Trauma to the face caused by assault or impact from solid objects, often causes internal orbita fractures. In 1957, Smith and Regan described the term “orbital blow-out fracture” from their observation that blunt eyeball trauma due to a tennis ball or a fist increased intraorbital pressure without disruption of soft tissue integrity or causing a fracture line in orbital rims but could cause orbital floor fractures (1). Such fractures have been categorized as “pure blow-out fractures” in which only the orbita floor is affected, and “impure blow-out fractures” in which fractures of other maxillofacial bones such as zygomatic, maxillary, and nasoethmoid are also affected. The prevalence of pure blow-out fractures is 2.8% to 21.4% in such injuries (2,3). Physical examination reveals periorbital edema and ecchymosis, subconjunctival …show more content…
Although many surgical approaches have been defined in the literature regarding the mode and timing of treatment, no consensus exists. Many autogenous and alloplastic biomaterials have been recommended for use to correct orbital bone defects. The autogenous biomaterials used for orbital floor reconstruction include bone, cartilage, and fascia grafts. Resorption of the graft, a long operation time, and donor area morbidity are among factors limiting use of autogenous grafts (12,13). These drawbacks are especially prominent in bone grafts. The repair process begins with resorption in the cortical bone graft where it is incorporated to permanent bone with a “creeping substitution” process. It is not possible to estimate the amount of resorption (14-17). Cortical bone grafts lose 60% of their durability within the first 6 weeks to 6 months of grafting. Cartilage grafts are more easily obtained than bone grafts and are more malleable while exhibiting minimal resorption after
The research showed that limb salvage is the first option, unless osteomyelitis is developed, in which case amputation is required. It is also more cost effective to amputate and it requires inpatient rehabilitation. Their findings also included that successful correction allows patients more independence, leading to longer survival and improved quality of life. Many detractors also suggested that surgery is not justified given the risks associated with
The patellar tendon fibers are secured and are stable enough to begin motion and weight bearing activities. The ends of the graft are bone to bone and can heal in around 6 to 8 weeks, which appears to be quicker than the healing process for soft tissue to bone. The pros of having a patella bone graft is that the 1/3 of the tendon when remove is consider to be a lot stronger than the hamstring or LARS graft. Also the patella tendon resembles the best size and length of the actual torn ACL. The patella tendon too is also very easy for the surgeons to go in and get to as compared to the hamstring muscle.
Total Hip Resurfacing With the evolution in advancement in the medical field, the old practiced of hip resurfacing is no longer active. The process is lined in such manner that the hip bone is capped and reframed through metal prosthesis. This surgery has an advantage over traditional means as the hip socket is secured by means of metal cup. It also helps in lasting longer and little discharge of metal ions during surface rubbing.
According to the reading in the article (Butler, ) agencies and staff should have awareness of Trauma informed Care. Services shall be provided in Implementing this approach () by incorporating this approach when providing services to an individual. For therapy therapies outcome it is important to implement the five principles of this approach when providing services. Screening and assessment needs to be performing by the Trauma Informed principle in order to assist a person and not to re traumatized them again.
1. What really stood out for you about this week topic? This week I learn about being trauma informed. Trauma informed approach is having the ability to recognized signs of trauma on others.
Laboratory tests and lumbar puncture are also recommended. Direct tissue biopsy is rarely performed due to the technically difficult and potentially harmful approach to the cavernous sinus. The specific diagnostic criteria recommended by the International Headache Society are summarized: ●Unilateral headache ●Granulomatous inflammation of the cavernous sinus, superior orbital fissure or orbit, demonstrated by MRI or biopsy ●Paresis of one or more of the ipsilateral third, fourth, and/or sixth cranial nerves ●Evidence of causation demonstrated by both: •Headache has preceded oculomotor paresis by <2 weeks or developed with
When John went to fight the war in Vietnam, he and Kathy were separated for two years and this resulted in their relationship becoming distant. During the time John was at war Kathy felt that she had changed and that she needed someone who would treat her differently to how John treated her. Kathy felt that she needed John to realize what she wanted out of life and this lead Kathy to have an affair. So in Kathy’s shoes she wasn’t really trying to work out this relationship which gives John a huge motivate to end her.
“Although sports injuries contribute to fatalities infrequently, the leading cause of death from sports-related injuries is traumatic brain injury. Sports and recreational activities contribute to about 21 percent of all traumatic brain injuries among American children and adolescents”(AANS). A traumatic brain injury (TBI) is a blow or jolt to the head, or a penetrating head injury that corrupts the normal function of the brain. TBI is when the head suddenly and violently hits an object, or an object pierces the skull and enters the tissue of the brain. Symptoms of a TBI can range on three levels mild, moderate or severe, depending on the damage to the brain.
Stabilization and Resuscitation of the Pediatric Trauma Patient 1. Discuss pediatric trauma mechanisms. The mechanisms of injury with pediatric trauma, in general, is something called prime middle death distribution from ATLS or ITLS which helps us classify injuries into the events that may happen or any interventions that may occur based on life. The first peak if we look at the aggregation of the data where death occurs is immediate and these are un-survivable injuries that occur at the time of an incident.
The recovery of trauma in The Glass Castle Is it possible to recover from trauma? In Jeannette Walls, The Glass Castle , Jeanette tells the story about her childhood, and how she became somebody even after the many obstacles she faced in her childhood including poverty, lack of education, and how she tends to forgive the things that hurt her. Although Jeanette faces all of these challenges, she still tells a story where she becomes successful. The novel is a biography of young Jeanette recalling and telling her story as an adult, who has the capability to recite her childhood traumas.
Individuals are grateful for their eyes, but rarely does anyone think, “what holds my eyes in place, and how is my eye protected?” This is what the orbit is responsible for, which contains the bones surrounding the eyes (“Blowout Fracture,” n.d.). Orbital fractures happen a lot, but one of the most common is a blowout fracture, which results from direct trauma to the orbit such as a small sports ball or a fist (Gaillard, n.d.). Luckily, our eyes usually do not undergo significant damage due to the orbit protecting them, but unfortunately the bones at the bottom of the orbit known as the orbital floor are thin and typically break easy causing a blowout (Zeigler, n.d.). Also, there are four different types of blowout fractures all occurring
In recent years, modern society emphasizes standard approaches in aiding underprivileged inner city kids, such as overcoming “the odds” and personal responsibility over structural change to a community’s legislature and government run programs. The American Psychological Association defines post-traumatic stress disorder, or PTSD, as a debilitating anxiety disorder characterized by symptoms of avoidance, hypervigilance, and negative reexperiencing of the event. Recently unraveled statistics of PTSD symptoms in low-income inner-city communities remain remarkably comparable to veterans that served in the Vietnam, Afghanistan, or Iraq wars. However, unlike veterans, low-income communities lack the financial resources and societal support to orchestrate
Traumatic memories have been a subject of debate for the last century. The American Psychiatric Association defines trauma as “an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others.” The term “trauma theory” first appears in Cathy Caruth's Unclaimed Experience: Trauma , Narrative and History she explains that, “trauma is not locatable in the simple violent or original event in an individual's past, but rather in the way its very unassimilated nature — the way it was precisely not known in the first instance — returns to haunt the survivor later on (4)”. Bessel A. Van Der Kolk has observed that traumatic memories may be encoded differently than memories for ordinary
Introduction to Trauma Radiography. Trauma is mechanical damage to the body caused by an external force. The trauma patient has been defined as “an injured person who requires timely diagnosis and treatment of actual or potential injuries by a multidisciplinary team of health care professionals, support by the appropriate resources, to diminish or eliminate the risk of the death or permanent disability.” Trauma can occur as a result of a blunt, penetrating, or thermal mechanism.
Introduction In modern day society hockey is a violent and aggressive sport with many fights and injuries, that leave aftermaths of trauma for many years that follow. Hockey is a sport that is played from many age groups and cultures, allowing itself to impact individuals from one place to another through their lifetimes. Hockey is an aggressive sport occupied with fighting, strategy, and luck that allows one team to appear victorious over the other. The fist-fight is formulated as a social ritual involving respect and honor among players to explain this fact, qualities which are absent in other types of assaults (Colburn, 155).