Evaluation of Diagnostic Value of Saline Load Test in Penetrating Periarticular Injuries.

lranian journal of Clinical Infectious Diseases

Sh Etemadi²  H Namazi¹  S Solooki¹ 

[1] Assistant Professor, Department of Orthopaedic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.;Assistant Professor, Department of Orthopaedic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran. Resident, Department of Orthopaedic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.

关键词: Saline Load Test;    Penetrating;    Periarticular Injuries;   

DOI  :  10.17795/semj20849

学科分类：基础医学

来源: Shiraz University of Medical Sciences

【 摘 要 】

Background:Lacerationaroundthejointsmaypenetratethesynovialmembranebarrierandcontaminatethejoint.Determiningthepenetrationofthesynovialmembraneisimportanttothediagnosis.Salineloadtesthasbeenusedinthepasttodiagnosispenetratingjointinjuriesbuttheefficacyandsafetyofthetesthavenotbeendetermined.Thisstudywasdesignedtoevaluateaccuracyandsafetyofthisprocedureinpenetratingperiarticularinjuries.MaterialsandMethods:BetweenApril2002tillMarch2003,100casesofPeriarticularinjuriestolargejointswithpossibilityofintraarticularextensionwerestudied.Clinicalexaminationperformedtodeterminethepossibilityofpenetratingintothepoints.Thensalineloadtestwasperformedbyinjectingappropriatequalitiesofsalineintothejoint,dependingintothesizeofjoint,watchingforextravasationsofsalinewithjointatrestandpassivemotion.Twoweekslaterpatientsexaminedinoutpatientclinicforevidenceofanycomplicationsrelatedtothetest.Result:theratioofmaletofemalewas19:1;themeanageatthetimeofinjurywas27.4.Eightytwopercentofinjurieswereduetoroadtrafficaccident,thekneewasinvolvedin68%ofcases.In47patientssalineloadtestwaspositive.In38%ofthemtheresultofclinicalexaminationhadpredictedthatthejointspacemightnotbeopentoexterior.In28%of53patientsinwhomsalineloadtestwasnegativeclinicalpredictionhadindicatedanopenjointinjury.Overall,theresultofsalineloadtesthadchangedthetreatmentplannedonthebasisofclinicalpredictionin33%ofpatients.Therewasnocomplicationrelatedtotheprocedure.Conclusion:decisionmakingtooperateornotthebasisofclinicalexaminationisriskyandcanhavedangerousconsequences.Salineloadtestisasafeandreliablemethodfordiagnosisofintraarticularpenetrationofpenetratinglacerations.

【 授权许可】

Unknown