A5012633257- Shoulder Injury and Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Hemodynamic Monitoring and Therapy
- Trauma Management and Diagnosis
- Shoulder and Clavicle Injuries
- Restraint-Related Deaths
- Mechanical Circulatory Support Devices
- Cardiac Arrest and Resuscitation
- Peripheral Nerve Disorders
- Orthopedic Surgery and Rehabilitation
- Bone fractures and treatments
- Heart Failure Treatment and Management
- Venous Thromboembolism Diagnosis and Management
Yokohama City University
2024
Ishikawa Prefectural Central Hospital
2023-2024
Kyushu Hospital
1995
外傷性鎖骨下動脈損傷は第1肋骨骨折に合併し,受傷直後に発症することが多い。今回,受傷36時間後に鎖骨下動脈損傷を発症し,血管内治療で救命し得た症例を経験した。症例は60歳代の女性。交通事故のため救急搬送された。右多発肋骨骨折,右血気胸,左第1肋骨骨折,骨盤骨折を認めた。左第1肋骨骨折端は鋭利な斜骨折をきたしていた。右血気胸に胸腔ドレーン挿入,骨盤骨折に創外固定を行い,入院した。受傷36時間後に誘因なく突然,左鎖骨部の疼痛と腫脹を認め,ショック,呼吸不全となった。補液により循環動態は安定し,造影CTで左血胸と第1肋骨骨折部の近傍に左鎖骨下動脈損傷を認めた。左血胸には胸腔ドレーンを留置し,鎖骨下動脈損傷には血管内ステントグラフトを留置した。その後は状態が安定し,第14病日にはICUを退室した。第1肋骨の鋭利な骨折端が鎖骨下動脈の近傍にある場合は,遅発性鎖骨下動脈損傷が起こる可能性があり,注意して経過をみる必要がある。
Abstract Background Fat embolism syndrome (FES) is a rare that typically occurs 12–72 h after long bone or pelvic fractures with classic triad of respiratory distress, neurologic changes, and petechial rash. Although Gurd’s criteria for FES include anuria oliguria, the mechanism acute kidney injury (AKI) remain unknown. Here, we present case complicated by AKI required blood purification. Case presentation A 79-year-old woman was admitted to our hospital because right humerus fracture caused...
Thoracic outlet syndrome (TOS) can be a painful, debilitating condition for patients with neck-shoulder-arm symptoms and physicians because of unawareness accurate diagnosis. The aim this study was to confirm more diagnostic criteria, leading some authors neurogenic TOS. Neurogenic TOS were studied use previous tests (Morley, Wright or Roos test), the results compared normal values. Physical examination revealed sensory deficit fourth fifth finger they complained aggravated pain when...
We treated 28 complete acromioclavicular dislocations by the modified Phemister procedure (14 cases), Cadenat (5 Neviaser (3 and reconstruction of coracoclavicular ligament using Leeds-Keio artificial (6 cases) from 1980 to 1993. All cases were evaluated as type 3 according Tossy's classification. assessed results 4 procedures in terms pain, ROM, cosmetic deformity, radiographic subluxation joint.The follow-up period ranged 2 months 14 years. Subluxation joint occurred 17 (60%). Relief pain...