A comprehensive musculoskeletal and peripheral nervous system assessment of war-related bilateral upper extremity amputees

Mostafa Allami; Batool Mousavi; Mehdi Masoumi; Ehsan Modirian; Hadi Shojaei; Fatemeh Mirsalimi; Maryam Hosseini; Pirouz Pirouzi

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A comprehensive musculoskeletal and peripheral nervous system assessment of war-related bilateral upper extremity amputees

RESEARCH | Updated：2022-12-27

- A comprehensive musculoskeletal and peripheral nervous system assessment of war-related bilateral upper extremity amputees
- Military Medical Research Vol. 4, Issue 1, Pages: 6-13(2017)
- Affiliations：
  
  1.Janbazan Medical and Engineering Research Center (JMERC), Tehran, Iran
  2.Emergency Medicine, School of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran
  3.Candidate of Health Education and Promotion, Department of Health Education and Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
  4.Department of Radiology, Imam Hospital, Tehran University of Medical Sciences, Tehran, Iran
- Author bio：
  
  *: hadsho@yahoo.com
- Funds：
- DOI：
  CLC：
- Published：2017-03
- Accepted：
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Mostafa Allami, Batool Mousavi, Mehdi Masoumi, et al. A comprehensive musculoskeletal and peripheral nervous system assessment of war-related bilateral upper extremity amputees[J]. Military Medical Research, 2017, 4(1): 6-13.
DOI：

Mostafa Allami, Batool Mousavi, Mehdi Masoumi, et al. A comprehensive musculoskeletal and peripheral nervous system assessment of war-related bilateral upper extremity amputees[J]. Military Medical Research, 2017, 4(1): 6-13. DOI：

摘要

Abstract

Background:

Upper limb amputations are one of the unpleasant war injuries that armed forces are exposed to frequently. The present study aimed to assess the musculoskeletal and peripheral nervous systems in Iraq-Iran war veterans with bilateral upper extremity amputation.

Methods:

The study consisted of taking a history and clinical examinations including demographic data

presence and location of pain

level of amputation

passive and active ranges of movement of the joints across the upper and lower extremities and spine

manual palpation

neurological examination

blood circulation pulses and issues related to a prosthetic limb. In this study

103 Iranian bilateral upper extremity amputees (206 amputations) from the Iran-Iraq war were evaluated

and a detailed questionnaire was also administered.

Results:

The most common level of amputation was the finger or wrist level (108

52.4%). Based on clinical examination

we found high frequencies of limited active and passive joint range of movement across the scapula

shoulder

elbow

wrist and metacarpophalangeal

interphalangeal and thumb joints. Based on muscle strength testing

we found varying degrees of weakness across the upper limbs. Musculoskeletal disorders included epicondylitis (65

31.6%)

rotator cuff injury (24

11.7%)

bicipital tendonitis (69

33.5%)

shoulder drop (42

20.4%) and muscle atrophy (19

9.2%). Peripheral nerve disorders included carpal tunnel syndrome in 13(6.3%) and unilateral brachial plexus injury in 1(1%). Fifty-three (51.5%) were diagnosed with facet joint syndrome at the level of the cervical spine (the most frequent site). Using a prosthesis was reported by 65 (63.1%)

both left and right sides. The back was the most common site of pain (71.8%).

Conclusion:

The high prevalence of neuro-musculoskeletal disorders among bilateral upper extremity amputees indicates that they need regular rehabilitation care.

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references

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