No abstract available.
Wounds, Stab*

Concerns have been raised about the potential for hardware failure in interlocking nails and screws especially with small diameter nail. Existing techniques for removing broken interlocking screws can involve trephine over-cutting of the screws, which requires wide bone exposure and creates larger stress risers by enlarging the original screw hole. We present this new technique for removal of broken screws of 2 femoral interlocking nails and 6 tibia interlocking nails. This Steinmann pin ""punch"" technique is to drive the screws through the opposite cortex and soft tissue for removal through a small stab wound. The rationale of this technique is based on the less holding power of the interlocking screw which is not only a machinary screw but also placed on the metaphyseal portion.
Tibia ; Wounds, Stab

Injuries of the inferior vena cava (IVC) might be caused by a blunt trauma, which usually affects the retrohepatic portion. Injuries of the infrahepatic IVC are usually caused by penetrating injuries and rarely occur in Korea. We report a case of a penetrating injury of the IVC at the infrahepatic suprarenal portion with a review of other reported cases.
Korea ; Vena Cava, Inferior* ; Wounds, Stab*

No abstract available.
Humans ; Vena Cava, Inferior* ; Wounds, Stab*

Pneumocephalus is defined as the presence of air within the cranial cavity. Trauma such as automobile accidents, motorcycle accidents, and missile injuries is the most common cause of pneumocephalus. There have previously been four reported cases of pneumocephalus following stab wounds to the neck in the English literature. We present an unusual case of pneumocephalus following a neck stab wound with a review of the literatures.
Automobiles ; Motorcycles ; Neck ; Pneumocephalus ; Wounds, Stab

Because the penetrating cervical tracheoesophageal injury may be associated with significant morbidity and mortality, it is important to choose the optimal method of diagnosis and management in patient with tracheoesophageal injury. We obtained a satisfactory result from repair of tracheoesophageal injuries using cardiopulmonary bypass. If the bleeding from the unidentified deep injury and the spread of infection could be controlled, the repair using CPB might increase the margin of safety during operation in the similar cases.
Cardiopulmonary Bypass ; Diagnosis ; Hemorrhage ; Humans ; Mortality ; Wounds, Stab*

We report an unusual case of concomitant partial laceration of bulbous urethra and transsection of left crura of corpus cavernosum caused by a stab wound to the upper scrotum. The serosa and part of rectal wall was also damaged. After exploration and surgical correction, the outcome was successful.
Lacerations ; Rupture* ; Scrotum ; Serous Membrane ; Urethra ; Wounds, Stab*

Injury to vertebral vessel is not usually associated with neurologic deficit and a lot of such injuries have not been recognized. Also, vertebral artery injuries are the least common arterial injuries because of their deep location in a bony canal. The incidence of vertebral artery injury occurring in penetration wound of the neck varies from 1.0% in gunshot wounds to 7.4% in stab wounds. But even vertebral artery injuries in penetration wound of the neck rarely results in cerebellar infarction. Authors experienced a case of cerebellar infarction induced by post-vertebral artery injury in penetration wound of the neck with hypoplastic contralateral verterbral artery. We thus report with a review of the related literature.
Arteries ; Cerebellum ; Incidence ; Infarction* ; Neck ; Neurologic Manifestations ; Vertebral Artery* ; Wounds and Injuries ; Wounds, Gunshot ; Wounds, Stab

Three cases who were successfully treated for cardiac injuries by open thoracotomy were reported. The range of the ages of the patients was 3rd decade. Two of the 3 were males with blunt injuries by motor vehicle accident and one was male with stab wound by knife. In the case of blunt injuries, the right atrium was involved in one case and the right and left atrium were involved in the other. The site of stab wound was the right atrium. There were two cases with the pre-operative diagnosis of cardiac injuries and they were blunt injuries. The case of stab wound was not diagnosed pre-operatively. All cases were treated with open thoracotomy-one posterolateral thoracotomy, one median sternotomy and one Clam shell incision. All of them had an uneventfull post-operative course.
Bivalvia ; Diagnosis ; Heart Atria ; Humans ; Male ; Motor Vehicles ; Sternotomy ; Thoracotomy ; Wounds, Nonpenetrating ; Wounds, Stab

We reviewed retrospectively the medical records of 80 consecutive patients with renal injuries, managed at Seoul National University Hospital during a 22 year period from 1965 to 1987. All patients but one who had stab wound presented with a history of blunt injury and the most common cause of injury was fall-down(48%). Renal contusion was most common type of injury(45%) and there were 3 patients(4%) with pedicle injury. All patients presented with hematuria and in 67 patients of 80 the hematuria was gross. Initial diagnostic procedure was excretory urography in 71 patients. Representative cases were illustrated in details. After reviewing and analyzing indications and efficiency of various diagnostic studies in these patients, several conclusions can be made for adequate radiologic plan. In cases of microscopic hematuria without shock, further diagnostic work-up may not be necessary. Computed tomography may be performed initially without excretory urography when multiple or major injuries are suspected. Ultrasonography may be complementary after excretory urography in minor injuries. If findings of excretory urography or ultrasonography were suggestive of major injury or not conclusive, computed tomography is indicated. Angiography may be indicated only when renal pedicle injury is suspected.
Angiography ; Contusions ; Hematuria ; Humans ; Medical Records ; Retrospective Studies ; Seoul ; Shock ; Ultrasonography ; Urography ; Wounds, Nonpenetrating ; Wounds, Stab