International Medical Journal, Vol. 22., Iss. 2, 2016, P. 96−100.
ULTRASOUND DIAGNOSIS OF COMBAT INJURIES OF PERIPHERAL NERVES
National Military Medical Clinical Centre «Military Clinical Hospital», Kyiv, Ukraine
Kharkiv Medical Academy of Postgraduate Education, Ukraine
Clinical Hospital «Feofania», Kyiv, Ukraine
Martial injuries of the spinal cord, peripheral nerves evoke persistent disability and account for about 5 % of neurotrauma. During the period of antiterrorist operation in the eastern Ukraine, gunshot wounds a of the spine and spinal cord made 2−37 % of nerve trunks injuries and were combined with the wounds of the vessels of the extremities. Ultrasound examination of the peripheral nerves was performed in 39 victims with gunshot and mine−explosive wounds to the extremities and spine. The wound channel, the presence of hematoma surrounding the tissue, foreign bodies (injuring shells, bullets, their plating, metal fragments) were assessed. Ultrasonography allows to specify the type, location and the cause of the nerve trunks damage. Ultrasonography of the peripheral nerves may be carried out in the conditions of a mobile hospital and plaster mobilization of the wounded and injured. In combined injury with extensive lesions of the long bones, the neurovascular bundles and tendons limits evaluation of the proper nerve structure violation and making a differential diagnosis.
Key words: ultrasound diagnosis, peripheral nerves, the wound channel, wounding projectiles.