TY - JOUR PY - 2017// TI - Ballistic trauma of limbs JO - Open orthopaedics journal A1 - Lamah, Léopold A1 - Keita, Damany A1 - Marie Camara, Ibrahima A1 - Lamine Bah, Mohamed A1 - Sory, Sidimé A1 - Diallo, Mamadou Moustapha SP - 268 EP - 273 VL - 11 IS - N2 - The objective of our study was to report the management and follow-up of a particular case of ballistic trauma and to do the literature review. OBSERVATION: A 35-year-old patient, a trader who was the victim of a firearm accident under not very clear circumstances. He was admitted to the emergency department after 3 hours. Clinically, the patient had significant bleeding in the arm and was in a state of clouding of consciousness. We could notice on the right arm, a posterior large transfixing wound of 1 cm and a 6 cm one on the antero-internal side. The limb was cold with a small and thready pulse. Sensitivity was decreased in the radial nerve area. The radiograph showed bone comminution from the middle 1/3 to the superior 1/3 of the humeral diaphysis. The treatment was orthopedic (after debridement) by scapula-brachio-ante-brachiopalmar plaster splint with thoracic strap. The wound healed in 46 days and the patient resumed his activities after 11 months and 2 weeks.

CONCLUSION: The authors presented the value of using the scapulo-brachio-palmar plaster splints with thoracic strap in some severe upper limb trauma in the absence of the external fixator.

Language: en

LA - en SN - 1874-3250 UR - http://dx.doi.org/10.2174/1874325001711010268 ID - ref1 ER -