Document Detail

Pressure ulcers in spinal cord injury: an unusual site and etiology.
MedLine Citation:
PMID:  19190481     Owner:  NLM     Status:  MEDLINE    
Case series of pressure ulcers in patients with spinal cord injury after inappropriate and prolonged application of graduated compression stockings are presented. Three adult patients with spinal cord injury were fitted with graduated compression stockings in the acute phase to prevent thromboembolism. Acute hospital staff did not monitor the skin for potential pressure ulcer because of the graduated compression stockings. Grade II pressure ulcers developed on the toes in all three cases. All pressure ulcers were managed conservatively and healed without complication. The manufacturers of graduated compression stockings did not include information about the need to monitor patients with sensory impairment for pressure ulcers. It is suggested that the manufacturers of graduated compression stockings include information about the need to monitor patients with sensory impairment for skin breakdown. When graduated compression stockings are applied to patients with sensory impairment, including spinal cord injury, staff needs to be vigilant for pressure ulcers occurring at the extremes of the graduated compression stockings, in addition to the more common areas where pressure ulcers occur.
Farooq A Rathore; P W New; Akhtar Waheed
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of physical medicine & rehabilitation / Association of Academic Physiatrists     Volume:  88     ISSN:  1537-7385     ISO Abbreviation:  Am J Phys Med Rehabil     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-22     Completed Date:  2009-07-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8803677     Medline TA:  Am J Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  587-90     Citation Subset:  AIM; IM    
Spinal Rehabilitation Unit, AF Institute of Rehabilitation Medicine, Rawalpindi, Pakistan.
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MeSH Terms
Pressure Ulcer / etiology*,  prevention & control
Spinal Cord Injuries / complications*,  rehabilitation*
Stockings, Compression / adverse effects
Thromboembolism / etiology,  prevention & control

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