High-Energy Blast Injury Requiring Transradial Amputation with Associated Essex Lopresti and Terrible Triad Injuries of the Elbow: A Rare Presentation
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 Lopr...
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Format: | Article |
Language: | English |
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Wiley
2021-01-01
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Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2021/6645082 |
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author | Paul Knapp Dexter Powell Ivan Bandovic Matthew Coon Benjamin Best |
author_facet | Paul Knapp Dexter Powell Ivan Bandovic Matthew Coon Benjamin Best |
author_sort | Paul Knapp |
collection | DOAJ |
description | 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. |
format | Article |
id | doaj-art-e1d2ce1ec4874c3fb4181a34bb9ac867 |
institution | Kabale University |
issn | 2090-6749 2090-6757 |
language | English |
publishDate | 2021-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Orthopedics |
spelling | doaj-art-e1d2ce1ec4874c3fb4181a34bb9ac8672025-02-03T06:43:43ZengWileyCase Reports in Orthopedics2090-67492090-67572021-01-01202110.1155/2021/66450826645082High-Energy Blast Injury Requiring Transradial Amputation with Associated Essex Lopresti and Terrible Triad Injuries of the Elbow: A Rare PresentationPaul Knapp0Dexter Powell1Ivan Bandovic2Matthew Coon3Benjamin Best4Ascension Macomb-Oakland Hospital, 27351 Dequindre Rd, Madison Heights, MI 48071, USAAscension Providence Hospital, 16001 W Nine Mile Rd, Southfield, MI 48075, USAAscension Macomb-Oakland Hospital, 27351 Dequindre Rd, Madison Heights, MI 48071, USAAscension Macomb-Oakland Hospital, 27351 Dequindre Rd, Madison Heights, MI 48071, USAAscension St. John Hospital and Medical Center, 22101 Moross Road, Detroit, MI 48236, USACase. 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.http://dx.doi.org/10.1155/2021/6645082 |
spellingShingle | Paul Knapp Dexter Powell Ivan Bandovic Matthew Coon Benjamin Best High-Energy Blast Injury Requiring Transradial Amputation with Associated Essex Lopresti and Terrible Triad Injuries of the Elbow: A Rare Presentation Case Reports in Orthopedics |
title | High-Energy Blast Injury Requiring Transradial Amputation with Associated Essex Lopresti and Terrible Triad Injuries of the Elbow: A Rare Presentation |
title_full | High-Energy Blast Injury Requiring Transradial Amputation with Associated Essex Lopresti and Terrible Triad Injuries of the Elbow: A Rare Presentation |
title_fullStr | High-Energy Blast Injury Requiring Transradial Amputation with Associated Essex Lopresti and Terrible Triad Injuries of the Elbow: A Rare Presentation |
title_full_unstemmed | High-Energy Blast Injury Requiring Transradial Amputation with Associated Essex Lopresti and Terrible Triad Injuries of the Elbow: A Rare Presentation |
title_short | High-Energy Blast Injury Requiring Transradial Amputation with Associated Essex Lopresti and Terrible Triad Injuries of the Elbow: A Rare Presentation |
title_sort | high energy blast injury requiring transradial amputation with associated essex lopresti and terrible triad injuries of the elbow a rare presentation |
url | http://dx.doi.org/10.1155/2021/6645082 |
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