High-Energy Blast Injury Requiring Transradial Amputation with Associated Essex Lopresti and Terrible Triad Injuries of the Elbow: A Rare Presentation

Autor: Matthew S. Coon, Benjamin Best, Dexter Powell, Paul Knapp, Ivan Bandovic
Rok vydání: 2021
Předmět:
Zdroj: Case Reports in Orthopedics
Case Reports in Orthopedics, Vol 2021 (2021)
ISSN: 2090-6757
2090-6749
DOI: 10.1155/2021/6645082
Popis: Case. Blast injuries to the upper extremity can be devastating and emotionally stressful injuries. We describe a case of a high-energy blast injury to an upper extremity from an explosive. The transfer of energy caused severe soft tissue/bony damage to the hand, but also led to associated Essex Lopresti and terrible triad injuries. The patient required emergent transradial amputation by hand surgery as well as definitive fixation by our orthopaedic team. Conclusion. We describe a unique salvage operation that established forearm pronosupination, elbow flexion, and proper prosthetic fitting. We feel that describing our technique could help others in treating this injury if encountered.
Databáze: OpenAIRE