title: [Use of ultrasound in acute and follow-up diagnosis of septic accident surgery].
abstract: In 50 patients with infections of soft tissue, bone and joints, ultrasound examination was the first diagnostic procedure performed after clinical and X-ray examination. In 22 soft tissue infections the liquid portion of the infection area could be differentiated. Deep subfascial infections were detected in 7 cases before they were clinically apparent. The results of the ultrasound examination had an influence on the operation performed in 10 cases. In 18 patients with bone infections with abscesses the linkage of the fluid zone to the bone was demonstrable, and in 6 of these cases we saw extramedullary sequestrae as total reflecting parts. Empyema was diagnosed by ultrasound in association with clinical and laboratory parameters in 10 cases, including 3 in which clinical examination had not yet led to a firm suspicion. Real-time sonography influenced the operative treatment (time of intervention, approach) in 36% of all these cases was helpful in the diagnosis in all.
authors.affiliation: Abteilung Unfallchirurgie, Universitätsklinikum, Albert-Ludwigs-Universität Freiburg/Br.
authors.forename: F
authors.initials: F
authors.lastname: Bonnaire
authors.forename: H
authors.initials: H
authors.lastname: Berwarth
authors.forename: C
authors.initials: C
authors.lastname: Paul
authors.forename: B
authors.initials: B
authors.lastname: Muller
authors.forename: E H
authors.initials: EH
authors.lastname: Kuner
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging* / Q000601:surgery; D000328:Adult; D000368:Aged; D001170:Arthritis, Infectious / Q000000981:diagnostic imaging / Q000601:surgery; D001182:Arthroscopy; D004653:Empyema / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000000981:diagnostic imaging* / Q000601:surgery; D010000:Osteitis / Q000000981:diagnostic imaging / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D012008:Recurrence; D014463:Ultrasonography; D014946:Wound Infection / Q000000981:diagnostic imaging* / Q000601:surgery
vernacular_title: Einsatz der Sonographie zur Akut- und Verlaufsdiagnostik in der septischen Unfallchirurgie.