Lamah Léopold, Keita Damany, Marie Camara Ibrahima, Lamine Bah Mohamed, Sory Sidimé, Diallo Mamadou Moustapha
University of Conakry Gamal Abdel Nasser - Medecine Hospital Donka, Conakry 00224, Guinea.
Open Orthop J. 2017 Mar 31;11:268-273. doi: 10.2174/1874325001711010268. eCollection 2017.
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.
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.
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.
我们研究的目的是报告一例弹道伤的治疗及随访情况，并进行文献综述。
一名35岁患者，是一名商人，在情况不太明确的情况下成为枪支事故的受害者。3小时后他被送往急诊科。临床上，患者手臂有大量出血，处于意识模糊状态。我们可以看到右臂后侧有一个1厘米的大贯通伤，前内侧有一个6厘米的伤口。肢体冰冷，脉搏微弱。桡神经区域感觉减退。X线片显示肱骨干中1/3至近1/3处骨粉碎。治疗采用矫形（清创后），使用带胸带的肩胛-臂-前臂-掌侧石膏夹板。伤口在46天愈合，患者在11个月零2周后恢复活动。
作者介绍了在没有外固定器的情况下，使用带胸带的肩胛臂掌侧石膏夹板治疗某些严重上肢创伤的价值。
