Is Bedside Ultrasound a Reliable Method for Detecting Soft Tissue Foreign Bodies in Upper Extremity Penetrating Trauma Patients?
Message:
Abstract:
Background
Detection of foreign bodies trapped in the soft tissue is a diagnostic problem in patients with penetrating trauma referring to the emergency department. In spite of increasing advances in imaging modalities, detection of foreign bodies trapped in the subcutaneous tissue is still problematic. Among the methods available for the detection of foreign bodies, radiography is the most accessible modality, but it can only diagnose radiopaque objects. CT scan has some limitations including cost and radiation. MRI is very expensive and is not always available. Ultrasound is an easy, inexpensive and accessible method and has no radiation risk. It also provides simultaneous imaging and is bed side available and effective, especially in detection of radiolucent foreign bodies.
Objectives
So the new clinical question is that: “Is bedside ultrasound a reliable method for detecting soft tissue foreign bodies in upper extremity penetrating trauma patients?”
Patients and
Methods
112 patients with penetrating trauma of volar surface of hand and wrist were enrolled in this study. All patients were clinically suspicious of tendon injury that made them be candidates for diagnostic surgical exploration. Before the surgery, the patients signed a consent form and then a thorough ultrasonography was performed to evaluate the presence of any foreign bodies. The results were then compared with the records of radiography as well as clinical reports of emergency physician and surgeon.
Results
Among 112 patients under study, foreign body was detected in 21 patients through clinical examination or surgery, out of which 18 (85.71%) cases were detected by ultrasonography; whereas, radiography was able to detect 16 cases (76.19%). False positive results reported one case (1.1%) in ultrasonography and 0 (0%) in radiography.
Conclusions
Ultrasonography seems to be a safe and cost effective method to evaluate foreign bodies, especially radiolucent objects, in patients with penetrating trauma and suspicious of foreign bodies that may remain undiagnosed in radiography. Availability of bedside ultrasound for emergency physicians is an important issue, since it is not possible to access the radiologist at any time of the day and night. On the other hand, treatment of patients in emergency department is a cost-effective way, as it reduces the number of surgical explorations that are merely diagnostic and it is also time and cost-consuming for therapeutic system.
Language:
English
Published:
Razavi International Journal of Medicine, Volume:2 Issue: 4, 2014
Page:
1
magiran.com/p1663783  
برخی از خدمات از جمله دانلود متن مقالات تنها به مشترکان مگیران ارایه می‌گردد. شما می‌توانید به یکی از روش‌های زیر مشترک شوید:
اشتراک شخصی
در سایت عضو شوید و هزینه اشتراک یک‌ساله سایت به مبلغ 400,000ريال را پرداخت کنید. همزمان با برقراری دوره اشتراک بسته دانلود 100 مطلب نیز برای شما فعال خواهد شد!
پرداخت با کارتهای اعتباری بین المللی از طریق PayPal امکانپذیر است.
اشتراک سازمانی
به کتابخانه دانشگاه یا محل کار خود پیشنهاد کنید تا اشتراک سازمانی این پایگاه را برای دسترسی همه کاربران به متن مطالب خریداری نمایند!
توجه!
  • دسترسی به متن مقالات این پایگاه در قالب ارایه خدمات کتابخانه دیجیتال و با دریافت حق عضویت صورت می‌گیرد و مگیران بهایی برای هر مقاله تعیین نکرده و وجهی بابت آن دریافت نمی‌کند.
  • حق عضویت دریافتی صرف حمایت از نشریات عضو و نگهداری، تکمیل و توسعه مگیران می‌شود.
  • پرداخت حق اشتراک و دانلود مقالات اجازه بازنشر آن در سایر رسانه‌های چاپی و دیجیتال را به کاربر نمی‌دهد.