Govoni M, Orzincolo C, Bigoni M, Feggi L, Pareschi P L, Trotta F
Division of Rheumatology, S. Anna Hospital, Ferrara, Italy.
J Emerg Med. 1993 Jan-Feb;11(1):17-21. doi: 10.1016/0736-4679(93)90004-q.
Various musculoskeletal abnormalities caused by electrical injury are described. Such abnormalities usually include fractures or dislocation of adjacent bones and joints. Osteonecrosis is a noteworthy, but less common, consequence of electric shock. The case is discussed of a 52-year-old woman who had received an electric shock (220-V alternating household current) to the right hand and developed osteonecrosis in the ipsilateral humeral head, most likely caused by bone "melting." An osteonecrotic lesion may therefore develop in a joint at a distance from the point of electrical contact, and this must always be kept in mind in diagnosis and treatment.
描述了由电损伤引起的各种肌肉骨骼异常。此类异常通常包括相邻骨骼和关节的骨折或脱位。骨坏死是电击的一个值得注意但不太常见的后果。讨论了一名52岁女性的病例,她右手遭受电击(220伏家用交流电),并在同侧肱骨头出现骨坏死,很可能是由骨“熔化”所致。因此,在远离电接触点的关节处可能会出现骨坏死病变,在诊断和治疗中必须始终牢记这一点。