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    Demographic and clinical characteristics of traumatic shoulder dislocations in an urban city of Turkey: a retrospective analysis of 208 cases
    (Turkish Assoc Orthopaedics Traumatology, 2013) Tas, Mahmut; Canbora, M. Kerem; Kose, Ozkan; Egerci, Omer Faruk; Gem, Mehmet
    Objective: The aim of this study was to investigate the demographic and clinical characteristics of traumatic shoulder dislocations in an urban city of Turkey. Methods: The digital patient database was reviewed to identify all patients with glenohumeral dislocation of the shoulder admitted to the emergency departments of the two hospitals in Diyarbakir between January 2008 and December 2010. Incidence, demographics, clinical characteristics, recurrence, associated injuries, and mechanism of injury were evaluated. Results: Two hundred and eight patients (163 male, 45 female; mean age: 37.2+/-21.3) experienced traumatic shoulder dislocation during the study period. The overall incidence of primary shoulder dislocations was 5.3 per 100,000 person-years. Age distribution peaked between 21 and 30 years (96.5% male) and between 61 and 70 years (66.7% female) Primary shoulder dislocation occurred in 172 patients (82.7%) and recurrent dislocations in 36 (17.3%). Patients with recurrent shoulder dislocations were younger than those with primary dislocations (mean age, 29.7+/-14.5 and 38.8+/-22.2, respectively; p=0.020). There were 195 (93.4%) anterior dislocations. The mechanism of injury was falls in 155 (74.5%) cases. Reduction was achieved in 165 patients (79.3%) in the emergency department. General anesthesia was used for 43 patients (20.7%). Conclusion: The 5.3 per 100,000 person-years incidence of traumatic shoulder dislocations in Turkey was much lower than previous studies. Demographic characteristics also showed various differences closely related to the population pyramid.
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    Mortality and morbidity in children caused by falling televisions: a retrospective analysis of 71 cases
    (Springer London Ltd, 2010) Gokhan, Servan; Kose, Ozkan; Ozhasenekler, Ayhan; Orak, Murat; Ustundag, Mehmet; Guloglu, Cahfer
    Background Femoral artery pseudoaneurysm following cardiac catheterization is a serious groin complication requiring careful assessment and prompt intervention. Aims The risk of femoral artery pseudoaneurysm is estimated at 0.6 to 17% following diagnostic and interventional procedures. Methods The clinical use of bedside ultrasonography as part of the physical examination by attending emergency physicians has increased significantly over recent years. Results Bedside emergency department ultrasonography provides the clinician with critical information noninvasively, rapidly determining various anatomical structures. Conclusions We present the case of a patient with femoral artery pseudoaneurysm detected by bedside emergency department ultrasonography secondary to angiographic catheterization.
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    Öğe
    Mortality and morbidity in children caused by falling televisions: a retrospective analysis of 71 cases
    (Springer London Ltd, 2011) Gokhan, Servan; Kose, Ozkan; Ozhasenekler, Ayhan; Orak, Murat; Ustundag, Mehmet; Guloglu, Cahfer
    Objectives: To quantify injuries in children that result from toppled televisions. Methods: Children presenting directly to emergency department due to injuries caused by falling televisions were identified from our digital patient database, and a retrospective chart review of 71 children was performed. Descriptive statistics were applied. Results: 71(1.8%) out of 3856 admissions due to injuries sustained at home were TV-related injuries. There were 50 (70.4%) boys and 21(29.6%) girls. Mean age was 39.79 +/- 20.14 SD months. Almost three quarters of the children (49/71) sustained various head and facial injuries. There was traumatic brain injury in 14 patients, extremity injuries in 30 patients, thoracic injuries in 13 patients and abdominal injuries in ten patients. 16 patients were hospitalized. 14 of them required follow-up in intensive care unit. Two patients (one with epidural hematoma and one with subdural hematoma) underwent surgical intervention. Four patients with subarachnoid bleeding died. The mean length of hospital stay was 71.25 hours (range, 48-168) in hospitalised patients. The overall mortality rate was 5.6%. Conclusions: Falling TVs may cause significant morbidity and mortality in children particularly those younger than 3 years old. Head and facial injuries are the most common body region involved and traumatic brain injury is the major cause of death.