ORIGINAL_ARTICLE
Traumatic Injuries Management in Coronavirus Disease (COVID-19) Crisis
Letter
https://www.traumamon.com/article_109529_177a6728612024d7430e600845dd23f3.pdf
2020-07-01
96
96
10.30491/tm.2020.233701.1129
Traumatic injuries
Coronavirus disease
COVID-19
Hamid Reza
Rasouli
hr.rasouli64@gmail.com
1
Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
Hadi
Khoshmohabat
khoshmohabat@yahoo.com
2
Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
Fathollah
Ahmadpour
ahmadpour66@yahoo.com
3
Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
ORIGINAL_ARTICLE
Reopening of Dental Clinics during SARS-CoV-2 Pandemic: An Evidence Based Protocol before Starting Clinical Interventions
COVID-19 is a viral disease caused by SARS-CoV-2 that quickly became a global pandemic during 2020. Considering the recent outbreak, the lack of adequate data regarding SARS-CoV-2, and consequently the risk of dental practice and potential cross-infection, this article attempted to address the information collected so far in accordance with the internationally valid guidelines and to suggest a relatively safe protocol for the management of o patients. In other words, this study describes the essentials that need to be considered for the dental office reopening.
https://www.traumamon.com/article_108112_97fa7c5e036d6a80e2012a34be56fb2d.pdf
2020-07-01
97
105
10.30491/tm.2020.231934.1121
COVID-19
SARS-CoV-2
Dental Clinic
Amin
Motamedi
draminmotamedi@gmail.com
1
Periodontist, Private Practice, Kerman, Iran.
AUTHOR
Seied Omid
Keyhan
keyhanomid@ymail.com
2
Delegate researcher in CMFRC, National Advance center for craniomaxillofacial reconstruction, Tehran, Iran, and Craniomaxillofacial Research Center, Tehran University of Medical Sciences, Tehran, Iran.
AUTHOR
Hamid Reza
Fallahi
dr.hamidrezafallahi@gmail.com
3
Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences
AUTHOR
Vahid
Khoshkam
khoshkam@usc.edu
4
Periodontist, Private practice, El Paso, Texas, USA
AUTHOR
Paymon
Mehryar
mehriarp@gmail.com
5
Periodontist, private practice Austin, Texas, USA.
AUTHOR
Omid
Moghaddas
hmonn555@yahoo.com
6
Periodontist, Assistant Prof. Department of Periodontology, Tehran, Iran.
AUTHOR
Behzad
Cheshmi
beh.cheshomi@gmail.com
7
Faculty of Dentistry, Boroujerd Islamic Azad University
AUTHOR
Parsa
Firoozi
parsafir2@gmail.com
8
Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, School of Dentistry, Zanjan University of Medical Sciences, Zanjan, Iran
LEAD_AUTHOR
Behzad
Hooshmand
houshmadnperio@rocketmail.com
9
School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran ,Iran
AUTHOR
Mohammad Hosein
Kalantar Motamedi
motamedical@yahoo.com
10
Trauma Research Center, Baqiyatallah University of Medical Sciences, and Oral and Maxillofacial Surgery Department, Craniofacial Trauma Research Center, Islamic Azad University of Medical Sciences, Tehran, Iran.
AUTHOR
ORIGINAL_ARTICLE
Role of Tissue Engineering and Regenerative Medicine in Treatment of Sport Injuries
Managing sports injuries is clinically challenging. Although new techniques can delay musculoskeletal deterioration and promote tissue restoration, they are not widely used. Thus, there is a critical need to promulgate these new methods. In recent years, “tissue engineering” approaches have been developed for improving the regeneration of cartilage by transplanting cells or engineered constructs into injured tissue. The mechanical environment affects the biology of a tissue and is necessary for the development and maintenance of load-bearing tissues. Platelets can be combined with other healing factors as a new therapeutic modality. Platelet-rich plasma (PRP) can be introduced as an autologous blood product that may improve wound healing. In this regard, stem cell therapy that focuses on mesenchymal stem cells (MSCs) has been proposed as a new treatment method in sports medicine. MSCs are multipotent; they have the ability to differentiate into other cells, notably osteoblasts, chondrocytes, adipocytes, myoblasts, and fibroblasts, depending on a variety of factors. In summary, recent advances in tissue regeneration have provided new perspectives for the use of tissue engineering to enhance tissue healing after sports injuries namely the microfracture method, the mechanical stimuli method, PRP therapy, and stem cell therapy
https://www.traumamon.com/article_107863_f0a247bfc479a49ab51cb3933a28332a.pdf
2020-05-01
106
112
10.30491/tm.2020.213410.1000
Sport Medicine
Stem cells therapy
PRP therapy
Microfracture method
Tissue healing
Arash
Abdolmaleki
abdolmalekiarash1364@gmail.com
1
Department of Engineering Sciences, Faculty of Advanced Technologies, University of Mohaghegh Ardabili, Namin, Iran
LEAD_AUTHOR
Saber
Zahri
sazahr2@gmail.com
2
Department of Biology, Faculty of Science, University of Mohaghegh Ardabili, Ardabil, Iran.
AUTHOR
Asadollah
Asadi
asad.asady@gmail.com
3
Department of Biology, Faculty of Science, University of Mohaghegh Ardabili, Ardabil, Iran.
AUTHOR
Richard
Wassersug
davidhay217@gmail.com
4
Department of Cellular & Physiological Sciences, Faculty of Biology, University of British Columbia, Vancouver, BC, V6T 1Z3, Canada.
AUTHOR
ORIGINAL_ARTICLE
Achilles Tendon Ossification Treated Without Medication or Surgery
Ossification of the Achilles tendon is a rare disease and seen more frequently in men than in women. Most patients present with pain caused by local inflammation. It is a disease of physically active people, and management of these patients is important. Many pathologic and molecular studies have been conducted to determine the cause of this disease. Minor trauma and microdamages may be the most important factors related to Achilles tendinopathy or Achilles tears. Sometimes, in cases without significant symptoms, no treatment is need; in symptomatic ones, however, relief of pain is the main treatment objective. Treatment of this disease varies from conservative treatment, including NSAIDs or physiotherapy, to electrotherapy, ionotherapy, and surgical strategies. Herein we report of a patient with Achilles tendon ossification, diagnosed by physical and radiographic evaluation treated with a foot brace without any drugs or surgery. The relation between radiographic changes and patient symptoms was important and helpful in choosing the mode of treatment.
https://www.traumamon.com/article_109833_72386ca7ed307a169b1644ac8e18dc68.pdf
2020-05-01
113
115
10.30491/tm.2020.217330.1068
Pain
analgesia
Amputation
Masoud
Shayesteh Azar
mshayestehazar@yahoo.com
1
Associate professor of orthopedic surgery, Orthopedic research center, Mazandaran university of medical science, Sari, Iran.
AUTHOR
Iman
Sadeghian
iman.sadeghian@gmail.com
2
Resident of orthopedic surgery, Orthopedic research center, Mazandaran university of medical science, Sari, Iran
LEAD_AUTHOR
Soroosh
Fateh
soroosh.f.12@gmail.com
3
Resident of orthopedic surgery, Orthopedic research center, Mazandaran university of medical science, Sari, Iran
AUTHOR
Masoud
Gharib
gharib_masoud@yahoo.com
4
Assistant professor of Occupational Therapy , Orthopedic research center, Mazandaran university of medical science, Sari, Iran
AUTHOR
ORIGINAL_ARTICLE
The Prevalence of Internalizing and Externalizing Behavior Problems and Their Relationship with Demographic Characteristics in Children Surviving the 2017 Earthquake in West of Iran
Background: Natural disasters may lead to personal and social dysfunction in children. Objectives: The present study was conducted to determine the prevalence of behavioral problems and their relationship with demographic characteristics in children surviving the 2017 earthquake in western Iran. Methods: This was a cross-sectional-analytical study. The statistical population included all children surviving the 2017 earthquake in western Iran. The sample size included 335 subjects selected by convenience sampling. The Achenbach Child Behavior Checklist (Parent Form) was the tool used to collect data and chi-square and Fisher’s exact tests were used to analyze the data. Results: The rule breaking (5.3%) and somatic complaints (2.4%) were the most and least prevalent behavioral problems in children, respectively. General behavior problems (8.3%), internalizing behavior problems (7.4%), and externalizing behavior problems (7.1%) were the most prevalent, respectively. Gender had a significant statistical relationship with somatic complaints and attention problems; loss of home with rule breaking, internalizing behavior problems, and general behavior problems; the number of children in a family with anxiety; age of the father with social problems, aggression, internalizing and externalizing behavior problems; the father’s educational level with withdrawal; mother’s educational level with attention problems, aggression, externalizing behavior problems and general behavior problems; and economic status with aggression (p <0.05) were apparent. Conclusion: Given the significant prevalence of behavioral and psychiatric disorders in children who survived the earthquake, identifying children at risk is important for the prevention, early diagnosis, and treatment of aforementioned problems in these children.
https://www.traumamon.com/article_107156_b978e7b6f62d2ace78eb28e31d624c50.pdf
2020-05-01
116
123
10.30491/tm.2020.213838.1034
Behavior problem
Surviving
earthquake
Vahid
Farnia
vahidfarnia@yahoo.com
1
Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
AUTHOR
Omran
Davarinejad
odavarinejad@gmail.com
2
Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
AUTHOR
Maryam
Khanegi
fztatari37@gmail.com
3
Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
AUTHOR
Touraj
Ahmadi Jouybari
4
Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
AUTHOR
Safora
Salemi
s_salemi85@yahoo.com
5
Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
LEAD_AUTHOR
Shima
Pajouhinia
sh.pajouhinia@yahoo.com
6
Psychological Department, Education and Psychology Faculty, Allameh Tabatabai University, Tehran, Iran
AUTHOR
Mostafa
Alikhani
m.alikhani18@yahoo.com
7
Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
AUTHOR
Sara
Hookari
sara_hoo64@yahoo.com
8
Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
AUTHOR
Behrouz
Behrouz
behrouz.psycho64@yahoo.com
9
Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
AUTHOR
ORIGINAL_ARTICLE
Evaluation of Metacarpal Compression Test for Diagnosis of Metacarpal Fracture
Background: There are many methods for evaluating a traumatized metacarp. Objectives: This study sought to evaluate the accuracy of the metacarpal compression test for the diagnosis of metacarpal fracture. Methods: All patients with metacarpal trauma were tested via placement of axial load (compression) on the metacarpal; induction or exacerbation of pain on each metacarp was recorded upon applying axial pressure. Then, an X-Ray imaging system was used to identify and record the presence of fracture. All data were entered into a 2x2 table, and then negative predictive value (NPV), positive predictive value (PPV), sensitivity and specificity of the test were calculated. Results: After careful physical examination and application of the axial pressure on the metacarpal bone, 16(23.68%) patients did not experience any pain during axial loading (none had fracture). According to the statistical analyses of the data, the proposed method had a 69% specificity, 100% sensitivity, 86% PPV and 100% NPV. Conclusion: Our findings showed that axial loading applied on the metacarpal bone, when it leads to pain, is a good marker for fracture. On the other hand, patients with negative test results had no fracture on radiography, which emphasized 100% NPV of the test.
https://www.traumamon.com/article_107157_152b222537c3126453ad6c4ab2222e60.pdf
2020-05-01
124
127
10.30491/tm.2020.217846.1064
Metacarpal Bone
fracture
Compression Test
Clinical Decision Rule
Axial load
Naser
Mohamad Karimi
nmkarimi1310@gmail.com
1
Assistant Professor, Department of Emergency Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
AUTHOR
Mohsen
Mohyeddini
roohollah_maleki@yahoo.com
2
Assistant Professor, Department of Emergency Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
AUTHOR
Faeze
Zeinali
faezeinali@gmail.com
3
Assistant Professor, Department of Emergency Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
LEAD_AUTHOR
Mehrnaz
Nikouyeh
mehrnaznikouyeh@gmail.com
4
Assistant Professor, Department of Emergency Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
AUTHOR
Mohamadreza
Sobhan
sobhanardakani@gmail.com
5
Assistant Professor, Department of Orthopedic, Shahid Sadoughi University Of Medical Sciences, Yazd, Iran
AUTHOR
Mohamad Ai
Jafari
ali_jafari_25@yahoo.com
6
Assistant Professor, Department of Emergency Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
AUTHOR
Alireza
Esmaeili
alirezaesmaeili1@gmail.com
7
Assistant Professor, Department of Emergency Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
AUTHOR
ORIGINAL_ARTICLE
Postoperative Outcomes of Single and Double Plating Osteosynthesis for Proximal Metaphyseal Tibial Fractures
Background: Optimal management of proximal tibial fractures remains to be a clinical challenge. Most studies on this condition have been conducted on cadaver specimens, and few have compared the clinical outcomes of single and double plating methods in these fractures. Objectives: The current study aimed to compare the postoperative outcomes and complications of the single and double plating methods in the treatment of metaphysical proximal tibial fracture. Methods: We treated 40 patients with metaphyseal tibial fracture with single or double plating methods (20 in each group). Patients were followed after 2 and 6 weeks, and 3 and 6 months; all were assessed for malunion, nonunion, and malalignment deformities. Results: In the double plating group, numerically better flexion and extension range was not significant (p >0.05). However, in the interpretation of the Lysholm Knee Score questionnaire, a significantly higher proportion of good and excellent postoperative outcomes were found in the double plating group (p =0.041). In the double plating group, 15%, 15%, 40%, and 30% of patients were categorized as having poor, fair, good, and excellent outcomes, respectively. These proportions were 30%, 45%, 15%, and 10% among the single plating group respectively. Moreover, we detected positive valgus stress test in the single plating method in 30% of the cases, compared with 5% in the double plating method (p=0.037). Similarly, we observed that 20% of the cases with positive varus stress test in the single plating method, compared with the double plating method that had no cases who tested positive (p=0.035). The observed significant differences survived after we controlled for the positive stress test using regression models. It should be noted that in the single plating group, one case of valgus malalignment with 10° and one case of varus malalignment with 5° were observed. Conclusion: Our results highlight that the choice of the double plating method to be associated with significantly better outcomes and fewer complications in the treatment of proximal tibial metaphyseal fracture.
https://www.traumamon.com/article_109528_90cc5f24572d75e786aae1ee96943cd8.pdf
2020-05-01
128
133
10.30491/tm.2020.228779.1107
Proximal tibial fracture
Double plate constructs
Locking Plate
Salman
Ghaffari
orthosalman@yahoo.com
1
Associate professor of orthopedic surgery, Orthopedic research center, Mazandaran university of medical science, Sari, Iran
AUTHOR
Alireza
Kazemi
alireza.kazemi85@gmail.com
2
Resident of orthopedic surgery, Orthopedic research center, Mazandaran university of medical science, Sari, Iran
LEAD_AUTHOR
Mehran
Razavipour
razavimehran@yahoo.com
3
Assistant professor of orthopedic surgery, Orthopedic research center, Mazandaran university of medical science, Sari, Iran
AUTHOR
Masoud
Shayestehazar
mshayestehazar@yahoo.com
4
Associate professor of orthopedic surgery, Orthopedic research center, Mazandaran university of medical science, Sari, Iran.
AUTHOR
Shahin
Talebi
sh.talebi1365@gmail.com
5
Assistant professor of orthopedic surgery, Orthopedic research center, Mazandaran university of medical science, Sari, Iran.
AUTHOR
Zahra
Mardanshahi
zmardanshahi@yahoo.com
6
Assistant Professor, Department of Radiology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
AUTHOR
ORIGINAL_ARTICLE
Stability and Dynamics of Zygomaticomaxillary Complex Fracture Treated Using Non-resorbable and Resorbable 2- and 3-Point Miniplates, Under Physiological and Maximal Occlusal Loads: A Finite Element Analysis
Background: Given that zygoma fractures are the second most common facial trauma, knowledge of their treatments is of clinical value. Among these are fixation methods, which despite their importance are neglected in many aspects. Objectives: Therefore, for the first time in the literature, the present finite element analysis evaluated displacements and dynamics of the zygoma fixed using four 2- and 3-point resorbable and four non-resorbable plates under normal and maximal mastication loads. Methods: A maxillofacial CT scan of a man with linear fractures without severe displacements was used to model the zygoma and its adjacent bones. Seven combinations of resorbable and seven combinations of non-resorbable mini-plates 2mm thick were fixed on the zygoma (orbital rim, zygomaticomaxillary buttress [ZMB], and frontozygomatic [FZ]) using 6mm miniscrews. ZMB was fixed using an L-shaped 4-hole plate. The infraorbital rim was fixed with a curved 5-hole miniplate. The FZ suture area was fixed with a 4-hole miniplate. The model underwent 150N and 750N loads. Minimum and maximum displacements, rotational displacements, stresses, and strains of the zygoma models were calculated. Results: Non-resorbable fixation methods can yield much smaller stresses, strains, and displacements compared to resorbable fixations. Also the parameters were much smaller under the 150N load compared to the 750N load. The worst results belonged to the fixation of Rim and ZMB and the best results belonged to the fixation of ZMB-Rim, and especially FZ-ZMB, Rim-FZ, and FZ-ZMB-Rim. Conclusions: In patients with heavy masticatory forces, it is not recommended to use resorbable platesZygomatic fractures are the second most common facial injury, knowledge of their management is important. However, fixations methods, which are of importance are variable.
https://www.traumamon.com/article_107864_316bfb7a8a554200f5a50d52588b5441.pdf
2020-05-01
134
142
10.30491/tm.2020.214430.1046
fracture
Zygomaticomaxillary Complex
Internal Fixation
Displacement
Finite Element Analysis (FEA)
Farzin
Sarkarat
sarkarat@hotmail.com
1
Associate Professor, Department of Oral and Maxillofacial Surgery and Craniomaxillofacial Research Center, Dentistry Branch of Islamic Azad University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
Maryam
Khosravi
m69.khosravi@gmail.com
2
Private Practice in Dentistry, Tehran, Iran
AUTHOR
Roozbeh
Kahali
drkahali@outlook.com
3
Assistant Professor, Department of Oral and Maxillofacial Surgery and Craniomaxillofacial Research Center, Dentistry Branch of Islamic Azad University of Medical Sciences, Tehran, Iran
AUTHOR
Amirparham
Pirhadi Rad
ap.bmes@gmail.com
4
Assistant Professor, Department of Bio Medical Engineering, Faculty of Bio Medical Engineering, Science and Research Branch, Islamic Azad University, Tehran, Iran
AUTHOR
Sogand
Ebrahimi
qieeneie2004@yahoo.com
5
Private Practice in Dentistry, Tehran, Iran
AUTHOR
Vahid
Rakhshan
vahid.rakhshan@gmail.com
6
Private Practice in Dentistry, Tehran, Iran
AUTHOR