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Case Report
- Fracture of the Humeral Shaft Secondary to High-Velocity Gunshot (Machine Gun) Injury: A Case Report
- Ki Won Lee, M.D., Joo-Yul Bae, M.D., Suk Kyu Lee, M.D.
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Journal of the Korean Fracture Society 2017;30(2):83-88.
DOI: https://doi.org/10.12671/jkfs.2017.30.2.83
Published online: April 18, 2017
Department of Orthopaedic Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
- Correspondence to: Joo-Yul Bae, M.D. Department of Orthopaedic Surgery, Gangneung Asan Hospital, 38 Bangdong-gil, Sacheon-myeon, Gangneung 25440, Korea. Tel: +82-33-610-3245, Fax: +82-33-641-8050, qwonduf@gmail.com
• Received: February 21, 2017 • Revised: February 27, 2017 • Accepted: February 27, 2017
Copyright © 2017 The Korean Fracture Society. All rights reserved.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Abstract
- High-velocity gunshot injury (muzzle velocity greater than 609.6 m/s) is uncommon and primarily a military injury. Humerus shaft fracture, caused by a high-velocity gunshot, should be considered as a severe open fracture. The principles of treatment are immediate and aggressive irrigation, wide debridement, primary delayed wound closure, and broad-spectrum intravenous antibiotics. External fixation has been widely used for fracture fixation. We report a case of humerus shaft fracture secondary to high-velocity gunshot (machine gun) injury, with a literature review.
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Fig. 1
Exit wound of the right arm exhibits massive tissue and bone destruction—a characteristic of M-60 gunshot wound in which the bone is hit by M-60 bullets.
Fig. 2
(A) Initial radiograph shows comminuted humeral shaft fracture and multiple foreign bodies. (B) Initial computed tomography angiography scan.
Fig. 4
(A) Photograph of external fixation. (B) Radiograph after the removal of the bone and bullet fragments with external fixation.
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Fig. 1
Exit wound of the right arm exhibits massive tissue and bone destruction—a characteristic of M-60 gunshot wound in which the bone is hit by M-60 bullets.
Fig. 2
(A) Initial radiograph shows comminuted humeral shaft fracture and multiple foreign bodies. (B) Initial computed tomography angiography scan.
Fig. 3
Photograph of radial nerve (arrow) injury.
Fig. 4
(A) Photograph of external fixation. (B) Radiograph after the removal of the bone and bullet fragments with external fixation.
Fig. 5
Photograph after anterior (A) and posterior (B) wound closure.
Fig. 6
(A) Intraoperative photograph shows open reduction and internal fixation with plate and screw, as well as autologous rib graft. (B) Postoperative radiograph shows open reduction and internal fixation with plate and screw, as well as autologous rib graft.
Fig. 7
Photograph of elbow and hand movement.
Fig. 8
Radiograph after implant removal.
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Fracture of the Humeral Shaft Secondary to High-Velocity Gunshot (Machine Gun) Injury: A Case Report
