No abstract available.
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

No abstract available.
Humans ; 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

As Malaysia races towards a developed nation status, children are increasingly being ferried daily in vehicles almost exclusively as the majority of the population are able to afford private transportations. This paper reviews the current safety concerns for children whilst going in vehicles on Malaysian roads and the steps undertaken to address the need to enhance children’s safety whilst going in these vehicles and suggest possible remedial action to counter the possible lack of awareness for children’s safety whilst in these vehicles. This paper focuses on children on motorcycles and private vehicles (cars, vans and multi-purpose vehicle (MPV)) and excludes other form of transport (buses, lorries) as this paper tries to put forth measures that can be undertaken by the children’s parents and guardian to better enhance the safety of their children. A search was undertaken of all the major database of articles. Articles related to children’s safety systems, children related injuries, children related accident data, available laws and legislation were reviewed to present the need for greater awareness of children’s safety while going in vehicles in Malaysia. There are currently already safety legislations, measures, steps and equipments in place in ensuring the safety of children whilst going in vehicles on Malaysian roads. However, enforcement of laws in developing countries are not easy and we have to start at the root of the problem which is the parents and adults who ferry these children in vehicles. There is a pressing need to educate parents and adults alike on the urgent undertaking of child safety whilst in vehicles. Engineering countermeasures and intervention are probably needed to protect these vulnerable users. For vehicles, a device capable of providing some sort of protection to the child whilst riding pillion should be designed and developed. A legislation mandating the use of child seats whilst ensuring the child seats are affordable to the masses.
Children ; safety ; vehicles ; Malaysia ; awareness ; protection

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