• 제목/요약/키워드: CAUSES OF INJURIES

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외측 반월상 연골 손상의 분석 - 비원판형과 원판형의 비교 - (Analysis of Lateral Meniscus Injury - Non-discoid versus Discoid -)

  • 조성도;고상훈;정광환;차재룡;이채칠;염윤석;서동교
    • 대한관절경학회지
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    • 제11권2호
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    • pp.122-127
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    • 2007
  • 목적: 외측 반월상 연골 손상의 원인, 형태, 동반 손상의 여부 및 치료 방법 등을 분석하여 임상적 양상을 알아보고자 하였다. 대상 및 방법: 2003년 1월부터 2005년 12월까지 외측 반월상 연골 손상으로 진단되어 수술적 치료를 받은 129례를 대상으로 후향적 연구를 시행하였으며, 원판형과 비원판형으로 나누어 각각에 대한 연령 및 성별 분포, 손상 원인, 파열 형태 및 부위, 동반 손상 여부와 치료 방법에 대하여 비교 분석하였다. 결과: 외측 반월상 연골 손상은 비원판형과 원판형 모두 남자에서 많이 발생하였으며 원판형은 10-40대에 걸쳐 비교적 균등하게, 비원판형은 30-40대에 많이 발생하였다. 손상 원인은 두군 모두에서 운동 손상이 가장 많았으며 비원판형에서는 상대적으로 경미한 외상이 많았다. 파열 형태는 두 군 모두 복합 파열이 많았으며, 손상 부위는 두 군 모두 중위부가 흔하였다. 비원판형은 동반 손상이 많았으며 원판형인 경우 단독손상이 많았다. 파열 양상으로 인해 비원판형은 부분 절제술을 원판형은 아전절제술을 많이 시행하였다. 결론: 외측 반월상 연골의 손상은 비원판형과 원판형으로 나누어 볼 때 파열 형태와 손상 부위에서는 비슷하나 손상 원인과 동반 손상의 여부, 수술 방법에는 차이가 있어 그에 따른 적절한 진단과 치료가 필요할 것으로 생각된다.

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흉부 손상 1,110례에 대한 임상적 고찰 (A Clinical Evaluation of 1,110 Chest Trauma)

  • 조용준
    • Journal of Chest Surgery
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    • 제25권10호
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    • pp.1013-1019
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    • 1992
  • A clinical evaluation was performed on 1, 110 cases of chest trauma treated at the Department of Chest Surgery, Chonnam University Hospital, during the past 23 years from January 1968 to June 1990. The ratio of male to female was 5.5: 1. The most common causes of chest trauma was stab wounds in penetrating trauma and traffic accidents in nonpenetrating trauma. The most common injuries in chest trauma were hemothorax in penetrating trauma and rib fracture in nonpenetrating trauma. Hemothorax or pneumothorax was observed in 592 cases [53.3%] of the total cases and rib fracture was observed in 527 cases[47.5%] of the total cases. Rib fracture was prevalent from the 3th to 8th rib, and 1st and 2nd rib fractures were associated with major thoracic injuries and other organ injuries. Open thoracotomy was performed in 163 cases[14.7%] and conservative nonoperative treatment in the others. Overall mortality rate was 8.5%[94 cases], and common causes of the death were shock and respiratory insufficiency.

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Sciatic neurotmesis and periostitis ossificans progressiva due to a traumatic/unexpected glass injury: a case report

  • Berkay Yalcinkaya;Hasan Ocak;Ahmet Furkan Colak;Levent Ozcakar
    • Journal of Yeungnam Medical Science
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    • 제41권1호
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    • pp.45-47
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    • 2024
  • Peripheral nerves may be affected or injured for several reasons. Peripheral nerve damage can result from trauma, surgery, anatomical abnormalities, entrapment, systemic diseases, or iatrogenic injuries. Trauma and iatrogenic injuries are the most common causes. The ulnar, median, and radial nerves are the most injured nerves in the upper extremities, while the sciatic and peroneal nerves are the most injured nerves in the lower extremities. The clinical symptoms of peripheral nerve damage include pain, weakness, numbness/ tingling, and paresthesia. Therefore, early diagnosis and appropriate treatment of peripheral nerve injuries are crucial. If a peripheral nerve injury is left untreated, it can lead to severe complications and significant morbidity. The sciatic nerve is one of the most affected nerves. This nerve is generally injured by trauma and iatrogenic causes. Children are more susceptible to trauma than adults. Therefore, sciatic nerve injuries are observed in pediatric patients. When the sciatic nerve is damaged, pain, weakness, sensory loss, and gait disturbances can occur. Therefore, the diagnosis and treatment of sciatic nerve injuries are important to avoid unexpected consequences. Ultrasound can play an important role in the diagnosis of peripheral nerve injury and the follow-up of patients. The aim of this case report is twofold. First, we aimed to emphasize the critical role of ultrasonographic evaluation in the diagnosis of peripheral nerve injuries and pathologies. Second, we aimed to present this case, which has distinguishing features, such as the existence of periostitis ossificans progressiva with sciatic neurotmesis due to a traumatic glass injury.

동맥관개존증의 외과적 요법 (Surgical Management of Patent Ductus Arteriosus)

  • 홍종완
    • Journal of Chest Surgery
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    • 제21권6호
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    • pp.990-995
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    • 1988
  • Seventeen cases of vascular injuries treated in Chungnam National University Hospital during the period from Apr. 1980 to Sep. 1988 were reviewed. Common causes of injuries were stab wound, automobile accidents and iatrogenic injuries. Of the 11 arterial injuries, 3 were femoral artery which was the commonest in frequency, the next was 2 cases of subclavian, common carotid, iliac artery. Of the 10 venous injuries, the subclavian vein and internal jugular vein were common in frequency. The most frequent type of injuries was laceration[13 cases in 21]. Vascular reconstruction was done by lateral suture repair in 8 cases, autogenous vein graft in 2, prosthetic vascular graft in 5, direct anastomosis in 1 case. Simple ligation was done in 5 cases. There was 1 case of visual field defect as a sequelae in right common carotid artery transaction and 1 case of mortality.

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흉부 관통상에 대한 임상적 고찰 (Clinical Observation of Penterating Thoracic Injury)

  • 김성준;이홍식;최형호
    • Journal of Chest Surgery
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    • 제25권3호
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    • pp.283-288
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    • 1992
  • From january 1970 through december 1990, 130 cases of patients with chest penetrating injury were admitted to department of thoracic and cardiovascular surgery in Chosun University Hospital. We analyzed above patients and obtained results were as follows: 1. The ratio of male to female was 7.1:1 in male predominance, and the majority[69.6%] was distributed from 2nd to 3rd decade. 2. The most common cause of chest penetrating injuries was stab wound. 3. 110 cases[84.5%] were arrived to our emergency room within six hours after trauma. 4. The most common injuring mode was hemo, pneumothorax. 5. The frequently injured site of the penetrating chest trauma was left side of the chest [64.65%]. 6. The common associated injuries of penetrating chest injuries were extremities injuries, abdominal injuries, head & facial injuries. 7. The common method of surgical treatment were closed thoracostomy[78 cases], open thoracotomy[20 cases], laparatomy[12 cases]. 8. The overall motality was 3.07%[4/130], and the causes were hypovolemic shock, sepsis and asphyxia.

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농작업재해의 원인구명 및 코호트 구축방안 (Cohort Study for Investigation of the Causes in Agricultural Injuries and Diseases)

  • 임현술
    • 농촌의학ㆍ지역보건
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    • 제31권2호
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    • pp.119-144
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    • 2006
  • The Korea rural health study, a large prospective cohort study, the objectives of this study are exploration for potential causes of agricultural injuries and diseases among farmers. Current medical research suggests that they may have higher rates of some traumatic injuries, pesticide poisoning, infectious diseases, musculoskeletal diseases, asthma and other respiratory diseases. This study is designed to identify occupational, lifestyle, and environmental factors of workplace that may affect the rate of diseases in farming population. Round 1, initial cohort recruitment, will begin in 2006 and conclude in 2009. Round 2, follow-up will begin in 2010 and conclude in 2014. Approximately 54,000 persons will be selected to study population. Nested case-control studies and case-crossover studies will be conducted for getting to the bottom of agriculture-related diseases. Recruitment and follow-up are conducted in collaboration with multi-centers. As data on the exposures and health outcomes of this study population are collected and analyzed in 2014. This study will be evaluated by public health experts for effort, achievement, adequacy of performance, efficacy, process of study and so on. The author expects that this cohort study may reduce agricultural injuries and diseases and will provide information that agricultural workers can use in making decisions about their health. Also, this study will be significant basis for strengthening the competitiveness of agriculture in Korea.

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Trend of Mortality Rate and Injury Burden of Transport Accidents, Suicides, and Falls

  • Kim, Ki-Sook;Kim, Soon-Duck;Lee, Sang-Hee
    • Journal of Preventive Medicine and Public Health
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    • 제45권1호
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    • pp.8-13
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    • 2012
  • Objectives: Recently injury has become a major world-wide health problem. But studies in Korea about injuries were very few. Thus, this study was conducted to analyze the trend of major injuries from 1991 to 2006 and to provide basic data for preventing injuries. Methods: This study was based on the National Statistical Office data from 1991 to 2006 and calculated to estimate the burden of major injuries by using the standard expected years of life lost (SEYLL) and total lost earnings equation. Results: For transport accidents, mortality, SEYLL and total lost earnings were increased from 1991 to 1996 and decreased from 2000 to 2006. On the other hand, for suicides, these were increased gradually. Since 2003, falls were included in ten leading causes of death. This study showed that injury causes major social and economical losses. Conclusions: We could reduce injury related premature death through active interest in injury prevention program.

Pediatric Hand Trauma: An Analysis of 3,432 Pediatric Hand Trauma Cases Over 15 Years

  • Sung, Ki Pyo;Lee, Soo Hyang
    • Journal of Trauma and Injury
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    • 제34권4호
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    • pp.257-262
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    • 2021
  • Purpose: Pediatric hand trauma is common and sometimes causes deformity or disability. The incidence and etiologies of hand trauma in children are different from those in adults. This study analyzed the characteristics of pediatric hand trauma cases and patients over a 15-year period. Methods: We conducted a retrospective medical record review of 3,432 children (2,265 boys, 1,167 girls, under 18 years of age) with hand injuries from January 2005 to December 2019. We evaluated the sex distribution and injury etiologies. Injuries were classified by type as burns, amputations, crushing injuries, lacerations, extensor and flexor tendon injuries, open and closed fractures, and nerve injuries. Results: Among the pediatric hand injury patients, males were predominant (1.94:1). Simple lacerations (58.4%) were the most common injury type, followed by fractures (22.8%). Lacerations and burns tended to be common in younger age groups, while tendon injuries, nerve injuries, and crushing injuries were more frequently encountered in older age groups. Conclusions: Hand trauma prevention strategies should be established considering the frequent trauma etiologies in specific age groups. An awareness of age-specific characteristics of pediatric hand trauma patients will be helpful to prevent hand trauma.

Obesity as a Possible Risk Factor for Lost-time Injury in Registered Nurses: A Literature Review

  • Jordan, Gillian;Nowrouzi-Kia, Behnam;Gohar, Basem;Nowrouzi, Behdin
    • Safety and Health at Work
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    • 제6권1호
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    • pp.1-8
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    • 2015
  • Time-loss injuries are still a major occurrence in Canada, injuring thousands of Canadian workers each year. With obesity rates on the rise across the country, as well as around the world, it is important that the possible effects of obesity in the workplace be fully understood, especially those effects linked to lost-time injuries. The aim of this paper was to evaluate predictors of workplace lost-time injuries and how they may be related to obesity or high body mass index by examining factors associated with lost-time injuries in the health care sector, a well-studied industry with the highest number of reported time loss injuries in Canada. A literature review focusing on lost-time injuries in Registered Nurses (RNs) was conducted using the keywords and terms: lost time injury, workers' compensation, occupational injury, workplace injury, injury, injuries, work, workplace, occupational, nurse, registered nurse, RN, health care, predictors, risk factors, risk, risks, cause, causes, obese, obesity, and body mass index. Data on predictors or factors associated with lost-time injuries in RNs were gathered and organized using Loisel's Work Disability Prevention Management Model and extrapolated upon using existing literature surrounding obesity in the Canadian workplace.

50세 이상 고령근로자의 근골격계질환 발생특성 및 원인에 관한 연구 (Characteristics and Causes of Musculoskeletal Disorders for Employees Aged 50 Years or Older)

  • 박기혁;정병용
    • 대한인간공학회지
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    • 제28권4호
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    • pp.139-145
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    • 2009
  • This study concerned with the characteristics and causes of musculoskeletal disorders (MSDs) for employees aged 50 years or older. In order to do this, based on 8,011 accident analysis reports, we analyzed the differences of characteristics between groups under 50 years and 50 years or more in terms of gender, occupation, duration of employment, part of body, industry, size of business and work-related factors. Results show that the distributions of the injuries aged 50 years or older are statistically different from those of the injuries under 50 years. Also, older employees have high relationship between repetition, or contact stress/vibration and upper extremity MSDs. These findings can be used to develop more effective MSD prevention programs for older employees.