Rotational Head Trauma With Callosal Contusion and C6 Fracture: A High-Speed Motorcycle Accident.

Rotational head trauma with callosal contusion and C6 fracture: a high-speed motorcycle accident.

Ulus Travma Acil Cerrahi Derg. 2013 Jan; 19(1): 77-9
Vyshka G, Troshani B, Bozaxhiu D, Mitrushi A

We present the case of a 34-year-old Albanian male who was riding a motorcycle when he collided at high-speed with a four-wheel vehicle. After a triple pivotal rotation in the air at the moment of impact, he fell from the motorcycle to the ground. The clinical picture thereafter was one of deep coma, treated in the intensive care unit for nine days, until he regained consciousness and long-term rehabilitation procedures were put in place. The magnetic resonance and computed tomography images were very illustrative of a rotational head trauma mechanism, since in addition to multiple callosal hemorrhages and the lack of cranial fractures, a linear complex fracture of the C6 vertebra was seen, justifying orthopedic treatment through immobilization of the cervical spine. Rotational angular acceleration seems to be an important causative factor toward provoking diffuse brain and/or axonal injury; the etiological importance on the direct skull impact is controversial, but in any case not negligible. HubMed – rehab


Inferior glenohumeral dislocation (luxatio erecta humeri): report of six cases and review of the literature.

Ulus Travma Acil Cerrahi Derg. 2013 Jan; 19(1): 41-4
Imerci A, Gölcük Y, U?ur SG, Ursava? HT, Savran A, Sürer L

Inferior shoulder dislocation, also referred to as luxatio erecta, is a rare type of shoulder dislocation. Its incidence is about 1 in 200 (0.5%) among all shoulder dislocations. The objective of this study was to review six cases of inferior shoulder dislocation, including their clinical and radiological presentation, management, and final outcome.Four males and two females, a total of six patients, with the diagnosis of inferior shoulder dislocation were treated between 2007 and 2010. Our purpose is to present our experience in the treatment of these patients together with the parallel research available in the literature.Constant score was used to evaluate shoulder function. Pain, position, daily activities, range of motion, and strength scores were noted. All patients had good to excellent results with full functional recovery within two years after closed reduction and shoulder rehabilitation.Doctors should be familiar with the occurrence of this infrequent condition and should prevent possible complications that might result from early reductions by using correct maneuvers in lieu of ordinary reduction techniques. HubMed – rehab


Neural reorganization following bilateral injury of the fornix crus in a patient with traumatic brain injury.

J Rehabil Med. 2013 Apr 12;
Yeo SS, Jang SH

Objective: We report on a patient who appeared to demonstrate neural reorganization after head trauma resulting in bilateral injury of the fornix crus. Case report: A 58-year-old male patient and 8 control subjects were recruited. The patient had undergone head trauma as the result of a car accident and had lost consciousness for 30 min. Brain magnetic resonance imaging, performed 3 years after the head trauma, showed no evidence of abnormality. Results: Discontinuation of both crus in the proximal region was observed on diffusion tensor tractography of the fornix. In the right fornix, an abnormal neural tract originating from the right crus passed through the splenium of the corpus callosum to connect with the right inferior longitudinal fasciculus. By contrast, in the left fornix, another abnormal neural tract originating from the left column passed through the left inferior longitudinal fasciculus and the splenium of the corpus callosum. None of these abnormal neural tracts was observed in normal subjects. Conclusion: We presume that the abnormal neural tracts of the fornix observed in this patient were the result of neural reorganization triggered by bilateral injury of the fornix crus. The results of this study suggest a mechanism for recovery of the injured fornix following head trauma. HubMed – rehab


Is hand bone mineral density a marker for hand function in patients with established rheumatoid arthritis? The correlation among bone mineral density of the hand, radiological findings and hand function.

Clin Rheumatol. 2013 Apr 16;
Dogu B, Kuran B, Yilmaz F, Usen A, Sirzai H

The objective of this study is to assess the role of hand bone mineral density (BMD) as a prospective marker for hand function and the correlation of hand BMD with X-ray findings and hand functioning in patients with established rheumatoid arthritis (RA). Eighty-three female patients diagnosed with RA were enrolled. All BMD measurements were performed on both hands. The radiological evaluation was conducted according to the van der Heijde modification of the Sharp method (Sharp/van der Heijde). Duruöz Hand Index (DHI) was used to establish the disability in the hands. Furthermore, handgrip strength (HGS), pinch strength (PS), lateral pinch (LP), tip-to-tip pinch (TTP) and three-fingered pinch (TFP) on both the dominant and the non-dominant hands was measured. A significant positive correlation between hand BMD and HGS as well as all PSs with p??0.05). The hand BMD and the Sharp/van der Heijde scores were significantly in reverse correlation (p?HubMed – rehab