Küçük Egemen, Kochai Alauddin, Onur Ümit Fikret, Kirazaldı Yasemin Yıldız, Başak Ali Murat
Department of Emergency Medicine, Sakarya University Training and Research Hospital, Adapazarı, 54100 Sakarya, Turkey.
Department of Orthopedics and Traumatology, Sakarya University Training and Research Hospital, Adapazarı, 54100 Sakarya, Turkey.
Case Rep Emerg Med. 2016;2016:9063621. doi: 10.1155/2016/9063621. Epub 2016 Mar 17.
Introduction. We present a case of intraosseous foreign body penetration due to knife attack and its emergency service management. Case. Seventeen-year-old patient was admitted to the emergency department with a knife cut over the right knee. In the local wound exploration during the extension position of the knee, deep tissue penetration was not observed. Therefore, the patient was discharged after a primary wound saturation without any radiographic evaluation. During the second admission, the detailed anamnesis revealed that the injury occurred while the knee was in the flexion and the radiographic examination displayed a broken knifepoint in the sagittal plane of the femur's medial patellar region penetrated in the intraosseous tissue. Conclusion. Intraosseous foreign body cases due to the knife attacks are quite rare. There is no algorithm, indicating the necessity of radiographic examination in the stab wounds. Local wound exploration of stab wounds should be done in accordance with the mechanism of injury.
引言。我们报告一例因刀伤导致的骨内异物穿透及其在急诊室的处理情况。病例。一名17岁患者因右膝被刀割伤而被送入急诊科。在膝关节伸直位进行局部伤口探查时，未发现深部组织穿透。因此，患者在伤口初步清创后未进行任何影像学评估就出院了。在第二次入院时，详细的病史询问显示损伤发生时膝关节处于屈曲位，影像学检查显示在股骨内侧髌区矢状面有一个折断的刀尖刺入骨内组织。结论。因刀伤导致的骨内异物病例非常罕见。目前尚无算法表明刺伤患者必须进行影像学检查。刺伤的局部伤口探查应根据损伤机制进行。
