УЛЬТРАЗВУКОВАЯ ДИАГНОСТИКА ОГНЕСТРЕЛЬНЫХ ПОВРЕЖДЕНИЙ ПЕРИФЕРИЧЕСКИХ НЕРВОВ

V.I. Tsymbaliuk; I.A. Lurin; R.Ya. Abdullaiev; E.I. Grechanik; Ya.V. Tsymbaliuk; V.V. Nehoduiko; M.F. Posokhov; K.V. Gumeniuk; С.А. Король

doi:10.34921/amj.2022.3.010

Authors

V.I. Tsymbaliuk National Academy of Medical Sciences of Ukraine
I.A. Lurin Kharkiv Medical Academy of Postgraduate Education
R.Ya. Abdullaiev Kharkiv Medical Academy of Postgraduate Education
E.I. Grechanik National Military Medical Clinical Center "Main Military Clinical Hospital"
Ya.V. Tsymbaliuk National Academy of Medical Sciences of Ukraine
V.V. Nehoduiko Kharkiv Medical Academy of Postgraduate Education
M.F. Posokhov 5Institute of Neurology, Psychiatry and Narcology of the National Academy of Medical Sciences of Ukraine’’ State Institution
K.V. Gumeniuk Command of the Medical Forces of the Armed Forces of Ukraine
С.А. Король Ukrainian Military Medical Academy

DOI:

https://doi.org/10.34921/amj.2022.3.010

Keywords:

peripheral nerves, ultrasound diagnostics, combat trauma

Abstract

The article presents the results of ultrasound examination in the diagnosis of damage to peripheral nerves during military operations in the east of Ukraine. It was shown that the lower limbs (57.5±3.1%) are injured more often (P<0.001) than the upper ones (42.5±3.1%), as well as multiple injuries (63.2±3.1%) occur more frequently (P<0.01) than isolated ones (36.8±3.1%). Among the peripheral nerves in terms of frequency of injury, the first place is occupied by the sciatic (25.9±5.8%), then the ulnar (20.7±5.3%), median (17.2±5.0%) and radial (15, 5±4.8%) nerves. Complete rupture of the peripheral nerve occurred in 4 (6.9±3.3%) cases, partial rupture - in 12 (20.7±5.3%) cases, contusion - in 42 (72.4±5.9%) cases ( P<0.001).

According to our data, the main sign of a complete rupture of the peripheral nerve is diastasis of its fragments (100±25.0%), partial rupture - local discontinuity in the image of the fibrous structure (75.0±12.5%), contusion - blurring of the architectonics with preservation of the image of the nerve ( 38 (90.5±4.5%) and thickening of the damaged nerve with decreased echogenicity (54.8±7.7%).