Common Type Of Injury Research Articles

Match injuries in English schoolboy rugby union

ObjectiveThis study describes the incidence, severity and burden of match injuries in schoolboy rugby union in England, across three age groups: under-13 (U13), under-15 (U15) and under-18 (U18).MethodsData regarding 574...

Pediatric ocular trauma: insights from a tertiary care hospital in Northern India

Background Childhood ocular trauma has major consequences since it can lead to lifelong blindness and visual impairment. Purpose The aim of this study was to assess the burden of pediatric ocular trauma and to identify its important determinants. Patients and methods This prospective study included all individuals (N=124) less than 18 years old who experienced eye injuries and sought treatment at the Outpatient or Emergency Services of the Department of Ophthalmology, Government Medical College, Jammu, India. The collected data included a detailed history of the injury, including systemic factors. The demographic and clinical information, such as age, sex, urban or rural residence, injury date and time, and previous treatments were also recorded. Results A total of 523 children (0–18 years old) with a mean age of 10.96±0.24 years were included in the study. Among these, 124 (23.71%) children with a mean age of 9.86±1.23 years had ocular injuries. The highest incidence of ocular trauma (68.54%) was observed in the 6–12-year-old age group. Boys accounted for the majority of cases (74.19%), and rural children were disproportionately affected (69.35%). Open globe injuries were more prevalent (62.9%) than closed globe injuries (25.0%). Perforating corneal injuries were the most common type of open globe injury (70.51%), while bat/ball injuries (38.70%) and falls (22.58%) were the leading causes of closed globe injuries. Zone I injuries were the most frequent location for both open and closed globe injuries. The Ocular Trauma Score was used to predict the injury severity, demonstrating an accuracy of 80%. The visual acuity data were available for 63 (57.79%) children at the initial presentation. Among these, 14 (22.22%) had no light perception, 23 (36.51%) had light perception, and 26 (41.27%) demonstrated a best-corrected visual acuity of 0.2±0.1 (0.1–0.3). At the final follow up at 6 months, five (7.94%) eyes experienced a vision of no light perception attributed to optic nerve avulsion, one (1.59%) eye retained light perception, two (3.17%) eyes demonstrated counting fingers acuity, and 55 (87.3%) eyes achieved a best-corrected visual acuity of 0.8±0.6 (range: 0.8 to ≥0.9). Conclusion The current study highlighted the substantial impact of pediatric ocular trauma, with a focus on open globe injuries and prevalent risk factors. The observed improvement in visual acuity underscores the significance of timely intervention, yet the 7.94% incidence of monocular blindness signals the ongoing need for targeted prevention strategies in this vulnerable population.

Visual outcomes and prognostic factors of early pars plana vitrectomy for open globe injury.

To identify the clinical features and outcomes of early vitrectomy in patients with open globe injury (OGI) and the prognostic factors for visual outcome. This retrospective observational case series included 390 eyes in 389 patients diagnosed with OGI receiving vitrectomy within four days after injury. Preoperative parameters included the injury types, wound locations, consequent tissue damages, initial visual acuity (VA), and ocular trauma score. Postoperative outcome measures included surgical procedures, retinal (re)attachment, complications, and final VA. The logistic analysis evaluated the prognostic factors for visual outcome. Intraocular foreign bodies (59.2%) and penetrating injuries (28.7%) were the most common injury types. Among the 165 eyes with retinal detachment (RD), 121 (73.3%) had retinal reattachment during early primary vitrectomy, and 32 (19.4%) were repaired during a second or subsequent surgery. Thirteen eyes (3.3%) were enucleated. The final VA improved from the initial level in 207 eyes (55.2%), remained unchanged in 123 (32.8%), and decreased in 45 (12.0%). Multivariable regression revealed that the injury zone, initial VA, RD, and endophthalmitis were associated with poor visual outcomes (P < 0.05). Higher zone injury, low initial VA, RD, and endophthalmitis are predictors of poor visual outcome in eyes undergoing early vitrectomy for OGI.

PATTERNS OF INJURIES AND PSYCHOLOGICAL TRAUMA IN DOMESTIC VIOLENCE PATIENTS: A SYSTEMATIC LITERATURE REVIEW

Background: Domestic violence is a complex problem that occurs in various countries in the world. It is noted that women are more often being victims of domestic violence, 1 of 4 women and 1 of 9 men in the world experiencing domestic violence. The number of cases tends to increase from year to year. Domestic violence is bad for the health of victims, both physically and psychologically. Doctors need certain methods to identify domestic violence, include pattern of injuries and psychological trauma of the victims that can be found through physical and mental examination. Aim: To describe the pattern of injuries and psychological trauma experienced by domestic violence patients, and to find corelation between demographic factors of age, gender, and race to the pattern of injuries and psychological trauma. Method: The study is a systematic literature review by analysing literature obtained from databases with specific criteria and keywords about patterns of injuries and psychological trauma in domestic violence patients as well as their association with demographic factors of age, gender, and race. Researchers will explore information from the literature found through the processes of abstraction, analysis, and data synthesis. Result: Based on searches of four electronic databases PubMed, Scopus, ScienceDirect, and EBSCOHost, 241 journals were obtained. After screening through the title, abstract, and exclusive journal, obtained 11 journals. Based on the 11 journals, results were obtained in the form of wound patterns, which include the number, location, and type of wounds; psychological trauma; as well as the corelation of demographic factors, which include age, gender, and race, to pattern of injuries and psychological trauma in domestic violence patients. Conclusion: The location of the most common injuries in domestic violence patients is the head, neck, and face. The most common type of injury found in domestic violence patients is bruising with most experiencing a greater number of injuries. The most common psychological trauma experienced by domestic patients is depression and PTSD. Racial differences had no effect on differences in wound patterns. But in the pattern of psychological trauma, Caucasians have higher rates of PTSD and depression than African-Americans.

Falls from Trees in Coastal Karnataka: A Neglected Cause of Polytrauma in Lower-Middle-Income Countries of Similar Agroforestry

ABSTRACT Introduction Falls are the second most common cause of injury associated with mortality worldwide and an important type of blunt trauma, which forms a significant percentage of traumatic accidents and emergency department admissions. Falling from a tree is an important problem because of its effect on one’s health owing to infirmity caused by injuries, most commonly spinal injuries, and the economic burden that accompanies it. Methods A retrospective chart analysis was performed including all the patients with falls from heights who presented to a tertiary care hospital in South India during the summer months of 2018, 2019, and 2020. A structured case record form was used to capture information such as basic demographics, tree species, reason for climbing the tree, and mode of fall, along with the clinical profile, and outcomes from the cases selected from the emergency department registers and cross verified using ICD codes. Results Despite the existing lockdown due to COVID, an unusual increase in the number of patients getting admitted to the triage with a fall from tree was noted in the year 2020 compared to 2019 and 2018. The most common type of injuries sustained were spinal injuries. Burst fractures were leading types of fractures in the patients with spinal injury. The second most common type of injuries involved were of extremities, with lower extremities more than upper extremities. Two patients had inhospital mortality within 30 days. Conclusions Falls from a tree are a neglected and preventable mechanism of trauma with a significant socio-economic impact, as most of the patients are young or middle aged earning members of their families. The burden of this mode of injury is primarily on rural and agricultural communities. Pre-hospital services in areas with vast agroforestry cultivation require dedicated first response clinics. Lockdowns and geographic isolation during disasters or disease outbreaks must also factor in a supply of essential commodities and warrant treatment on an urgent basis to reduce the need and risk of injury from forestry and agricultural activities.

Community Profile Towards Risk for Unintentional Home Injuries Among Elderly in Low-Income Urban Area

Introduction: Home injury among the elderly was among the recognized public health issues that could become more prevalent in any nation that would approach an ageing society. However, the community’s perception and preparedness toward the nature of this condition still needed to be improved. This study aimed to determine the community’s profile on unintentional home injury risks among the elderly. Methods: A cross-sectional study was conducted among the community of low-income urban areas in Selangor, using non-probability sampling and a validated self-administered questionnaire covering three domains of risk for unintentional home injuries. Results: 246 respondents participated in this study, with a mean age of 40. The proportion of reported unintentional home injuries among the elderly was 7.3%. Fall was the most common type of injury (72.7%). Of the three domains for risks of unintentional home injuries, only two domains for risks of unintentional home injuries, were significantly associated with the community’s gender (with home safety domain: difficulties in moving things [p=0.027] and difficulties with a staircase [p=0.034]); self-manage domain: concerned when missing medications [p=0.029]), educational level (with self-manage domain: self-care ability [p=0.012] and ability to take balanced diet [p=0.008]), and occupational status (with self-manage domain: concerned when losing weight [p=0.028]) which were home safety and ability to self-manage. Conclusion: The gender and educational level of the community members might reflect different community profiles regarding the risk of unintentional home injuries among the elderly. Thus, to overcome the dangers of elderly unintentional home injuries in the future, policymakers should advocate targeted health education programs for both the elderly population and the community at large.

Accidents rate of the Polish State Fire Service officers during service in the years 2015-2022.

The profession of a firefighter is fraught with a significant risk of injuries. Firefighters operate in hazardous zones to mitigate threats and combat fires. Aim of work is to evaluate the accident rate of the officers of the Polish State Fire Service in connection with their service, considering direct participation in rescue operations, and other official duties between the years 2015-2022. An 8-year analysis was conducted from reports covered the number of accidents, the number of injured firefighters, the age of the officers, the circumstances of the event, and the type and location of the injury. This includes fire and rescue operations, exercises, training, official trips, sports activities, and technical work related to equipment. Between 2015 and 2022, there were 12 588 individual and group accidents in various circumstances. Most firefighter accidents occurred during rescue and firefighting operations, as well as during sports activities which dominate as the cause of injuries among firefighters in the observed period (37.8%), and injuries related to rescue and fire-fighting activities constitute 28.5%. Other work activities of firefighters cause 33.7% of injuries. In 2020 was a clear reduction in the number of accidents per 1000 employed firefighters in each observed parameter (total, interventions, sport) while maintaining the average level of firefighter employment (M±SD 30 099±224). The most frequent circumstances of injury are slippery and challenging spaces, surfaces, and carelessness. The most common type of body injury is a dislocation and sprain concerning the ankle joint, foot. The most frequent causes of work-related injuries for firefighters, as the results indicate, are participation in team sports and fire-fighting and rescue operations. The most commonly occurring medical consequences resulting from a firefighter's injury are fractures, sprains, and contusions of various body areas. Firefighters are most burdened with injuries in the age group 26-35 years old. Med Pr Work Health Saf. 2023;74(6):469-77.

Incidence and prevalence of injuries in some sports – review

: Injuries are an inherent risk associated with sports participation, impacting the health and performance of athletes across various disciplines. This review aims to provide a comprehensive analysis of the incidence and prevalence of injuries in selected sports, shedding light on the magnitude and patterns of injuries observed within each sport. To conduct this review, an extensive search was performed across electronic databases and relevant sports medicine literature. The findings reveal significant variability in injury rates and patterns among different sports. Sports such as football, handball, and volleyball, exhibit higher overall injury rates, with musculoskeletal injuries being most prevalent. Conversely, sports such as running, and cycling tend to demonstrate lower injury rates, with a focus on overuse injuries. Common injury types observed across sports include sprains, strains, fractures, contusions, and concussions, while body regions such as the lower extremities, head and neck, and upper limbs are frequently affected. Various factors contribute to the occurrence of injuries in sports, including player age, gender, skill level, training intensity, equipment usage, playing surface, and rule modifications. Contact and collision sports carry a higher risk of traumatic injuries compared to non-contact and individual sports. Understanding the incidence and prevalence of injuries in different sports is crucial for the development and implementation of injury prevention strategies. This review highlights the need for tailored approaches that address sport-specific risk factors, focusing on athlete education, proper training techniques, equipment modifications, rule changes, and enhanced medical support.

Research progress on preparation of lateral femoral tunnel and graft fixation in anterior cruciate ligament reconstruction.

Anterior cruciate ligament (ACL) injury is one of the most common types of sports injuries. People's need to participate in sports and desire for a high quality of life promotes the continuous development of ACL reconstruction technology. Arthroscopic ACL reconstruction has been recognized as an effective method for the treatment of ACL injuries. This review analyses and summarizes the advantages and limitations of each surgical procedure for arthroscopic ACL reconstruction reported in the relevant literature so as to promote the future development of more relevant techniques.

Needle Stick Injury: A Decade Retrospection Among Health Care Workers in a Tertiary Care Center.

Needle stick injury (NSI) is a common incidence in a health care facility which can have a great impact on the psychological status of a health care worker (HCW). In the present study, over a decade, 76 incidents of NSI were reported. Nurses (47.3%) were at high risk followed by doctors (28.94%). Recapping (30.2%) was the major activity associated with NSI. Percutaneous injury (97.3%) with a hollow bore needle to the fingers was the most common type of injury. Three (3.9%) of the sources were positive for Hepatitis B virus (HBV), and one (1.3%) for human immunodeficiency virus (HIV). Postexposure prophylaxis was administered to eight (10.5%) HCWs with high-risk exposure. The incidence of NSI is low, as there exists an underreporting which cannot be denied. Following stringent universal precautions and adoption of safety-guided devices can reduce the rate of injury to a great extent. Regular training, monitoring, auditing, and adequate control modalities are the core strategies to reduce the incidence of NSI.

Characteristics of Sports Injuries in Athletes During the Winter Olympics: A Systematic Review and Meta-analysis.

Athletes in the Winter Olympic Games are subject to high injury rates given the physical demands of sports. Comprehensive data regarding injury characteristics in these athletes are limited. To summarize and analyze data regarding the incidence and characteristics of sports injuries occurring in the Winter Olympic Games. Scoping review; Level of evidence, 4. A systematic review of the PubMed, EMBASE, Web of Science, and China National Knowledge Infrastructure databases was conducted. Included were studies reporting the incidence of sports injuries during the Winter Olympics Games from 1995 through 2021. From 168 studies initially retrieved, 4 studies (8824 athletes, 1057 injured athletes) were included. A single-group meta-analysis of sports injury characteristics was performed, with subgroup analysis performed according to the different sports, injury locations, and injury types. Injury severity (time lost from sport) and mechanism were also assessed. The overall injury incidence rate (IIR) during the Winter Olympic Games was 9.6% (95% CI, 4.1%-19.8%). Snow sports were associated with the highest IIR (11.3%), with the top 3 events being the snowboard cross event in snowboarding (31.4%), the aerials event in freestyle skiing (28.6%), and the slopestyle event in snowboarding (27.7%). The most common injury locations were the knee (IIR = 20.0%; 95% CI 17.9%-22.0%), head (IIR = 10.6%; 95% CI, 9.4%-11.9%), and ankle (IIR = 8.2%; 95% CI 7.8%-8.7%). The most common injury types were contusion/hematoma/bruise (IIR = 29.9%; 95% CI 29.7%-30.0%), sprain (dislocation, subluxation, instability, ligamentous, rupture) (IIR = 21.9%; 95% CI 21.4%-22.3%), and strain (muscle rupture, tear, tendon rupture) (IIR = 11.3%; 95% CI 11.0%-11.6%). Regarding injury severity, most athletes had no time lost from sport (64.5%); 24.0% lost fewer than 7 days, and 11.5% lost more than 7 days. The most common injury mechanism was noncontact-related injury (63.3%). In Winter Olympics sports, snow-sport injuries were more common than those associated with other sports, and the most common injury location was the knee. Most injuries did not require time loss, and the most were noncontact-related injuries.

Strains/Sprains and Fractures Are the Most Common Hand and Wrist Injuries in National Basketball Association Athletes Who Return to Preinjury Player Efficiency and Equal or Greater True Shooting Percentage Within Two Years of Injury

To characterize the prevalence and incidence of in-game hand and wrist injuries in the National Basketball Association (NBA), to determine the factors associated with an equal or greater player efficiency rating (PER), and to determine the factors associated with an equal or greater true shooting percentage (TS%) 2 years after a hand and wrist injury using a large-scale national database of NBA players. Injury data from seasons 2015-2016 to 2020-2021, with exclusion of the 2019-2020 because of abbreviated play due to the coronavirus disease 2019, were extracted from a public online database, Pro Sports Transactions. Injury characteristics and NBA player demographic information were assessed using descriptive statistics. Poisson logistic regression analyses were performed to identify risk factors associated with equal or increased PER and TS% 2years after injury. There were 214 reported hand and wrist injuries, and of these injuries, 173 (81%) were classified as structural. The most common injury types were a strain or sprain (0.63 per 1,000 game exposures), followed by fractures (0.37 per 1,000 game exposures). Older age (relative risk [RR] 0.89; 95% confidence interval [CI] 0.84-0.95) and more years played in the NBA were modestly associated with relative risk of having a decreased PER at 2 years after injury. Increased weight (RR 1.02; 95% CI 1-1.05) and increased body mass index (RR 1.14; 95% CI 1.01-1.29) were also modestly associated with having a decreased PER and TS%, respectively at 2 years after injury. Strains/sprains and fractures are the most common hand and wrist injuries sustained by NBA players. Regardless of dominant or nondominant hand and wrist injuries, NBA players are likely to return to baseline overall player efficiency based on PER and TS% within 2 years of injury. Our study characterizes hand and wrist injuries of NBA players and provides an understanding for these injuries on player performance at 2 years.

OPTIMALISASI KETERAMPILAN PERTOLONGAN PERTAMA CEDERA OTOT MENGGUNAKAN METODE REST, ICE, COMPRESS AND ELEVATE (RICE MANAGEMENT)

Injuries can occur anytime and anywhere and can be experienced by anyone. Common types of injuries that occur in daily life are muscle injuries, such as sprains, fractures, dislocations, and bruises. Muscle injuries that are not promptly and correctly treated can result in complications and disrupt daily activities. The management of muscle injuries involves the RICE Management approach, which includes rest, applying cold compresses, compression, and elevating the injured area. Community service is carried out through lectures and simulations on RICE Management. This activity was attended by 32 participants, consisting of health volunteers. During the implementation, participants were cooperative and able to explain the definition, signs and symptoms, complications, and practice the management of muscle injuries using RICE Management.

Platelet-rich plasma-derived exosomes promote rotator cuff tendon-bone healing

BackgroundRotator cuff tear (RCT) is the most common type of shoulder joint injury, platelet-rich plasma-derived exosomes (PRP-exos) are highly promising in tissue repair and regeneration. The purpose of this study was to determine the function of PRP-exos in rotator cuff tendon-bone healing. MethodsPRP-exos were isolated from the rabbit whole blood by differential ultracentrifugation and characterized through transmission electron microscopy assay, nanoparticle tracking analysis, and western blotting. Alkaline phosphatase and Von Kossa staining were used to show tendon-derived stem cell (TDSC) differentiation. RT-qPCR and western blotting were performed to detect COL II, SOX-9, and TIMP-1. To determine the therapeutic effects of PRP-exos in vivo. Thirty New Zealand white rabbits were divided into control, model, and PRP-exos groups. The RCT animal model was constructed. The changes in tendon-bone tissue were determined by HE staining. Contents of COL-II, SOX-9, and TIMP-1 were determined by immunohistochemistry staining. ResultsPRP-exos were successfully isolated from rabbit blood. PRP-exos promoted TDSC proliferation and differentiation and also induced tendon-specific markers COL II, SOX-9, and TIMP-1 production. In vivo study revealed that PRP-exos promoted early healing of injured tendons. Rabbits treated with PRP-exos had better tissue arrangement in the tear site. Additionally, the contents of COL II, SOX-9, and TIMP-1 were also increased in the RCT rabbit model after PRP-exos treatment. ConclusionsPRP-exos enhanced tendon-bone healing by promoting TDSC proliferation and differentiation. This finding indicates that PRP-exos can serve as a promising strategy to treat rotator cuff tendon-bone healing.

Structural and functional connectivity of the whole brain and subnetworks in individuals with mild traumatic brain injury: predictors of patient prognosis.

Abstract JOURNAL/nrgr/04.03/01300535-202407000-00035/figure1/v/2023-11-20T171125Z/r/image-tiff Patients with mild traumatic brain injury have a diverse clinical presentation, and the underlying pathophysiology remains poorly understood. Magnetic resonance imaging is a non-invasive technique that has been widely utilized to investigate neurobiological markers after mild traumatic brain injury. This approach has emerged as a promising tool for investigating the pathogenesis of mild traumatic brain injury. Graph theory is a quantitative method of analyzing complex networks that has been widely used to study changes in brain structure and function. However, most previous mild traumatic brain injury studies using graph theory have focused on specific populations, with limited exploration of simultaneous abnormalities in structural and functional connectivity. Given that mild traumatic brain injury is the most common type of traumatic brain injury encountered in clinical practice, further investigation of the patient characteristics and evolution of structural and functional connectivity is critical. In the present study, we explored whether abnormal structural and functional connectivity in the acute phase could serve as indicators of longitudinal changes in imaging data and cognitive function in patients with mild traumatic brain injury. In this longitudinal study, we enrolled 46 patients with mild traumatic brain injury who were assessed within 2 weeks of injury, as well as 36 healthy controls. Resting-state functional magnetic resonance imaging and diffusion-weighted imaging data were acquired for graph theoretical network analysis. In the acute phase, patients with mild traumatic brain injury demonstrated reduced structural connectivity in the dorsal attention network. More than 3 months of follow-up data revealed signs of recovery in structural and functional connectivity, as well as cognitive function, in 22 out of the 46 patients. Furthermore, better cognitive function was associated with more efficient networks. Finally, our data indicated that small-worldness in the acute stage could serve as a predictor of longitudinal changes in connectivity in patients with mild traumatic brain injury. These findings highlight the importance of integrating structural and functional connectivity in understanding the occurrence and evolution of mild traumatic brain injury. Additionally, exploratory analysis based on subnetworks could serve a predictive function in the prognosis of patients with mild traumatic brain injury.

Animal Bite Injuries to the Face: A Retrospective Evaluation of 111 Cases.

The treatment of bite wounds to the face is discussed controversially in relation to surgery and antibiotics. The aim of this study is a retrospective evaluation of 111 cases of animal bite injuries to the face that presented to our unit of oral and maxillofacial surgery over a 13-year period. Children under 10 years of age were predominantly involved. A total of 94.5% of the assessed injuries were caused by dogs. Wound infections occurred in 8.1%. Lackmann type II was the most common type of injury (36.9%). The perioral area was affected most frequently (40.5%). Primary wound closure was carried out in 74.8% of the cases. In 91.9% of the cases, antibiotic prophylaxis was prescribed. The most often administered type of antibiotic was amoxicillin with clavulanic acid (62.1%). Patients without antibiotics showed an increased infection rate without significance. Wound infections occurred significantly more frequently in wounds to the cheeks (p = 0.003) and when local flap reconstruction was necessary (p = 0.048). Compared to the other surgical treatment options, primary closure showed the lowest infection rates (4.8%, p = 0.029). We recommend antibiotic prophylaxis using amoxicillin with clavulanic acid and wound drains for wounds of Lackmann class II or higher. Primary closure seems to be the treatment of choice whenever possible.

Frequency of injuries and orthopaedic conditions sustained by flyball dogs

Abstract The risk of injury to canine flyball competitors has been noted as similar to that reported for canine agility, affecting approximately one third of competitors throughout their careers. To date, no studies have examined whether elements such as consistently turning in one direction during the box turn are associated with specific types of injuries. The aims of this study were to describe the frequency and types of injuries experienced by flyball dogs and to evaluate variables that may affect injury occurrence at specific anatomical sites which may give insight into potential ways of reducing injury risk. An online questionnaire, sent to owners, was used to obtain data on 75 dogs that had sustained an injury whilst training or competing in flyball in the last five years. Among the 75 dogs, the most common location was the shoulder region (n = 17; 16.8% of injured dogs), followed by the back and trunk (n = 16; 15.8%). Back injuries had the highest recorded number of repeat injuries n = 66 (24.63%), and when all individual injuries were considered, 44.40% (n = 119) of them occurred on the forelimbs. The most common type of injury was inflammation to soft tissue. There was a statistically significant association between the direction the dog turns at the box and the side of occurrence of injuries at the shoulder (X2(2) = 13.71, ), with injuries most likely to occur to the limb on the inside of the turn (left turn = left shoulder). For hip injuries, there was also an association with the most affected side and the side of the box turn (X2(2) = 6.702, ), with injuries most likely to occur on the limb at the outside of the turn (left turn = right hip). These findings identify new risk factors for injury within flyball which can be used to improve welfare and safety for competitors.

Lower-Extremity Injuries Predominate in American High School Tennis Players

To describe injury epidemiology in U.S. adolescent tennis players between 2014 and 2018 via the High School Reporting Information Online (HS RIO) database. The HS RIO database was queried for injury data on high school tennis players as reported by athletic trainers between 2014 and 2018. Injuries were analyzed according to athlete demographics, injury type, location, and context. Variables of interest between male and female athletes were compared using Pearson χ2 test or Fisher exact test. In total, 176 injuries in high school tennis players between 2014 and 2018 were identified in the HS RIO database. Overall, 25.6% (45/176) occurred in the ankle, 12.5% (22/176) in the knee, and 9.7% (17/176) in the wrist. The most common types of injuries were ligament sprains and muscle strains at 35.2% (62/176) and 17.6% (31/176) of injuries, respectively. Although most injuries were unrelated to contact, such as overuse and heat exertion or stroke, 28.7% (47/176) of injuries were the result of rotation around a planted foot/inversion of the foot. We found no difference in injury patterns between male and female high school tennis athletes. We found no difference in injury patterns between male and female U.S. high school tennis athletes. The ankles, knees, and wrists were the most commonly injured areas in this population. The most common types of injuries were ligament sprains and muscle strains. Although many injuries were new, athletes rarely required surgery and returned to play. Finally, we found no difference in injury patterns between male and female high school tennis athletes. The epidemiology of injuries among high school tennis players is poorly understood. The information from this study will help us to understand these injuries and how we may be able to better prevent them.

Durch optische Kohärenztomographie des vorderen Augenabschnitts unterstützte Planung zur chirurgischen Entfernung eines organischen intralamellären Hornhautfremdkörpers: Fallbericht

Summary Background Corneal foreign bodies have been reported to be the second most common type of ocular injury. We report a case of an organic intralamellar foreign body in which noninvasive anterior segment optical coherence tomography (AS-OCT) was used to assist the diagnosis, plan the surgery, and monitor the progress of treatment. Case presentation A 37-year-old male patient presented with an intracorneal reed foreign body in his right eye. It was challenging to assess whether the foreign body perforated the cornea. Slit-lamp examination and AS-OCT were performed. The latter showed that the foreign body had not completely perforated the cornea. Removal of the foreign body via the entry wound was not possible due to the structure of the reed. Extraction was performed via an incision along the foreign body. During the postoperative period, the patient’s visual acuity was 20/20 on the right eye with minimal astigmatism, despite a scar tissue formation. Conclusions In our case, AS-OCT facilitated the localization of the corneal foreign body and was useful in planning the surgery.

Imaging findings of the injured in the massive Beirut blast.

(1) Describe imaging utilization and findings within two weeks of the 2020 Beirut blast according to the mechanism of injury, (2) determine the appropriate imaging modality per organ/system, and (3) describe changes in the workflow of a radiology department to deal with massive crises. Two hundred sixty patients presented to the largest emergency department in Beirut and underwent imaging within 2 weeks of the blast. In this retrospective study, patients were divided into early (1) and late (2) imaging groups. Patients' demographic, outcome, type and time of imaging studies, body parts imaged, and mechanism and types of injuries were documented. Two hundred five patients in group 1 underwent 502 and 55 patients in group 2 underwent 145 imaging studies. Tertiary blast injuries from direct impact and falling objects were the most common type of injuries followed by secondary (shrapnel) injuries. Both types of injuries affected mostly the head and neck and upper extremities. Plain radiographs were adequate for the extremities and CT for the head and neck. A regularly updated and practiced emergency plan is essential to mobilize staff and equipment and efficiently deliver radiology services during crises. Because the powerful Beirut blast occurred at the port located in the periphery of the city, most injuries seen on imaging were of the upper extremities and head and neck caused by the severe blast wind or penetrating shrapnel and resulted from people using their arms to protect their heads and bodies from direct impact and falling objects.