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At least 217 records · Page 12Linked to original sources
PubMed1995

Soft tissue injuries associated with traumatic locked facets in the cervical spine.

The clinical, radiological and operative findings in 10 consecutive patients with cervical spine trauma presenting with locked facets (bilaterally in nine patients) are reported. The treatment was cervical traction until reduction of the locked facets was achieved, followed by anterior surgical decompression and ostheosynthesis. Intervertebral disc herniation was present in nine of the patients, and ruptured calcified posterior longitudinal ligament was present in the remaining patient. Four patients improved after treatment (none of these had clinically complete tetraplegia preoperatively), and three patients died. Associated soft tissue injuries producing spinal cord compression after reduction of cervical locked facets were verified in all of the patients of this series, suggesting that systematic surgical exploration should be done in this category of patients.

Adult↗
PubMed1978

[Treatment of soft tissue injuries of the child's hand].

There are three major facts which differentiate injuries in children and adults: 1. The size of the hand and its anatomical structures which require finer instruments and a meticulous -- almost microsurgical -- operative technique. 2. The better healing and better regeneration following injuries which lead usually to a better functional result. 3. The relationship between scars and growth: a scar will not grow in the same way as normal skin, so that contractures may occur some years after the injury even in areas of the hand where in adults scar contractures may never occur. In this lecture, presented at the 17th Annual Meeting of The German Speaking Society for Surgery of the Hand in Tübingen, several cases demonstrate the general principles and special details in the operative treatment of soft tissue injuries in children. For the skin the correct placement of incisions in reconstructive surgery and the conversion of wounds into suture lines which will not lead to scar contractures are mentioned. Some cases with correction of existing scar contractures and prevention of new ones are shown (fig. 1 to 12). For flexor tendon injuries some of the satisfactory results after primary repair and secondary reconstruction are demonstrated. Also in nerve injuries the better regeneration in children will lead to good functional results following nerve grafting. In irreversible nerve damage tendon transfers are employed by the same technique as in adults (fig. 13 to 15). For the operative treatment of ischemic contractures of the forearm and the hand the different procedures are mentioned. The importance of the intrinsic test (PARKES) for the diagnosis of the contracture of the interossei is stressed (fig. 16 and 17). A case of thumb reconstruction in a four year old girl by transposition of the index finger on a neurovascular pedicle shows that in smaller children complicated reconstructive procedures can give excellent results (fig. 18).

Child↗
PubMed1978

Disphosphonate dynamic imaging of experimental bone grafts and soft tissue injury. Radionuclide bone imaging.

Bone imaging provides two significant advantages over previously available methods for assessing bone processes. First, as scanning is non-invasive, it offers the operator the ability to sequentially follow any area of bone without altering it as would a biopsy. The second advantage is the ability of bone imaging to provide current information about the bone being scanned rather than having to deal with the delay that is inherent in conventional radiography. Recent developments in radiopharmaceuticals and instrumentation have made bone imaging a potentially practical clinical tool for the detection and assessment of benign as well as malignant processes affecting bone. This paper presents the results of the use of technetium 99m diphosphonate bone imaging in experimental canine mandibular autografts and surgical soft tissue injury. The implication of these results for the clinical situation will be discussed.

Animals↗
PubMed1998

Traumatic dental disease and soft tissue injuries of the oral cavity.

Trauma to the oral cavity can result in an array of injuries affecting teeth, bone, and soft tissue. A thorough examination of the oral cavity is often facilitated by employing a full-mouth speculum after the horse has been tranquilized. Identification of broken, loose, or split teeth; fractures of the premaxilla or mandible; and avulsion or laceration of soft tissue structures such as the lips or tongue is usually straightforward. Treatment options vary depending on the structure involved; however, appropriate treatment generally results in a functional and cosmetically acceptable end result.

Animals↗
PubMed1988

A viscous tolerance criterion for soft tissue injury assessment.

Experiments in our laboratory have documented that high-speed impact can cause severe injury to internal organs before either of the currently accepted chest injury criteria, which are based on spinal acceleration or chest compression, approach their tolerance limit. Those studies demonstrate an interdependence between the velocity of deformation and compression of the body on injury risk. A tolerable level of chest compression at a low velocity can prove to be fatal at higher velocities of deformation. The observation of a rate-sensitive tolerable compression led to the introduction of the Viscous criterion, VCmax, which accounts for the importance of both parameters. VCmax is the maximum of the product of velocity of deformation (V) and compression (C), and is derivable from the chest deflection response. This paper presents the empirical evidence and theoretical basis supporting the Viscous criterion, and shows it to be an indicator of the energy dissipated by soft tissue deformation. The Viscous criterion accurately predicts the risk of vital organ and soft tissue injury when other criteria fail.

Acceleration↗
PubMedDate not supplied

Prevention of peripheral nerve entrapment following extensive soft tissue injury, using silicone cuffing: an experimental study.

A semirigid silicone cuff was investigated in rats to prevent scar entrapment of the sciatic nerve. Scar was induced by crushing or burning the surrounding muscles. On one side, the nerve was covered by a longitudinally split semirigid silicone tube. On the other side, the same procedure was done without silicone coverage of the nerve. At different time periods the animals were sacrificed and the nerve with surrounding tissues examined. The protected nerve was found gliding freely during mobilization of the limb. The blood supply to the nerve was maintained through the split in the silastic cuff by formation of new mesoneurium. On the control side, the nerve was surrounded by a fibrous tissue in various stages of maturation depending upon the time postinjury. The nerve structure showed reduced vascularity and progressive degenerative changes of the axons. Clinical tests on the silicone cuff method are proposed fo selected patients with extensive soft tissue injury around nerves.

Animals↗