@article{ref1,
title="Civilian gunshot extremity fractures with neurologic injury",
journal="Orthopaedic surgery",
year="2011",
author="Beidas, Omar E. and Rehman, Saqib",
volume="3",
number="2",
pages="102-105",
abstract="Objective:  To verify the hypothesis that neurologic injuries are less prevalent in civilian gunshot injuries than that reported in the military literature, and are more likely to occur with concomitant fracture. Methods:  In order to investigate the incidence and patient variables of gunshot injury with neurologic injury, a retrospective chart review was performed at a single urban trauma center over a five-year period. Results:  One thousand eight hundred and fifty-one patients with gunshot injuries were treated at our center over the five year study period. Of these, 895 patients (48%) had involvement of at least one extremity and 382 (21%) had concomitant fractures. Seventy-four had concomitant neurologic injury. There was a statistically significant difference of 14% (53/382) and 4% (21/513) (P < 0.0001) between the group with fracture (53 patients) and the group without fracture (21 patients), respectively, in the occurrence of neurologic insult. Conclusion:  This incidence of neurologic injuries in civilian gunshot injuries is lower than that previously reported in the military population and the presence of a fracture is clearly an additional risk factor for neurologic injury.<p /> <p>Language: en</p>",
language="en",
issn="1757-7853",
doi="10.1111/j.1757-7861.2011.00125.x",
url="http://dx.doi.org/10.1111/j.1757-7861.2011.00125.x"
}