Stab wounds to the gluteal region: A management strategy

Vadim Makrin, Elliot D. Sorene, Dror Soffer, Avi Weinbroum, Dan Oron, Yoram Kluger

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To examine the utility of a protocol for treating stab wounds to the gluteal region. These are uncommon and potentially lethal, and the location of injury influences the rate and severity of associated injuries. This was a retrospective, uncontrolled study. Methods: Patients who sustained gluteal stab wounds and were treated according to our predetermined protocol that classifies injuries as upper or lower zone were reviewed, and associated injuries and outcome were measured. Results: Of 27 gluteal stab wounds in 17 patients, 53% were classified as upper zone and 47% as lower zone injuries. Sixty-six percent of the upper zone injuries had associated neurologic, vascular, or visceral injuries that required invasive procedures or surgery, compared with 12.5% for lower zone injuries (p < 0.05). Conclusion: Upper zone gluteal stab wounds require prompt multisystem evaluation with mandatory angiography and aggressive management. Lower zone wounds need observation and repeated evaluations.

Original languageEnglish
Pages (from-to)707-710
Number of pages4
JournalJournal of Trauma and Acute Care Surgery
Volume50
Issue number4
DOIs
StatePublished - 2001
Externally publishedYes

Keywords

  • Buttock
  • Gluteal region
  • Stab wound
  • Trauma

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