STATISTICS OF UPPER LIMB INJURIES FROM ELECTRICAL INJURIES

Annotation

Resume.

Goal.

Analysis of statistics of damage to anatomical structures in patients with electrical injuries of the upper limbs.

Material and methods.

The majority of patients examined were males—68 (82.9%), while 14 (17.1%) were females. Patient ages ranged from 1.5 to 59 years. Based on the clinical and functional characteristics of the disease, the extent of the lesion, and the type of treatment administered, all patients were divided into three clinical groups. Group I included 24 patients, accounting for 29.3% of the total number of observations. Group II included 32 patients (39.0%), and Group III included 26 patients (31.7%). This distribution allowed for a comparative analysis between the groups and an objective assessment of the effectiveness of the treatment and diagnostic approaches used

Results.

Analysis of the frequency of anatomical structure injuries in 82 patients revealed that soft tissue defects were present in all cases (100%), indicating a high degree of trauma and depth of tissue damage. The median nerve (n. medianus) was most frequently affected—in 31 patients (37.8%), followed somewhat less frequently by the ulnar nerve (n. ulnaris)—in 24 patients (29.2%), and the radial nerve (n. radialis)—in 18 patients (21.9%). Combined nerve trunk injuries occurred in 13 cases (15.7%), including combined damage to the n. medianus and n. ulnaris in 8 patients (9.7%), and to the n. medianus and n. radialis in 5 patients (6.0%). 

Conclusion.

The study showed that electrical injuries to the upper limb are characterized by multilevel and deep damage to anatomical structures, including soft tissue, tendon apparatus, peripheral nerves, and bone tissue. In all cases, defects in the integumentary tissue were identified, confirming the high traumatic nature of electrical injuries, characterized by significant extent and depth of damage.

Keywords

electrical injury upper limb hand vascular nerve bundle flap.

Full text

List of literature

  1. 1. Яковлев С.В. Использование чрескостных аппаратов внешней фиксации в лечении больных с электротравмой исти. Вестник травматологии и ортопедии им. В.Д. Чакина. 2010; 2(2): 65- 67.
  2. 2. Manandhar K., Shrestha J.M., Rayamajhi S., Lohani I. Electrical Injuries: The Iceberg Phenomena. Journal of Society of Surgeons of Nepal. 2017; 20(2): 4-12.
  3. 3. Кочин О.В. Электротравма: патогенез, клиника, лечение. Медицина неотложных состояний. 2015; 8 (71): 7-12.
  4. 4. Яковлев С.В., Коростелов М.Ю., Антонов С.И., Бондаренко О. Опыт использования аппарат внешней фиксации в лечении больных с тяжелой электротравмой. медицинская наука и образование Урала. 2009; 1: 122-125.
  5. 5. Фаязов А.Д., Ажиниязов Р.С., Туляганов Д.Б., Камилов У.Р. Особенности оказания неотложной помощи пострадавшим с электротравмой. Вестник экстренной медицины. 2017; XI (3): 38-41.
  6. 6. Александров Н.М., Петров С.П. Кожно-костая реконструкция пальцев кисти с использованием кровоснабжаемых трансплантатов. Клиническая медицина. 2011; 4: 22-27.
  7. 7. Трофимов Е.И., Мехтиханова Г.Р., Гурджидзе Т.Ю. Микрохирургическая аутотрансплантация покровных тканей при закрытии дефектов кисти. Анналы пластической, реконструктивной и эстетической хирургии. 2010; 4: 60-70.
  8. 8. Спиридонова Т.Г., Жиркова Е.А., Сачков А.В., Фролов С.В., Лазарева Е.Б., Меньшикова Е.Д. Электротравма: характеристика пострадавших, методы оперативного лечения, микрофлора ран. Медицинский алфавит. Неотложная медицина. 2018; 28(3): 59-62.
  9. 9. Nazerani S., Sohrabi M., Shirali A., Nazerani T. Early Coverage of Upper Extremity Electrical Injury Wounds. Trauma Mon. 2012;17(3): 333-336.
  10. 10. Achauer B., Applebaum R., Vander Kam. V.M. Electrical burn injury to the upper extremity. British Journal of Plastic Surgery. 1994; 47(5): 331-340
  11. 11. Segu S.S., Jaganathan V., Biradar A.V., Mudukappa S. A review of 5 years experience in management of electrical injuries. Indian Journal of Burns. 2014; 22(1): 104-108. https://doi. org/10.4103/0971-653X.147018. 104- 108
  12. 12. Сачков А.В., Смирнов С.В., Мигунов М.А., Степанова Ю.В., Литинский М.А. Перемещение лучевого лоскута на сосудистой ножке для устранения дефекта кисти после электроожога. Трансплантология. 2016; 3: 37-40.
  13. 13. Shalabi R., Al Amri Y. Vascular injuries of the upper extremity. Jornal Vascular Brasileiro. 2006; 5: 271-276.
  14. 14. Mazzetto-Betti K.C., Amâncio A.D.C.G., Farina Jr.J.A., Barros M.E.P.M.D., Fonseca M.D.C.R. High-voltage electrical burn injuries: functional upper extremity assessment. Burns. 2009; 35(5): 707-713.
  15. 15. Nazerani S., Sohrabi M., Shirali A., Nazerani T. Early coverage of upper extremity electrical injury wounds. Trauma Monthly. 2012; 17(3): 333.
  16. 16. Bingham H.G. Electrical injuries to the upper extremity a review. Burns. 1981; 7(3): 155-157.
  17. 17. Butler E.D., Gant T.D. Electrical injuries, with special reference to the upper extremities: A review of 182 cases. The American Journal of Surgery. 1977; 134(1): 95-101.
  18. 18. Devale M.M., Kadakia G.J., Jain V.G., Munot R.P. Direct electrical injury to brachial plexus. Indian Journal of Plastic Surgery. 2017; 50(02): 217-219.
  19. 19. Sachkov A.V., Grin A.A., Sinkin M.V., Godkov M.A., Spiridonova T.G., Zhirkova E.A., Migunov M.A. Diagnostic and treatment algorithm for patients with electrical injury. Russian Medicine. 2020; 26(3): 152- 160.
  20. 20. Daniel P. Runde. Electrical Injuries. *MSD Manual Professional Edition*. 2024
  21. 21. Исмоилов М.М., Ходжамурадов Г.М., Саидов М.С., Шаймонов А.Х. Применение несвободного пахового лоскута при простых поверхностных дефектах верхней конечности. Доклады Академии наук Республики Таджикистан. 2015; 58(5): 440-445