No abstract available.
Motor Vehicles*

No abstract available.
Humans ; Motor Vehicles*

Isolated adrenal gland injuries have rarely been reported, but can be potentially devastating if unrecognized. Herein, we describe a case of an isolated adrenal gland injury following a motor vehicle accident. Under the diagnosis of an isolated adrenal injury without visceral organ injury by abdominopelvic CT, conservative management led to a favorable outcome.
Adrenal Glands ; Motor Vehicles

The authors reviewed the cases of 95 patients with cervical spine injury, 28 patients underwent surgery and the others were managed with conservative treatment. The results were summarized as followings; 75 patients were 20-29 years old(78.9%). 2) There was no seasonal frequency variation(p<0.01). 3) The most frequent cause of injury was motor vehicle accident. 4) The common mechanisms of injury were flexion-extension, extension and flexion. 5) High cervical injuries were 32 cases(33.7%) and mid-low cervical injuries were 63 cases(66.3%). 6) C2 type II fracure was the most frequent type of high cervical injury(43.7%). 7) Associated injuries were found in 29.5% of the cases. 8) There was no statistical significance in the difference between the Frankel's classifications(A, D, E) of operated and those of non-operative cases(P<0.01) .
Humans ; Motor Vehicles ; Seasons ; Spine*

The seat belt is designed for safety in a motor vehicle and should be worn to prevent severe injuries. But, the seat belt itself can be an injury factor in combination with deceleration forces applied to fixation points of mobile viscera. Here, we present a 23-year-man with traumatic transection of the appendix, highly mobile viscera, following seat belt injury.
Appendix ; Deceleration ; Motor Vehicles ; Seat Belts* ; Viscera

Sternal fractures are most common in drivers of motor vehicles whose anterior chest hits the steering wheel during sudden deceleration. Sternal fractures may result in mediastinal hematoma secondary to bone marrow oozing. The hematoma usually resolves itself without complications, so an anterior mediastinal hematoma causing tamponade is rarely reported. We describe a case of blunt chest trauma resulting in a sternal fracture with a resultant anterior mediastinal hematoma and mediastinal tamponade.
Bone Marrow ; Deceleration ; Hematoma ; Motor Vehicles ; Thorax*

This study aims at evaluation of patients with traffic accident treated at Health Center Duc Pho - Quang Nam province. The number of patients with traffic accident increases yearly. 2041 patients with traffic accident had first aid and examined at Health Center Duc Pho - Quang Nam from 1996-2000, but 1554 patients treated. Male is more frequent than females (65.12% and 24.88%). The most patients are at the age of working (61.74%). The frequent time of traffic accident is on rush hour. The main causes of traffic accident are people who ride machine transports, especially the motor bike.
Accidents, Traffic ; Therapeutics ; Off-Road Motor Vehicles

PURPOSE: To evaluate the results of surgical and conservative treatment for coronal fracture of the distal femoral condyle. MATERIALS AND METHODS: The authors reviewed 19 cases from January 1993 to June 1999. Medial condyle (11 cases) was more common than lateral condyle (8 cases) and the causes of injuries included 10 cases of motor vehicle accident, 4 cases of motorcycle accident, 3 cases of falling down and 2 cases of slipping down. We divided the cases into an operation group (15 cases) and a non-operation group (4 cases) and evaluated results as good, fair and poor according to Letenneur's functional assessment. RESULTS: Anatomical reduction was obtained in all cases. The mean period of bone-union was 13.3 weeks in 12 cases of the operation group and 16.0 weeks in 2 cases of the non-operation group. The results at the last follow-up in the operation group were better than in the non-operation group. Letenneur's type III fracture had better results in both groups. CONCLUSION: In the case of coronal fractures of the femoral condyle, open reduction and internal fixation could allow earlier knee ROM exercise and procedure better results when it was indicated.
Follow-Up Studies ; Knee ; Motor Vehicles ; Motorcycles

The number of posterolateral corner (PLC) injury patients has risen owing to the increased motor vehicle accidents and sports activities. Careful examination is required because this injury is easy to overlook and may lead to chronic instability. The purpose of this article is to review the anatomy, biomechanics, diagnosis, classification and, treatment of PLC injuries and summarize the recent literatures regarding the treatment outcomes.
Classification ; Diagnosis ; Humans ; Knee ; Motor Vehicles ; Sports

Introduction: Road traffic accidents are a growing public health burden, especially in the low- and middle-income countries (LMICs). With resource scarcity, road traffic injuries may lead to poor quality of life among survivors, or deaths at worst. Victims of crashes involving transportations are gendered; therefore, there may be differences in the trends and characteristics of injuries sustained by men and women related to road crash. Objectives: This study aimed to determine the factors related to severity of road crashes among women road users in the Philippines from 2008 to 2017. Methods: We conducted a retrospective review of clinical records of women patients involved in road crash at the Trauma Division, Department of Surgery of the Philippine General Hospital (PGH) for the ten-year period, January 1, 2008 to December 31, 2017. Data were extracted from the electronic patient records in Integrated Surgical Information System (ISIS). Results: From 2008 to 2017, 926 of the road crash victims brought to PGH were women. There was an increasing trend, with the years 2015 to 2017 accounting for half of the total cases (55.62%). The highest cases of women patient admissions were also recorded during the months of June and July (5.61%). The CALABARZON region (11.23%) and National Capital Region (8.21%) had the highest admissions. The patients were most commonly pedestrians (12.20%) and involved in collisions (13.50%) or vehicle involvement (13.17%). The most common vehicle involved was a motorcycle (9.72%) followed by car and vans (1.62%). Only a small proportion of women patients used helmets (3.33%) and seatbelts (0.12%). The median length of hospital stay of women patients was 5 days. The most commonly sustained injuries among patients were multiple (83.65%), external (43.72%), extremity (33.15%), head and neck (23.47%), and face (21.58%) injuries. Among these, injuries to the extremity had the highest average length of hospital stay (16.04 ± 31.28 days) while external and head and neck injuries had the shortest (10.81 ± 33.42 days). Multinomial regression showed that women patients who suffered from head and neck, and abdominal injuries had increased odds of dying by 4.94 times (CI: 2.158-11.302, p < 0.05), and 3.33 times (CI:1.235-9.02, p < 0.05), respectively, compared to those who did not suffer said injuries. Conclusion There is a significant number of women involved in road crashes in the Philippines, and therefore, there is a need for directed policies on female road users as vulnerable road users.
Accidents ; Women ; Motor Vehicles ; Length of Stay ; Hospitalization