Abstract
Purpose
Our purpose was to present our hospital experience with bullhorn injuries.
Methods
A retrospective analysis of patients in our Trauma Registry (1993–2012).
Results
Fifteen patients were included. All were hemodynamically stable on presentation, with a mean Glasgow Coma Scale (GCS) score and a Revised Trauma Score (RTS) of 15 and 11.9, respectively. The Injury Severity Score (ISS) and New Injury Severity Score were 13.6 ± 6 and 15.9 ± 9, respectively. Seven had an ISS > 15. Injuries resulted from an isolated blunt trauma (BT) in four, penetrating trauma (PT) in seven, with extensive soft tissue injuries (STI) in three, and a combined BT + PT mechanism in four patients, with extensive STI in all. Three patients had injuries to vessels in the groin, two with prehospital vein ligation. Five patients had abdominal visceral injuries, and another had a sheathed goring, with a traumatic abdominal wall hernia and retroperitoneal hematoma. Four patients had thoracic injuries, and one of them had a traumatic thoracoplasty with a large open thoracic wound, a flail chest, and extensive STI. Two patients had traumatic brain injury, and six had bone fractures. Two-thirds of patients required a surgical procedure under general anesthesia. Morbidity included three surgical site infections, one leg compartment syndrome, and one persistent lymph drainage. There was no mortality, and the mean length of hospital stay was 16 days.
Conclusions
Bullhorn and bullfighting injuries frequently have a multimechanistic origin which goes beyond a pure penetrating trauma. Associated blunt and STI were common in our series, and the overall prognosis of patients admitted to hospital was good.
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References
Spiotta AM, Matoses SM. Neurosurgical considerations after bull goring during festivities in Spain and Latin America. Neurosurgery. 2011;69:455–61.
Ríos-Pacheco M, Pacheco-Guzmán R, Padrón-Arredondo G. Herida por asta de toro. Experiencia de un año en el Hospital General O’Horán, Mérida, Yucatán. Cir Cir. 2003;71:55–60.
Vázquez-Bayod R, Villanueva-Sáenz E, Gómez-García E. Aspectos generales en el manejo quirúrgico de las heridas por asta de toro en el Valle de México 1997–2000. Reporte de 42 casos. Rev Mex Ortop Traum. 2001;14:302–8.
Martínez-Ramos D, Miralles-Tena JM, Escrig-Sos J, Traver-Martínez G, Cisneros-Reig I, Salvador-Sanchís JL. Heridas por asta de toro en el Hospital General de Castellón. Estudio de 387 pacientes. Cir Esp. 2006;80:16–22.
Lehmann V, Lehmann J. Cirurgia Taurina—emergency medical treatment of bullfighters in Spain. Zentralbl Chir. 2003;128:685–90.
Miñano Pérez A, Jiménez R, Reyes JM, Bastwich B, López-Collado JM. Distribución de lesiones traumáticas en los festejos taurinos: hacia una racionalización de la asistencia. Rev Esp Invest Quir. 2007;10:199–203.
Chambres O, Giraud C, Gouffrant JM, Debry C. A detailed examination of injuries to the head and neck caused by bullfighting, and of their surgical treatment; the role of the cervico-facial surgeon. Rev Laryngol Otol Rhinol (Bord). 2003;124:221–8.
Murphy CG, McGuire CM, O’Malley N, Harrington P. Cow-related trauma: a 10-year review of injuries admitted to a single institution. Injury. 2010;41:548–50.
Pestana-Tirado RA, Herrera Saenz F, Ariza Solano GJ, Barrios Air IR, Oviedo Castaño LI. Trauma por cornada de toro. Experiencia en el Hospital Universitario de Cartagena. Trib Med. 1997;96:67–83.
Crespo-Escudero JL, Arenaz-Búa J, Luaces-Rey R, García-Rozado A, Rey-Biel J, López-Cedrún JL, Montalvo Moreno JJ. Herida por asta de toro en el área maxilofacial: revisión de la literatura y presentación de un caso. Rev Esp Cir Oral Maxilofac. 2008;30:353–62.
Dogan KH, Demirci S, Erkol Z, Sunam GS, Kucukkartallar T. Injuries and deaths occurring as a result of bull attack. J Agromedicine. 2008;13:191–6.
Zamora-Lomeli JA. Lesiones por embestida de toro de lidia en eventos civiles. Experiencia de 10 años. Cirujano General. 2004;26:97–101.
Lloyd MS. Matador versus taurus: bull gore injury. Ann R Coll Surg Engl. 2004;86:3–5.
Zumárraga-Navas P, Sellés-Dechent R, Pardo-Correcher JM, Asencio-Arana F, Ruiz del Castillo J. Herida por asta de toro: cornada envainada. Cir Esp. 1999;65:447–8.
Martínez-Ramos D, Villegas-Cánovas C, Rivadulla-Serrano I, Salvador-Sanchís JL. Cornada envainada. Una lesión poco evidente pero devastadora. Emergencias. 2007;19:347–49.
Rudloff U, González V, Fernández E, Holguin E, Rubio G, Lomelin J, Dittmar M, Barrera R. Chirurgica Taurina: a 10-year experience of bullfight injuries. J Trauma. 2006;61:970–4.
Vaquero C, Arce N, González-Fajardo J, Beltrán de Heredia J, Carrera S. A nossa experiência nos traumatismos vasculares causados por cornos de touros. Rev Port Cir Cardiotorac Vasc. 2008;15:217–20.
Maldonado-Fernández N, Martínez-Gámez FJ, Mata-Campos JE, Galán-Zafra M, Sánchez-Maestre ML. Heridas por asta de toro: reparación endovascular de una trombosis de la arteria ilíaca externa. Cir Esp. 2013;91:340–2.
Utrilla López A. Significado de las lesiones vasculares en la mortalidad de las heridas por asta de toro. Arch Cir Vascular. 1999;8:1–21.
Conflict of interest
A. García-Marín, F. Turégano-Fuentes, A. Sánchez-Arteaga, R. Franco-Herrera, C. Simón-Adiego and M. Sanz-Sánchez declare that this manuscript has not been previously neither published nor submitted elsewhere for publication, it will not be sent to another journal, and there are no financial interests.
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This article does not contain any studies with human or animal subjects performed by any of the authors.
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García-Marín, A., Turégano-Fuentes, F., Sánchez-Arteaga, A. et al. Bullhorn and bullfighting injuries. Eur J Trauma Emerg Surg 40, 687–691 (2014). https://doi.org/10.1007/s00068-014-0381-z
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DOI: https://doi.org/10.1007/s00068-014-0381-z