Lésions ostéo-articulaires dues à une agression électrique
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Les décharges électriques peuvent être des blessures graves, destructrices et invalidantes, entraînant des lésions étendues de la peau et des tissus mous, ainsi que des lésions ostéo-articulaires diverses, peu fréquentes mais négligées, telles que des fractures des os longs, des fractures de la colonne vertébrale, des dislocations articulaires, des brûlures très profondes, une ostéonécrose et une ossification hétérotopique des tissus mous. Par conséquent, tous les praticiens impliqués dans la prise en charge des patients électrocutés doivent être informés et tenir compte de la possibilité de lésions squelettiques: chirurgien plasticien, chirurgien général, chirurgien orthopédique, médecin urgentiste et médecin généraliste. Les fractures et les luxations surviennent généralement après un événement traumatique lié à des blessures électriques, et elles peuvent être rarement causées par de violentes contractions musculaires tétaniques, à la suite du passage du courant électrique. Tous les patients électrocutés présentant des symptômes et des signes évocateurs tels que douleur, gonflement, sensibilité osseuse et altération fonctionnelle doivent être examinés attentivement et en détail, à la fois cliniquement et par des études d'imagerie. Le dépistage précoce, la confirmation par des examens d'imagerie et le traitement orthopédique rapide garantissent une issue favorable et éliminent les complications éventuelles néfastes.
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