Imaging in paediatric blast injuries: musculoskeletal injuries in the Syrian Civil War

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dc.authoridDIRICAN, EMRE/0000-0003-3550-1326
dc.authoridKorkmaz, Inan/0000-0001-6820-8199
dc.contributor.authorKorkmaz, I
dc.contributor.authorCelikkaya, M. E.
dc.contributor.authorAtici, A.
dc.contributor.authorDirican, E.
dc.date.accessioned2024-09-18T21:03:04Z
dc.date.available2024-09-18T21:03:04Z
dc.date.issued2022
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractAIM: To examine the radiological images of children with musculoskeletal injuries and accompanying organ injuries caused by explosions to determine the differences and frequency of injury types and to emphasise the importance of radiology in war injuries. MATERIALS AND METHODS: Seventy-four children with injuries caused by bomb explosions were included in the study. The paediatric trauma scores evaluated in the emergency department on the first admission were recorded. All radiographs and computed tomography (CT) images were evaluated for musculoskeletal injuries and accompanying organ injuries. RESULTS: The highest incidence of fracture in the primary blast injury (PBI) group was skull fracture in 15 (62.5%) patients (p=0.01) and fractures in the other groups were most common in the lower extremities. Amputation was observed in nine (31%) patients in the PBI group (p=0.003); however, there were no patients with amputations in the secondary blast injury (SBI) group (p=0.002). The frequency of pneumothorax (79.3%) and pulmonary contusion (59.4%) was high in the PBI group (p<0.001 and p=0.004, respectively). Skull fractures were observed in 15 (88.2%) of 17 patients with brain injury (p<0.001), and skull fractures were the most common fracture site accompanying pulmonary trauma. The average paediatric trauma score of individuals exposed to shrapnel was found to be high (p<0.001). CONCLUSION: Because paediatric musculoskeletal injuries vary with the type of blast injury and severe trauma can occur in children due to blast effects, radiologists who triage mass injuries should understand the effects of blast injury patterns and the spectrum of injury. (c) 2022 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.crad.2022.03.017
dc.identifier.endpage528en_US
dc.identifier.issn0009-9260
dc.identifier.issn1365-229X
dc.identifier.issue7en_US
dc.identifier.pmid35469661en_US
dc.identifier.scopus2-s2.0-85129832551en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage522en_US
dc.identifier.urihttps://doi.org/10.1016/j.crad.2022.03.017
dc.identifier.urihttps://hdl.handle.net/20.500.12483/13229
dc.identifier.volume77en_US
dc.identifier.wosWOS:000817276800010en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Co Ltden_US
dc.relation.ispartofClinical Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectTrauma Patientsen_US
dc.subjectExplosionsen_US
dc.subjectManagementen_US
dc.subjectCasualtiesen_US
dc.subjectTerrorismen_US
dc.subjectActsen_US
dc.titleImaging in paediatric blast injuries: musculoskeletal injuries in the Syrian Civil Waren_US
dc.typeArticleen_US

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