Musculoskeletal Trauma: High- and Low-Energy Injuries

Stein, Haim; Weize, I.; Hoerer, Dory; Lerner, Alexander; Rozen, Nimrod; Nierenberg, Gabriel

doi:10.3928/0147-7447-19991001-14

Cited by 9 publications

(3 citation statements)

References 11 publications

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“…The energy of the initial trauma was determined according to the etiology of injury ( 36 ): a low-energy trauma (fall from the standing position) and a high-energy trauma (falls from height, traffic accidents, and crushing injuries) and it was previously identified as a prognostic factor that may affect the final recovery ( 37 ).…”

Section: Methodsmentioning

confidence: 99%

Surgical Treatment of Radial Nerve Injuries Associated With Humeral Shaft Fracture—A Single Center Experience

et al. 2021

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Radial nerve injuries are often associated with humeral shaft fractures. The results of treatment of these injuries, by contemporary surgical approaches, remain diverse. In this paper we presented the outcomes and analyzed the patient, clinical, and surgical procedure related characteristics and factors that may influence the outcome overall, in 77 patients treated at Clinic for Neurosurgery, Clinical Center of Serbia during a 20 years period. The nerve injuries were verified by US and EMNG. The majority of patients were treated by neurolysis or sural nerve grafting, while only few were treated by direct suture. The final recovery was evaluated by muscle strength assessment and classified using MRC. We analyzed extension of the wrist, extension of the fingers including the thumb, and abduction of the thumb. There was a significant statistical difference in MRC grade following the treatment. The total rate of useful functional recovery was achieved in 69 (89.61%) out of all studied patients, out of whom 20 (28.99%) achieved excellent recovery, 26 (37.68%) achieved good recovery and 23 (33.33%) achieved fair recovery. Only 8 (10.39%) out of all studied patients achieved poor recovery. The injured nerves, that were preserved in continuity, acquired by a low-energy trauma, and treated earlier than the 6 months were associated with better functional outcome following the surgery. In addition, there was a trend of better functional improvement with aging, keeping in mind that the old were subjected to lower energy trauma. The expectant management followed by surgery of radial nerve injury associated with humeral shaft fracture should be around 3 months, and the surgical nerve repair should not be performed later than the 6 months after injury. The energy of trauma may be a factor predicting patient's final recovery following the treatment.

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Section: Methodsmentioning

confidence: 99%

Surgical Treatment of Radial Nerve Injuries Associated With Humeral Shaft Fracture—A Single Center Experience

et al. 2021

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“…High energy injuries include motor vehicle, pedestrian and industrial accidents, and falls from a height higher than standing 9 . High energy injuries often involve multiple fractures, lead to more complicated patterns of fracture which are challenging to surgically fix, and have a greater propensity for post‐acute complications compared with lower energy injuries.…”

Section: Introductionmentioning

confidence: 99%

“…8 High energy injuries include motor vehicle, pedestrian and industrial accidents, and falls from a height higher than standing. 9 High energy injuries often involve multiple fractures, lead to more complicated patterns of fracture which are challenging to surgically fix, and have a greater propensity for post-acute complications compared with lower energy injuries. There is disagreement about what constitutes high energy injuries in older adults with some studies finding that injury profiles from low energy falls are commensurate with high energy injuries in young adults.…”

Section: Introductionmentioning

confidence: 99%