Gosangi Babina, Lebovic Jordan, Park Hyesun, Thomas Richard, Gujrathi Rahul, Harris Mitchel, Tornetta Paul, Khurana Bharti
Yale New Haven Health System, New Haven, CT, USA.
NYU Hospital for Joint Disease, New York, NY, USA.
Emerg Radiol. 2021 Aug;28(4):751-759. doi: 10.1007/s10140-021-01914-5. Epub 2021 Feb 24.
To describe the pattern and distribution of lower extremity injuries in victims of intimate partner violence (IPV).
A retrospective radiological review of 688 patients reporting IPV to our institution's violence intervention and prevention program between January 2013 and June 2018 identified 88 patients with 154 lower extremity injuries. All lower extremity injuries visible on radiological studies were analyzed. Concomitant, recurrent, and associated injuries were also collected, in addition to the demographic data.
The injuries consisted of 103 fractures, 46 soft tissue injuries, and 5 dislocations. The foot was the most common site of injury representing 39% (60/154) of total injuries, 48% (49/103) of fractures, 17% (8/46) of soft tissue injuries, and 3 dislocations. The ankle was the second most common site of injury representing 30% (47/154) of total injuries, 20% (21/103) of fractures, and 57% (26/46) of soft tissue injuries. Recurrent injuries of the lower extremity were seen in 30% (26/88) of victims who had 74 recurrent injuries. The most common sites of recurrent injury were the foot and ankle, representing 72% (53/74) of recurrent injuries.
Recurrent injuries of the foot and ankle, synchronous craniofacial injuries, and upper extremity injuries in young women (<35 years) should prompt radiologists to consider IPV.
描述亲密伴侣暴力（IPV）受害者下肢损伤的类型和分布情况。
对2013年1月至2018年6月期间向我院暴力干预与预防项目报告IPV的688例患者进行回顾性影像学检查，确定88例患者有154处下肢损伤。对影像学研究中可见的所有下肢损伤进行分析。除人口统计学数据外，还收集了并发伤、复发性伤和相关损伤情况。
损伤包括103处骨折、46处软组织损伤和5处脱位。足部是最常见的损伤部位，占总损伤的39%（60/154），骨折的48%（49/103），软组织损伤的17%（8/46），以及3处脱位。踝关节是第二常见的损伤部位，占总损伤的30%（47/154），骨折的20%（21/103），软组织损伤的57%（26/46）。30%（26/88）的受害者出现下肢复发性损伤，共有74处复发性损伤。复发性损伤最常见的部位是足部和踝关节，占复发性损伤的72%（53/74）。
年轻女性（<35岁）足部和踝关节的复发性损伤、同步性颅面部损伤和上肢损伤应促使放射科医生考虑IPV。
