Articles Posted in Fractures

Auto Accidents Involving Impacted Fractures

Auto Accidents Involving Impacted Fractures
Auto Accidents Involving Impacted Fractures

I’m Ed Smith, a Sacramento personal injury attorney. When the impact from a fall, motor vehicle collision, or other accident is strong enough to introduce a crack into a bone, a bone fracture results. Bone fractures come in many varieties, depending on the location of the injury, as well as the specific cause of the fracture and its severity. Some types of fractures – such as avulsion fractures – can even occur because of quite minor impacts, but in the presence of other factors such as osteoporosis or especially strenuous athletic activity. These sorts of fractures generally do not require much, if any, medical attention and sometimes even remain undetected or undiagnosed indefinitely.

Auto Accidents Involving Pelvis Injuries

Accidents Involving Pelvis Injuries

Auto Accidents Involving Pelvis Injuries

I’m Ed Smith, a Sacramento personal injury attorney. Accidents resulting in a fractured pelvis can be extremely painful. The pelvis segment of the human skeleton consists of several attached bones in the area between the base of the spine and the beginning of the legs. The two skeletal structures commonly referred to as the “hip bones” actually consist of three distinct but fused bones on either side of the pubic area – the ilium, ischium, and pubis – and each are a part of the pelvis.

Worker Hit by Car Interstate 80 Sacramento

Worker Hit by Car Interstate 80 Sacramento

I’m Edward Smith, a car crash lawyer in Sacramento. A car crashed into a concrete barrier and hit a construction worker on Tuesday, February 2, 2016. The crash happened along Interstate 80 in Sacramento. According to California Highway Patrol (CHP) the crash occurred at around 4:30 a.m. in the Across the Top construction zone near El Camino Avenue. We have embedded a Youtube video of the accident below.

Across the Top Construction Zone near El Camino Avenue

File:US Navy 040203-N-4182M-001 National Naval Medical Center physician, Capt. David Thompson performs an ear tube surgery on a young hospital patient.jpg

Pediatric Trauma

Ed Smith is one of the top rated personal injury lawyers in Sacramento. Pediatric trauma is the leading cause of death among children and the leading cause of disability.  The principles of trauma care are the same in children as with adults but there are very big differences in the physiology of children that mean they are treated somewhat differently than adults.  Children have different patterns and causes of injury depending on age.  For this reason, there is a need for pediatric trauma centers apart from trauma centers dealing with adults.

Children’s injuries usually come from rapid acceleration and deceleration injuries, such as is seen in motor vehicle accidents.  Accidents around the home, falls, and bicycle injuries are also major causes of pediatric trauma.

Initial Assessment and Resuscitation of the Injured Child

Simultaneous assessment and resuscitation happen in children who are injured in the same way as it is done in adults.  Multiple organ injuries are more common in kids so it is better to assume that every organ is injured until proven otherwise. Continue reading

rehabilitation

Tibial Plateau Fractures

Ed Smith is a Sacramento Bone Fracture Lawyer. The tibial plateau is the top flat surface of the tibia, which is one of the two long bones in the lower leg. Tibial plateau fractures are more common in the elderly, accounting for 8 percent of all fractures in the elderly population.  There can be fractures of the medial or lateral plateau of the tibia, with lateral tibial plateau fractures being more often isolated fracture when compared to medial plateau fractures.  About 1-3 percent of these fractures are considered open fractures.

The tibial plateau is a joint surface connecting the femur to the lower leg.  There are actually two articular surfaces on this bone with an intercondylar eminence that serves as the attachment of the cruciate ligaments.  The medial plateau is stronger than the lateral plateau, which is why there are more fractures of the lateral plateau.  Medial plateau fractures are more associated with high impact trauma such as with motor vehicle accidents.

Tibia and Fibula Shaft Fractures

Tibia and Fibula Shaft Fractures

I’m Ed Smith, a Sacramento Auto Accident LawyerFractures of the tibia and fibula involve the two long bones of the lower leg.  These represent the most common long bone fractures.  There are about 26 tibia/fibular fractures per 100,000 people.  Most of these injuries occur in males aged 15-19 years.  There can also be fractures in 90-99 year old females at a rate of 49 out of 100,000 people in this age group.  The average age of a tibial fracture is 37 years of age.  There is a relatively high rate of nonunion in these types of fractures.

The tibia is the bone that carries the bulk of a person’s weight.  The fibula carries only about 6-17 percent of the total weight bearing capacity of the lower leg.  The fibula’s function is more for muscle insertion than it is for weight bearing.  The common peroneal nerve runs alongside the neck of the fibula and so it is commonly injured when the fibula is injured. Continue reading

Functional Outcomes in Spinal Cord Injuries
Functional Outcomes in Spinal Cord Injuries

I’m Ed Smith, a Sacramento Personal Injury Lawyer. The biggest question often posed is whether or not the patient will walk again.  In general, the level of spinal cord injury and the ASIA impairment scale predict functional outcomes.  Factors like other illnesses often affect the functional outcome of the patient.

Shortened length of stays in the hospital and rehab facility have impacted rehabilitation medicine.  The average length of stay in the acute hospital has decreased from 25 days in 1973 to 19 days in 2002.  In the same time, the length of stay in a rehab facility has decreased from 122 days to only 46 days.

Bony Injuries in Chest Trauma
Bony Injuries in Chest Trauma

I’m Ed Smith, a Sacramento Personal Injury Lawyer. The bones are the most likely structures to be injured after blunt chest trauma.  They are on the outside of the chest cavity and generally protect the underlying structures.  The bones that are likely to be injured includes those discussed here.

Sternal Fracture

Subtrochanteric fractures are fractures of the hip below the greater and lesser trochanters.  They are essentially fractures of the shaft of the femur up to 5 centimeters or less below the lesser trochanter.  They account for up to 30 percent of fractures of the hip and can occur at many different age levels.  This injury is already subjected to high forces from standing or walking on the leg.

The bone is highly compressed already, especially in the medial and posterior-medial parts of the femur.  The bone has few blood vessels in this area so it tends to heal more slowly with a higher risk of nonunion than with other parts of the femur.  There are several muscles which attach to this area that cause the fracture to deform when broken.  This includes the gluteus muscle, the short rotator muscles and the psoas muscle.

The mechanisms of injury include low energy injuries in which the elderly person sustains a minor fall and breaks a weakened bone.  High energy impacts can cause fractures in young people.  This includes motor vehicle accidents, gunshot wounds, and falls from a great height.  Pathological fractures from metastatic cancer or Paget’s disease cause up to 35 percent of all subtrochanteric fractures.

Pelvic injuries are common injuries from blunt trauma. They can be clinically insignificant injuries or life-threatening.

Death can occur from pelvic hemorrhaging in 0.5 percent of all blunt trauma patients. In fact, the overall mortality from fractures of the pelvic ring is about 6 percent. To complicate matters, no single specialty has all of the skills necessary for the treatment of complex pelvic injuries. The treatment of pelvic injuries

The pelvis is actually made of several bones which have fused together to form a ring that connects the spine to the lower extremities. In the back, there is the sacrum, which is actually part of the spinal vertebrae. In the front, the two bones come together to form a fibrous band called the pubic symphysis. Many muscles and ligaments are connected to the pelvis that give it its relative stability when it comes to trauma. There are veins and arteries in the area of the pelvis that can get disrupted. More veins than arteries are disrupted in pelvic injury. The pelvis houses many internal organs, such as the bladder, urethra, and rectum. They can be injured in cases of pelvic injuries.

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