Localization, detection and guided removal of soft tissue in the hands using sonography

Citation
A. Blankstein et al., Localization, detection and guided removal of soft tissue in the hands using sonography, ARCH ORTHOP, 120(9), 2000, pp. 514-517
Citations number
20
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine
Journal title
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
ISSN journal
0936-8051 → ACNP
Volume
120
Issue
9
Year of publication
2000
Pages
514 - 517
Database
ISI
SICI code
0936-8051(200008)120:9<514:LDAGRO>2.0.ZU;2-R
Abstract
Penetrating wounds and lacerations are frequent pathologies treated in the emergency room. The management of hand trauma represents a large part of th e work in any surgical practice. Although X-rays are routinely taken, numer ous foreign bodies remain undetected, and the wounds are just locally debri ded and the lacerations sutured. Unfortunately, as not all foreign bodies a re radio-opaque, the radiography results may appear normal, but the patient fails to recover. Patients complaining of persistent wound tenderness were sent for ultrasound investigations, and foreign bodies were detected. Had ultrasonography been carried out initially in the emergency room, the corre ct diagnosis would have been made, and the sonographic equipment could have helped to guide the physician in his attempt to remove the foreign body. U sually, in response to continued pain, an ultrasound investigation is order ed, and the pathology becomes apparent. A number of examples are briefly de scribed in order to highlight the present inadequacies. It is suggested tha t hospital administrators consider the need to provide ultrasonographic ser vices as an integral facility of the emergency room.