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

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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Main Authors: Paul Knapp, Dexter Powell, Ivan Bandovic, Matthew Coon, Benjamin Best
Format: Article
Language:English
Published: Hindawi Limited 2021-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2021/6645082
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spelling doaj-e1d2ce1ec4874c3fb4181a34bb9ac8672021-03-15T00:00:43ZengHindawi LimitedCase Reports in Orthopedics2090-67572021-01-01202110.1155/2021/6645082High-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 HospitalAscension Providence HospitalAscension Macomb-Oakland HospitalAscension Macomb-Oakland HospitalAscension St. John Hospital and Medical CenterCase. 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
collection DOAJ
language English
format Article
sources DOAJ
author Paul Knapp
Dexter Powell
Ivan Bandovic
Matthew Coon
Benjamin Best
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
author_facet Paul Knapp
Dexter Powell
Ivan Bandovic
Matthew Coon
Benjamin Best
author_sort Paul Knapp
title 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_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_sort high-energy blast injury requiring transradial amputation with associated essex lopresti and terrible triad injuries of the elbow: a rare presentation
publisher Hindawi Limited
series Case Reports in Orthopedics
issn 2090-6757
publishDate 2021-01-01
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.
url http://dx.doi.org/10.1155/2021/6645082
work_keys_str_mv AT paulknapp highenergyblastinjuryrequiringtransradialamputationwithassociatedessexloprestiandterribletriadinjuriesoftheelbowararepresentation
AT dexterpowell highenergyblastinjuryrequiringtransradialamputationwithassociatedessexloprestiandterribletriadinjuriesoftheelbowararepresentation
AT ivanbandovic highenergyblastinjuryrequiringtransradialamputationwithassociatedessexloprestiandterribletriadinjuriesoftheelbowararepresentation
AT matthewcoon highenergyblastinjuryrequiringtransradialamputationwithassociatedessexloprestiandterribletriadinjuriesoftheelbowararepresentation
AT benjaminbest highenergyblastinjuryrequiringtransradialamputationwithassociatedessexloprestiandterribletriadinjuriesoftheelbowararepresentation
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