Accidental Trauma Research Articles

Accidental vs. Abusive Head Trauma in Infancy: Is Revival Shaking the Missing Link?

Accidental vs. Abusive Head Trauma in Infancy: Is Revival Shaking the Missing Link?

Myoelectric motor execution and sensory training to treat chronic pain and paralysis in a replanted arm: a case study

BackgroundFollowing upper limb amputation, surgeries such as arm transplantation or replantation might be an option to restore function. After such surgeries, rehabilitation of the arm is needed. However, conventional rehabilitation is dependent on some volitional movement of the arm. If there is no or minimal movement of the arm, conventional rehabilitation might not be successful. The purpose of this study is to evaluate a novel combination of myoelectric motor execution (MME) and sensory training (ST) to reduce pain and improve upper limb function in a person with a highly impaired replanted arm.MethodsThe participant, a 72-year-old male, had his right arm replanted after a traumatic accident. No functional recovery was achieved following conventional rehabilitation and chronic neuropathic pain developed post-surgery. The participant then received 18 sessions of MME in which intended movements were decoded from the replanted arm’s myoelectric signals using machine learning and real-time feedback was provided on a screen. Nine sessions included ST using tactile grids where the participant discriminated different sensations.ResultsThe participant regained active extension of the thumb (4 degrees) and regained active wrist movement (flex: 6 degrees, extend: 10 degrees), both of which had no active movement prior the MME interventions. He also perceived an increase in sensation in the thumb and fingers. Pain levels fluctuated throughout the study and no consistent change could be concluded.ConclusionMME is a novel virtual rehabilitation treatment which provides feedback using virtual limbs and serious games. MME combined with ST is a potential rehabilitation treatment for individuals with highly impaired arms and hands which might ameliorate chronic neuropathic pain.

Examination protocol of dismembered bodies in railway track: A suggestive review in the Indian railways backdrop

Railway-related fatalities often involve dismembered bodies, which pose unique forensic challenges. There is the need for standardized examination procedures, especially in India, where about 30% of bodies in railway track are unidentified. Distinguishing accidental trauma from criminal dismemberment requires sophisticated forensic expertise. The protocol emphasizes a systematic approach, including scene investigation, body part documentation, and post-mortem examination. Key aspects include proper handling of multiple body parts, assessment of postmortem intervals, and precise injury documentation. Ancillary investigations, such as radiological examination including PMCT and Micro CT, histological sampling, object or tool mark analysis and entomological analysis are to be used to meet the secondary objectives of autopsy. The review aims to standardize investigation procedures, improve forensic reporting accuracy, and enhance the quality of railway-related death investigations.

Unveiling three accessory spleens in one patient: a rare case report and literature review

BackgroundDuring embryogenesis, the spleen undergoes intricate developmental processes, originating from mesenchymal cells in the dorsal mesentery. An accessory spleen, a common anomaly found in autopsies and abdominal CT scans, can often be mistaken for different types of tumors. To the best of our knowledge, this is the first case in Syria documenting the occurrence of 3 accessory spleens in a patient who had previously undergone splenectomy.Case presentationA 33-year-old male presented with right hypochondrium pain, sharp and radiating to the right flank, exacerbated by movement and large meals. Past medical history included mild Irritable Bowel Syndrome (IBS) and splenectomy due to a traumatic accident in childhood. On admission, vital signs were stable, with abdominal tenderness in the right upper quadrant. Laboratory investigations showed normal values. Ultrasound revealed a lobulated mass at the right adrenal gland (4.5 × 5 cm) with an isoechoic to hypoechoic texture. Multi-slice computed tomography (MSCT) Scan showed multiple nodules in the right adrenal gland, regular in shape, exerting a compressive mass effect, and significant lymphadenopathy around the abdominal aorta. Elevated metanephrine levels raised suspicion of an extra-adrenal pheochromocytoma. Laparoscopic surgery was performed, revealing accessory spleens and normal adrenal tissue with no malignancy.ConclusionHealthcare providers should consider accessory spleens as a differential diagnosis for masses near the adrenal glands. Multiple accessory spleens in the adrenal region can complicate cases. Accessory spleens in uncommon locations like the adrenal glands can be challenging to diagnose and manage.

Response to Accidental Versus Abusive Head Trauma in Infancy: Is Revival Shaking the Missing Link?

Response to Accidental Versus Abusive Head Trauma in Infancy: Is Revival Shaking the Missing Link?

Agreement for posttraumatic stress symptoms among unaccompanied young refugees and professional caregivers

ABSTRACT Background: Prevalence rates for posttraumatic stress symptoms (PTSS) in unaccompanied young refugees (UYRs) are high. Research with biological parents indicates low agreement rates between self and caregiver reports for PTSS, although caregivers play an important role as gatekeepers to ensure appropriate treatment. Objective: This study examines youth and caregiver agreement on the endorsement of different trauma types, the PTSS severity score and symptom clusters, as well as the potential association between youth factors (age, comorbidity, and duration in facility) and disagreement. Method: The sample consisted of N = 610 UYRs, aged M = 16.75 (SD = 1.33, range: 12–20) years. Of these, 91.0% were male, and 43.4% were from Afghanistan, currently residing in German children and youth welfare facilities. Results: Agreement rates across trauma types were poor (accidental trauma: Cohen’s k = .13; community violence: Cohen’s k = .07; domestic violence: Cohen’s k = .19; sexual abuse: Cohen’s k = .38). Agreement rates for the PTSS severity score (ICC = .22) and symptom clusters were poor (re-experiencing: ICC = .27; avoidance: ICC = .02; negative alterations in cognitions and mood ICC = .12; hyperarousal: ICC = .25), with youth reporting significantly higher scores. Regression models showed that having comorbid symptoms and a shorter duration in the facility were associated with higher disagreement at the PTSS severity score (Adjusted ­R 2 = .21) and across symptom clusters (re-experiencing: Adjusted ­R 2 = .13; avoidance: Adjusted ­R 2 = .07; negative alterations in cognitions and mood: Adjusted ­R 2 = .16; hyperarousal: Adjusted­ R 2 = .16). Age was not significantly associated with disagreement rates. Conclusion: It is important to enhance the awareness and comprehension of caregivers regarding recognition of mental illnesses and their symptoms as well as assessing mental health among UYRs.

Outcome of Peri-Anal Injury Management in Children and Adolescents

Abstract Background Accidental genital trauma and perineal injury are relatively uncommon in the paediatric population and are often related to accidental falls, motor vehicle crashes and sexual abuse. Blunt perineal trauma causes mechanical compression of the soft tissues against the pelvic bones. Management of perineal injury differs depending on the mechanism of injury and the presence of additional trauma. The severity and extent of injury are often difficult to estimate by only physical examination, and radiological modalities may be insufficient to determine the true extent of damage in severe cases. In such cases, a diagnostic endoscopic examination under anesthesia is useful to fully comprehend the damage. Objectives To evaluate and describe outcome of different perineal trauma mechanisms and management in pediatric patients. Methods Retrospective descriptive analytic study of outcome of perineal injuries management, was conducted on 11 patients aged under 18 years old with perineal injuries due to perineal trauma, admitted to pediatric surgery department or followed up in colo-rectal clinic of pediatric surgery department, Faculty of Medicine, Ain Shams University Hospitals. Results Three patients with isolated genital injury or perineal body injury could be primarily repaired without fecal diversion, one case developed wound dehiscence due to stool contamination so fecal diversion was done. The other seven patients with involvement of ano- rectum underwent fecal diversion from the start, with four cases had their wounds primarily repaired, two cases left to heal by 2ry intention and underwent definitive perineal reconstruction later on, and only one case of impalement that had no any external wounds. Conclusion Perineal injury management should start with resuscitation, thorough examination, proctoscopy, vaginoscopy or cystoscopy could be needed, examination under anesthesia is a gold standard measurement. Patients with isolated genital injuries could be primarily repaired without fecal diversion. Patients with ano-rectal involvement mostly will need fecal diversion, with primary repair of the perineal wounds or leaving it to heal with 2ry intention according to the degree of contamination, time of presentation, degree of ano-rectal involvement. Perineal body reconstruction technique based on the principles of the PSARP operation used in ano-rectal malformations.

Inhibition of KIF5b-mediated Nav1.8 transport by ropivacaine contributes to axonal regeneration following sciatic nerve injury in rats

Peripheral nerve injury (PNI), typically caused by traumatic accidents or medical events, is currently one of the most common diseases that leads to limb disability. After PNI, tetrodotoxin-resistant voltage-gated sodium channel Nav1.8 is upregulated at the lesion site. Our earlier study suggested that ropivacaine promotes axon regrowth by regulating Nav1.8-mediated macrophage signaling. Nevertheless, the mechanism of ropivacaine in regulation of Nav1.8 expression remains incompletely understood. Kinesin family 5b (KIF5b) was reported to mediate the Nav1.8 axonal transport from dorsal root ganglia (DRGs) to lesion site. Herein, we investigated whether ropivacaine promotes axon regeneration through inhibition of KIF5b-mediated Nav1.8 transport. Reduced levels of KIF5b and Nav1.8 in DRGs coincide with their increase at the lesion site. Nav1.8 mRNA was significantly increased at the lesion site but not in DRGs. Surprisingly, ropivacaine reversed the alterations of Nav1.8 and KIF5b protein expression without affecting Nav1.8 mRNA level. Due to KIF5b overexpression in DRGs, Nav1.8 protein level was significantly decreased in DRGs and increased at the lesion site. We also found KIF5b overexpression significantly impaired behavioral functions, reduced the recovery index of compound muscle action potential (CMAP) amplitude, inhibited axonal regrowth, slowed M1 macrophage infiltration and shift to M2 phenotype, and delayed myelin debris clearance. Notably, all aforementioned results caused by KIF5b overexpression were alleviated by ropivacaine. Furthermore, we demonstrated that inhibition of Nav1.8 transport by A-803467 produced mitigating effects on the impairment of regenerative capacity induced by KIF5b overexpression similar to ropivacaine. These results suggest that ropivacaine promotes axonal regeneration at least partially by inhibiting KIF5b-mediated Nav1.8 forward transport.

Maxillofacial Injury Patterns in Road Traffic Accidents- Clinical and Radiological Evaluation.

To know the clinical signs and radiological findings of different types of maxillofacial fractures following facial trauma in road traffic accidents. In this retrospective study, the medical records and computerized tomography scans of 100 patients who have sustained facial fractures in road traffic accident during 2021-2022 were reviewed at Raichur Institute of Medical Sciences, Raichur; for maxillofacial fractures. Data was tabulated and statistically analysed using SPSS software version 21. 100 patients who have sustained maxillofacial injuries in road traffic accident were included in the study. Male to female ratio was 8:1. Most common age group involved was 21-30 years. Maximum number of accidents occurred during night and 38% contributed to driving under the influence of alcohol. Clinical examination findings ranged from simple abrasion, swelling/odema/haematoma, contusion to lacerations and loss of tissue. Of 66 patients with Ear Nose Throat (ENT) bleed, 26 had ear bleed, 34 had nose bleed and 17 had oral cavity bleed. Maximum individuals in the study had orbital fractures (44%). 45% had associated head injury. 30 patients had associated injuries of upper limbs, 25 had lower limb injuries and 8% had blunt trauma. 47% patients required neurosurgical intervention, 44% ophthalmology, 39% faciomaxillary surgeon intervention. Maxillofacial injuries following road traffic accidents are more common as face is the most exposed part of the body. Managing patients with road traffic accidents requires multi disciplinary approach. Safety precautions while driving like use of driving accessories, following traffic rules plays major role. This study will help the policy makers to evolve a better trauma care program by focusing on the target groups and introducing cost effective preventive measures.

Healing of periapical lesion by non-surgical endodontic therapy: A case report

Periapical lesions often arise as a consequence of pulpal diseases, and most inflammatory periapical lesions are initially managed with conservative non-surgical methods. The success of root canal treatment hinges on the thorough cleaning, shaping, and obturation of the root canal system. Calcium hydroxide and triple antibiotic paste (TAP) are preferred intracanal medicaments due to their effective antibacterial properties. This case report details the non-surgical management of a periapical lesion associated with the mandibular central incisors in a 18-year-old female who presented with periodic swelling and pus drainage in the labial sulcus, due to traumatic accident in the that area. The case underscores the effectiveness of using calcium hydroxide and TAP as interappointment endodontic dressings, leading to favorable clinical and radiographic outcomes for managing a periapical radiolucency.

Management Of Large Periapical Lesion With A Noninvasive Approach: A Case Report

Periapical lesions develop as a sequela to pulpal diseases. The majority of inflammatory periapical lesions are initially treated with conservative non-surgical procedures. The success of root canal treatment is based on thorough cleaning, shaping and obturation of the root canal system. Calcium hydroxide and triple antibiotic paste (TAP) are recommended as intracanal medicaments due to its antibacterial properties. This case report describes the non-surgical management of a large cyst-like periapical lesion in relation to the maxillary lateral incisor of a 19-year-old male with the chief complaint of periodic swelling and pus drainage from the palatine region with a history of a traumatic accident in the same area. The present case highlights the use of calcium hydroxide and TAP as an interappointment endodontic dressing for non-surgical management of large periapical radiolucency, which resulted in favourable clinical and radiographic outcomes

Neurogenic Arthropathies of the Lower Limbs: About A Case Followed in Rehabilitation at the Chu-Bogodogo

Abstract we report a case of pelvic limb neurogenic arthropathies (NA) in a young 25-year-old patient following severe cranioencephalic trauma in a road traffic accident. The aim of this clinical case was to report the contribution of physical medicine and rehabilitation in the management of neurogenic arthropathies. The patient was admitted to the Physical Medicine and Rehabilitation Department only six months after his trauma. Nervous system disorders were represented by a frontal syndrome and significant spasticity in the pelvic limbs. Deficiencies founds was pain, multiple joint stiffness of the pelvic limbs, induration of the thighs related to arthropathies objectified to the standard x-ray of the thighs. The rehabilitation approach consisted of postures associated with targeted cryotherapy of the muscles. The gait rehabilitation was done gradually between the parallel bars and then with a deanbulator Rehabilitation led to functional improvement, with the patient returning to independent walking using simple techniques. The presentation of this case study provided an overview of this pathology, its functional consequences and the role of Physical and Rehabilitation Medicine in the management of NA. The techniques we used have made it possible to limit the diffusion processes of neurogenic arthropathies by limiting inflammation through associated cryotherapy sessions. The presence of nervous system disorder such as frontal syndrome could have limited rehabilitation, but thanks to collaboration with psychiatrists the evolution was favorable and allowed the patient to actively participate in his rehabilitationThe case also underlined the importance of multidisciplinary patient management, which should be a goal for all practitioners. Keywords: arthropathies ; cryotherapy ; neurogenic ; rehabilitation ; traumatic brain injury

Comparison of Titanium versus Resorbable Intramedullary Nailing in Pediatric Forearm Fractures.

Pediatric forearm fractures, particularly involving the shaft or diaphysis, are common injuries typically resulting from accidental trauma during various activities. Traditional treatment involves closed reduction and casting; however, surgical intervention may be necessary in certain cases. The gold standard surgical approach utilizes elastic stable intramedullary nailing (ESIN), but a newer technique uses bioabsorbable intramedullary nails made of poly(lactic-co-glycolic acid) (PLGA). This study aims to compare the outcomes of these two surgical methods in pediatric diaphyseal forearm fractures. We retrospectively reviewed 86 patients who underwent operative treatment due to the diaphyseal fractures of the forearm in the Surgical Division, Department of Pediatrics, Medical School, University of Pécs, Pécs, Hungary between 2018 and September 2022. The mean age was 9.48 (ranging from 4 to 17). A total of 41 patients underwent surgery with PLGA implants (RESIN technique), while 45 patients were treated with titanium elastic nails (ESIN technique). Various factors including patient demographics, injury mechanisms, fracture characteristics, and complications were assessed. Both groups showed similar gender distribution, with a majority of fractures occurring in boys (the male-female ratio was 31:10 in the PLGA group, while in the titanium elastic nailing (TEN) group, this ratio was 29:16, with no statistical difference between the groups (p > 0.005). The average age of the patients treated with PLGA implants (8.439 years) was lower compared to those treated with titanium nails (10.422 years). A statistically significant difference was found regarding the average age of the two groups (p = 0.0085). Left-sided injuries were more prevalent in both groups (59% of the cases in the PLGA group and 69% in the TEN group, with no statistically significant difference, p = 0.716), and fractures typically involved both the radius and ulna. This represents 93% of the cases in the PLGA group and 80% in the TEN group. Regarding the involvement of bones, we also did not find a statistically significant difference (p = 0.123). The mechanisms of injury predominantly involved indirect force, such as falls (30 cases in the PLGA group and 27 cases in the TEN group), and no statistically significant difference was found (p = 0.139) regarding the mechanism of the injury. Complication rates were lower in the PLGA group (7%) compared to the titanium group (20%). The treatment of pediatric diaphyseal forearm fractures using PLGA implants appears to be a viable alternative to traditional titanium implants. Advantages include no need for secondary surgery and associated cost savings and reduced complication rate and stress associated with anesthesia and surgery. Prospective randomized trials are warranted to further validate these findings and explore long-term outcomes.

Fabrication and Biomedical Application of Alginate Composite Hydrogels in Bone Tissue Engineering: A Review.

Nowadays, as a result of the frequent occurrence of accidental injuries and traumas such as bone damage, the number of people causing bone injuries or fractures is increasing around the world. The design and fabrication of ideal bone tissue engineering (BTE) materials have become a research hotspot in the scientific community, and thus provide a novel path for the treatment of bone diseases. Among the materials used to construct scaffolds in BTE, including metals, bioceramics, bioglasses, biomacromolecules, synthetic organic polymers, etc., natural biopolymers have more advantages against them because they can interact with cells well, causing natural polymers to be widely studied and applied in the field of BTE. In particular, alginate has the advantages of excellent biocompatibility, good biodegradability, non-immunogenicity, non-toxicity, wide sources, low price, and easy gelation, enabling itself to be widely used as a biomaterial. However, pure alginate hydrogel as a BTE scaffold material still has many shortcomings, such as insufficient mechanical properties, easy disintegration of materials in physiological environments, and lack of cell-specific recognition sites, which severely limits its clinical application in BTE. In order to overcome the defects of single alginate hydrogels, researchers prepared alginate composite hydrogels by adding one or more materials to the alginate matrix in a certain proportion to improve their bioapplicability. For this reason, this review will introduce in detail the methods for constructing alginate composite hydrogels, including alginate/polymer composite hydrogels, alginate/bioprotein or polypeptide composite hydrogels, alginate/bioceramic composite hydrogels, alginate/bioceramic composite hydrogels, and alginate/nanoclay composite hydrogels, as well as their biological application trends in BTE scaffold materials, and look forward to their future research direction. These alginate composite hydrogel scaffolds exhibit both unexceptionable mechanical and biochemical properties, which exhibit their high application value in bone tissue repair and regeneration, thus providing a theoretical basis for the development and sustainable application of alginate-based functional biomedical materials.

Tannic acid coating gauze immobilized with thrombin with ultra-high coagulation activity and antimicrobial property for uncontrollable hemorrhage

Rapid and safe hemostasis is crucial for the survival of bleeding patients in prehospital care. It is urgent to develop high performance hemostatic material to control the massive hemorrhage in the military field and accidental trauma. In this work, an efficient protein hemostat of thrombin was immobilized onto commercial gauze, which was mediated by self-polymerization and anchoring of tannic acid (TA). Through TA treatment, the efficient immobilization of thrombin was achieved, preserving both the biological activity of thrombin and the physical properties of the dressing, including absorbency, breathability, and mechanical performance. Moreover, in the presence of TA coating and thrombin, Gau@TA/Thr could obviously shortened clotting time and enriched blood components such as plasma proteins, platelets, and red blood cells, thereby exhibiting an enhanced in vitro coagulation effect. In SD rat liver volume defect and artery transection hemorrhage models, Gau@TA/Thr still had outstanding hemostatic performance. Besides, the Gau@TA/Thr gauze had inherent antibacterial property and demonstrated excellent biocompatibility. All results suggested that Gau@TA/Thr would be a potential candidate for treating uncontrollable hemorrhage in prehospital care.

Imaging of the Pediatric Cranial Sutures in Abusive Head Trauma

Pediatric skull fractures are frequently encountered in accidental and abusive head trauma and often involve cranial sutures. However, skull fracture association with cranial sutural widening, crossing, or contacting ≥2 cranial sutures can be seen more commonly with abusive head trauma. Knowledge of cranial sutures and associated variants is helpful for an accurate diagnosis. 3D head CT is a significant aid in the identification of skull fractures contacting and crossing cranial sutures. Growing literature supports the elimination of concurrent skull radiographs (often performed as required components of follow-up skeletal surveys). Ultrashort TE/zero TE MRI is an emerging new imaging technique to consider for assessing skull fractures to aid in evaluating pediatric abusive head trauma.Learning Objective: To review skull fracture findings in abusive head trauma with attention paid to the cranial sutures (widening, crossing, or contacting ≥2 sutures). <list list-type="order"> <list-item>To recognize normal cranial sutural variants.</list-item> <list-item>To understand the role of CT versus radiographs in assessing skull fractures.</list-item> <list-item>To discuss ultrashort TE/zero TE MRI as an emerging technique for imaging skull fractures in abusive head trauma.</list-item> </list>

Traumatism of Grey Wolf (<i>Canis Lupus</i>, Canidae, Carnivora) Skulls in the Center of the European Part of Russia

A total of 297 wolf skulls from the collection of the Central Forest State Biosphere Reserve were studied for the presence of injuries. Of these, 129 (43.4 ± 2.9%) skulls had traumas of various origins or a deformed sagittal crest. Aside from the sagittal crest, the rate of traumas was 32.3 ± 2.7%. Based on the causes of origin, the traumas were divided into three groups: those received when hunting moose, as a result of aggressive intraspecific contacts, and accidental. Complicated fractures of dental crowns predominate among accidental traumas. Moose hunting traumas and intraspecific aggression are more common in subadult wolves than in adults, this being explicable by the elimination of injured animals. The incidence of accidental traumas, on the other hand, was increased with age. The level of traumas serves as a population characteristic indicating tension in the predator-prey system and the degree of intraspecific aggression.

Profiles of Trauma Exposure Type and Its Associations With Pain-Related Outcomes Among Adults With Chronic Pain: A 2-Year Longitudinal Study

Individuals with chronic pain report disproportionally higher rates of trauma, yet it is unclear whether different types of trauma (eg, sexual, accidental trauma) are associated with worse pain outcomes. The present study sought to 1) identify subgroups of people with chronic pain based on trauma type, and 2) determine whether subgroups differ in terms of pain characteristics over a 2-year period. Individuals with chronic pain (N = 1,451) participated in an online study and completed self-report questionnaires at baseline, 3-, 12-, and 24-month follow-up. Trauma was assessed via the Life Events Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Pain intensity and interference were measured via the Brief Pain Inventory, and pain distribution was evaluated using the Widespread Pain Index. Latent class analyses produced a 3-class solution consisting of individuals with high and diverse trauma (16.3%), high sexual trauma (18.4%), and low/accidental trauma (57.1%) with the rest of the sample endorsing no trauma history (8.2%). After controlling for key demographic variables and baseline outcome levels, individuals in the high- and diverse trauma group endorsed higher levels of pain severity and interference at the 3- and 12-month follow-ups compared with the group with no trauma (P < .01). Additionally, relative to the no trauma group, individuals in the high sexual trauma group reported higher levels of pain interference and more widespread pain at the 3-month follow-up (P < .05). The findings underscore the importance of screening for trauma and suggest that the type and variety of trauma experienced may be relevant to pain-related outcomes. PerspectiveThis article highlights how an individual’s unique trauma history may be related to their current pain experience. Knowledge of the type and frequency of past trauma may have relevant clinical implications for the treatment of chronic pain.

Rapidly photocrosslinkable modified PF‐127 hydrogels for treatment of hemorrhage

AbstractUncontrollable bleeding caused by accidental severe trauma and organ operation severely affects people's life safety, even leading to death. Therefore, it is important to cease the bleeding quickly and effectively. Here, we report a rapid photocrosslinking hydrogel (DP‐F127 hydrogel) based on F127 and acrylate functional motifs for in situ emergency hemostasis. The acrylate groups in DP‐F127 can be cross‐linked within 10 s by UV irradiation. The resulted hydrogels exhibit excellent mechanical properties, biocompatibility, and rapid hemostatic ability. The in vivo studies on the DP‐F127 hydrogel demonstrated that liver bleeding could be rapidly repaired and show significantly less blood loss than commercially available dressing (Gelatin sponge, GS). This study provides a new paradigm for developing a hemostatic hydrogel with the rapid speed of crosslinking for in situ emergency hemostasis.

Acute Computer Tomography Findings in Pediatric Accidental Head Trauma-Review.

Head trauma in paediatric patients is a worldwide and constant issue. It is the number one cause for childhood mortality and morbidity. Children of all ages are susceptible to sustaining head trauma and the anatomical characteristics of the region put them in a high-risk category for developing severe traumatic brain injuries. Boys are more frequently victims of accidental head traumas, and their injuries are more severe than those encountered in girls. The mechanisms of the trauma are a determining factor for the types of lesions we find. The traumatic injuries fall into two categories, primary and secondary. Primary traumatic injuries can be severe and life threatening, and their presence needs to be documented in order to set the correct therapeutic conduct. Due to their importance, this pictorial review focuses on them and the images used herein are selected from the database of our hospital. It is important to distinguish each of the different injuries that can be encountered. At the same time, radiologists are advised to remember that for children up to five years of age, some non-accidental imaging findings may appear to coincide with those found in accidental head trauma.