Research Article
Volume 9 Issue 8 - 2018
Ultrasonic Tissue Characterization of Damage of the Lower Extremities in Gunshot Wounds
Rizvan Ya Abdullaiev1*, Elena I Grechanyk2, Faina I Kulikova3, Natalia A Cherednichenko3, Yuri A Demin1and Maxim A Golyanischev1
1Kharkiv Medical Academy of Postgraduate Education, Ukraine
2National Military Medical Clinical Center of Ukraine, Ukraine
3Dnepropetrovsk Medical Academy, Ukraine
*Corresponding Author: Rizvan Ya Abdullaiev, Department of Ultrasound Diagnostics, Kharkov Medical Academy of Postgraduate Education, Ukraine.
Received: July 16, 2018; Published: July 30, 2018
Citation: Rizvan Ya Abdullaiev., et al. “Ultrasonic Tissue Characterization of Damage of the Lower Extremities in Gunshot Wounds”. EC Orthopaedics 9.8 (2018): 610-618.
Abstract
Background: During the antiterrorist operation (ATO) in the east of Ukraine gunshot extremities injuries level was estimed as 58%. Damage to soft tissues always accompanies battle injuries of the limbs. Ultrasound allows in the patient with multi‐trauma provide immediate bedside diagnosis and assessment of a range of injuries and guide management.
Objective: Evaluate the possibilities of complex ultrasonography in the diagnosis of soft tissue injuries of extremities with gunshot wounds.
Material and Methods: An analysis of the results of complex ultrasonography in the diagnosis of the nature of soft tissue injuries of the extremities in 132 patients. All patients received gunshot wounds to the extremities. Their age varied within the limits of 19 - 56 years, on the average 30,8 ± 13,7 years. The following types of gunshot injuries were studied: ballistic wounds, shell fragment wounds, mines and explosive wounds.
Results: The total number of gunshot injuries with a single localization was 103 (58,5 ± 3,7%), with multiple localization - 73 (41.5 ± 3,7%) (P < 0,01). Single gunshot shin injuries (23.3 ± 3.2%) occurred significantly (P < 0.05) more often than multiple (13.1 ± 2.5%). Ballistic injuries were in 43 (24,4%) cases; gunshot shell fragment injuries - 113 (64,2%); mines and explosives injuries - 20 (11,4%) cases respectively.
The nerves damage was observed in 21 (11,9 ± 2,4%) cases, the vessels - in 24 (13,6 ± 2,6%) cases and the other soft tissues - in 131 (74,5 ± 3,3%) cases (P < 0,001), respectively. By the type of tissue damage, 17 patients had soft tissue injuries with hematomas.
Damage to great vessels was diagnosed in 13 (7,4 ± 2,0%) cases, 7 of them was damages to main artery; 6 was damages to veins.
Conclusions: Ultrasonography can be used not only as a screening, but also as the main method for diagnosing gunshot injuries to soft tissues of extremities, in particular the main vessels and peripheral nerves.
Keywords: Gunshot Wounds; Soft Tissue of the Extremities; Ultrasound Diagnostics
Copyright: © 2018 Rizvan Ya Abdullaiev., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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