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A Rare Case Report of Lateral Elbow Dislocation without a Major Fracture, Complicated by the Presence of an Ipsilateral Supracondylar Process

September 10, 2018/in Volume 4 | Issue 2 | Sep-Dec 2018

Vol 4 | Issue 2 | Sept-Dec 2018 | page: 11-13 | Vrettakos Aristeidis, Vampertzis Themistoklis, Dimitriadis Anastasios, Vavilis Theofanis, Antonoglou Georgios, Papastergiou Stergio doi- 10.13107/ti.2018.v04i02.069 Author: Vrettakos Aristeidis [1], Vampertzis Themistoklis [1], Dimitriadis Anastasios [2], Vavilis Theofanis [3], Antonoglou Georgios [1], Papastergiou Stergios [1]. 1Department of Orthopaedics, Agios Pavlos General Hospital of Thessaloniki, Thessaloniki, […]

Triage in Mass Casualty Incidents: Our Preparedness and Response – A Cross-sectional Study from a Tertiary Care Hospital, Karachi, Pakistan

September 10, 2018/in Volume 4 | Issue 2 | Sep-Dec 2018

Vol 4 | Issue 2 | Sept-Dec 2018 | page: 6-10 | Muhammad Qasim Ali, Muhammad Muzzammil, Zehra Batool, Muhammad Saeed Minhas doi- 10.13107/ti.2018.v04i02.068 Author: Muhammad Qasim Ali [1], Muhammad Muzzammil [2], Zehra Batool [3], Muhammad Saeed Minhas [2]. [1] Intern MBBS, Orthopedics ward 17, Jinnah Postgraduate Medical Centre, Karachi, Pakistan, [2] Department of Orthopedics Ward […]

A Rare Case Report of Lateral Elbow Dislocation without a Major Fracture, Complicated by the Presence of an Ipsilateral Supracondylar Process

September 10, 2018/in Volume 4 | Issue 2 | Sep-Dec 2018

Triage in Mass Casualty Incidents: Our Preparedness and Response – A Cross-sectional Study from a Tertiary Care Hospital, Karachi, Pakistan

September 10, 2018/in Volume 4 | Issue 2 | Sep-Dec 2018

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A Rare Case Report of Lateral Elbow Dislocation without a Major Fracture, Complicated by the Presence of an Ipsilateral Supracondylar Process

September 10, 2018/in Volume 4 | Issue 2 | Sep-Dec 2018

Vol 4 | Issue 2 | Sept-Dec 2018 | page: 11-13 | Vrettakos Aristeidis, Vampertzis Themistoklis, Dimitriadis Anastasios, Vavilis Theofanis, Antonoglou Georgios, Papastergiou Stergio

doi- 10.13107/ti.2018.v04i02.069

Author: Vrettakos Aristeidis [1], Vampertzis Themistoklis [1], Dimitriadis Anastasios [2], Vavilis Theofanis [3], Antonoglou Georgios [1], Papastergiou Stergios [1].

1Department of Orthopaedics, Agios Pavlos General Hospital of Thessaloniki, Thessaloniki, Greece 2Olympion Therapeutirion, General Clinic of Patras, Patra, Greece 3Laboratory of Medical Biology – Genetics, Medical School, Aristotle University of Thessaloniki, Greece

Address of Correspondence

Dr. Vampertzis Themistoklis,
Department of Orthopaedics,
Agios Pavlos General Hospital of Thessaloniki, Thessaloniki, Greece.
Email: themisvamper@yahoo.com

Abstract

Introduction: Supracondylar processes are vestigial remnants in humans that are usually asymptomatic, serendipitous findings, but under certain conditions, they can complicate the clinical presentation of other pathological entities. We present the first case of an elbow dislocation and the complications arising from the presence of such a process.

Case Report: A 45-year-old female patient was admitted to our outpatient’s department after a fall on her outstretched right hand. The patient’s primary complaints were numbness and paresthesia mainly on her right thumb and index finger palmary, while she was also unable to perform any elbow movements. The elbow itself was edematous and painful on palpation. Radiographic evaluation revealed lateral dislocation of the elbow joint, accompanied by a chip fracture of the lateral condyle and a supracondylar process, 11 mm in length, over the medial epicondyle of the right humerus. Supplementary, a reduction in the radial pulse wave was noted. Reduction of the dislocated elbow was performed which restored the radial artery pulse wave, as confirmed by Doppler echography, but the neurological findings persisted. A posterior elbow splint was placed for 6 weeks, allowing gradually for acuter angle movements (90° in the 1st week, 45° in the 2nd week, 30° in the 3rd week, and full range of motion afterward). 6 months after the dislocation, the patient has a 10° extension lag, with full elbow joint stability restoration and is able to return to her occupation.

Conclusion: To the best of our knowledge, this is the first report in literature, of the involvement of a previously silent supracondylar process during a lateral elbow dislocation. Hereby, we advise the attending physicians to take into account such anatomical variations when considering diagnosis and treatment of elbow dislocations.

Keywords: Supracondylar process, humerus, lateral elbow dislocation, radial artery pulse wave, median nerve compression.

References

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How to Cite this article: Vrettakos A, Vampertzis T, Dimitriadis A, Vavilis T, Antonoglou G, Papastergiou S. A Rare Case Report of Lateral Elbow Dislocation without a Major Fracture, Complicated by the Presence of an Ipsilateral Supracondylar Process. Trauma International Sep-Dec 2018;4(2):11-13.

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Triage in Mass Casualty Incidents: Our Preparedness and Response – A Cross-sectional Study from a Tertiary Care Hospital, Karachi, Pakistan

September 10, 2018/in Volume 4 | Issue 2 | Sep-Dec 2018

Vol 4 | Issue 2 | Sept-Dec 2018 | page: 6-10 | Muhammad Qasim Ali, Muhammad Muzzammil, Zehra Batool, Muhammad Saeed Minhas

doi- 10.13107/ti.2018.v04i02.068

Author: Muhammad Qasim Ali [1], Muhammad Muzzammil [2], Zehra Batool [3], Muhammad Saeed Minhas [2].

[1] Intern MBBS, Orthopedics ward 17, Jinnah Postgraduate Medical Centre, Karachi, Pakistan,

[2] Department of Orthopedics Ward 17, Jinnah Postgraduate Medical Centre, Karachi, Pakistan,

[3] Department of Orthopaedics, Medical Student Jinnah Sind Medical University, Karachi, Pakistan.

Address of Correspondence

Dr. Muhammad Qasim Ali,
Orthopedics ward 17, Jinnah Postgraduate Medical Centre, Karachi, Pakistan
Email: m.qasim_ali@hotmail.com

Abstract

Background and Objectives:

Trauma is the major concern of the modern world. The ever-intensifying number of causalities being presented with the scarcity of resources, heavily burdens the emergency departments, which are the fundamental centers of a hospital. For a smooth flow and an efficient ER, implementation of a strong triage system with trained emergency staff personnel remains a dire necessity. The present study is aimed to review the awareness and implication of triage among emergency personnel, to evaluate the preparedness of emergency staff involved in the management of massive trauma casualties and highlight the self-identified deficiencies of the hospital and pre-hospital system.

Methods: A cross-sectional study was conducted to evaluate the preparedness, knowledge, and implication of triage by emergency room personnel at Accident and Emergency Department, Jinnah Postgraduate Medical Center, Karachi. The target population for the survey included casualty medical officers (CMOs), assistant casualty medical officers (ACMOs), nursing staff, and casualty operation theatre staff working in all three shifts morning, evening and night from December 2016 to February 2017.

Results: Of the 126 respondents questioned, 32% had no concept of triage. 70% of the respondents mentioned that they have never witnessed any patient already triaged brought to their ER indicating a poor onsite triage system. Only 23% (n = 29) received any training for triage before in past 5 years. Therefore, 97.61% emphasized the need of refresher training programs. On testing with standard scenarios of triage, it was investigated that 27 out of 126 participants answered all the questions correctly. No training drill or courses had been conducted for disaster management of the surveyed hospital.

Conclusion: Effective and early disposal of patients from accident and emergency needs trained triage team. Thus, it is imperative that training of ER personnel to be conducted as a continuous process. This study finding will be useful for planning future triage awareness programs in the form of classroom courses and hospital drills to curb mass casualties.

Keywords: Triage, Emergency personnel, Trauma, Bomb blast, Mass incidents.

References

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How to Cite this article: Ali M Q, Muzzammil M, Batool Z, Minhas M S. Triage in Mass Casualty Incidents: Our Preparedness and Response – A Cross-sectional Study from a Tertiary Care Hospital, Karachi, Pakistan. Trauma International Sep-Dec 2018;4(2):6-10.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

A Rare Case Report of Lateral Elbow Dislocation without a Major Fracture, Complicated by the Presence of an Ipsilateral Supracondylar Process

Triage in Mass Casualty Incidents: Our Preparedness and Response – A Cross-sectional Study from a Tertiary Care Hospital, Karachi, Pakistan

A Rare Case Report of Lateral Elbow Dislocation without a Major Fracture, Complicated by the Presence of an Ipsilateral Supracondylar Process

Triage in Mass Casualty Incidents: Our Preparedness and Response – A Cross-sectional Study from a Tertiary Care Hospital, Karachi, Pakistan

Full Sized Blog Element (Big Preview Pic)

A Rare Case Report of Lateral Elbow Dislocation without a Major Fracture, Complicated by the Presence of an Ipsilateral Supracondylar Process

Author: Vrettakos Aristeidis [1], Vampertzis Themistoklis [1], Dimitriadis Anastasios [2], Vavilis Theofanis [3], Antonoglou Georgios [1], Papastergiou Stergios [1].

Abstract

References

(Abstract Text HTML) (Download PDF)

Triage in Mass Casualty Incidents: Our Preparedness and Response – A Cross-sectional Study from a Tertiary Care Hospital, Karachi, Pakistan

Author: Muhammad Qasim Ali [1], Muhammad Muzzammil [2], Zehra Batool [3], Muhammad Saeed Minhas [2].

Abstract

References

(Abstract Text HTML) (Download PDF)

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