Severely comminuted radius fracture presenting as a signatur
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Dilemma still prevails, regarding the exact management of mangled extremity injuries between limb salvage versus amputation, each having there own set of complications. We here present a case of severely comminuted fractures of radius (bag of bones) along with the multiple criss-cross shaped lacerated wounds on the forearm and wrist presenting as a “signature pattern injury” caused by entrapment of the limb in the concrete mixer. MESS score of patient was 8, a score valid for amputation, but contrary, we successfully salvaged the patient's limb with use of radio-carpal distracter. Management of mangled injuries should be individualized, with due consideration to the mechanism and force of injury, associated injuries, and the patient profile.

Case Report
A 35-year-old male, manual laborer by occupation, with left hand dominance, presented to the casuality department, sustaining an accidental injury due to entrapment of his left upper limb in concrete mixer while working. He presented after a delay of 24 h as the patient was referred from primary health center. The patient was transiently hypotensive with blood pressure below 90 but responded well to intravenous fluid.

https://goo.gl/mQShGm
Like
Comment
Share