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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Autores principales: Knapp, Paul, Powell, Dexter, Bandovic, Ivan, Coon, Matthew, Best, Benjamin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7952166/
https://www.ncbi.nlm.nih.gov/pubmed/33763272
http://dx.doi.org/10.1155/2021/6645082
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author Knapp, Paul
Powell, Dexter
Bandovic, Ivan
Coon, Matthew
Best, Benjamin
author_facet Knapp, Paul
Powell, Dexter
Bandovic, Ivan
Coon, Matthew
Best, Benjamin
author_sort Knapp, Paul
collection PubMed
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.
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spelling pubmed-79521662021-03-23 High-Energy Blast Injury Requiring Transradial Amputation with Associated Essex Lopresti and Terrible Triad Injuries of the Elbow: A Rare Presentation Knapp, Paul Powell, Dexter Bandovic, Ivan Coon, Matthew Best, Benjamin Case Rep Orthop Case Report 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. Hindawi 2021-03-03 /pmc/articles/PMC7952166/ /pubmed/33763272 http://dx.doi.org/10.1155/2021/6645082 Text en Copyright © 2021 Paul Knapp et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Knapp, Paul
Powell, Dexter
Bandovic, Ivan
Coon, Matthew
Best, Benjamin
High-Energy Blast Injury Requiring Transradial Amputation with Associated Essex Lopresti and Terrible Triad Injuries of the Elbow: A Rare Presentation
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7952166/
https://www.ncbi.nlm.nih.gov/pubmed/33763272
http://dx.doi.org/10.1155/2021/6645082
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