[Perthes Syndrome after Roll-Over Trauma].

Area of Science:

• Trauma Surgery
• Emergency Medicine
• Clinical Diagnostics

Background:

• Roll-over trauma and entrapment injuries can cause severe polytraumatisation.
• Rarely, prolonged extrathoracic compression leads to Perthes syndrome (traumatic asphyxia).
• This condition presents with characteristic cyanosis, petechiae, and subconjunctival hemorrhages.

Purpose of the Study:

• To describe the clinical presentation and management of Perthes syndrome.
• To highlight the importance of early diagnosis and intervention.

Main Methods:

• Clinical case review and analysis of typical diagnostic features.
• Review of recommended therapeutic interventions.

Main Results:

• Perthes syndrome diagnosis is based on a triad of craniocervical cyanosis, facial petechiae, and subconjunctival hemorrhages.
• Associated injuries can include cardiac, pulmonary, hepatic, and neurological complications.
• Early identification and management, including upper body elevation and oxygenation, are crucial.

Conclusions:

• Perthes syndrome is a rare but identifiable consequence of severe thoracic compression.
• Prompt diagnosis and supportive care are essential for favorable outcomes.
• Long-term complications are generally not expected, with stasis resolving within months.