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

Authors
  • Knapp, Paul
  • Powell, Dexter
  • Bandovic, Ivan
  • Coon, Matthew
  • Best, Benjamin
Type
Published Article
Journal
Case Reports in Orthopedics
Publisher
Hindawi Limited
Publication Date
Mar 03, 2021
Volume
2021
Identifiers
DOI: 10.1155/2021/6645082
PMID: 33763272
PMCID: PMC7952166
Source
PubMed Central
Disciplines
  • Case Report
License
Unknown

Abstract

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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