Demographic features of patients with gluteal penetrating injuries presented in the adult emergency department
Acta Medica Mediterranea, cilt.30, sa.4, ss.861-864, 2014 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 30 Sayı: 4
- Basım Tarihi: 2014
- Dergi Adı: Acta Medica Mediterranea
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.861-864
- Anahtar Kelimeler: Gluteal injury, muscle, anatomy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aims: The aim of this study is to evaluate the epidemiologic features of gluteal penetrating injuries (GPIs) and the effect of anatomic localization and muscle tissue penetration in severe cases. Methods: Forty-two patients admitted to our hospital emergency service between 2010 and 2012 for gluteal penetrating injuries were included in the study. Hospital records were evaluated retrospectively. Results: Thirty-six (85.7%) patients were male, and six (14%) patients were female. The mean age was 32.55 ± 12.85. Seven (31.8%) of the lower GPI patients had soft tissue haematomas, seven (31.8%) had intramuscular haematomas, two (9%) had vascular injuries, one (4.5%) had a peritoneal injury, one (4.5%) had a bone fracture and one (4.5%) had nerve injury. None in this group had rectal injury. Three (13.6%) of lower GPI patients were classified as severe injury, and all had muscle penetration. Eight (31.8%) of the upper GPI patients had soft tissue hematomas, 10 (50%) had intramuscular hematomas, three (15%) had intraperitoneal injuries, one (5%) had a rectum injury and one (5%) had vascular injury. None in this group had bone fracture or nerve injury. Five (25%) of the upper GPI patients were classified as severe injuries. Lower and upper GPI localizations were not related to the severity of the injury (p > 0.05). Severe injuries were more common in patients with muscle penetration (p < 0.004). Conclusions: Gluteal penetrating injuries (GPIs) are rare. These injuries are usually superficial and can be treated with local wound care. Severe and life-threating injuries might occur in GPIs, and our study showed that severe injuries can be seen in upper and lower GPIs. Anatomic classification did not predict the severity of injury. We recommend wound exploration in the initial evaluation of all GPIs. Patients with evidence of muscle penetration should be evaluated with further diagnostic imaging.