Armed Conflict Injuries to the Extremities by Alexander Lerner & Michael Soudry

Author:Alexander Lerner & Michael Soudry
Language: eng
Format: epub
Publisher: Springer Berlin Heidelberg, Berlin, Heidelberg

13.2 Physical Examination

The initial physical examination should focus on: Identifying the type of soft-tissue injuries (wounds, crush, burns)

Evaluating the soft-tissue injury with regard to extent of skin lesions and muscle and tendon lacerations. If skin lesions are easily identified, clinical evaluation of the underlying lesions might be difficult, especially if the patient is unconscious. In unconscious patients, the surgeon should identify the potential injured structures by evaluating the trajectory of the weapon (entry and exit points of the bullet). In a conscious patient, the mobility maneuvers are important to identify the tendon or muscle injuries. Sometimes, local pain may restrict movement and make the examination more difficult.

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