prikaz prve stranice dokumenta Posterior Penetrating Injury of the Neck: a Case Report
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Posterior Penetrating Injury of the Neck: a Case Report
Acta clinica Croatica, 57 (2018), 4; 776-779. https://doi.org/10.20471/acc.2018.57.04.22
Koruga, Nenad; Koruga Soldo, Anamarija; Soldo Butković, Silva; Kondža, Goran

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Koruga, N., Koruga Soldo, A., Soldo Butković, S. & Kondža, G. (2018). Posterior Penetrating Injury of the Neck: a Case Report. Acta clinica Croatica, 57. (4), 776-779. doi: 10.20471/acc.2018.57.04.22

Koruga, Nenad, et al. "Posterior Penetrating Injury of the Neck: a Case Report." Acta clinica Croatica, vol. 57, no. 4, 2018, pp. 776-779. https://doi.org/10.20471/acc.2018.57.04.22

Koruga, Nenad, Anamarija Koruga Soldo, Silva Soldo Butković and Goran Kondža. "Posterior Penetrating Injury of the Neck: a Case Report." Acta clinica Croatica 57, no. 4 (2018): 776-779. https://doi.org/10.20471/acc.2018.57.04.22

Koruga, N., et al. (2018) 'Posterior Penetrating Injury of the Neck: a Case Report', Acta clinica Croatica, 57(4), pp. 776-779. doi: 10.20471/acc.2018.57.04.22

Koruga N, Koruga Soldo A, Soldo Butković S, Kondža G. Posterior Penetrating Injury of the Neck: a Case Report. Acta clinica Croatica [Internet]. 2018 [cited 2024 December 01];57(4):776-779. doi: 10.20471/acc.2018.57.04.22

N. Koruga, A. Koruga Soldo, S. Soldo Butković and G. Kondža, "Posterior Penetrating Injury of the Neck: a Case Report", Acta clinica Croatica, vol. 57, no. 4, pp. 776-779, 2018. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:239:085864. [Accessed: 01 December 2024]

Metadata
Title (english)Posterior Penetrating Injury of the Neck: a Case Report
Title (croatian)Stražnja ubodna ozljeda vrata: prikaz slučaja
AuthorNenad Koruga
AuthorAnamarija Koruga Soldo
AuthorSilva Soldo Butković
MBZ: 61351
AuthorGoran Kondža
MBZ: 213201
Author's institution(Clinical hospital center Osijek)
Author's institutionJosip Juraj Strossmayer University of Osijek
Faculty of Medicine Osijek
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract (english)
A 45-year-old male patient was admitted to the emergency unit due to posterior stab wound of the neck. The knife was directed diagonally from the left to the right side of the neck in the dorsoventral axis. The patient was fully conscious upon admission with pain and paresthesia along the upper right extremity. The patient underwent computed tomography (CT) and CT angiography scan of the neck, which revealed the knife blade piercing the left sided neck muscles and through the intervertebral ligaments of the C IV/C V in direction to the contralateral internal carotid artery, vertebral artery and the C5 nerve root. The patient underwent an urgent surgery according to the radiographs. Electromyography was performed during the early postoperative care and revealed an acute lesion of the right-sided C5 nerve root. Postoperative follow-up magnetic resonance imaging revealed intact brachial plexus bundles at the site of injury. Symptoms of reduced muscle strength and limited range of motion of the upper right extremity prevailed. Penetrating neck injuries represent a rare entity of all trauma injuries. Meticulous preoperative radiographs revealed close proximity of the knife blade tip to the right-sided vertebral artery and common carotid artery. Limited abduction at the right shoulder during postoperative period correlated to the C5 nerve root injury.
Abstract (croatian)
Muškarac u dobi od 45 godina primljen je u Objedinjeni hitni prijam zbog stražnje ubodne rane vrata. Oštrica noža bila je dijagonalnog usmjerenja od lijeve prema desnoj strani vrata u dorzo-ventralnoj osovini. Pri prijmu je bolesnik bio prisvjestan, žalio se na bol i trnce desnog gornjeg ekstremiteta. Učinjena je kompjutorizirana tomografija (CT) i CT angiografska obrada vrata kojima se verificira položaj noža koji penetrira lijevostranu vratnu muskulaturu i intervertebralne ligamente u segmentu C IV/C V, usmjeren prema kontralateralnoj zajedničkoj karotidnoj arteriji, vertebralnoj arteriji te korijenu živca C5. Učinjen je hitan operacijski zahvat. Tijekom ranog poslijeoperacijskog razdoblja učinjena je elektroneuromiografija kojom se dokazala akutna lezija korijena C5 desno. Poslijeoperacijskim nalazom magnetske rezonancije verificiran je intaktni brahijalni pleksus na strani ozljede. Kliničkom slikom u poslijeoperacijskom tijeku dominirala je smanjena mišićna snaga i limitirani pokreti desnog gornjeg ekstremiteta. Ubodne ozljede vrata predstavljaju rijetku kliničku patologiju s obzirom na sve slučajeve traumatskih ozljeda. Pravodobna prijeoperacijska radiološka obrada pokazala je blizinu oštrice noža spram desne vertebralne i desne zajedničke karotidne arterije. Tijekom poslijeoperacijskog boravka u kliničkoj slici zaostala je limitirana abdukcija desnog ramena kao posljedica ozljede korijena živca C5.
Keywords (english)
Keywords (croatian)
Languageenglish
Publication typeProfessional paper - Other
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 57, no. 4, pp. 776-779
p-ISSN0353-9466
e-ISSN1333-9451
DOIhttps://doi.org/10.20471/acc.2018.57.04.22
URN:NBNurn:nbn:hr:239:085864
Publication2018
Document URLhttps://hrcak.srce.hr/index.php?show=clanak&id_clanak_jezik=317994
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2019-09-26 11:48:02