phenylephrine-hydrochloride and Contusions

Soccer is a game with worldwide appeal. Increasing numbers of participants are members of all age groups and skill levels. The game presents to the sports medicine practitioner a wide variety of musculoskeletal and medical problems. Soccer injuries increase in frequency as the age of participant increases, with a low incidence of injury in preadolescent players. Musculoskeletal injuries most commonly affect the lower extremities and include contusions, acute and chronic musculotendinous strains, and ligamentous injuries to the knee and ankle. Most injuries are minor and respond to analgesics, therapy modalities and exercise therapy. Groin pain is a common problem and particularly prevalent among soccer players owing to the game's specific stresses. Other less common but important injuries include facial trauma, mild brain injury (concussion) and heat-related injury. Team physicians, athletic trainers and physical therapists need to possess a basic understanding of the most common injuries and problems in order to maximise safe participation for their athletes.

Topics: Ankle Injuries; Contusions; Eye Injuries; Groin; Heat Stress Disorders; Humans; Knee Injuries; Ligaments, Articular; Nose; Soccer; Sprains and Strains

While various forms of facial trauma, bruising, burns, and fractures are frequently seen in cases of child abuse, purposeful nasal erosion has rarely been identified as a form of abusive injury. Progressive destruction of nasal tissue in children provokes a wide differential diagnosis crossing multiple subspecialties: infectious, primary immunodeficiencies, inflammatory conditions, malignancy, and genetic disorders. Progressive nasal erosion also can be a manifestation of child abuse. The proposed mechanism is repetitive mechanical denudation of the soft tissue and cartilage resulting in chronic inflammation, bleeding, and ultimately destruction of the insulted tissue. We report 6 cases of child abuse manifesting as overt nasal destruction.

Topics: Child; Child Abuse; Child, Preschool; Contusions; Diagnosis, Differential; Facial Injuries; Female; Fractures, Bone; Humans; Infant; Male; Nose; Tomography, X-Ray Computed

Soccer participation continues to increase among all ages in the US. Our objective was to analyze trends in soccer-related facial injury epidemiology, demographics, and mechanisms of injury.. The National Electronic Injury Surveillance System was evaluated for soccer-related facial injuries from 2010 through 2014. Results for product code "soccer" were filtered for injures to the face. Number of injuries was extrapolated, and data were analyzed for age, sex, specific injury diagnoses, locations, and mechanisms.. In all, 2054 soccer-related facial trauma entries were analyzed. During this time, the number of injures remained relatively stable. Lacerations were the most common diagnosis (44.2%), followed by contusions and fractures. The most common sites of fracture were the nose (75.1%). Of fractures with a reported mechanism of injury, the most common was head-to-head collisions (39.0%). Patients <19 years accounted for 66.9% of injuries, and athletes over 18 years old had a higher risk of fractures.. The incidence of soccer-related facial trauma has remained stable, but the severity of such injuries remain a danger. Facial protection in soccer is virtually absent, and our findings reinforce the need to educate athletes, families, and physicians on injury awareness and prevention.

Topics: Adolescent; Adult; Age Distribution; Child; Contusions; Databases, Factual; Facial Bones; Facial Injuries; Female; Fractures, Bone; Humans; Incidence; Jaw Fractures; Lacerations; Male; Nose; Orbital Fractures; Sex Distribution; Soccer; United States; Young Adult

The objective of the present study was to estimate the magnitude and the structure of ENT losses in modern local armed conflicts. We have considered characteristics of battle injuries inflicted in modern wars based on the materials collected during the armed conflicts in the Caucasus during 1999-2002 and stored in the Military Medical Museum (MMM) of the Russian Defense Ministry. A total of 5608 case records of the surgical treatment of mechanical injuries were analysed including 4002 gunshot wounds and 1606 closed injuries (contusions). ENT and neck wounds were the main and concomitant injuries in 102 and 107 subjects respectively who accounted for 2.5% and 2.7% of all the wounded servicemen. Fifty five (3.93%) and 21 (1.3%) of the 1606 subjects had a closed ENT and neck wound as the leading and concomitant injury, respectively. According to the materials collected in MMM, ENT contusion was the main injury in 111 (25%) of the 410 servicemen who had received contused wounds in the armed conflict of 1999-2002.

Topics: Contusions; Ear; Georgia (Republic); Humans; Military Medicine; Military Personnel; Multiple Trauma; Neck Injuries; Nose; Occupational Injuries; Russia; Transportation of Patients; Warfare; Wounds, Gunshot

Homicidal smothering is the deliberate occlusion of the external airways, usually using the hands, pillows, or bedding. Victims are often those who are unable to resist, such as the young or the old. The limited resistance offered by these individuals may result in a comparative lack of injury. We present a case of a 72-year-old female, found deceased on her bed. The case was initially not considered suspicious and a coronial autopsy was performed. Concerns were subsequently raised and the body remained refrigerated. Six months after the initial examination, an opinion was requested as to whether further examination would be worthwhile to consider allegations of deliberate smothering. Review of the scene photographs showed deviation of the nose, eversion of the upper lip, and suspected intra-oral bruising. A bloodstained pillow was adjacent to the face. At the later autopsy, the body was found to show significant post-mortem deterioration and the facial tissues were mummified. The upper lip was excised and routinely processed for histology, sections showing remarkably good tissue preservation and extensive recent bruising, allowing the suspicious lip injuries in the scene photographs to be safely interpreted. This report illustrates the subtle pathological findings apparent in many of these cases and reinforces the need for thorough external examination and correlation with forensic scene investigation. Histological sampling of suspected injuries can be rewarding, even in the presence of severe post-mortem deterioration.

Topics: Aged; Asphyxia; Bedding and Linens; Blood Stains; Contusions; Female; Forensic Pathology; Homicide; Humans; Lip; Mouth; Nose

The goal of this report is to describe the therapeutic methods and surgical techniques used by Hippocrates (5th century BC) in the treatment of nasal injuries. We studied the original Greek texts of the (generally considered genuine) Hippocratic book Mochlicon and, especially, the analytical On Joints. We identified the treatments and techniques applied to the restoration of injured noses. We found that Hippocrates classified nasal injuries, from simple contusions of soft tissues to complicated fractures. Hippocrates provided detailed instructions for each case, from poultice application and bandaging to reconstruction and reshaping of the nasal bones in cases of fractures and deviation. Hippocrates' texts reflect the interest of the classical period in nasal injuries, a common enough accident in athletics. Hippocratic conservative and surgical management for each form of injury was adopted by later physicians and influenced European medicine.

Topics: Bandages; Contusions; Fractures, Bone; History, Ancient; Humans; Nose; Otolaryngology; Rhinoplasty; Splints

Topics: Accidents, Traffic; Alcoholic Intoxication; Anesthesia, Local; Cerebrospinal Fluid Rhinorrhea; Child; Contusions; Ecchymosis; Edema; Epistaxis; Frontal Bone; Hematoma; Humans; Nasal Bone; Nasal Septum; Nose; Orbital Fractures; Skull Fractures; Violence

Topics: Contusions; Ear, External; Eyebrows; Eyelids; Facial Injuries; Facial Nerve Injuries; Humans; Lacerations; Lacrimal Apparatus; Nose; Parotid Gland; Peripheral Nerves; Salivary Ducts; Scalp