The incidence of acute venous injury as a result of proximity penetrating trauma screened with colour flow duplex ultrasound.
Injury
; 45(1): 192-6, 2014 Jan.
Article
em En
| MEDLINE
| ID: mdl-23062669
ABSTRACT
INTRODUCTION:
The incidence of acute deep venous thrombosis as a result of penetrating proximity extremity trauma (PPET) to the thigh has been demonstrated to be 16% in a single report. The purpose of the current study is to demonstrate the incidence and clinical significance of venous injury as a result of proximity trauma to the thigh in a large cohort screened with colour flow duplex (CFD) ultrasound and to identify factors predictive of defining a wound in proximity to a major vascular structure. PATIENTS ANDMETHODS:
A prospective observational study was conducted from January 1st, 2010 to January 1st, 2012 on all patients presenting with penetrating extremity trauma. Data on injury location, mechanism, associated extremity and non-extremity injuries, use and results of CFD, as well as the admitting trauma surgeon were recorded and analysed.RESULTS:
220 thigh wounds with a normal physical examination were identified, of which 167 (75.9%) underwent CFD due to proximity. The incidence of acute venous injury was 4.8% (8/167). 37.5% (3/8) of these injuries resulted in morbidity. Injury mechanism and which attending physician was on call were predictive of a wound being defined as in proximity, whereas an injury with an associated fracture was a negative predictor.CONCLUSIONS:
Occult venous injuries as a result of PPET occur in 4.8% of patients with thigh wounds in proximity to a major vascular structure. The designation of a wound as being in "proximity" was influenced by injury mechanism, associated fractures, and the judgement of the on-call attending. Colour flow duplex is a valuable tool with the ability to identify not only occult arterial injuries, but also venous injuries with the potential to cause significant morbidity as well.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Coxa da Perna
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Ferimentos Penetrantes
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Ultrassonografia Doppler Dupla
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Ultrassonografia Doppler em Cores
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Trombose Venosa
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Lesões do Sistema Vascular
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Traumatismos da Perna
Tipo de estudo:
Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Humans
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Male
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article