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Related Concept Videos

Flail Chest-I01:24

Flail Chest-I

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
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Flail Chest-II01:26

Flail Chest-II

362
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
362
Disorders of the Skeletal Muscle01:28

Disorders of the Skeletal Muscle

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The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
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Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Assessing Changes in Synaptic Plasticity Using an Awake Closed-Head Injury Model of Mild Traumatic Brain Injury
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Trampolines injuries are bouncing back.

Yahya Ibrahim1, Sumon Huq1, Kanatheepan Shanmuganathan1

  • 1Orthopaedic Department, Broomfield Hospital, Mid Essex Hospital NHS Trust, Chelmsford, UK.

Bone & Joint Open
|February 12, 2021
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Summary

The COVID-19 lockdown decreased paediatric trauma but increased home trampoline injuries. Despite fewer overall injuries, the need for surgery remained unchanged due to a rise in trampoline-related incidents.

Keywords:
COVIDCOVID-19CoronavirusEffectLockdownPaediatricPandemicTrampolineTrauma

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Area of Science:

  • Orthopaedic Surgery
  • Paediatric Trauma
  • Public Health

Background:

  • The COVID-19 pandemic and associated lockdowns significantly altered lifestyle patterns, including recreational activities.
  • Understanding the impact on paediatric trauma is crucial for public health and clinical resource allocation.

Purpose of the Study:

  • To compare the volume and nature of paediatric trauma during the first UK COVID-19 lockdown (2020) with the same period in 2019.
  • To identify changes in injury mechanisms and surgical requirements in children.

Main Methods:

  • An observational study comparing prospective data (March-June 2020) with retrospective data (March-June 2019).
  • Statistical analysis using independent-samples t-test and Mann-Whitney-U test.
  • Qualitative telephone interviews to explore injury risk factors.

Main Results:

  • Paediatric trauma presentations decreased by 30% during lockdown, with a significant reduction in high-energy trauma (e.g., road traffic accidents, falls).
  • Trampoline-related injuries increased by 168%, becoming proportionally more common.
  • Despite a shift to conservative treatment, trampoline injuries maintained similar surgical requirements.

Conclusions:

  • The COVID-19 lockdown led to reduced paediatric orthopaedic presentations and high-energy trauma.
  • Increased home trampoline use resulted in a rise in specific injuries, maintaining the overall need for surgical intervention.
  • Clinicians should advise parents on the risks associated with trampoline use, especially during periods of increased home-based activity.