ORIGINAL_ARTICLE
Concurrent Lateral Condyle Mass Fracture With Olecranon Fracture: A Case Report and Brief Review of Literature
Introduction
There is very limited literature describing the association of lateral condyle mass (LCM) fracture of the distal humerus associated concurrently with olecranon fracture. Herein, a case is reported of a displaced LCM fracture with displaced olecranon fracture, due to complex trauma while getting out of a vehicle, which was managed by open reduction and internal fixation.
Case Presentation
A 4.5- year- old boy suffered severe pain and swelling around his right elbow due to trauma which he suffered while trying to get out of a vehicle which was in motion. Plain radiographs of the anteroposterior, lateral, and oblique views showed a displaced lateral mass fracture associated with a displaced olecranon fracture. Open reduction and internal fixation was carried out and near normal function was achieved.
Conclusions
In view of the paucity of literature and rare incidence of this injury, this case report highlights the need to be aware of other injuries which can occur in association with LCM fractures in children.
https://archtrauma.kaums.ac.ir/article_62264_09d5ae5d40a783bb8eb9b953f705381c.pdf
2016-05-01
10.5812/atr.24760
Lateral Mass Fracture
Olecranon Fracture
Complex Elbow Injuries
Munir
Farooq
1
Postgraduate Department of Orthopaedics, Government Medical College, Jammu and Kashmir, India
AUTHOR
Younis
Kamal
2
Postgraduate Department of Orthopaedics, Government Medical College, Jammu and Kashmir, India
LEAD_AUTHOR
Hayat
Ahmad Khan
3
Postgraduate Department of Orthopaedics, Government Medical College, Jammu and Kashmir, India
AUTHOR
Naseemul
Gani
4
Postgraduate Department of Orthopaedics, Government Medical College, Jammu and Kashmir, India
AUTHOR
Adil
Bashir Shah
5
Postgraduate Department of Orthopaedics, Government Medical College, Jammu and Kashmir, India
AUTHOR
Mohammed
Ashraf Khan
6
Postgraduate Department of Orthopaedics, Government Medical College, Jammu and Kashmir, India
AUTHOR
Shahid
Bhat
7
Postgraduate Department of Orthopaedics, Government Medical College, Jammu and Kashmir, India
AUTHOR
ORIGINAL_ARTICLE
Effectiveness of Bicycle Safety Helmets in Preventing Facial Injuries in Road Accidents
Background
The effectiveness of bicycle safety helmets in preventing head injuries is well- documented. Recent studies differ regarding the effectiveness of bicycle helmets in preventing facial injuries, especially those of the mid-face and the mandible.
Objectives
The present study was conducted to determine the protective effect of a bicycle helmet in preventing mid-face and mandibular fractures.
Patients and Methods
Data from an accident research unit were analyzed to collect technical collision details (relative collision speed, type of collision, collision partner, and use of a helmet) and clinical data (type of fracture).
Results
Between 1999 and 2011, 5,350 bicycle crashes were included in the study. Of these, 175 (3.3%) had fractures of the mid-face or mandible. In total, 228 mid-face or mandibular fractures were identified. A significant correlation was found between age and relative collision speed, and the incidence of a fracture. While no significant correlation was found between the use of a helmet and the incidence of mid-facial fractures, the use of a helmet was correlated with a significantly increased incidence of mandibular fractures.
Conclusions
Higher age of cyclists and increasing speed of the accident opponent significantly increase the likelihood of sustaining facial fractures. The use of bicycle helmets does not significantly reduce the incidence of mid-facial fractures, while being correlated with an even increased incidence of mandibular fractures.
https://archtrauma.kaums.ac.ir/article_62265_38ee1a2936558f15330edcff0bb284fb.pdf
2016-05-01
10.5812/atr.30011
Bicyclist
Bicycle Helmet
Facial Injury
Mid-face Fracture
Mandibular Fracture
Rebecca
Stier
1
Department of Cranio Maxillofacial Surgery, Hannover Medical School, Hannover, Germany
LEAD_AUTHOR
Dietmar
Otte
2
Department for Accident Research, Hannover Medical School, Hannover, Germany
AUTHOR
Christian
Müller
3
Trauma Department, Hannover Medical School, Hannover, Germany
AUTHOR
Maximilian
Petri
4
Trauma Department, Hannover Medical School, Hannover, Germany
AUTHOR
Ralph
Gaulke
5
Trauma Department, Hannover Medical School, Hannover, Germany
AUTHOR
Christian
Krettek
6
Trauma Department, Hannover Medical School, Hannover, Germany
AUTHOR
Stephan
Brand
7
Trauma Department, Hannover Medical School, Hannover, Germany
AUTHOR
ORIGINAL_ARTICLE
Metacarpal Neck Fractures: A Review of Surgical Indications and Techniques
Context
Hand injuries are a common emergency department presentation. Metacarpal fractures account for 40% of all hand fractures and can be seen in the setting of low or high energy trauma. The most common injury pattern is a metacarpal neck fracture. In this study, the authors aim to review the surgical indications for metacarpal neck fractures, the fixation options available along with the risk and benefits of each.
Evidence Acquisition
Literature review of the different treatment modalities for metacarpal neck fractures. Review focuses on surgical indications and the risks and benefits of different operative techniques.
Results
The indications for surgery are based on the amount of dorsal angulation of the distal fragment. The ulnar digits can tolerate greater angulation as the radial digits more easily lose grip strength. The most widely utilized fixation techniques are pinning with k-wires, dorsal plating, or intramedullary fixation. There is currently no consensus on an optimal fixation technique as surgical management has been found to have a complication rate up to 36%. Plate and screw fixation demonstrated especially high complication rates.
Conclusions
Metacarpal neck fractures are a common injury in young and active patients that results in substantial missed time from work. While the surgical indications are well-described, there is no consensus on the optimal treatment modality because of high complication rates. Dorsal plating has higher complication rates than closed reduction and percutaneous pinning, but is necessary in comminuted fractures. The lack of an ideal fixation construct suggests that further study of the commonly utilized techniques as well as novel techniques is necessary.
https://archtrauma.kaums.ac.ir/article_62266_f7a73a4c930d33b00a5014379a0865b8.pdf
2016-05-01
10.5812/atr.32933
Metacarpal Bone
Neck Fractures
Hand
Fracture Fixation, Internal
Bone Wires
Eric M.
Padegimas
1
Department of Orthopedic Surgery, Thomas Jefferson University Hospital, Philadelphia, USA
LEAD_AUTHOR
William J.
Warrender
2
Department of Orthopedic Surgery, Thomas Jefferson University Hospital, Philadelphia, USA
AUTHOR
Christopher M.
Jones
3
Department of Orthopedic Surgery, The Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, USA
AUTHOR
Asif M.
Ilyas
4
Department of Orthopedic Surgery, The Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, USA
AUTHOR
ORIGINAL_ARTICLE
Nightmare Frequency, Nightmare Distress and the Efficiency of Trauma-Focused Cognitive Behavioral Therapy for Post-Traumatic Stress Disorder
Background
Up to 71% of trauma victims diagnosed with PTSD have frequent nightmares (NM), compared to only 2% to 5% of the general population.
Objectives
The present study examined whether nightmares before the beginning of cognitive behavior therapy (CBT) for post-traumatic stress disorder (PTSD) could influence overall PTSD symptom reduction for 71 individuals with PTSD and different types of traumatic events.
Patients and Methods
Participants received a validated CBT of 20 weekly individual sessions. They were evaluated at five measurement times: at pre-treatment, after the third and ninth session, at post-treatment, and at 6 months follow-up.
Results
The presence of nightmares did not impact overall CBT efficiency. Specific CBT components were efficient in reducing the frequency and distress of nightmares.
Conclusions
Most participants no longer had PTSD but some still had nightmares.
https://archtrauma.kaums.ac.ir/article_62267_833c0024f44cb8da2abb99c37d524e82.pdf
2016-05-01
10.5812/atr.33051
PTSD
Dream
Cognitive-Behavior Therapy
Trauma
sleep
Nightmare
Katia
Levrier
1
Department of Psychology, University of Quebec a Montreal, Quebec, Canada
AUTHOR
Andre
Marchand
2
Department of Psychology, University of Quebec a Montreal, Quebec, Canada
AUTHOR
Genevieve
Belleville
3
Department of Psychology, School of Psychology, University of Laval, Quebec, Canada
LEAD_AUTHOR
Beaulieu-Prevost
Dominic
4
Department of Sexology, University of Quebec a Montreal, Quebec, Canada
AUTHOR
Stephane
Guay
5
School of Criminology, University of Montreal, Quebec, Canada
AUTHOR
ORIGINAL_ARTICLE
Hemiprosthesis for Femoral Neck Fractures in the Elderly: A Retrospective Study of 319 Patients
Background
In geriatric patients with Pauwels types II and III femoral neck fractures, hemiprosthesis is the therapy of choice.
Objectives
This study was conducted to analyze the results after cemented hemiprosthesis placement, the first year after surgery.
Patients and Methods
This retrospective study was conducted on 319 patients over 70 years with displaced femoral neck fractures treated surgically at our hospital from 2007 to 2012. All medical information was available including retrospective posthospital discharge records as well as inpatient course and one-year mortality.
Results
From a total of 319 patients, 78% (n = 249) were female and 22% (n = 70) were male, with the mean age of 83.6 years. Seventeen percent of the patients suffered from heart failure, 23% from diabetes, and 19% from renal insufficiency. Time to surgery averaged one day postinjury. Average operative time skin-to-skin was 50 minutes. Seventy-three percent of the patients could mobilize independently on discharge. Of the remaining patients, 2/3 had already lost independent mobilization prior to the fracture. Hospital mortality averaged 5% (national average in Germany: 8%), and 30-day and 90-day mortality rates were 5% and 15%, respectively. Within one year, 22% of the patients died (national average: 27%). Also, 14 patients were re-admitted, for contralateral prosthetic implantation (n = 7) or revision after the periprosthetic fracture (n = 5). Fifty-three percent of the patients were admitted to hospital during the year for other diseases (national average: 54%).
Conclusions
Hemiprosthesis placement for displaced femoral neck fractures is a common and safe procedure. Despite recent decreases in hospital mortality, the risk of death remains more than twice as high within one year than that for uninjured patients of the same age.
https://archtrauma.kaums.ac.ir/article_62268_91e864141d7f7314329e0f3577af9b0d.pdf
2016-05-01
10.5812/atr.33335
Geriatric
Femur Fracture
Hemiprosthesis
Trauma in Elderly
Axel
Prokop
1
Clinic for Trauma Surgery, Hospital Sindelfingen, Sindelfingen, Germany
LEAD_AUTHOR
Marc
Chmielnicki
2
Clinic for Trauma Surgery, Hospital Sindelfingen, Sindelfingen, Germany
AUTHOR
ORIGINAL_ARTICLE
Traumatic Globe Subluxation and Intracranial Injury Caused by Bicycle Brake Handle
Introduction
Penetration of a bicycle brake handle into the orbit is a rare and serious type of trauma. Globe subluxation due to such trauma has not been previously reported.
Case Presentation
A 10-year-old girl presented after falling from a bicycle, which resulted in the handbrake penetrating her right upper eyelid. On examination, the globe was subluxated anteriorly, there was no light perception, and the pupilla was fixed and dilated. Radiologic studies revealed orbitonasal fractures, hemorrhage, emphysema in the orbit and cranium, and rupture of the extraocular muscles. The globe was replaced into the orbit with the help of lateral cantholysis and orbital septotomy. During 22 months of follow-up, the globe remained intact, but total loss of vision, blepharoptosis, and extraocular motility restriction persisted.
Conclusions
This case and previous reports show that bicycle brake handles can cause severe, penetrating orbital and cerebral traumas that can result in vision loss or fatality. Brake handles should be designed to protect bicyclists from such injuries.
https://archtrauma.kaums.ac.ir/article_62269_6c028ddcea6549dfc255587fc687aa3c.pdf
2016-05-01
10.5812/atr.33405
Brain Injuries
Child
Orbital Fracture
Optic Nerve Injuries
Extraocular Muscle
Ceren
Poroy
1
Department of Ophthalmology, Uludag University, Bursa, Turkey
AUTHOR
Cansu
Cibik
2
Department of Ophthalmology, Uludag University, Bursa, Turkey
AUTHOR
Bulent
Yazici
3
Department of Ophthalmology, Uludag University, Bursa, Turkey
LEAD_AUTHOR
ORIGINAL_ARTICLE
Modeling of Individual and Organizational Factors Affecting Traumatic Occupational Injuries Based on the Structural Equation Modeling: A Case Study in Large Construction Industries
Background
Individual and organizational factors are the factors influencing traumatic occupational injuries.
Objectives
The aim of the present study was the short path analysis of the severity of occupational injuries based on individual and organizational factors.
Materials and Methods
The present cross-sectional analytical study was implemented on traumatic occupational injuries within a ten-year timeframe in 13 large Iranian construction industries. Modeling and data analysis were done using the structural equation modeling (SEM) approach and the IBM SPSS AMOS statistical software version 22.0, respectively.
Results
The mean age and working experience of the injured workers were 28.03 ± 5.33 and 4.53 ± 3.82 years, respectively. The portions of construction and installation activities of traumatic occupational injuries were 64.4% and 18.1%, respectively. The SEM findings showed that the individual, organizational and accident type factors significantly were considered as effective factors on occupational injuries’ severity (P < 0.05).
Conclusions
Path analysis of occupational injuries based on the SEM reveals that individual and organizational factors and their indicator variables are very influential on the severity of traumatic occupational injuries. So, these should be considered to reduce occupational accidents’ severity in large construction industries.
https://archtrauma.kaums.ac.ir/article_62270_8052b2362114feb2ffcaff651fd81faf.pdf
2016-05-01
10.5812/atr.33595
Traumatic Occupational Injuries
structural equation modeling
Accident Severity Rate
Individual and Organizational Factors
Construction Industry
Iraj
Mohammadfam
1
Department of Occupational Hygiene Engineering, School of Public Health and Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, IR Iran
AUTHOR
Ahmad
Soltanzadeh
2
Department of Occupational Hygiene Engineering, School of Public Health and Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, IR Iran
LEAD_AUTHOR
Abbas
Moghimbeigi
3
Modeling of Non-communicable Disease Research Center, Department of Biostatistics and Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, IR Iran
AUTHOR
Mehdi
Akbarzadeh
4
Epidemiology and Biostatistics Department, Public Health Faculty, Hamadan University of Medical Sciences, Hamadan, IR Iran
AUTHOR
ORIGINAL_ARTICLE
Emerging Carbapenem-Resistant Pseudomonas aeruginosa Isolates Carrying blaIMP Among Burn Patients in Isfahan, Iran
Background
Metallo-β-lactamase (MBL)-producing Pseudomonas aeruginosa is a significant pathogen in burn patients.
Objectives
The aim of this study was to determine the prevalence of carbapenem-resistant P. aeruginosa isolates, including those resistant to imipenemase (IMP), in a burn unit in Isfahan, Iran.
Patients and Methods
One hundred and fifty P. aeruginosa isolates from burn patients were tested for antibiotic susceptibility by the disc diffusion method in accordance with CLSI guidelines. Production of MBL was identified with the EDTA disk method. DNA was purified from the MBL-positive isolates, and detection of the blaIMP gene was performed with PCR.
Results
Fifty-seven out of 150 (38%) isolates were multi-drug resistant (MDR), and 93 (62%) were extensively-drug resistant (XDR). Among all isolates, the resistance rate to ciprofloxacin, tobramycin, imipenem, meropenem, amikacin, ceftazidime, and cefepime was higher than 90%, while the resistance rates to piperacillin/tazobactam and aztreonam were 70.7% and 86%, respectively. Colistin and polymyxin B remained the most effective studied antibiotics. All of the imipenem-resistant P. aeruginosa isolates were MBL-positive, and 107 out of 144 (74.3%) of the MBL isolates were positive for the blaIMP gene.
Conclusions
The results of this study show that the rate of P. aeruginosa-caused burn wound infections was very high, and many of the isolates were resistant to three or more classes of antimicrobials. Such extensive resistance to antimicrobial classes is important because few treatment options remain for patients with burn wound infections. blaIMP-producing P. aeruginosa isolates are a rising threat in burn-care units, and should be controlled by conducting infection-control assessments.
https://archtrauma.kaums.ac.ir/article_62271_b2f372343062672ae2e48981cf1bf922.pdf
2016-05-01
10.5812/atr.33664
Antibiotic Resistance
carbapenem-resistant
Metallo-beta-lactamase
Burn
Mohsen
Radan
1
Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran
AUTHOR
Rezvan
Moniri
2
Faculty of Medicine, Department of Microbiology and Immunology, Kashan University of Medical Sciences, Kashan, IR Iran
LEAD_AUTHOR
Ahmad
Khorshidi
3
Faculty of Medicine, Department of Microbiology and Immunology, Kashan University of Medical Sciences, Kashan, IR Iran
AUTHOR
Hamidreza
Gilasi
4
Faculty of Health, Department of Epidemiology, Kashan University of Medical Sciences, Kashan, IR Iran
AUTHOR
Zohreh
Norouzi
5
Department of Microbiology, Falavarjan Branch, Islamic Azad University, Isfahan, IR Iran
AUTHOR
Fahimeh
Beigi
6
Department of Genetic, Shahid Sadoughi University of Medical Sciences, Yazd, IR Iran
AUTHOR
Yasaman
Dasteh Goli
7
University of Maryland College Park, Maryland, United States of America
AUTHOR
ORIGINAL_ARTICLE
A Time Series Model for Assessing the Trend and Forecasting the Road Traffic Accident Mortality
Background
Road traffic accident (RTA) is one of the main causes of trauma and known as a growing public health concern worldwide, especially in developing countries. Assessing the trend of fatalities in the past years and forecasting it enables us to make the appropriate planning for prevention and control.
Objectives
This study aimed to assess the trend of RTAs and forecast it in the next years by using time series modeling.
Materials and Methods
In this historical analytical study, the RTA mortalities in Zanjan Province, Iran, were evaluated during 2007 - 2013. The time series analyses including Box-Jenkins models were used to assess the trend of accident fatalities in previous years and forecast it for the next 4 years.
Results
The mean age of the victims was 37.22 years (SD = 20.01). From a total of 2571 deaths, 77.5% (n = 1992) were males and 22.5% (n = 579) were females. The study models showed a descending trend of fatalities in the study years. The SARIMA (1, 1, 3) (0, 1, 0) 12 model was recognized as a best fit model in forecasting the trend of fatalities. Forecasting model also showed a descending trend of traffic accident mortalities in the next 4 years.
Conclusions
There was a decreasing trend in the study and the future years. It seems that implementation of some interventions in the recent decade has had a positive effect on the decline of RTA fatalities. Nevertheless, there is still a need to pay more attention in order to prevent the occurrence and the mortalities related to traffic accidents.
https://archtrauma.kaums.ac.ir/article_62272_0c8a96c83f6c189d926d79a5250c00c1.pdf
2016-05-01
10.5812/atr.36570
Traffic Accidents
mortality
Forecasting
Trends
Shahrokh
Yousefzadeh-Chabok
1
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran
AUTHOR
Fatemeh
Ranjbar-Taklimie
2
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran
AUTHOR
Reza
Malekpouri
3
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran
AUTHOR
Alireza
Razzaghi
4
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran
LEAD_AUTHOR
ORIGINAL_ARTICLE
Effectiveness of Chitosan Films Impregnated With Ciprofloxacin for the Prophylaxis of Osteomyelitis in Open Fractures: An Experimental Study in Rats
Background
The systemic antimicrobial prophylaxis is the standard treatment in the prevention of osteomyelitis after open fractures, with topical application of antimicrobials as an alternative due to their high concentrations at the site of the fracture, low systemic concentrations and fewer side effects.
Objectives
This study aimed to evaluate the effectiveness of prophylaxis of osteomyelitis through experimental model of open fractures with the use of chitosan films, whether or not impregnated with ciprofloxacin.
Materials and Methods
In this experimental study, 24 Holtzman rats were distributed into 4 groups of 6 rats each. The CT (control of treatment) group: an open fracture model treated with systemic antimicrobial; the IC (infection control) group: an open fracture untreated model; the C (chitosan) group: an open fracture model treated using a chitosan film; and the CA (chitosan with antimicrobial) group: an open fracture model treated using a chitosan film impregnated with antimicrobial. After 3 weeks the animals were killed by an overdose of anesthetic, and a fragment osseous was removed for histological and microbiological analysis. The comparisons between the groups considered significant values of P ≤ 0.05.
Results
In cultures of the CT group, there was less bacterial growth compared to the results of the cultures of the IC (P = 0.005), C (P = 0.005) and CA (P = 0.009) groups. The inflammation was lower in the CT group compared to the IC (P = 0.014), C (P = 0.001) and CA (P = 0.007) groups.
Conclusions
In this experimental model of open fracture, the chitosan film pure or impregnated with ciprofloxacin was not effective in the prophylaxis of osteomyelitis.
https://archtrauma.kaums.ac.ir/article_62273_5fcc764c803ea0f45983d5501b3565af.pdf
2016-05-01
10.5812/atr.36952
Open Fracture
Prophylaxis
Osteomyelitis
Chitosan
Ciprofloxacin
Lincoln
Paiva Costa
1
Hospital Madre Teresa, Belo Horizonte, Brazil
LEAD_AUTHOR
Luiz Eduardo
Moreira Teixeira
2
Hospital Madre Teresa and Universidade Federal de Minas Gerais Minas Gerais, Belo Horizonte, Brazil
AUTHOR
Gustavo Silame
Maranhão Lima
3
Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
AUTHOR
Marcelo
Mendes Ferreira
4
Hospital Madre Teresa, Belo Horizonte, Brazil
AUTHOR
Mateus Antunes
de Andrade
5
Hospital Madre Teresa, Belo Horizonte, Brazil
AUTHOR
Paula Vieira
Teixeira Vidigal
6
Universidade Federal de Minas Gerais Minas Gerais, Belo Horizonte, Brazil
AUTHOR
André Augusto
Gomes Faraco
7
Universidade Federal de Minas Gerais Minas Gerais, Belo Horizonte, Brazil
AUTHOR
Eduardo Frois
Temponi
8
Hospital Madre Teresa, Belo Horizonte, Brazil
AUTHOR
Ivana Duval
de Araújo
9
Universidade Federal de Minas Gerais Minas Gerais, Belo Horizonte, Brazil
AUTHOR
ORIGINAL_ARTICLE
The Serum Changes of Neuron-Specific Enolase and Intercellular Adhesion Molecule-1 in Patients With Diffuse Axonal Injury Following Progesterone Administration: A Randomized Clinical Trial
Background
Improvement of neurologic outcome in progesterone-administered patients with diffuse axonal injury (DAI) has been found in a recent study. Also, there has been interest in the importance of serum parameters as predictors of outcome in traumatic brain injury.
Objectives
The aim of this study was to examine the effect of progesterone administration on serum levels of neuron-specific enolase (NSE), and intercellular adhesion molecule-1 (ICAM-1) in clinical DAI.
Patients and Methods
In this study, the serum levels of ICAM-1 and NSE of 32 male DAI patients (18 - 60 years of age, a Glasgow coma scale of 12 or less, and admitted within 4 hours after injury) who were randomized for a controlled phase II trial of progesterone were analyzed. The analysis was performed between the control and progesterone groups at admission time, and 24 hours and six days after DAI, respectively.
Results
A reduction in the serum level of ICAM-1 was noticed in the progesterone group 24 hours after the injury (P < 0.05). There was no significant difference in the serum level of NSE between the study groups during evaluation. At 24 hours after the injury, the level of ICAM-1 in the control group was higher than that at admission time (P < 0.05). The lowest level of NSE in the two groups was seen six days after DAI (P < 0.01).
Conclusions
In summary, progesterone administration reduced serum ICAM-1, and whereby may attenuate blood brain barrier disruption, the latter needs further investigation for confirmation.
https://archtrauma.kaums.ac.ir/article_62274_4e94e7a2d5ea7fde65304c9b22c87554.pdf
2016-05-01
10.5812/atr.37005
Intercellular adhesion molecule-1
Neuron-Specific Enolase
Progesterone
Serum
Diffuse Axonal Injury
Nader
Shahrokhi
1
Physiology Research Center, Institute of Neuropharmacology, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, IR Iran
AUTHOR
Zahra
Soltani
2
Endocrinology and Metabolism Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, IR Iran
LEAD_AUTHOR
Mohammad
Khaksari
3
Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, IR Iran
AUTHOR
Saeid
Karamouzian
4
Department of Neurosurgery, Kerman University of Medical Sciences, Kerman, IR Iran
AUTHOR
Behshad
Mofid
5
Department of Neurosurgery, Kerman University of Medical Sciences, Kerman, IR Iran
AUTHOR
Gholamreza
Asadikaram
6
Department of Biochemistry, Kerman University of Medical Sciences, Kerman, IR Iran
AUTHOR