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Determining a patient's prognosis after severe traumatic brain injury remains difficult and complex. The purpose of the present study was following up patients with severe traumatic brain injury by correlating their clinical outcome and sequential computer tomography (CT) findings. We investigated 51 patients who survived the first year following an accident. All patients underwent successive CT examinations within a maximum period of 2 years. The patients' outcomes depended on the underlying brain damage and are presented by the Glasgow Outcome Scale. Based on the investigated data we concluded that the worst outcomes were experienced by patients with initial massive cerebral edema, extensive subdural hematoma and intraventricular hemorrhage, followed by stroke as subacute CT finding and cerebral atrophy as chronic finding visible at follow-up CT scans. The majority of lesions identified by CT scan were found in the frontal lobes, basal ganglia, and temporal lobes. We suggest that CT examination still represents a simple and useful tool in attempting to predict the clinical outcome in patients with severe traumatic brain injury.

Cilj je ovoga rada prikazati raspodjelu i zastupljenost patomorfoloških promjena ramenog zgloba otkrivenih ultrazvučnim pregledom bolesnika s radnom dijagnozom humeroskapularnog periartritisa (PHS). Retrospektivno su analizirani ultrazvučni nalazi 141 bolesnika, odnosno 147 simptomatskih ramena kod bolesnika s uputnom dijagnozom PHS. Nalazi su podijeljeni u skupine prema anatomskoj lokalizaciji i ultrazvučno otkrivenoj patomorfologiji te po dobnim skupinama. Podaci su analizirani deskriptivno. Ukupno je nađeno 87 (59,2%) pozitivnih i 60 (40,8%) urednih ultrazvučnih nalaza. Najčešće su promjene na tetivi supraspinatusa (55,3%), potom tenosinovitis duge glave bicepsa (15,2%), burzitisi (12,6%), tendinitis supskapularisa (10,6%) i tendinitis infraspinatusa (0,7%). Najveći broj patomorfoloških promjena, a ujedno i urednih nalaza, nađen je u dobnoj skupini od 40 do 65 godina. Najmanji je broj urednih nalaza u skupini starijih od 65 godina gdje je otkriveno najviše kompletnih ruptura supraspinatusa. Ultrazvuk je zbog svoje visoke specifičnosti i osjetljivosti za otkrivanje promjena rotatorne manšete, subakromijalo-subdeltoidne burze i tetive duge glave bicepsa, a s druge strane dostupnosti, neinvazivnosti i relativno niske cijene, metoda izbora za procjenu mekotkivnih struktura kod bolnog ramena. Ciljana anamneza i klinički pregled smanjit će broj neadekvatno indiciranih pretraga, The aim of this study was to present the distribution and representation of shoulder ultrasonographic (US) examination findings in patients with diagnosis of humeroscapular periarthritis. US examination findings in 141 patients, that is 147 symptomatic shoulders with diagnosis of humeroscapular periarthritis, were evaluated retrospectively. Outcomes of ultrasonography were distributed in groups by anatomical location, US examination finding and age. Descriptive statistics were used to analyze the data. Out of 147 analyzed shoulders, 87 (59.2%) were positive and 60 (40.8%) were negative upon US examination. The most frequent US abnormalities were detected in a supraspinatus tendon (55.3%), followed by long head of the biceps tendon (15.2%), bursitis (12.6%), subscapularis tendinitis (10.6%) and infraspinatus tendinitis (0.7%). The highest number of US abnormalities, as well as negative ultrasonographies, were detected at the age 40 to 65. The least negative US examination findings were at age over 65, where also the highest number of supraspinatus tears were detected. Due to high specificity and sensitivity in the evaluation of the rotator cuff, subacromial bursa and long head of the biceps tendon changes, ultrasound is a reliable method for evaluation of patients with painful shoulder. Its availability, noninvasivity and relatively low cost make it a method of choice for inital evaluation of such patients. Detailed history and clinical examination are going to lessen inadequate medical requests for ultrasonography