Research Articles

Different Scenarios of Asymptomatic Coronavirus Disease 2019 in Orthopedic Trauma Patients: Case Series and Practical Guide

Abstract

 

Background: During the outbreak of the novel coronavirus disease 2019 (COVID-19), Sina Hospital in Tehran, Iran, dedicated a majority of its facilities and workforce to fight this crisis. Meanwhile, our academic trauma center continued to admit emergency trauma patients.

 

Case Report: In this case series, we tried to discuss five previously healthy trauma patients who underwent orthopedic surgery and were diagnosed with COVID-19 later. Also, we described our detailed protocol for the management of orthopedic patients during the pandemic. Conclusion: During COVID-19 time, we continued to provide our best service to the trauma patients while keeping our personnel as far as possible from direct contact with the patients until it was necessary.

2019 (COVID-19)-United States, February 12-March 16, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(12):343-6. doi: 10.15585/mmwr.mm6912e2. [PubMed: 32214079].

2. Nishiura H, Kobayashi T, Miyama T, Suzuki A, Jung SM, Hayashi K, et al. Estimation of the asymptomatic ratio of novel coronavirus infections (COVID-19). Int J Infect Dis. 2020;94: 154-5. doi: 10.1016/j.ijid.2020.03.020. [PubMed: 32179137]. [PubMed Central: PMC7270890].

3. Fang Y, Zhang H, Xie J, Lin M, Ying L, Pang P, et al. Sensitivity of Chest CT for COVID-19: Comparison to RT-PCR. Radiology. 2020;296(2):E115-E117. doi: 10.1148/radiol.2020200432. [PubMed: 32073353]. [PubMed Central: PMC7233365].

4. Gostic K, Gomez AC, Mummah RO, Kucharski AJ, Lloyd-Smith JO. Estimated effectiveness of symptom and risk screening to prevent the spread of COVID-19. Elife. 2020;9:e55570. doi:

10.7554/eLife.55570. [PubMed: 32091395]. [PubMed Central: PMC7060038].

5. Reisler T, Therattil PJ, Lee ES. Perilunate dislocation. Eplasty. 2015;15:ic9. [PubMed: 25671060]. [PubMed Central: PMC4321386].
6. Toner E, Waldhorn R, Maldin B, Borio L, Nuzzo JB, Lam C, et al. Hospital preparedness for pandemic influenza. Biosecur Bioterror. 2006;4(2):207-17. doi: 10.1089/bsp.2006.4.207. [PubMed: 16792490].

7. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: A retrospective cohort study. Lancet. 2020;395(10229):1054-62. doi: 10.1016/S0140-6736(20)30566-3. [PubMed: 32171076]. [PubMed Central: PMC7270627].

8. Wong KC, Leung KS, Hui M. Severe acute respiratory syndrome (SARS) in a geriatric patient with a hip fracture. A case report. J Bone Joint Surg Am. 2003;85(7):1339-42. doi: 10.2106/00004623-200307000-00022. [PubMed: 12851360].

9. Hosseiny M, Kooraki S, Gholamrezanezhad A, Reddy S, Myers L. Radiology perspective of coronavirus disease 2019 (COVID-19): Lessons from severe acute respiratory syndrome and middle east respiratory syndrome. AJR Am J Roentgenol. 2020;214(5): 1078-82. doi: 10.2214/AJR.20.22969. [PubMed: 32108495].
Files
IssueVol 6, No 2 (2020) QRcode
SectionResearch Articles
DOI https://doi.org/10.18502/jost.v6i2.4787
Keywords
COVID19 orthopedic trauma
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Shafiei SH, baghbani S, Nosrati M, Siavashi B, Golbakhsh MR. Different Scenarios of Asymptomatic Coronavirus Disease 2019 in Orthopedic Trauma Patients: Case Series and Practical Guide. J Orthop Spine Trauma. 2021;6(2):43-7.