Traumas mehānisma ietekme uz pēdas locītavas traumām vasaras un ziemas periodā
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Date
2020
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Pēdas locītavas traumu diagnostika un ārstēšana joprojām ir izaicinoša. Tā ierobežo pacientu spēju veikt ikdienas aktivitātes un atgriezties darbā. Pētījuma mērķis ir analizēt pēdas locītavas traumas, pamatojoties uz traumas mehānismu ziemas un vasaras periodā. Veikta retrospektīvā materiāla analīze 182 pacientiem ar pēdas locītavas traumām, kuri 2014., 2015. un 2016. gadā no decembra līdz februārim un no jūnija līdz augustam ārstējušies Traumatoloģijas un ortopēdijas slimnīcā. Potīšu lūzumi pacientiem klasificēti, pamatojoties uz Lauge - Hansena klasifikāciju, izmantojot pacientu pirms operācijas un pēc operācijas rentgenogrammas. No pētījumā iekļautajiem 182 pacientiem, 123 (67,6%) bija ziemas sezonas trauma, bet 59 (32,4%) vasaras sezonas. Saskaņā ar Lauge - Hansen klasifikāciju 134 pacientiem bija supinācijas - ārējās rotācijas (SĀR) izraisīti bojājumi (74%), 28 pacientam bija pronācijas - ārējās rotācijas (PĀR) izraisīti bojājumi (15%), 7 pacientiem bija supinācijas - addukcijas (SA) izraisīti bojājumi (4%), 13 pacientiem bija pronācijas - abdukcijas (PA) izraisīti bojājumi (7%). No visiem 92 (68,6%) pacientiem ar supinācijas – ārējas rotācijas traumu ziemas sezonā I pakāpe bija nulle, II – 15, III – 15, IV – 62 gadījumu. Vasaras sezonā bija 42 (31,3%) pacienti, kuru sadalījums pa pakāpēm attiecīgi bija - I pakāpe bija nulle, II – septiņi, III – pieci, IV – 30 gadījumi. Pētījuma rezultāti norāda, ka vairāk nekā 2/3 no potīšu lūzumiem bija ziemas periodā, un visvairāk supinācijas – ārējas rotācijas IV pakāpes gan ziemas, gan vasaras periodā.
The diagnostics and treatment of ankle injuries remains challenging as it hinders the patients' return to work and their ability to perform daily activities. The goal is to analyse ankle injuries on the basis of trauma mechanism in the winter and summer periods. A retrospective study of 182 patients with ankle injuries, admitted to the Hospital of Traumatology and Orthopaedics in 2014, 2015, 2016 from December to February and from June to August was conducted. Ankle injuries of the patients are classified according to Lauge – Hansen classification on the basis of pre and post operation roentgenograms. Of the 182 patients included in this study, 123 (67.6%) had the winter period injuries, whereas 59 (32.4%) the summer period injuries. According to Lauge – Hansen classification, 134 (74%) patients had supination-external rotation (SER) injuries, 28 (15%) patients had pronation-external rotation (PER) injuries, 7 (4%) patients supination-adduction (SA) injuries and 13 patients had pronation-abduction (PA) injuries. Of all 92 (68.6%) patients who had PER injuries in the winter period, there were zero instances of stage I, 15 of stage II, 15 of stage III and 62 instances of stage IV injuries. In the summer period there were 42 (31.3%) patients and the distribution of their injuries according to stages was as follows: zero instances of stage I, seven of stage II, five of stage III and 30 instances of stage IV injuries. The obtained results suggest that more than 2/3 of the ankle injuries were in the winter period and most of all injuries were SER type, stage IV in both, the winter and summer, periods.
The diagnostics and treatment of ankle injuries remains challenging as it hinders the patients' return to work and their ability to perform daily activities. The goal is to analyse ankle injuries on the basis of trauma mechanism in the winter and summer periods. A retrospective study of 182 patients with ankle injuries, admitted to the Hospital of Traumatology and Orthopaedics in 2014, 2015, 2016 from December to February and from June to August was conducted. Ankle injuries of the patients are classified according to Lauge – Hansen classification on the basis of pre and post operation roentgenograms. Of the 182 patients included in this study, 123 (67.6%) had the winter period injuries, whereas 59 (32.4%) the summer period injuries. According to Lauge – Hansen classification, 134 (74%) patients had supination-external rotation (SER) injuries, 28 (15%) patients had pronation-external rotation (PER) injuries, 7 (4%) patients supination-adduction (SA) injuries and 13 patients had pronation-abduction (PA) injuries. Of all 92 (68.6%) patients who had PER injuries in the winter period, there were zero instances of stage I, 15 of stage II, 15 of stage III and 62 instances of stage IV injuries. In the summer period there were 42 (31.3%) patients and the distribution of their injuries according to stages was as follows: zero instances of stage I, seven of stage II, five of stage III and 30 instances of stage IV injuries. The obtained results suggest that more than 2/3 of the ankle injuries were in the winter period and most of all injuries were SER type, stage IV in both, the winter and summer, periods.
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
Pēdas locītava, trauma, Lauges - Hansena klasifikācija, Ankle, trauma, Lauge - Hansen classification