epidural analgesia or PCA during an 18-month period. Levels of serum interleukin (IL)-1beta, IL-2, IL-6, IL-8, and tumor necrosis factor-alpha (TNF-alpha) were measured every 12 hours for 3 days by enzyme-linked immunosorbent assay. Urinary catecholamine levels were measured every 24 hours. Independent observers assessed pulmonary function using standard techniques and analgesia using a verbal rating score. RESULTS: Twenty-four patients of the 34 enrolled completed the study. Age, injury severity score, thoracic abbreviated injury score, and length of hospital stay did not differ between the two groups. There was no significant difference in plasma levels of IL-1beta, IL-2, IL-6, or TNF-alpha or urinary catecholamines between the two groups at any time point. Epidural analgesia was associated with significantly reduced plasma levels of IL-8 at days 2 and 3, verbal rating score of pain on days 1 and 3, and maximal inspiratory force and tidal volume on day 3 versus PCA. CONCLUSIONS: Epidural analgesia significantly reduced pain with chest wall excursion compared with PCA. The route of analgesia did not affect the catecholamine response. However, serum levels of IL-8, a proinflammatory chemoattractant that has been implicated in acute lung injury, were significantly reduced in patients receiving epidural analgesia on days 2 and 3. This may have important clinical implications because lower levels of IL-8 may reduce infectious or inflammatory complications in the trauma patient. Also, tidal volume and maximal inspiratory force were improved with epidural analgesia by day 3. These results demonstrate that epidural analgesia is superior to PCA in providing analgesia, improving pulmonary function, and modifying the immune response in patients with severe chest injury. (+info)Injuries to riders in the cross country phase of eventing: the importance of protective equipment. (3/363)
OBJECTIVES: To determine the distribution of injuries in the eventing discipline of equestrian sports and the effectiveness of the protective equipment worn. METHODS: Data on all injuries sustained in the cross country phase over fixed obstacles were collected from 54 days of competition from 1992 to 1997. This involved 16,940 rides. RESULTS: Data on a total of 193 injuries were collected, which included two deaths. This represents an injury rate of 1.1%. Head and facial injuries represented the largest group (31%), with one third of these requiring treatment in hospital. All riders were wearing protective helmets and body protectors. CONCLUSIONS: Eventing is one of the most dangerous equestrian sports. Improved protective equipment, which is mandatory for 1999, should reduce the severity of these injuries. (+info)Aortic rupture as a result of low velocity crush. (4/363)
A case of aortic disruption in a 35 year old lorry driver is described. This occurred as a result of a low velocity crushing force. Clinicians should be aware that this mechanism of injury may result in aortic disruption as well as the more commonly mentioned severe deceleration force. (+info)Selective activation of the K(+)(ATP) channel is a mechanism by which sudden death is produced by low-energy chest-wall impact (Commotio cordis). (5/363)
BACKGROUND: Sudden death due to relatively innocent chest-wall impact has been described in young individuals (commotio cordis). In our previously reported swine model of commotio cordis, ventricular fibrillation (with T-wave strikes) and ST-segment elevation (with QRS strikes) were produced by 30-mph baseball impacts to the precordium. Because activation of the K(+)(ATP) channel has been implicated in the pathogenesis of ST elevation and ventricular fibrillation in myocardial ischemia, we hypothesized that this channel could be responsible for the electrophysiologic findings in our experimental model and in victims of commotio cordis. METHODS AND RESULTS: In the initial experiment, 6 juvenile swine were given 0.5 mg/kg IV glibenclamide, a selective inhibitor of the K(+)(ATP) channel, and chest impact was given on the QRS. The results of these strikes were compared with animals in which no glibenclamide was given. In the second phase, 20 swine were randomized to receive glibenclamide or a control vehicle (in a double-blind fashion), with chest impact delivered just before the T-wave peak. With QRS impacts, the maximal ST elevation was significantly less in those animals given glibenclamide (0.16+/-0.10 mV) than in controls (0.35+/-0.20 mV; P=0.004). With T-wave impacts, the animals that received glibenclamide had significantly fewer occurrences of ventricular fibrillation (1 episode in 27 impacts; 4%) than controls (6 episodes in 18 impacts; 33%; P=0.01). CONCLUSIONS: In this experimental model of commotio cordis, blockade of the K(+)(ATP) channel reduced the incidence of ventricular fibrillation and the magnitude of ST-segment elevation. Therefore, selective K(+)(ATP) channel activation may be a pivotal mechanism in sudden death resulting from low-energy chest-wall trauma in young people during sporting activities. (+info)Management of penetrating cervicomediastinal venous trauma. (6/363)
OBJECTIVES: to evaluate the results of management of penetrating cervicomediastinal venous trauma. DESIGN: retrospective study. Materials forty-nine consecutive patients with cervical and thoracic venous injuries treated at a tertiary hospital between 1991 and 1997. Method patients identified from a computerised database and data extracted from case records. RESULTS: forty-five patients were male and the mean age was 25.3 years. Forty injuries were due to stabs and 9 to gunshots. 22 patients were shocked, 25 actively bleeding and 31 were anaemic. Veins injured were internal jugular in 25, subclavian in 15, brachiocephalic in 6, and superior vena cava in 3. Injured veins were ligated in 25 cases and repaired by lateral suture in 22. No complex repairs were performed. There were 8 perioperative deaths and 5 cases of transient postoperative oedema. Venous ligation was not associated with increased risk of postoperative oedema. CONCLUSIONS: ligation is an acceptable form of treatment of cervicomediastinal venous injuries in the presence of haemodynamic instability, or where complex methods of repair would otherwise be necessary. (+info)Complications of tube thoracostomy in trauma. (7/363)
OBJECTIVE: To assess the complication rate of tube thoracostomy in trauma. To consider whether this rate is high enough to support a selective reduction in the indications for tube thoracostomy in trauma. METHODS: A retrospective case series of all trauma patients who underwent tube thoracostomy during a 12 month period at a large UK teaching hospital with an accident and emergency (A&E) department seeing in excess of 125,000 new patients/year. These patients were identified using the hospital audit department computerised retrieval system supplemented by a hand search of both the data collected for the Major Trauma Outcome Study and the A&E admission unit log book. The notes were assessed with regard to the incidence of complications, which were divided into insertional, infective, and positional. RESULTS: Fifty seven chest drains were placed in 47 patients over the 12 month period. Seven patients who died within 48 hours of drain insertion were excluded. The commonest indications for tube thoracostomy were pneumothorax (54%) and haemothorax (20%); 90% of tubes were placed as a result of blunt trauma. The overall complication rate of the procedure was 30%. There were no insertional complications and only one (2%) major complication, which was empyema thoracis. CONCLUSION: This study reveals no persuasive evidence to support a selective reduction in the indications for tube thoracostomy in trauma. A larger study to confirm or refute these findings must be performed before any change in established safe practice. (+info)Defining GERD. (8/363)
"It is not the death of GERD that I seek, but that it turns from its evil ways and follows the path of righteousness." The reflux world is fully aware of what GERD is and what GERD does. What the world does not know, however, is the answer to the most important yet least asked question surrounding GERD's raison-d'etre: Why is GERD here and why do we have it? What GERD is: abnormal gastric reflux into the esophagus that causes any type of mischief. What GERD does: causes discomfort and/or pain with or without destroying the mucosa; causes stricture or stenosis, preventing food from being swallowed; sets the stage for the development of esophageal adenocarcinoma; invades the surrounding lands to harass the peaceful oropharyngeal, laryngeal and broncho-pulmonary territories; reminds us that we are not only human, but that we are dust and ashes. Why GERD is here: We propose three separate and distinct etiologies of GERD, and we offer the following three hypotheses to explain why, after 1.5 million years of standing erect, we have evolved into a species (specifically Homosapiens sapiens) that is destined to live with the scourge of GERD. Hypothesis 1: congenital. The antireflux barrier, comprising the smooth-muscled lower esophageal sphincter, the skeletal-muscled right crural diaphragm and the phreno-esophageal ligament does not completely develop due to a developmental anomaly or incomplete gestation. Hypothesis 2: acute trauma: The antireflux barrier in adults suffering acute traumatic injury to the abdomen or chest is permanently disrupted by unexpected forces, such as motor vehicle accidents (with steering wheel crush impact), blows to the abdomen (from activities such as boxing, etc.), heavy lifting or moving (e.g., pianos, refrigerators) or stress positions (e.g., hand stands on parallel gym bars). The trauma creates a hiatal hernia that renders the antireflux mechanism useless and incapable of preventing GERD. Hypothesis 3: chronic trauma: The antireflux barrier in children and adults is gradually weakened over time as a result of chronic straining to defecate and straining in an unphysiologic position, both of which stem from our modern day habits of eating a low-fiber diet and living on the high-seated toilet. We suggest that the chronic traumatic hiatal hernia is (a) the cause of more than 90 percent of the GERD that stalks the Western world; (b) is a direct result of abandoning the popular and worldwide practice of squatting to socialize, eat and defecate; and (c) is our just reward for adopting the "civilized" high sitting position on chairs and modern toilets. (+info)
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TraumaBluntAbdominalSurgeryCavityComplicationsSeverePneumothoraxPenetratingRuptureTraumaticLacerationAnteriorStabSepsisDiagnosisOccursCommonVertebraeSurgeryAbdominalPatientsDescending thoracic aortaUpper thoracic spineChestFractureAcuteOutlet syndromeRepair of traumatic thoracic aorticEndovascular repair of traumatic thoracicSurgicalStent-graftLumbar spineManagement of blunt thoracicSevereOutcomesAortic injury is associatedNeckCervical and thoracicLungLife-threatenTEVARSubjects With ThoracicVertebraNeurologicSeverity ScoreTreatmentVertebral segmentsCord
Trauma15
- A tension haemothorax is an uncommon injury after penetrating chest trauma. (omicsonline.org)
- Isolated injury was observed in 107 cases, and 166 (60.8%) patients had multifocal trauma and multi-organ injuries. (infona.pl)
- 1. Over 30% of patients need no surgical treatment after thoracic trauma. (infona.pl)
- 2. The most common coexisting injuries with thoracic trauma are cranio-cerebral injuries and bone fractures. (infona.pl)
- There are 5 major injuries that may occur in blunt chest trauma. (cochranfirm.com)
- The patient (42 year-old-male) presented to the ED with a complete thoracic penetration trauma injury (Figure 1). (kenhub.com)
- Additional studies are required to examine the adaptation of specific damage control techniques to thoracic injuries, but patients with severe chest trauma can benefit from initiation of damage control strategies in the emergency room. (jctt.org)
- It is important to suspect cadiac injury in patients who are victims of trauma on cardiac box, to observe that the focused assessment sonography for trauma is used, but it has its limitations. (jctt.org)
- Physical trauma is a serious injury caused by a sudden energy transfer of an external force (i.e. motor vehicle crashes) to a person's body. (accidentlawyerstlouis.com)
- Chest trauma involves the chest area wherein the thoracic cavity or ribs, lungs and heart are involved. (accidentlawyerstlouis.com)
- The most frequent cause of severe blunt chest trauma is motor vehicle accidents (MVAs) wherein it accounts for 70-80% of such injuries. (accidentlawyerstlouis.com)
- Blunt trauma is a common result involving chest wall injuries (eg, rib fractures) involving Missouri car accidents. (accidentlawyerstlouis.com)
- Direct lung injuries (i.e. lung or pulmonary contusions) are frequently associated with major chest trauma and may also affect breathing and therefore oxygenation to all other tissues of the body. (accidentlawyerstlouis.com)
- If you or a loved one has suffered trauma to the chest as the result of a car accident, truck accident, or other motor vehicle accident, contact our Missouri and St Louis car accident lawyers today to discuss reimbursement for your injury. (accidentlawyerstlouis.com)
- Blunt chest trauma can cause severe thoracic injuries like pneumothorax, lung contusion or haemothorax, but can also involve the heart, including the myocardium, pericardium, the large thoracic vessels and the coronary arteries. (jbsr.be)
Blunt1
- 50 patients (18.3%) had acute, penetrating injuries, and 223 patients (81.7%) had blunt thoracic injuries. (infona.pl)
Abdominal1
- The laparotomy revealed the absence of intra-abdominal organ injuries (thus, no splenic laceration) and that the diaphragm was completely intact . (kenhub.com)
Surgery2
- In one study, 7 patients had surgery postponed to allow for treatment or resolution of concomitant severe injuries. (cochranfirm.com)
- Articles that focused on damage control surgery, the use of damage control techniques in traumatic injuries, and the use of damage control in civilian populations were selected. (jctt.org)
Cavity2
- A midline laparotomy revealed a 3 cm laceration to left lobe of live with no active bleeding and there were minimal blood in the peritoneal cavity with no other visceral injury. (omicsonline.org)
- The spiral rebar , which was 60 cm long and 8 mm in diameter, penetrated entirely through the thoracic cavity with part of the bar extending beyond the body wall on both sides. (kenhub.com)
Complications1
- Anterior thoracic penetrating injuries may result in life-threatening complications. (omicsonline.org)
Severe2
- Patients with severe thoracic injuries and subsequent physiological decline may not be candidates for initial definitive treatment. (jctt.org)
- The broken leg and severe chest injuries each carry their own risks. (diki.pl)
Pneumothorax1
- An emergency situation involving road injuries are tension pneumothorax in which pressure gradually builds up inside the chest as air leaks from the lungs into the other tissues. (accidentlawyerstlouis.com)
Penetrating1
- Penetrating thoracic injury with isolated internal mammary injury is a very rare cause of massive haemothorax and associated with high mortality. (omicsonline.org)
Rupture1
- More than 80% of injuries rupture through the intima, media and adventia (the three layers of the arterial wall), resulting in exsanguinations and death at the accident site. (cochranfirm.com)
Traumatic1
- Effective "Damage Control" following a traumatic injury begins with initial management in the emergency department, which is followed by an abbreviated operation, equally aggressive critical care, and a planned reexploration. (jctt.org)
Laceration2
- Right hemothorax was confirmed with laceration of right internal thoracic artery with active bleeding and small 1x1cm laceration to middle lobe of right lung. (omicsonline.org)
- Because of the thoracic injury and the possible splenic laceration, laparotomy and thoracotomy were performed simultaneously . (kenhub.com)
Anterior1
- The blue dashed line indicated the incision through the lower anterior thoracic wall. (kenhub.com)
Stab1
- We present a case in which a 55 year old man sustained multiple thoracic stab wounds. (omicsonline.org)
Sepsis1
- Massive infection or sepsis due to leakage of gastrointestinal contents, as in esophageal injury or perforations, also must be noted. (accidentlawyerstlouis.com)
Diagnosis1
- The diagnosis of the more serious of these injuries require diagnosis at or soon after triage and admission to the Emergency Room, because, while many of these people die at the accident scene, many more die soon after reaching the hospital. (cochranfirm.com)
Occurs1
- So falls, motor vehicle accidents and sports are the areas where this type of injury most frequently occurs. (cochranfirm.com)
Common1
Vertebrae12
- The thoracic spine demonstrates the best natural defense against traumatic injury, since the spinal cord is well protected by large and strong vertebrae which do not suffer the same degree of degeneration as the upper and lower ends of the backbone. (cure-back-pain.org)
- The thoracic vertebrae are very strong and protective. (cure-back-pain.org)
- It is very painful to touch the lateral 7th cervical vertebrae and my 2nd Thoracic vertebrae. (sportsinjurybulletin.com)
- There are 12 thoracic vertebrae protecting the spinal cord, a delicate bundle of nerves that carries messages from the brain to other areas of the body. (enjuris.com)
- The thoracic spine is made up of twelve vertebrae, labeled T1-T12. (physiotherapynicosia.com)
- While compression fractures can occur anywhere in the spine, they typically occur in the lower vertebrae of the thoracic. (physiotherapynicosia.com)
- A thoracic spine x-ray is an x-ray of the 12 chest (thoracic) bones (vertebrae) of the spine. (medlineplus.gov)
- The thoracic spine is composed of twelve different vertebrae levels. (nakaselawfirm.com)
- The spine is divided into seven neck (cervical) vertebrae, twelve chest (thoracic) vertebra, five back (lumbar) vertebrae, and five tail (sacral) vertebrae. (brainandspinalcord.org)
- The back (lumbar) cord is located in the chest (thoracic) vertebrae, between the T9 and T11 vertebra. (brainandspinalcord.org)
- The thoracic section of your spine is made up of 12 vertebrae and shaped like a backward C, called a kyphotic curve. (livestrong.com)
- The device is the Oasys Occipito-Cervico-Thoracic System, which is designed to stabilize the junction between the occipital bone and vertebrae in the cervical spine. (dallasfortworthinjurylawyer.com)
Surgery39
- Decompression of the thoracic spinal cord often requires surgery because traction alone often cannot reposition the thoracic vertebral segments. (rutgers.edu)
- Because surgery on the thoracic spinal column usually requires the opening of the thoracic cavity, decompression of thoracic spinal cord injury may be delayed by many hours, days, or even weeks after injury. (rutgers.edu)
- Victor W. Wong, Stephanie D. Gordy, Martin Schreiber, and Brandon H. Tieu, "Penetrating Neck Injury to the Superior Thoracic Artery Managed by Video-Assisted Thoracoscopic Surgery," Case Reports in Surgery , vol. 2013, Article ID 413462, 4 pages, 2013. (hindawi.com)
- Acute lung injury (ALI) following thoracic surgery remains a major source of morbidity and mortality after lung resection. (bioportfolio.com)
- In this study we are going to compare the effectiveness of robot assisted thoracic surgery (RATS) with video assisted thoracic surgery (VATS) in case of lung cancer. (bioportfolio.com)
- Surgery performed on the thoracic organs, most commonly the lungs and the heart. (bioportfolio.com)
- Postoperative acute kidney injury (AKI) is still one of the serious complications of thoracic aortic surgery, with incidence of 8 to 50 percent. (clinicaltrials.gov)
- Postoperative AKI significantly increases the morbidity and mortality of patients undergoing thoracic aortic surgery. (clinicaltrials.gov)
- Therefore, the investigators tried to evaluate the incidence and risk factors of AKI after thoracic aortic surgery according to the diagnostic criteria and staging system of AKI reported from acute kidney injury network. (clinicaltrials.gov)
- Two main treatment options for blunt thoracic aortic injuries are open surgery and thoracic endovascular repair. (springer.com)
- Treat Kyphosis, Osteoporosis, Spine Compression Fractures, Wedge & Burst Fractures, Upper Spine Injuries & Post Surgery Support (Large) by Cybertech Medical at Get Cheap Health Insurance. (getcheaphealthinsurance.net)
- All patients with penetrating war injury to the chest received an immediate screening CXR, whereas chest CT was performed at the discretion of the thoracic surgery team (Table 1). (deepdyve.com)
- achieving a mortality rate of 13.3% in a population of 15 patients who underwent surgery between 2 days and 25 months after the injury. (openanesthesia.org)
- Thoracic Anesthesia » Ishikawa S, Greisdale DEG, Lohser J. Acute kidney injury after lung resection surgery: incidence and perioperative risk factors. (thoracic-anesthesia.com)
- Ishikawa S, Greisdale DEG, Lohser J. Acute kidney injury after lung resection surgery: incidence and perioperative risk factors. (thoracic-anesthesia.com)
- BACKGROUND: Postoperative acute kidney injury (AKI) is associated with increased perioperative morbidity and mortality in a variety of surgical settings, but has not been well studied after lung resection surgery. (thoracic-anesthesia.com)
- Postoperative AKI was diagnosed within 72 hours after surgery based on the Acute Kidney Injury Network creatinine criteria. (thoracic-anesthesia.com)
- Incidence of mortality and morbidity related to postoperative lung injury in patients who have undergone abdominal or thoracic surgery: a systematic review and meta-analysis. (semanticscholar.org)
- BACKGROUND Lung injury is a serious complication of surgery. (semanticscholar.org)
- We did a systematic review and meta-analysis to assess whether incidence, morbidity, and in-hospital mortality associated with postoperative lung injury are affected by type of surgery and whether outcomes are dependent on type of ventilation. (semanticscholar.org)
- Acute surgery was decided: performing external fixation of right tibia, wound cleaning and exploration of iliac crest and open reduction and fixation of the fracture-dislocation of thoracic spine. (clinmedjournals.org)
- This book provides a guide to the anatomy and the surgical techniques required in thoracic and cardiothoracic surgery. (springer.com)
- Further, it addresses intraoperative and postoperative complications, and explores newer fields like microthymectomy, microlobectomy, and pain management for thoracic surgery patients. (springer.com)
- Providing an update on the latest advances in thoracic surgery, it appeals to general, thoracic, cardiothoracic, and cardiovascular surgeons. (springer.com)
- Claudiu Eduard Nistor, MD, MPH, PhD is the Head of Thoracic Surgery at Carol Davila Central Military Emergency University Hospital, Bucharest and an Associate Professor at the Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. (springer.com)
- Adrian Ciuche, MD, MPH, PhD is a Consultant Thoracic Surgery at Carol Davila Central Military Emergency University Hospital, Bucharest. (springer.com)
- His research interests cover the field of malignant pleural and pericardial effusions and minimally invasive thoracic surgery of the pleural and pericardial space. (springer.com)
- Dr. Aresu's clinical interests include intercostal and subxiphoid uniportal VATS, enhanced recovery programs and non-intubated thoracic surgery. (springer.com)
- Gregor J. Kocher, MD, PhD, MBA is a Consultant Thoracic Surgeon and Chief of the Division of Thoracic Surgery at the University Hospital of Bern, Switzerland. (springer.com)
- He is a senior lecturer (Privatdozent) at the University of Bern and one of the leading experts in minimally invasive Thoracic Surgery (including robotic surgery) in Switzerland. (springer.com)
- Background In blunt thoracic aortic injury, thoracic endovascular aortic repair (TEVAR) offers a less invasive alternative to open chest surgery. (elsevier.com)
- Annals of Thoracic Surgery , 97 (3), 774-780. (elsevier.com)
- Uniportal video-assisted thoracoscopic surgery (UniVATS) has been widely adopted in China, where several ultra-high volume thoracic surgical and training centers are located. (medscape.com)
- It has been more than a decade since uniportal video-assisted thoracoscopic surgery (UniVATS) was applied in thoracic surgery. (medscape.com)
- Surgery for thoracic outlet syndrome may be hazardous to your health. (medscape.com)
- Management of Intra-operative Crises is reviewed extensively in this important Thoracic Surgery Clinics of North America issue. (indigo.ca)
- Turkish Journal of Thoracic and Cardiovascular Surgery published orginal papers on topics in cardiovascular surgery, cardiovascular anesthesia,cardiology and thoracic surgery. (dergisi.org)
- All copyrights of the articles that published or will be published belongs to Turkish Journal of Thoracic and Cardiovascular Surgery and without permission of editorial board whole articles or any part of articles table pictures and graphics could not be published. (dergisi.org)
- Stryker has received reports that a pin that connects the tulip head to the plate body can fracture, possibly causing blood loss, nerve injury and the need for revision surgery. (dallasfortworthinjurylawyer.com)
Abdominal13
- As it turns out, the thoracic segments control muscles that attach to the ribs (which include the abdominal muscles, as well as most of the back muscles). (rutgers.edu)
- The thoracic segments and upper lumbar segments innervate the abdominal muscles including the rectus abdominus (T4-L3), external oblique (T6-L3), transverse abdominis (T9-L3), and internal oblique (T12-L3). (rutgers.edu)
- CONCLUSION: Adaptation and use of commercially available abdominal devices in the thoracic aorta has proven to be technically feasible. (uptodate.com)
- Clinical experience of the use of self-fixing synthetic prostheses for remote endoprosthetics of the thoracic and the abdominal aorta and iliac arteries through the femoral artery and as intraoperative endoprosthesis for aorta reconstruction. (springer.com)
- Five early deaths occurred, all in DTAR patients, from multiorgan failure (n = 2), intra-abdominal hemorrhage (n = 1), or diffuse axonal injury (n = 2). (acc.org)
- Among the various causes of free abdominal gas, there should be included those following chest injuries. (elsevier.com)
- In this condition, even though conventional radiology remains the method of choice, CT can be considered as an integrative technique of great panorama allowing small amounts of free abdominal gas and related thoracic and abdominal injuries to be demonstrated, especially in the patients in forced supine decubitus, in whom abdominal plain films can be difficult to perform. (elsevier.com)
- The aim of this study was to establish the true incidence of intra-abdominal injury in these patients. (elsevier.com)
- Significant chest, abdominal and pelvic injuries were all defined as AIS ≥ 2. (elsevier.com)
- In this case, the iatrogenic diaphragm rupture may have been caused by laparoscopic instruments and xiphoid trocars, or after the thoracic tube insertion to treat pneumothorax in the first laparoscopy attempt that passed through the diaphragm and got widened over the period of time or maybe it was a diaphragmatic burst due to increased intra-abdominal pressure which is nearly impossible to occur, though. (thefreedictionary.com)
- The increasing popularity of skiing as a recreational sport has resulted in a greater number of major thoracic and abdominal injuries. (northwestern.edu)
- Cleveland, Henry C. / Thoracic and abdominal injuries in skiers : The role of air evacuation . (northwestern.edu)
- This scale is confined to the chest wall alone and does not reflect associated internal or abdominal injuries. (aast.org)
Patients56
- Only approximately 20 percent of patients with blunt aortic injury survive long enough following the injury to be treated [ 3 ]. (uptodate.com)
- The need for intubation, the risk of pneumonia, and risk of death were significantly greater for patients with T1- to T6-level spinal cord injuries. (nih.gov)
- However, this is far from an absolute, since some thoracic cord injury patients do suffer from these types of traumas. (cure-back-pain.org)
- Higher thoracic injuries will progressively affect internal organ process and might cause some serious health effects in many patients. (cure-back-pain.org)
- A great number of patients endure reductions in both aspects of nerve functionality, but not to the degree of a complete injury. (cure-back-pain.org)
- Sexual dysfunction is a big problem for many patients with severe thoracic cord injuries. (cure-back-pain.org)
- It is crucial for patients with any spinal cord injuries to maintain their health and go for adequate preventative medical care. (cure-back-pain.org)
- Purpose of review The present review evaluates the evidence available in the literature tracking perioperative mortality and morbidity as well as the pathogenesis and management of acute lung injury (ALI) in patients undergoing thoracotomy. (lww.com)
- however, risk for liver injury cannot be compared among treatment regimens in part because the number of patients treated for LTBI with each treatment regimen is unknown. (cdc.gov)
- Three of the 21 RIF-PZA--associated cases occurred when patients received this regimen after recovering from INH-associated liver injury. (cdc.gov)
- Of the 21 patients with RIF-PZA--associated liver injury, 16 recovered and five died of liver failure. (cdc.gov)
- Patients 2 and 3 received RIF-PZA after recovering from INH-associated liver injury. (cdc.gov)
- After liver injury was diagnosed, all patients were tested for hepatitis A (acute), B (acute and chronic), and C. Patients 2 and 5 had serologic evidence of previous hepatitis A. Patient 5 had serologic evidence of past hepatitis B. Patient 1 had idiopathic nonalcoholic steatotic hepatitis confirmed by biopsy in 1997, and patient 3 used injection drugs and alcohol, although reportedly not during RIF-PZA treatment. (cdc.gov)
- Patients 1 and 2 were taking other medicines* that have been associated with idiosyncratic liver injury. (cdc.gov)
- All five patients had onset of liver injury during the second month of the 2-month course of treatment. (cdc.gov)
- All patients underwent either open repair with synthetic graft interposition or endovascular stent grafting (EVS) of the descending thoracic aorta. (biomedsearch.com)
- CONCLUSIONS: Although postoperative mortality and morbidity between open and endovascular repair were comparable, EVS can be considered a safe alternative treatment modality in the therapeutic algorithm of blunt thoracic aortic injury particularly for the higher risk multitrauma patients. (biomedsearch.com)
- measurements of potential risk factors of acute kidney injury through the patients' previous medical record review. (clinicaltrials.gov)
- Most patients do not survive long enough, post injury, to reach a hospital. (springer.com)
- This study will evaluate the effect of single transplantation of HuCNS-SC cells into the thoracic spinal cord of patients with sub-acute spinal cord injury. (clinicaltrials.gov)
- Although much progress has been made in the clinical care of patients with acute spinal cord injuries, there are no reliably effective treatments, which minimize secondary damage and improve neurologic outcome. (wingsforlife.com)
- Surgical decompression and neurolysis of the long thoracic nerve significantly improve scapular winging in appropriate patients, for whom these techniques should be considered a primary modality of functional restoration. (researchgate.net)
- Open descending thoracic aortic repair (DTAR) was performed in 90 (85 with left heart bypass, 5 with hypothermic arrest), and thoracic endovascular aneurysm repair (TEVAR) was used in 19 patients. (acc.org)
- OBJECTIVES: To analyze the early and long-term survival and re-intervention rate in patients undergoing TEVAR for blunt traumatic thoracic aortic injury. (uzh.ch)
- Between the years 2001 and 2010, a total of 74 patients underwent TEVAR for blunt traumatic thoracic aortic injury at four tertiary referral centers, three in Sweden and one in Switzerland. (uzh.ch)
- Most patients had sustained severe injuries to other organ systems, and among all in hospital deaths brain injury was the predominant cause. (uzh.ch)
- RESULTS Immediate screening CXRs were obtained in all patients not requiring emergent thoracotomies, of which 91.4% showed positive signs of injury. (deepdyve.com)
- Chest CTs were performed at the discretion of the physicians in 49.4% of patients, and CXR-positive findings were confirmed in all cases, while revealing additional injuries in 11% of patients. (deepdyve.com)
- Chest CTs can be omitted in most patients, thus reducing CT imaging case-load substantially, while most clinically significant chest injuries remain sufficiently recognized. (deepdyve.com)
- PATIENTS AND METHODS Since the outbreak of the Syrian crisis in early 2011, the Mouassat University Hospital has been serving civilian casualties evacuated directly to its premises, and its surgical services have dealt with a growing number of injuries of various aetiologies. (deepdyve.com)
- Immediate thoracotomies were performed in patients who were in a state of shock (e.g. tamponade and visible haemorrhage), where major cardiac or vascular injuries were suspected or where abnormal chest CT findings required operative intervention. (deepdyve.com)
- The diagnosis and treatment of patients who have thoracic outlet syndrome have been varied, particularly in those with complaints of tingling, numbness and pain in the arm and hand. (wustl.edu)
- Recently, surgeons have recognized that patients with thoracic outlet syndrome can be divided into patients with compression of the blood vessels and those with nerve compression. (wustl.edu)
- Patients with thoracic outlet syndrome related to compression of the brachial plexus usually complain of a feeling of "pins and needles" and/or numbness in the arm, forearm or hand. (wustl.edu)
- Patients with thoracic outlet syndrome usually have symptoms of tingling and numbness in the hand. (wustl.edu)
- The "double crush" mechanism may play a role in the development of symptoms in patients with thoracic outlet syndrome. (wustl.edu)
- In the vast majority of patients, non-operative treatment is successful in relieving the symptoms of thoracic outlet syndrome. (wustl.edu)
- Some thoracic spinal cord injury patients recover without difficulty, but because it's a high-traffic area that cannot be completely rested during recovery (how do you entirely rest a back injury? (enjuris.com)
- Kinetics of plasma biomarkers of inflammation and lung injury in surgical patients with or without postoperative pulmonary complications. (semanticscholar.org)
- In patients with upper thoracic fracture-dislocation without spinal cord involvement, immediate reduction and osteosynthesis should always be performed. (clinmedjournals.org)
- The early mortality for all patients with blunt thoracic aortic injury was 41% (139/338). (qxmd.com)
- A study by Hatch et al of 759 individuals with SCI found that in such patients, neither the severity nor the level of injury was related to decreased survival in the 10 years after injury, although older age, male sex, and a lower dismissal functional independence measure score were. (medscape.com)
- Particular attention was paid to the methods for treatment of patients after thoracic injuries. (infona.pl)
- Nine patients (10%) were referred to an advanced medical center after the first intervention was performed due to severe hemorrhagic drainage from the thoracic tube in six patients, persistent pneumothorax in one patient, and prolonged air leak in one patient. (thefreedictionary.com)
- These differences sometimes also make it difficult for the various medical specialists who care for spinal cord injury patients to communicate clearly among themselves about the level of injury a patient is experiencing. (brainandspinalcord.org)
- Methods Relay Endovascular Registry for Thoracic Disease (RESTORE) is a multicenter, prospective European registry, which enrolled patients treated with the Relay stent graft for thoracic aortic diseases from April 2005 to January 2009. (elsevier.com)
- This paper analyzes the cohort of patients treated for traumatic aortic injury. (elsevier.com)
- Conclusions Thoracic endovascular aortic repair with the Relay stent graft is a safe and effective treatment for patients with traumatic aortic injury. (elsevier.com)
- In the first year after injection, there were 4 serious adverse events in 4 of the 12 thoracic subjects and 15 serious adverse events in 9 of the 17 cervical patients. (elsevier.com)
- Our aim was to report changes in neck pain at rest, active cervical range of motion, and neck pain at end-range of cervical motion after a single thoracic spine manipulation in a case series of patients with mechanical neck pain. (nih.gov)
- All patients received a single thoracic manipulation by an experienced manipulative therapist. (nih.gov)
- Twenty-four patients (19 men, 5 women with a mean age of 27.5±11.8 years) had arterial injuries. (magiran.com)
- Patients with blunt upper limb injuries must be evaluated for vascular integrity timely, especially in traffic accidents because vascular injuries after traffic accidents need to be referred to vascular centers. (magiran.com)
- Identify the initial assessment for patients with musculoskeletal injury. (eventbrite.com)
- We've helped many patients in Bridesburg, PA improve from these sorts of injuries since 2007 and we might be able to help you, as well! (bridesburgchiro.com)
- Of the patients, 103 were exposed to gunshot injuries, 128 to incisive/stabbing injuries, and 36 to explosive injuries. (dergisi.org)
Descending thoracic aorta1
- Most common location is distal to the L subclavian artery, probably because the mobile aortic arch is continuous with the immobile descending thoracic aorta at this point (shear stress). (openanesthesia.org)
Upper thoracic spine2
- The fracture-dislocation of the upper thoracic spine is often associated with spinal cord injury, there is a very few reported cases in bibliography without neurological damage. (clinmedjournals.org)
- Speech therapy is often utilized for individuals who have injuries to their upper thoracic spine. (nakaselawfirm.com)
Chest13
- Injury of the thoracic aorta refers to any injury which affects the portion of the aorta which lies within the chest cavity. (wikipedia.org)
- The thoracic vertebral segments form the chest wall and have ribs. (rutgers.edu)
- X-ray visualization of the chest and organs of the thoracic cavity. (bioportfolio.com)
- Right chest tube continue to drain blood with further drop in blood pressure of 40/25 mm Hg, immediately take to OR within 15- 20 minutes of arrival in ED. However, en-route to OR, patient had a sudden cardiac arrest which was successfully resuscitated with a minutes of CRP and proceeds immediately to the OR. (omicsonline.org)
- Collected data included mechanisms of injury, associated injuries, results of CXRs and chest CTs, methods of management, in-hospital stays, complications and mortalities. (deepdyve.com)
- T1 (thoracic) refers to the first vertebra in the chest area. (brainandspinalcord.org)
- The tail (sacral) cord is located between the last chest (thoracic) vertebra and the second back (lumbar) vertebra. (brainandspinalcord.org)
- One chest tube was placed to ensure adequate drainage of thoracic cavity and complete re-expansion of lung. (acibadem.edu.tr)
- Diagnosis is made by studying the cause of the injury, physical examination and chest radiography. (wikipedia.org)
- It occurs in 30-75% of severe chest injuries. (wikipedia.org)
- Children are at especially high risk for the injury because the relative flexibility of their bones prevents the chest wall from absorbing force from an impact, causing it to be transmitted instead to the lung. (wikipedia.org)
- Injuries to the chest wall are also distinct from but may be associated with lung injuries. (wikipedia.org)
- The area of the chest wall near the contusion may be tender or painful due to associated chest wall injury. (wikipedia.org)
Fracture8
- Acute cervical and thoracic spine injuries in sports range from mild sprains to fracture dislocations with catastrophic consequences. (springer.com)
- It takes enormous forces to fracture the thoracic spinal vertebral bodies. (rutgers.edu)
- Thoracic spine fracture-dislocations due to motor vehicle accidents (MVAs) rarely involve double- level, noncontiguous lesions. (surgicalneurologyint.com)
- Noncontiguous double-level thoracic spine fracture-dislocations are quite rare. (surgicalneurologyint.com)
- A thoracic fracture leads to decreased range of motion. (enjuris.com)
- On arrival at critics room presented 14 points at GCS and American Spinal Injury Association scale (ASIA) E. After whole CT scan, was diagnosed a T10 fracture-dislocation, an open left iliac fracture, open right distal tibia fracture and a fracture of 10th left costal arch. (clinmedjournals.org)
- The aim of this study was to report a rare case of post-traumatic thoracic spine intramedullary bleeding associated with spine fracture in the absence of compression due to fracture fragments on spinal cord. (isjonline.com)
- We report here a case of traumatic, intramedullary hematoma in thoracic spine associated with vertebral body fracture, causing severe neurological deficit. (isjonline.com)
Acute10
- Serious acute cervical and thoracic spine injuries in youth sports are rare but are seen with greater frequency in certain sports such as football, hockey, and gymnastics. (springer.com)
- Timely diagnosis and treatment of acute cervical and thoracic injury are essential. (springer.com)
- Understanding when an athlete can safely return to play after an acute cervical or thoracic spine injury is necessary to prevent secondary injury. (springer.com)
- This chapter covers common acute and overuse cervical and thoracic spine injuries in youth sports, with a focus on clinical and radiographic diagnosis, acute management of the injury, and return-to-play guidelines. (springer.com)
- We reviewed our experience of endoluminal stent-graft repair for treatment of acute traumatic thoracic aortic transection. (uptodate.com)
- Acute traumatic thoracic aortic transection is a devastating injury that often occurs in the context of multiple associated traumatic injuries. (minervamedica.it)
- The objectives of rehabilitation after an individual has sustained an acute spinal cord injury (SCI) include maximizing the patient's medical, functional, and psychosocial outcomes. (medscape.com)
- Pain management after a burn injury deals with how to treat the burn pain starting with the acute injury, through the healing and up to the rehabilitation phase. (medindia.net)
- Intermittent catheterization with a hydrophilic-coated catheter delays urinary tract infections in acute spinal cord injury: a prospective, randomized, multicenter trial. (medscape.com)
- The rate of acute complications after pacemaker implantation is 4 - 5%.Here in we report treatment with thoracic stent-graft implantation (TEVAR) of a rarely described dramatic complication: an aortic injury due to direct puncture of the distal aortic arch with malplacement of the two pacing leads in the left ventricle and in the left circumflex artery. (ismics.org)
Outlet syndrome15
- Thoracic outlet syndrome is a condition involving compression of the nerves and/or blood vessels in the region around the neck and collarbone, called the thoracic outlet. (wustl.edu)
- Thoracic outlet syndrome is controversial in the medical literature. (wustl.edu)
- In thoracic outlet syndrome, abnormalities in insertions of the scalenus anticus and scalenus medius muscles - or simple enlargement of these muscles due to unhealthy postures - can create narrowing of the triangular region through which the brachial plexus travels across the first rib and beneath the clavicle. (wustl.edu)
- Thoracic outlet syndrome (TOS) is a rare condition that occurs when blood vessels or nerves become compressed in the space between the collarbone and the first rib. (medindia.net)
- Brachial Plexus Entrapment or Thoracic Outlet Syndrome (TOS) is usually the result of muscular compression upon nerves which can cause searing nerve pain (neuralgia). (ihelpbackpain.com)
- Thoracic outlet syndrome (TOS) causes pain in the shoulder , arm, and neck. (medlineplus.gov)
- One particular injury that is rarely discussed in regards to softball pitching is Thoracic Outlet Syndrome (TOS). (nancynewell.com)
- Thoracic outlet syndrome (TOS) is a complex clinical entity characterized by various neurovascular signs and symptoms of the upper limb. (medscape.com)
- Neurologic thoracic outlet syndrome: summarizing a complex history and evolution. (medscape.com)
- Hooper TL, Denton J, McGalliard MK, Brismée JM, Sizer PS Jr. Thoracic outlet syndrome: a controversial clinical condition. (medscape.com)
- Headache as the leading symptom of the thoracic outlet syndrome. (medscape.com)
- Selective botulinum chemodenervation of the scalene muscles for treatment of neurogenic thoracic outlet syndrome. (medscape.com)
- Thoracic outlet syndrome is felt as numbness, tingling, soreness or decreased circulation in the shoulders, arms or fingers. (bridesburgchiro.com)
- Because the neck is intricate, it can be difficult pinpointing the precise origin of your pain, and other disorders can mimic the symptoms of thoracic outlet syndrome. (bridesburgchiro.com)
- If you've been in a crash and have symptoms of thoracic outlet syndrome, Dr. Calantoni is here to help. (bridesburgchiro.com)
Repair of traumatic thoracic aortic1
- This review highlights some of the anatomic and technical considerations regarding endovascular repair of traumatic thoracic aortic injuries, and reviews reported outcomes. (minervamedica.it)
Endovascular repair of traumatic thoracic1
- Long-term durability of endovascular repair of traumatic thoracic transections remains unknown, but early and midterm results are promising. (uptodate.com)
Surgical8
- The factors that determine whether an open surgical or endovascular approach should be taken to repair these injuries are discussed separately. (uptodate.com)
- See 'Surgical and endovascular repair of blunt thoracic aortic injury' . (uptodate.com)
- Studies of the surgical treatment of serious, unstable thoracic spinal injuries are very limited. (eorthopod.com)
- High Impact's medical illustrations drive home the graphic reality of any personal injury while helping explain complex issues and surgical procedures relevant to your case. (highimpact.com)
- This case illustrates that conservative and multidisciplinary management of a postoperative chylothorax from a suspected thoracic duct injury achieves favourable outcomes avoiding further surgical intervention. (bmj.com)
- Less commonly there is an arterial injury, which is more likely to require surgical repair. (trauma.org)
- [ 3 ] With the development of surgical skills and instruments, many complex thoracic procedures were reported to be performed by UniVATS approach. (medscape.com)
- However, the largest quantity of UniVATS is performed in China, where several ultra-high volume thoracic surgical centers are located. (medscape.com)
Stent-graft1
- We opted for endovascular treatment with thoracic stent-graft placement because of the evolving haemothorax and myocardial ischaemia. (ismics.org)
Lumbar spine3
- Magnetic resonance imaging of the thoracic and lumbar spine confirmed traumatic dislocation/spondyloptosis of T11/T12 (i.e., with T11 projecting nearly 3.0 cm anterior to T12). (surgicalneurologyint.com)
- While the cervical spine is built for flexibility (e.g. turning the head) and the lumbar spine is built for power and flexibility (e.g. lifting heavy objects, touching the toes), the thoracic spine is built for stability. (physiotherapynicosia.com)
- Clinical examination showed a midline spinal tenderness over the lower thoracic and lumbar spine with no obvious external injury. (isjonline.com)
Management of blunt thoracic1
- Despite improvements in the management of blunt thoracic aortic injury, mortality remains high. (qxmd.com)
Severe5
- When traumatic injuries of the thoracic spinal cord occur, they generally are severe and often result in complete loss of neurological function below the injury site. (rutgers.edu)
- Importantly, the trial successfully determined safety and feasibility for performing a peripheral nerve harvest within 5-30 days of injury followed by an intra-spinal transplantation of autologous cells within 4-7 weeks of injury, even in individuals having sustained severe spinal injury. (news-medical.net)
- Severe injuries to the thoracic spine occur with some car accidents. (eorthopod.com)
- Total hip arthroplasty (THA) requires bone reconstruction in case of severe acetabular injury, with risk of dislocation, especially postoperatively. (bioportfolio.com)
- Take note that this type of spinal cord injury is severe. (nakaselawfirm.com)
Outcomes5
- Better clinical outcomes are achieved in high-volume hospitals and when procedures are performed by a thoracic surgeon. (lww.com)
- What are the long-term outcomes following open and endovascular repair of blunt thoracic aortic injury (BTAI)? (acc.org)
- Secondary outcomes were early mortality and morbidity, specifically stroke, spinal cord injury (SCI), and dialysis. (acc.org)
- Delayed selective management, when applied with open repair with distal aortic perfusion and the use of thoracic endovascular aortic repair, has been associated with improved early outcomes. (qxmd.com)
- Rehabilitation should begin as soon as possible after injury in order to optimize outcomes and reduce complications. (medscape.com)
Aortic injury is associated1
- Repair of a thoracic aortic injury is associated with significant morbidity. (openanesthesia.org)
Neck13
- Athletic injuries to the head, neck, and face. (springer.com)
- Epidemiology of athletic neck injury. (springer.com)
- This makes cord injury in the thoracic region less common than in the neck or lower back. (cure-back-pain.org)
- Your thoracic spine starts just below your neck and continues to the level just above your belly button. (shawchiroandsport.com)
- Look for a Therapeutic Orlando Massage Therapist who has helped hundreds of clients with brachial plexus injury-thoracic outlet neck pain and knows how to effectively and immediately treat this problem. (ihelpbackpain.com)
- The therapeutic/medical Orlando massage therapy I use eliminates your brachial nerve entrapment and thoracic outlet neck pain within two to five visits, as the nerve network will no longer be pinched and irritated. (ihelpbackpain.com)
- I focus on elongating all contracted soft tissue (muscles and tendons) in the front, side, and back of your neck, paying close attention to muscles over and around the brachial plexus and thoracic outlet. (ihelpbackpain.com)
- Changes in neck pain and active range of motion after a single thoracic spine manipulation in subjects presenting with mechanical neck pain: a case. (nih.gov)
- Changes in neck pain and active range of motion after a single thoracic spine manipulation in subjects presenting with mechanical neck pain: a case series. (nih.gov)
- 1), in neck pain at rest were found after the thoracic spinal manipulation. (nih.gov)
- The present results demonstrated a clinically significant reduction in pain at rest in subjects with mechanical neck pain immediately and 48 hours following a thoracic manipulation. (nih.gov)
- These are divided into three groups: cervical, thoracic and lumbar or your neck, mid-back and low-back. (livestrong.com)
- The space is narrow and injury to the neck can cause irritation of the muscle tissue in the area, which can then compress the nerves and result in symptoms. (bridesburgchiro.com)
Cervical and thoracic1
- Overuse injuries to the cervical and thoracic spine are seen in noncontact sports and can result in spinal deformity and adult pattern injury. (springer.com)
Lung6
- One-lung ventilation (OLV) is usually required in thoracic surger. (bioportfolio.com)
- Right hemothorax was confirmed with laceration of right internal thoracic artery with active bleeding and small 1x1cm laceration to middle lobe of right lung. (omicsonline.org)
- Biotrauma and Ventilator-Induced Lung Injury: Clinical Implications. (semanticscholar.org)
- Unlike pulmonary laceration, another type of lung injury, pulmonary contusion does not involve a cut or tear of the lung tissue. (wikipedia.org)
- Pulmonary contusion and laceration are injuries to the lung tissue. (wikipedia.org)
- However, pulmonary contusion is frequently associated with signs (objective indications) and symptoms (subjective states), including those indicative of the lung injury itself and of accompanying injuries. (wikipedia.org)
Life-threaten2
- Explain clinical manifestations associated with life-threatening thoracic injuries. (eventbrite.com)
- List three life-threatening thoracic injuries that should be identified during the primary survey. (eventbrite.com)
TEVAR1
- Thoracic endovascular aortic repair (TEVAR) has emerged as a viable alterative to conventional open repair for the treatment of these injuries. (minervamedica.it)
Subjects With Thoracic1
- METHODS: Intramedullary free-hand (manual) transplantation of HuCNS-SC cells was performed in subjects with thoracic (n = 12) and cervical (n = 17) complete and sensory incomplete chronic traumatic SCI. (elsevier.com)
Vertebra1
- Following a spinal cord transection below the sixth thoracic vertebra (T6), which findings are characteristic of neurogenic bladder? (medscape.com)
Neurologic5
- We would conclude that simvastatin given orally or subcutaneously at doses previously reported by other investigators to be effective in different neurologic conditions does not confer a significant neurologic benefit in a thoracic contusion injury model (OSU Impactor) when administered with a 1-h delay in intervention. (wingsforlife.com)
- The neurologic level and completeness of injury are important factors in predicting neurologic recovery and, therefore, functional outcome after SCI. (medscape.com)
- The more incomplete the injury is, especially on initial examination at 72 hours to 1 week after the injury has occurred, the more favorable the potential for neurologic recovery. (medscape.com)
- Key elements of the examination include motor and sensory testing, which allows for the designation of a neurologic level of injury (NLOI) and of the completeness of injury. (medscape.com)
- Most authors suggest that nonspecific neurologic TOS results from injury to the brachial plexus, by either traction or compression, at some point within the cervicoaxillary canal. (medscape.com)
Severity Score2
- The data were then evaluated controlling for age, sex, Glasgow Coma Scale, and Injury Severity Score. (nih.gov)
- Mean New Injury Severity Score was 13±10. (dergisi.org)
Treatment11
- Many people have been asking for an article about diagnosis and treatment of thoracic spinal cord injury. (rutgers.edu)
- The following is a short description of upper and mid-thoracic spinal cord injury, emphasizing the anatomy, the neurology, treatment, recovery, and long-term changes, and hope for recovery and therapies. (rutgers.edu)
- Although cord injury care has improved greatly over the past few decades, there have been virtually no big breakthroughs in medical treatment of spinal cord damage. (cure-back-pain.org)
- During February 12--August 24, 2001, a total of 21 cases of liver injury associated with a 2-month rifampin-pyrazinamide (RIF-PZA) regimen for the treatment of latent tuberculosis infection (LTBI) was reported to CDC. (cdc.gov)
- So far, it looks like the use of posterior-only pedicle screws to stabilize the thoracic spine is a successful treatment option. (eorthopod.com)
- For just 97p you can become a subscriber to Sports Injury Bulletin and stay up to date with all the latest prevention, treatment and rehabilitation information. (sportsinjurybulletin.com)
- was to present one clinic's experience in the treatment of thoracic injuries. (infona.pl)
- A thoracic tube was placed with a prediagnosis of empyema and antibiotic treatment was initiated. (thefreedictionary.com)
- Barcelona, Spain) for treatment of this injury. (elsevier.com)
- Single port thoracoscopy is a safe choice for treatment of chylous leakages due to cervical ductus thoracicus injury with faster recovery. (acibadem.edu.tr)
- Prognostic factors may vary according to injury type, complications, treatment approach, and presence of accompanying non-thoracic injuries. (dergisi.org)
Vertebral segments1
- The thoracic segments are the best protected of all the vertebral segments because of the ribs. (rutgers.edu)
Cord52
- National Spinal Cord Injury Statistical Center. (springer.com)
- Burning hands" in football spinal cord injuries. (springer.com)
- Cervical spinal cord injury (SCI) has a well-established association with a high risk of respiratory complications. (nih.gov)
- The thoracic spinal cord is situated in the T1-T9 thoracic spinal canal. (rutgers.edu)
- Traumatic injuries of the upper thoracic spinal cord are relatively rare, accounting for only 10-15% of spinal cord injuries (compared to 40% due to cervical, 35% due to thoracolumbar injuries, and 5% due to lumbosacral injuries). (rutgers.edu)
- Thoracic spinal cord injuries occur as a result of high-speed motor vehicular accidents, tumors that have compressed the spinal cord, and ischemic injuries of the spinal cord. (rutgers.edu)
- Injury to the thoracic spinal cord causes paraplegia, or loss of motor and sensory function in the lower half of the body. (rutgers.edu)
- Because the thoracic cord is situated some distance from the brain and lumbar cord, sensory and motor axons have a long ways to regenerate before they can restore function. (rutgers.edu)
- Nevertheless, substantial sensory and motor recovery occurs in a majority of people with mid-thoracic injuries, even those with initially 'complete' spinal cord injury. (rutgers.edu)
- Diagnosis of spinal cord injury usually is based on sensory examination. (rutgers.edu)
- Injury to the thoracic spinal cord will cause partial paralysis of deeper trunk muscles such as the cervicis (T1-5), splenius (T3-T6), erector spinae and iliocostalis (T6-12), spinalis (T1-9), semispinalis, transversospinal, and segmental (T1-12) muscles. (rutgers.edu)
- Injury to the thoracic spinal cord is likely to produce neurological effects in the lower body and torso. (cure-back-pain.org)
- As with all spinal cord injuries, the higher the level of cord damage, the more serious the symptomatic profile will typically be. (cure-back-pain.org)
- However, spinal cord damage caused by disease is still almost as prevalent in the thoracic area as in other regions. (cure-back-pain.org)
- Falls, sports injuries and car accidents are less likely to produce cord injury in the middle back than in the other more delicate spinal regions. (cure-back-pain.org)
- Complete spinal cord injuries will take away the abilities to feel and move below the affected vertebral level. (cure-back-pain.org)
- Meanwhile, partial spinal cord injuries will only reduce nerve signal to the affected areas and might spare some of the motor and sensory capabilities of the lower body. (cure-back-pain.org)
- Incomplete cord injury can range from mild to extreme, so each case profile is different. (cure-back-pain.org)
- Cord injury lowers the efficiency of the immune system and leaves the patient open to attack from infection and disease. (cure-back-pain.org)
- This novel cell therapy approach for treating subacute thoracic spinal cord injury is described in an article in Journal of Neurotrauma , a peer-reviewed journal from Mary Ann Liebert, Inc., publishers. (news-medical.net)
- In the article entitled 'Safety of Autologous Human Schwann Cell Transplantation in Subacute Thoracic Spinal Cord Injury' the authors present the results obtained from three different doses of Schwann cells and report no negative effects related to harvesting or transplanting the cells. (news-medical.net)
- From the Journal's perspective, this is an extremely important communication in the area of human traumatic spinal cord injury. (news-medical.net)
- Although as a Phase 1 study the sample size is small and the study is constrained by the strict inclusion/exclusion criteria mandated by the FDA, the study as performed remains an important proof of concept in the field of spinal cord injury,' says John T. Povlishock, PhD, Editor-in-Chief of Journal of Neurotrauma and Professor, Medical College of Virginia Campus of Virginia Commonwealth University, Richmond. (news-medical.net)
- A debilitating consequence of complete spinal cord injury (SCI) is the loss of motor control. (ovid.com)
- Enhancement of bilateral cortical somatosensory evoked potentials to intact forelimb stimulation following thoracic contusion spinal cord injury in rats. (sigmaaldrich.com)
- After a thoracic contusive spinal cord injury (SCI) neuropathways that innervate the cord below the epicenter of injury are damaged, with minimal prospects for functional recovery. (sigmaaldrich.com)
- Edema of the conus medullaris, canal effacement, and an asymmetric T2 signal within the spinal cord indicated a primary cord injury/conus injury with hematomyelia [ Figures 2 and 3 ]. (surgicalneurologyint.com)
- The vast majority of spinal column injuries ( 75% to 90% ) occur without damaging the cord. (enjuris.com)
- Most injuries to the thoracic cord occur in the lower region, T11 to T12 to be specific. (enjuris.com)
- Purpose: To evaluate whether noninvasive molecular imaging technologies targeting myeloperoxidase (MPO) can reveal early inflammation associated with spinal cord injury after thoracic aortic ischemia-reperfusion (TAR) in mice. (elsevier.com)
- Exertional hypotension in thoracic spinal cord injury: case re. (mysciencework.com)
- Exertional hypotension in thoracic spinal cord injury: case report. (mysciencework.com)
- After a spinal cord injury, each of the nerves above the level of injury keeps right on operating. (nakaselawfirm.com)
- The spinal cord nerves at the area of the injury and below couldn't longer transmit messages between the brain and parts of the body. (nakaselawfirm.com)
- One of the spinal cord injuries is thoracic spinal cord injuries. (nakaselawfirm.com)
- Individuals who are suffering from this type of spinal cord injury live with an independent life. (nakaselawfirm.com)
- What are the Possible Treatments for thoracic spinal cord injury? (nakaselawfirm.com)
- If the misconduct or negligence of another person, organization, or government entity contributed to your spinal cord injury, you might be able to file for a claim. (nakaselawfirm.com)
- You must consult an experienced spinal cord injury attorney as soon as possible if you believe you have a claim. (nakaselawfirm.com)
- Vásquez N, Knight SL, Susser J, Gall A, Ellaway PH, Craggs MD. Pelvic floor muscle training in spinal cord injury and its impact on neurogenic detrusor over-activity and incontinence. (medscape.com)
- Spinal cord injury levels can be confusing. (brainandspinalcord.org)
- If you or a loved one has a spinal cord injury the condition may be explained to you with different terminology by different types of medical specialists. (brainandspinalcord.org)
- Some years ago, spinal cord injuries were assessed on the Frankel scale which was originally designed at Stokes Manville in the 1930s. (brainandspinalcord.org)
- Today, the degree of impairment in a spinal cord injury is usually assessed according to the scale designed by the American Spinal Cord Injury Association-the ASIA scale. (brainandspinalcord.org)
- Part of the confusion regarding spinal cord injury levels comes from the fact that the spine and the spinal cord each are divided into named segments which do not always correspond to each other. (brainandspinalcord.org)
- Bodily functions can be disrupted by injury to the spinal cord. (brainandspinalcord.org)
- The area of a dermatome may expand or contract after a spinal cord injury. (brainandspinalcord.org)
- The differences between some of the spinal vertebral and spinal cord levels have added to the confusion in developing a standardized rating scale for spinal cord injuries. (brainandspinalcord.org)
- Researchers from Neuroscience Research Australia (NeuRA), The University of Sydney, and HammondCare have found surviving sensory nerve connections in areas of no sensation in 50% of people living with complete thoracic spinal cord injuries. (healthtimes.com.au)
- This opens up new opportunities to identify those people living with a spinal cord injury that are more likely to benefit from treatments aimed at improving sensation and movement," said A/Prof Wrigley. (healthtimes.com.au)
- BACKGROUND: Human central nervous system stem cells (HuCNS-SC) are multipotent adult stem cells with successful engraftment, migration, and region-appropriate differentiation after spinal cord injury (SCI). (elsevier.com)
- Hence, suspecting a cord injury, magnetic resonance imaging (MRI) scan was ordered. (isjonline.com)