Травма та її наслідки
Зала синя Зала жовта
Травма та її наслідки
Зала синя Зала жовта
Журнал «Травма» Том 16, №3, 2015
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Ultrasound diagnosis of the dynamics osteoreparation in polytrauma (Case)
Авторы: Lobanov G.V., Kuzmenko D.V., Bessmertniy S.A. - Donetsk national medical university named after Maxim Gorky
Рубрики: Травматология и ортопедия
Разделы: Справочник специалиста
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Radiological methods being major in assessing fracture healing cannot be in the early stages to give the clinician a reliable answer about the presence or absence of signs of fusion. Despite the fact that modern trauma science is a dynamic environment, has a powerful arsenal of diagnostic methods, the adequacy assessment and prognosis of the consolidation of fractures remains one of the most pressing. This is especially true assessment of multifragmental fracture due to multiple overlapping shadows on the projection of the fracture line. Recently, attention of clinicians orthopedic trauma is increasingly turning to ultrasound as a highly informative, accessible and rapid imaging techniques including the diagnosis of fractures of different segments. In particular, one of the signs of fracture - is a violation of bone conduction that children's bone pathology allows to improve evaluation of the severity of damage.
Therefore, logically continuing to improve ultrasonographic diagnostic - bone regeneration indications of ultrasonographic signs to the children's bone growth plate that we believe will allow comparison to assess the degree of maturity of the regenerate. Due to the foregoing, we proposed ultrasound diagnosis as a method of visualizing the dynamics of extremity fracture fusion.
Assess the situation of fragments, diastasis between them, the presence of reticular fibrous reclaim ultrasonic signs of periosteal callus formation, the intensity of the periosteal blood flow. This article provides a clinical case of application of ultrasonic method of research to the field of imaging multifragmental fracture of the crus and the guests followed his dynamic assessment. The authors defined the criteria for ultrasonography, which allowed an objective and informative to assess the fracture zone, to identify signs of the beginning of the fusion fragments, observe the process of consolidation in the whole segment of hospital treatment of the patient. The authors concluded that the use of ultrasound research method allows the clinician to objectively determine the signs of fracture healing in an earlier period than the data characteristics are determined by X-ray.