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A Comparison between Premortem and Postmortem Diagnosis in Trauma Cases

Forensic Medicine and Anatomy Research 2015年第4期3卷 89-94页

作者： Dua Sumeyra Demirkiran Ibrahim Ortanca mustafa Sahan Adnan Celikel muhammet mustafa arslan Department of Forensic Medicine Medical Faculty of Mustafa Kemal University Serinyol Hatay Turkey Department of Emergency Medicine Medical Faculty of Mustafa Kemal University Serinyol Hatay Turkey

This study evaluated the comparison of premortem and postmortem diagnoses of trauma cases that died during treatment and then autopsied. We had analyzed the autopsy reports of forensic deaths retrospectively which occurred between 2013 and 2014. The cases that died because of trauma and which had complete medical reports were included the study. Totally 626 cases were autopsied and 307 cases records were examined from them. The mean age was found to be 28.11. According the treatment period, it was detected that 116 (37.8%) cases died within the first 24 hours. Discrepancies between premortem and postmortem diagnoses were determined in 20.6% of cases. 5.9% had a main diagnostic discrepancy and 14.7% were of second lethal diagnoses. The discrepancies were observed mostly in the multiple injury cases. In our study, diagnostic discrepancy rate was higher in multiple injury cases especially who died by explosion. When clinicians focus on the treatment according to their main diagnosis, they overlook the fatal injuries in other parts of the body. This study shows that autopsy is the most reliable method for the confirmation of the clinical diagnosis in trauma patients. Therefore, particularly surgery physicians should compare the results of the autopsy diagnoses to their own diagnosis.

关键词： Clinical Diagnosis Autopsies Trauma

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Non-Traumatic Intracranial Heterotopic Ossification: A Case from Turkey

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Forensic Medicine and Anatomy Research 2016年第1期4卷 17-21页

作者： Mehmet Hanifi Kokacya Hasan Gökçe Zeynel Abidin Taş Dua Sümeyra Demirkıran muhammet mustafa arslan Department of Psychiatry Faculty of Medicine Mustafa Kemal University Hatay Turkey Department of Pathology Faculty of Medicine Inonü University Malatya Turkey Department of Pathology Faculty of Medicine Mustafa Kemal University Hatay Turkey Department of Forensic Medicine Faculty of Medicine Mustafa Kemal University Hatay Turkey

Heterotopic ossification (HO) is the abnormal, non-neoplastic presence of lamellar bone in soft tissue. The ectopic formation of lamellar bone in non-osseus tissues secondary to traumatic injuries of the spinal cord or the brain is defined as Neurogenic HO. The pathophysiology of HO is not clear. But several theories like overactive humoral mechanisms after fracture healing, imbalance of pro-osteoinductive and anti-osteoinductive mediators located on the soft tissues and gene mutations in such as bone morphogenetic proteins-4 (BMP-4) are proposed. Casualty factors leading to increased risk of HO include older age, blast mechanism of injury, location of injury and traumatic brain injury. The aim of this paper is to demonstrate a case of HO located in the brain without history of trauma or any other risk factors.

关键词： Heterotopic Ossification Autopsy Traumatic Brain Injury

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Open reduction of a total talar dislocation: A case report and review of the literature

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World Journal of Clinical Cases 2019年第14期7卷 1850-1856页

作者： Furkan Yapici Mehmet Coskun muhammet Coskun arslan Erman Ulu Yunus Emre Akman Department of Orthopedics and Traumatology Metin Sabancl Baltalimanl Bone and Joint Diseases Education and Research HospitalIstanbul 34470Turkey Department of Orthopedics and Traumatology Demiroglu Bilim University Faculty of MedicineIstanbul 34387Turkey

BACKGROUND Total talar dislocation (TTD) is very uncommon for many orthopedic surgeons and emergency/trauma specialists. Scarce cases of TTD have been reported, mainly in the form of open fracture-dislocation injury. CASE SUMMARY We report a very rare injury of closed TTD with a follow-up period of 36 mo. Initial closed reduction was not successful because of a fractured highly unstable medial malleolus displaced into the ankle mortise, blocking the relocation of the talus. The patient was able to walk pain-free after the 3rd month of surgery. At the 36-mo follow-up, there were 10 degrees of flexion loss and 10 degrees of extension loss in the tibiotalar joint. Furthermore, 5 degrees of subtalar joint inversion-eversion loss was present. CONCLUSION Open reduction should be performed for closed TTDs unless closed reduction is successful.

关键词： Total talar dislocation Pan-talar dislocation Talus Case report

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Anterior sacral Meningocele Associated with Tethered Cord Syndrome Presenting with Constipation:US,CT,MRI and X-Ray Findings

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Open Journal of Radiology 2015年第2期5卷 111-116页

作者： Gokhan Soker Eda Soker Bozkurt Gulek Tugba Tumer Omer Kaya muhammet arslan Ayse Yildirim Celikdemir Cengiz Yilmaz Department of Radiology Numune Teaching and Research HospitalAdanaTurkey Department of Physical Therapy and Rehabilitation Numune Teaching and Research HospitalAdanaTurkey Department of Radiology Mersin University Faculty of MedicineMersinTurkey

Anterior sacral meningocele is characterized by the herniation of the thecal sac into the retroperitoneal space. A 33-year-old man was referred to our hospital with the complaints of a longlasting constipation and nonspecific lower abdominal pain. At ultrasound, a cystic mass was detected at the presacral space. Computed Tomography revealed a defect at the anterior aspect of the sacrum, together with a presacral cystic mass which showed a connection with the dural sac. At Magnetic Resonance Imaging, it was demonstrated that the cystic mass made an impression on the rectum, and did not possess any solid components. An anteroposterior pelvis radiogram demonstrated a sacral deformity and the scimitar sign. Upon these imaging findings, the patient got the diagnosis of an anterior sacral meningocele. The possibility of an anterior sacral meningocele must always be kept in mind in the differential diagnosis of a pelvic cystic mass.

关键词： Anterior sacral Meningocele Pelvic Cyst Tethered Cord MRI Ultrasonography

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