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

CASEBlast 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 Lopres...

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Bibliographic Details
Published inCase reports in orthopedics Vol. 2021; p. 6645082
Main Authors Knapp, Paul, Powell, Dexter, Bandovic, Ivan, Coon, Matthew, Best, Benjamin
Format Report
LanguageEnglish
Published 01.01.2021
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Summary:CASEBlast 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. CONCLUSIONWe 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.
Bibliography:ObjectType-Case Study-2
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ISSN:2090-6749
DOI:10.1155/2021/6645082