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  1. Article ; Online: Een pijnlijke ringvinger na minimaal trauma.

    Ferrari, Bien R / Greeven, Alexander P A

    Nederlands tijdschrift voor geneeskunde

    2019  Volume 163

    Abstract: We present the case of a 24-year-old man with a painful ring finger following minimal trauma during a handball game. The X-ray showed a pathological fracture of the proximal phalanx due to an enchondroma. Conservative treatment was initiated, consisting ... ...

    Title translation A painful ring finger following minimal trauma.
    Abstract We present the case of a 24-year-old man with a painful ring finger following minimal trauma during a handball game. The X-ray showed a pathological fracture of the proximal phalanx due to an enchondroma. Conservative treatment was initiated, consisting of cast immobilisation for 6 weeks. After 8 months of follow-up, the X-ray revealed that the bone marrow cavity was almost completely filled with bone tissue.
    MeSH term(s) Casts, Surgical ; Chondroma/diagnostic imaging ; Chondroma/therapy ; Finger Injuries/diagnostic imaging ; Finger Injuries/therapy ; Finger Phalanges/injuries ; Finger Phalanges/pathology ; Fingers/pathology ; Humans ; Male ; Young Adult
    Language Dutch
    Publishing date 2019-07-05
    Publishing country Netherlands
    Document type Case Reports ; Journal Article
    ZDB-ID 82073-8
    ISSN 1876-8784 ; 0028-2162
    ISSN (online) 1876-8784
    ISSN 0028-2162
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ua VI Zs.18: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Stressfracturen van de heup.

    Willems, Siem A / Pasveer, Erik H / Huijgen, Willemijn H F / Greeven, Alexander P A

    Nederlands tijdschrift voor geneeskunde

    2021  Volume 165

    Abstract: Femoral neck stress fractures are relatively rare and caused by repetitive high pressure on the bone with insufficient time to recover. These fractures are often seen in fanatic runners or military personnel, who cover great distances. Patients with a ... ...

    Title translation Femoral neck stress fractures.
    Abstract Femoral neck stress fractures are relatively rare and caused by repetitive high pressure on the bone with insufficient time to recover. These fractures are often seen in fanatic runners or military personnel, who cover great distances. Patients with a femoral neck stress fracture present with mild pain at the front of the thigh or groin. Radiological imaging includes a plain X-ray and/or MRI-scan. Differentiation between a tension- and compression type stress fracture is important, since their treatment strategies differ. Generally, tension type fractures are unstable and demand operative fixation. Compression type fractures can be treated non-operatively if the fracture is smaller than 50% circumferential of the femoral neck.
    MeSH term(s) Femoral Neck Fractures/diagnostic imaging ; Femoral Neck Fractures/etiology ; Femoral Neck Fractures/surgery ; Femur Neck ; Fracture Fixation, Internal ; Fractures, Stress/diagnostic imaging ; Humans ; Magnetic Resonance Imaging ; Radiography
    Language Dutch
    Publishing date 2021-11-04
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 82073-8
    ISSN 1876-8784 ; 0028-2162
    ISSN (online) 1876-8784
    ISSN 0028-2162
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  3. Article ; Online: Safe approach for fixation of first metacarpal fractures: an anatomical study.

    Greeven, Alexander P A / Van Groningen, Jorg / Poublon, Alexander / Van Lieshout, Esther M M / Kleinrensink, Gert-Jan / Verhofstad, Michiel H J

    The Journal of hand surgery, European volume

    2019  Volume 45, Issue 2, Page(s) 136–139

    Abstract: This anatomical study defines a safe zone for percutaneous or minimally invasive fixation of first metacarpal fractures in order to avoid injury of the superficial branch of the radial nerve and the dorsal branch of the radial artery. The courses of the ... ...

    Abstract This anatomical study defines a safe zone for percutaneous or minimally invasive fixation of first metacarpal fractures in order to avoid injury of the superficial branch of the radial nerve and the dorsal branch of the radial artery. The courses of the nerve and artery branches were marked in 20 embalmed cadaver specimens. With computer-assisted surgical anatomy mapping, a large diversity in the anatomical patterns for the nerve and a consistent pattern for the artery were found. Based on these findings, we conclude that transfixation of the first and the second metacarpals with K-wires placed in the distal 75% of both the first and second metacarpals is the safest way to avoid damages to the nerve and artery branches during fracture fixation.
    MeSH term(s) Bone Wires ; Cadaver ; Fracture Fixation ; Fracture Fixation, Internal ; Fractures, Bone/surgery ; Hand Injuries ; Humans ; Metacarpal Bones/injuries ; Metacarpal Bones/surgery
    Language English
    Publishing date 2019-07-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2272801-6
    ISSN 2043-6289 ; 1753-1934
    ISSN (online) 2043-6289
    ISSN 1753-1934
    DOI 10.1177/1753193419859364
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Functional outcome, in-hospital healthcare consumption and in-hospital costs for hospitalised traumatic brain injury patients: a Dutch prospective multicentre study.

    van Dijck, Jeroen T J M / Mostert, Cassidy Q B / Greeven, Alexander P A / Kompanje, Erwin J O / Peul, Wilco C / de Ruiter, Godard C W / Polinder, Suzanne

    Acta neurochirurgica

    2020  Volume 162, Issue 7, Page(s) 1607–1618

    Abstract: Background: The high occurrence and acute and chronic sequelae of traumatic brain injury (TBI) cause major healthcare and socioeconomic challenges. This study aimed to describe outcome, in-hospital healthcare consumption and in-hospital costs of ... ...

    Abstract Background: The high occurrence and acute and chronic sequelae of traumatic brain injury (TBI) cause major healthcare and socioeconomic challenges. This study aimed to describe outcome, in-hospital healthcare consumption and in-hospital costs of patients with TBI.
    Methods: We used data from hospitalised TBI patients that were included in the prospective observational CENTER-TBI study in three Dutch Level I Trauma Centres from 2015 to 2017. Clinical data was completed with data on in-hospital healthcare consumption and costs. TBI severity was classified using the Glasgow Coma Score (GCS). Patient outcome was measured by in-hospital mortality and Glasgow Outcome Score-Extended (GOSE) at 6 months. In-hospital costs were calculated following the Dutch guidelines for cost calculation.
    Results: A total of 486 TBI patients were included. Mean age was 56.1 ± 22.4 years and mean GCS was 12.7 ± 3.8. Six-month mortality (4.2%-66.7%), unfavourable outcome (GOSE ≤ 4) (14.6%-80.4%) and full recovery (GOSE = 8) (32.5%-5.9%) rates varied from patients with mild TBI (GCS13-15) to very severe TBI (GCS3-5). Length of stay (8 ± 13 days) and in-hospital costs (€11,920) were substantial and increased with higher TBI severity, presence of intracranial abnormalities, extracranial injury and surgical intervention. Costs were primarily driven by admission (66%) and surgery (13%).
    Conclusion: In-hospital mortality and unfavourable outcome rates were rather high, but many patients also achieved full recovery. Hospitalised TBI patients show substantial in-hospital healthcare consumption and costs, even in patients with mild TBI. Because these costs are likely to be an underestimation of the actual total costs, more research is required to investigate the actual costs-effectiveness of TBI care.
    MeSH term(s) Adolescent ; Adult ; Aged ; Brain Injuries, Traumatic/economics ; Brain Injuries, Traumatic/mortality ; Brain Injuries, Traumatic/therapy ; Costs and Cost Analysis ; Female ; Hospital Mortality ; Hospitalization/economics ; Humans ; Male ; Middle Aged ; Netherlands ; Patient Acceptance of Health Care ; Treatment Outcome
    Language English
    Publishing date 2020-05-14
    Publishing country Austria
    Document type Journal Article ; Multicenter Study ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 80010-7
    ISSN 0942-0940 ; 0001-6268
    ISSN (online) 0942-0940
    ISSN 0001-6268
    DOI 10.1007/s00701-020-04384-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The prevalence of non-accidental trauma among children with polytrauma: A nationwide level-I trauma centre study.

    Loos, Marie-Louise H J / van Rijn, Rick R / Krug, Egbert / Bloemers, Frank W / Ten Bosch, Jan A / Bossuyt, P M M / Edwards, Michael J R / Greeven, Alexander P A / Hulscher, Jan B F / Keyzer-Dekker, Claudia M G / de Ridder, Victor A / Spanjersberg, W Richard / Teeuw, Arianne H / Theeuwes, Hilco P / de Vries, Selena / de Wit, Ralph / Bakx, Roel

    Journal of forensic and legal medicine

    2022  Volume 90, Page(s) 102386

    Abstract: Objective: We aimed to investigate the prevalence and characteristics of non-accidental trauma (NAT) in children with polytrauma treated at level-I trauma centres (TC).: Summary of background: Data 6-10% Of children who present at the emergency ... ...

    Abstract Objective: We aimed to investigate the prevalence and characteristics of non-accidental trauma (NAT) in children with polytrauma treated at level-I trauma centres (TC).
    Summary of background: Data 6-10% Of children who present at the emergency department with injuries, sustain polytrauma. Polytrauma may result from either accidental (AT) or NAT, i.e. inflicted or neglect. The prevalence of NAT among children with polytrauma is currently unclear.
    Methods: This is a retrospective study that included children (0-18 years) with an Injury Severity Score >15, who presented at one of the 11 Level-I trauma centers (TC) in the Netherlands between January 1, 2010 and January 1, 2016. Outcomes were classified based on the conclusions of the Child Abuse and Neglect-team. Cases in which conclusions were unavailable and there was no clear accidental cause of injuries were reviewed by an expert panel.
    Results: The study included 1623 children, 1452 (89%) were classified as AT, 171 (11%) as NAT; 39 (2,4%) inflicted and 132 (8,1%) neglect. Of pre-school aged children (<5 years) 41% sustained NAT (OR26.73, 95%CI 17.70-40.35), 35/342 (10%) inflicted and 104/342 (31%) neglect. Admission due to 'cardiopulmonary arrest' was the result of inflicted trauma (30% vs 0%,p < 0.001). NAT had a higher mortality rate (16% vs 10%, p = 0.006). Indicators of NAT were: (near-)drowning (OR10.74, 95%CI 5.94-19.41), burn (OR8.62, 95%CI 4.08-18.19) and fall from height (OR2.18, 95%CI 1.56-3.02).
    Conclusions: NAT was the cause of polytrauma in 11% of children in our nationwide level-I TC study; 41% of these polytrauma were the result of NAT experienced by preschool-aged children. Our data show the importance of awareness for NAT.
    MeSH term(s) Child ; Child Abuse ; Child, Preschool ; Humans ; Infant ; Injury Severity Score ; Multiple Trauma/epidemiology ; Prevalence ; Retrospective Studies ; Trauma Centers
    Language English
    Publishing date 2022-06-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 2268721-X
    ISSN 1878-7487 ; 1752-928X
    ISSN (online) 1878-7487
    ISSN 1752-928X
    DOI 10.1016/j.jflm.2022.102386
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    Zs.A 4217: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  6. Article ; Online: High prevalence of non-accidental trauma among deceased children presenting at Level I trauma centers in the Netherlands.

    Loos, Marie-Louise H J / Bakx, Roel / Duijst, Wilma L J M / Aarts, Francee / de Blaauw, Ivo / Bloemers, Frank W / Ten Bosch, Jan A / Evers, Martina / Greeven, Alexander P A / Hondius, Marie-Josée / van Hooren, Roland L J H / Huisman, Erik / Hulscher, Jan B F / Keyzer-Dekker, Claudia M G / Krug, Egbert / Menke, Jack / Naujocks, Tatjana / Reijnders, Udo J L / de Ridder, Victor A /
    Spanjersberg, W Richard / Teeuw, Arianne H / Theeuwes, Hilco P / Vervoort-Steenbakkers, Will / de Vries, Selena / de Wit, Ralph / van Rijn, Rick R

    Forensic science, medicine, and pathology

    2021  Volume 17, Issue 4, Page(s) 621–633

    Abstract: Purpose: Between 0.1-3% of injured children who present at a hospital emergency department ultimately die as a result of their injuries. These events are typically reported as unnatural causes of death and may result from either accidental or non- ... ...

    Abstract Purpose: Between 0.1-3% of injured children who present at a hospital emergency department ultimately die as a result of their injuries. These events are typically reported as unnatural causes of death and may result from either accidental or non-accidental trauma (NAT). Examples of the latter include trauma that is inflicted directly or resulting from neglect. Although consultation with a forensic physician is mandatory for all deceased children, the prevalence of fatal inflicted trauma or neglect among children is currently unclear.
    Methods: This is a retrospective study that included children (0-18 years) who presented and died at one of the 11 Level I trauma centers in the Netherlands between January 1, 2014, and January 1, 2019. Outcomes were classified based on the conclusions of the Child Abuse and Neglect team or those of forensic pathologists and/or the court in cases referred for legally mandated autopsies. Cases in which conclusions were unavailable and there was no clear accidental cause of death were reviewed by an expert panel.
    Results: The study included 175 cases of childhood death. Seventeen (9.7%) of these children died due to inflicted trauma (9.7%), 18 (10.3%) due to neglect, and 140 (80%) due to accidents. Preschool children (< 5 years old) were significantly more likely to present with injuries due to inflicted trauma and neglect compared to older children (44% versus 6%, p < 0.001, odds ratio [OR] 5.80, 95% confidence interval [CI] 2.66-12.65). Drowning accounted for 14 of the 18 (78%) pediatric deaths due to neglect, representing 8% of the total cases. Postmortem radiological studies and autopsies were performed on 37 (21%) of all cases of childhood death.
    Conclusion: One of every five pediatric deaths in our nationwide Level I trauma center study was attributed to NAT; 44% of these deaths were the result of trauma experienced by preschool-aged children. A remarkable number of fatal drownings were due to neglect. Postmortem radiological studies and autopsies were performed in only one-fifth of all deceased children. The limited use of postmortem investigations may have resulted in missed cases of NAT, which will result in an overall underestimation of fatal NAT experienced by children.
    MeSH term(s) Accidents ; Adolescent ; Child ; Child Abuse/diagnosis ; Child, Preschool ; Humans ; Infant ; Netherlands/epidemiology ; Prevalence ; Retrospective Studies ; Trauma Centers ; Wounds and Injuries
    Language English
    Publishing date 2021-11-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2195904-3
    ISSN 1556-2891 ; 1547-769X
    ISSN (online) 1556-2891
    ISSN 1547-769X
    DOI 10.1007/s12024-021-00416-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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