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Optimal examination for traumatic nerve/muscle injuries in earthquake survivors: a retrospective observational study

  • Berkay Yalcinkaya (Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School) ;
  • Busranur Tuten Sag (Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School) ;
  • Mahmud Fazil Aksakal (Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School) ;
  • Pelin Analay (Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School) ;
  • Hasan Ocak (Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School) ;
  • Murat Kara (Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School) ;
  • Bayram Kaymak (Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School) ;
  • Levent Ozcakar (Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School)
  • Received : 2024.01.25
  • Accepted : 2024.03.14
  • Published : 2024.04.30

Abstract

Background: Physiatrists are facing with survivors from disasters in both the acute and chronic phases of muscle and nerve injuries. Similar to many other clinical conditions, neuromusculoskeletal ultrasound can play a key role in the management of such cases (with various muscle/nerve injuries) as well. Accordingly, in this article, a recent single-center experience after the Turkey-Syria earthquake will be rendered. Methods: Ultrasound examinations were performed for various nerve/muscle lesions in 52 earthquake victims referred from different cities. Demographic features, type of injuries, and applied treatment procedures as well as detailed ultrasonographic findings are illustrated. Results: Of the 52 patients, 19 had incomplete peripheral nerve lesions of the brachial plexus (n=4), lumbosacral plexus (n=1), and upper and lower limbs (n=14). Conclusion: The ultrasonographic approach during disaster relief is paramount as regards subacute and chronic phases of rehabilitation. Considering technological advances (e.g., portable machines), the use of on-site ultrasound examination in the (very) early phases of disaster response also needs to be on the agenda of medical personnel.

Keywords

References

  1. Khan F, Amatya B, Gosney J, Rathore FA, Burkle FM Jr. Medical rehabilitation in natural disasters: a review. Arch Phys Med Rehabil 2015;96:1709-27. https://doi.org/10.1016/j.apmr.2015.02.007
  2. Amatya B, Galea M, Li J, Khan F. Medical rehabilitation in disaster relief: towards a new perspective. J Rehabil Med 2017;49:620-8. https://doi.org/10.2340/16501977-2250
  3. Dal Zilio L, Ampuero JP. Earthquake doublet in Turkey and Syria. Commun Earth Environ 2023;4:71.
  4. Wikipedia contributors. 2023 Turkey-Syria earthquake [Internet]. Wikipedia, The Free Encyclopedia; 2023 Apr 26 [cited 2024 Jan 25]. https://en.wikipedia.org/w/index.php?title=2023_Turkey%E2%80%93Syria_earthquake&oldid=1151836296.
  5. Ricci V, Ricci C, Cocco G, Gervasoni F, Donati D, Fari G, et al. Histopathology and high-resolution ultrasound imaging for peripheral nerve (injuries). J Neurol 2022;269:3663-75. https://doi.org/10.1007/s00415-022-10988-1
  6. Chang KV, Wu WT, Ozcakar L. Ultrasound imaging and rehabilitation of muscle disorders: Part 1. Traumatic injuries. Am J Phys Med Rehabil 2019;98:1133-41. https://doi.org/10.1097/PHM.0000000000001307
  7. Feger J, Bell D. Muscle contusion [Internet]. Radiopaedia.org [cited 2024 Mar 7]. https://doi.org/10.53347/rID-82383.
  8. Ricci V, Ozcakar L. Life after ultrasound: are we speaking the same (or a new) language in Physical and Rehabilitation Medicine? J Rehabil Med 2019;51:234-5. https://doi.org/10.2340/16501977-2527
  9. Ozcakar L, Ricci V, Chang KV, Mezian K, Kara M. Musculoskeletal ultrasonography: ninety-nine reasons for physiatrists. Med Ultrason 2022;24:137-9. https://doi.org/10.11152/mu-3759
  10. Baloch N, Hasan OH, Jessar MM, Hattori S, Yamada S. "Sports Ultrasound", advantages, indications and limitations in upper and lower limbs musculoskeletal disorders: review article. Int J Surg 2018;54(Pt B):333-40. https://doi.org/10.1016/j.ijsu.2017.11.034
  11. Cocco G, Ricci V, Villani M, Delli Pizzi A, Izzi J, Mastandrea M, et al. Ultrasound imaging of bone fractures. Insights Imaging 2022;13:189.
  12. Menorca RM, Fussell TS, Elfar JC. Nerve physiology: mechanisms of injury and recovery. Hand Clin 2013;29:317-30. https://doi.org/10.1016/j.hcl.2013.04.002
  13. Rathore FA, Gosney JE, Reinhardt JD, Haig AJ, Li J, DeLisa JA. Medical rehabilitation after natural disasters: why, when, and how? Arch Phys Med Rehabil 2012;93:1875-81. https://doi.org/10.1016/j.apmr.2012.05.018