Citation

Lamah L, Keita D, Marie Camara I, Lamine Bah M, Sory S, Diallo MM. Open Orthop. J. 2017; 11: 268-273.

Affiliation

University of Conakry Gamal Abdel Nasser - Medecine Hospital Donka, Conakry 00224, Guinea.

Copyright

(Copyright © 2017, Bentham Science Publishers)

DOI

10.2174/1874325001711010268

PMID

28567155

PMCID

PMC5420182

Abstract

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

Keywords

Ballistics; Case special; Donka members; Traumatism; Traumatology