Authors
Shevchenko Yu.L.1, Kokorin V.V.1, 2, Krainyukov P.E.1, 3
1 Pirogov National Medical and Surgical Center, Moscow
2 P.V. Mandryka Central Military Clinical Hospital, Moscow
3 Peoples’ Friendship University of Russia, Moscow
Abstract
Clinical practice in recent years has demonstrated a steady increase in the number of servicemen presenting with pain syndrome and functional disorders of the musculoskeletal system after combat surgical trauma. In a significant proportion of patients, these symptoms are delayed in onset: they may develop weeks, months, or even years after a gunshot injury and are often localized not strictly within the area of the initial trauma, but in other anatomical regions. In this regard, establishing a relationship between gunshot injuries and subsequent enthesopathy represents both a matter of scientific and practical interest and a clinically significant problem.
The present study is the first systematizing investigation of enthesopathy caused by the damaging factors of firearms. From a pathogenetic standpoint, it substantiates a new nosological entity that has not previously been considered and is not encoded by any of the existing terms: “gunshot enthesopathy”.
Keywords: gunshot enthesopathy, gunshot trauma, gunshot wounds, enthesis, enthesopathy, periarticular tissues.
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