Official Publication of the National Center for Trauma Research
Trauma Monthly
2251-7464
2251-7472
25
3
2020
07
01
Traumatic Injuries Management in Coronavirus Disease (COVID-19) Crisis
96
96
EN
Hamid Reza
Rasouli
0000-0003-2793-624X
Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
hr.rasouli64@gmail.com
Hadi
Khoshmohabat
0000-0003-4881-8613
Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
khoshmohabat@yahoo.com
Fathollah
Ahmadpour
0000-0003-2984-6897
Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
ahmadpour66@yahoo.com
10.30491/tm.2020.233701.1129
Letter
Traumatic injuries,Coronavirus disease,COVID-19
https://www.traumamon.com/article_109529.html
https://www.traumamon.com/article_109529_177a6728612024d7430e600845dd23f3.pdf
Official Publication of the National Center for Trauma Research
Trauma Monthly
2251-7464
2251-7472
25
3
2020
07
01
Reopening of Dental Clinics during SARS-CoV-2 Pandemic: An Evidence Based Protocol before Starting Clinical Interventions
97
105
EN
Amin
Motamedi
Periodontist, Private Practice, Kerman, Iran.
draminmotamedi@gmail.com
Seied Omid
Keyhan
Delegate researcher in CMFRC, National Advance center for craniomaxillofacial reconstruction, Tehran, Iran, and Craniomaxillofacial Research Center, Tehran University of Medical Sciences, Tehran, Iran.
keyhanomid@ymail.com
Hamid Reza
Fallahi
Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences
dr.hamidrezafallahi@gmail.com
Vahid
Khoshkam
Periodontist, Private practice, El Paso, Texas, USA
khoshkam@usc.edu
Paymon
Mehryar
Periodontist, private practice Austin, Texas, USA.
mehriarp@gmail.com
Omid
Moghaddas
Periodontist, Assistant Prof. Department of Periodontology, Tehran, Iran.
hmonn555@yahoo.com
Behzad
Cheshmi
0000-0001-5805-451X
Faculty of Dentistry, Boroujerd Islamic Azad University
beh.cheshomi@gmail.com
Parsa
Firoozi
0000-0001-5595-1485
Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, School of Dentistry, Zanjan University of Medical Sciences, Zanjan, Iran
parsafir2@gmail.com
Behzad
Hooshmand
School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran ,Iran
houshmadnperio@rocketmail.com
Mohammad Hosein
Kalantar Motamedi
0000-0003-3297-3803
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.
motamedical@yahoo.com
10.30491/tm.2020.231934.1121
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.
COVID-19,SARS-CoV-2,Dental Clinic
https://www.traumamon.com/article_108112.html
https://www.traumamon.com/article_108112_97fa7c5e036d6a80e2012a34be56fb2d.pdf
Official Publication of the National Center for Trauma Research
Trauma Monthly
2251-7464
2251-7472
25
3
2020
05
01
Role of Tissue Engineering and Regenerative Medicine in Treatment of Sport Injuries
106
112
EN
Arash
Abdolmaleki
0000-0002-7454-8728
Department of Engineering Sciences, Faculty of Advanced Technologies, University of Mohaghegh Ardabili, Namin, Iran
abdolmalekiarash1364@gmail.com
Saber
Zahri
Department of Biology, Faculty of Science, University of Mohaghegh Ardabili, Ardabil, Iran.
sazahr2@gmail.com
Asadollah
Asadi
0000-0003-3314-2948
Department of Biology, Faculty of Science, University of Mohaghegh Ardabili, Ardabil, Iran.
asad.asady@gmail.com
Richard
Wassersug
Department of Cellular & Physiological Sciences, Faculty of Biology, University of British Columbia, Vancouver, BC, V6T 1Z3, Canada.
davidhay217@gmail.com
10.30491/tm.2020.213410.1000
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
Sport Medicine,Stem cells therapy,PRP therapy,Microfracture method,Tissue healing
https://www.traumamon.com/article_107863.html
https://www.traumamon.com/article_107863_f0a247bfc479a49ab51cb3933a28332a.pdf
Official Publication of the National Center for Trauma Research
Trauma Monthly
2251-7464
2251-7472
25
3
2020
05
01
Achilles Tendon Ossification Treated Without Medication or Surgery
113
115
EN
Masoud
Shayesteh Azar
0000-0002-5233-055X
Associate professor of orthopedic surgery, Orthopedic research center, Mazandaran university of medical science, Sari, Iran.
mshayestehazar@yahoo.com
Iman
Sadeghian
0000-0002-1248-7990
Resident of orthopedic surgery, Orthopedic research center, Mazandaran university of medical science, Sari, Iran
iman.sadeghian@gmail.com
Soroosh
Fateh
Resident of orthopedic surgery, Orthopedic research center, Mazandaran university of medical science, Sari, Iran
soroosh.f.12@gmail.com
Masoud
Gharib
Assistant professor of Occupational Therapy , Orthopedic research center, Mazandaran university of medical science, Sari, Iran
gharib_masoud@yahoo.com
10.30491/tm.2020.217330.1068
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.
Pain,analgesia,Amputation
https://www.traumamon.com/article_109833.html
https://www.traumamon.com/article_109833_72386ca7ed307a169b1644ac8e18dc68.pdf
Official Publication of the National Center for Trauma Research
Trauma Monthly
2251-7464
2251-7472
25
3
2020
05
01
The Prevalence of Internalizing and Externalizing Behavior Problems and Their Relationship with Demographic Characteristics in Children Surviving the 2017 Earthquake in West of Iran
116
123
EN
Vahid
Farnia
Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
vahidfarnia@yahoo.com
Omran
Davarinejad
Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
odavarinejad@gmail.com
Maryam
Khanegi
Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
fztatari37@gmail.com
Touraj
Ahmadi Jouybari
Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
Safora
Salemi
Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
s_salemi85@yahoo.com
Shima
Pajouhinia
Psychological Department, Education and Psychology Faculty, Allameh Tabatabai University, Tehran, Iran
sh.pajouhinia@yahoo.com
Mostafa
Alikhani
Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
m.alikhani18@yahoo.com
Sara
Hookari
Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
sara_hoo64@yahoo.com
Behrouz
Behrouz
Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
behrouz.psycho64@yahoo.com
10.30491/tm.2020.213838.1034
<strong>Background:</strong> Natural disasters may lead to personal and social dysfunction in children.<br /> <strong>Objectives:</strong> 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.<br /> <strong>Methods:</strong> 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.<br /> <strong>Results:</strong> 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 (<em>p </em><0.05) were apparent.<br /> <strong>Conclusion:</strong> 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.
Behavior problem,Surviving,earthquake
https://www.traumamon.com/article_107156.html
https://www.traumamon.com/article_107156_b978e7b6f62d2ace78eb28e31d624c50.pdf
Official Publication of the National Center for Trauma Research
Trauma Monthly
2251-7464
2251-7472
25
3
2020
05
01
Evaluation of Metacarpal Compression Test for Diagnosis of Metacarpal Fracture
124
127
EN
Naser
Mohamad Karimi
Assistant Professor, Department of Emergency Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
nmkarimi1310@gmail.com
Mohsen
Mohyeddini
Assistant Professor, Department of Emergency Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
roohollah_maleki@yahoo.com
Faeze
Zeinali
0000-0001-5872-1546
Assistant Professor, Department of Emergency Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
faezeinali@gmail.com
Mehrnaz
Nikouyeh
Assistant Professor, Department of Emergency Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
mehrnaznikouyeh@gmail.com
Mohamadreza
Sobhan
Assistant Professor, Department of Orthopedic, Shahid Sadoughi University Of Medical Sciences, Yazd, Iran
sobhanardakani@gmail.com
Mohamad Ai
Jafari
Assistant Professor, Department of Emergency Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
ali_jafari_25@yahoo.com
Alireza
Esmaeili
Assistant Professor, Department of Emergency Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
alirezaesmaeili1@gmail.com
10.30491/tm.2020.217846.1064
<strong><span>Background:</span></strong> There are many methods for evaluating a traumatized metacarp.<br /> <strong><span>Objectives:</span> </strong>This study sought to evaluate the accuracy of the metacarpal compression test for the diagnosis of metacarpal fracture.<br /> <strong><span>Methods:</span></strong> 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.<br /> <strong><span>Results:</span></strong> 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.<br /> <strong><span>Conclusion:</span> </strong>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.
Metacarpal Bone,fracture,Compression Test,Clinical Decision Rule,Axial load
https://www.traumamon.com/article_107157.html
https://www.traumamon.com/article_107157_152b222537c3126453ad6c4ab2222e60.pdf
Official Publication of the National Center for Trauma Research
Trauma Monthly
2251-7464
2251-7472
25
3
2020
05
01
Postoperative Outcomes of Single and Double Plating Osteosynthesis for Proximal Metaphyseal Tibial Fractures
128
133
EN
Salman
Ghaffari
0000-0002-2290-3214
Associate professor of orthopedic surgery, Orthopedic research center, Mazandaran university of medical science, Sari, Iran
orthosalman@yahoo.com
Alireza
Kazemi
0000-0002-0583-9855
Resident of orthopedic surgery, Orthopedic research center, Mazandaran university of medical science, Sari, Iran
alireza.kazemi85@gmail.com
Mehran
Razavipour
0000-0002-2290-3214
Assistant professor of orthopedic surgery, Orthopedic research center, Mazandaran university of medical science, Sari, Iran
razavimehran@yahoo.com
Masoud
Shayestehazar
0000-0002-5233-055X
Associate professor of orthopedic surgery, Orthopedic research center, Mazandaran university of medical science, Sari, Iran.
mshayestehazar@yahoo.com
Shahin
Talebi
0000-0002-2290-4575
Assistant professor of orthopedic surgery, Orthopedic research center, Mazandaran university of medical science, Sari, Iran.
sh.talebi1365@gmail.com
Zahra
Mardanshahi
Assistant Professor, Department of Radiology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
zmardanshahi@yahoo.com
10.30491/tm.2020.228779.1107
<strong>Background:</strong> 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.<br /> <strong>Objectives:</strong> 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.<br /> <strong>Methods:</strong> 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.<br /> <strong>Results:</strong> In the double plating group, numerically better flexion and extension range was not significant (<em>p </em> >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 (<em>p </em>=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.<br /> <strong>Conclusion:</strong> 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.
Proximal tibial fracture,Double plate constructs,Locking Plate
https://www.traumamon.com/article_109528.html
https://www.traumamon.com/article_109528_90cc5f24572d75e786aae1ee96943cd8.pdf
Official Publication of the National Center for Trauma Research
Trauma Monthly
2251-7464
2251-7472
25
3
2020
05
01
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
134
142
EN
Farzin
Sarkarat
0000-0002-1574-5625
Associate Professor, Department of Oral and Maxillofacial Surgery and Craniomaxillofacial Research Center, Dentistry Branch of Islamic Azad University of Medical Sciences, Tehran, Iran
sarkarat@hotmail.com
Maryam
Khosravi
Private Practice in Dentistry, Tehran, Iran
m69.khosravi@gmail.com
Roozbeh
Kahali
Assistant Professor, Department of Oral and Maxillofacial Surgery and Craniomaxillofacial Research Center, Dentistry
Branch of Islamic Azad University of Medical Sciences, Tehran, Iran
drkahali@outlook.com
Amirparham
Pirhadi Rad
Assistant Professor, Department of Bio Medical Engineering, Faculty of Bio Medical Engineering, Science and Research
Branch, Islamic Azad University, Tehran, Iran
ap.bmes@gmail.com
Sogand
Ebrahimi
Private Practice in Dentistry, Tehran, Iran
qieeneie2004@yahoo.com
Vahid
Rakhshan
Private Practice in Dentistry, Tehran, Iran
vahid.rakhshan@gmail.com
10.30491/tm.2020.214430.1046
<strong>Background:</strong> 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.<br /> <strong>Objectives</strong>: 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.<br /> <strong>Methods</strong>: 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.<br /> <strong>Results</strong>: 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.<br /> <strong>Conclusions</strong>: 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.
fracture,Zygomaticomaxillary Complex,Internal Fixation,Displacement,Finite Element Analysis (FEA)
https://www.traumamon.com/article_107864.html
https://www.traumamon.com/article_107864_316bfb7a8a554200f5a50d52588b5441.pdf