Dysbaric osteonecrosis screening in submarine escape instructors


YILDIZ S., CIMSIT A., Toklu A. S., Cimsit M.

AVIATION SPACE AND ENVIRONMENTAL MEDICINE, vol.75, no.8, pp.673-675, 2004 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 75 Issue: 8
  • Publication Date: 2004
  • Journal Name: AVIATION SPACE AND ENVIRONMENTAL MEDICINE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.673-675
  • Istanbul University Affiliated: Yes

Abstract

Introduction: Dysbaric osteonecrosis (DON) is an avascular bone necrosis that can be seen in divers and compressed air workers. Submarine escape instructors constitute a specific group who are exposed to hyperbaric conditions with a constant profile. Methods: We screened 21 Turkish Navy submarine escape instructors and evaluated 147 skeletal radiographs for dysbaric osteonecrosis. Two instructors who had suspicious DON lesions on the X-rays underwent examination by MRI of the suspected sites. Results: We found no evidence of DON in the radiographs and MRIs of the submarine escape instructors. Discussion: We concluded that the risk of DON is very low for submarine escape instructors who work at the Submarine Escape Training Tower (SETT) at a depth of 60 ft and who strictly obey the decompression rules.