M. E. Asuquo, MBBS, FWACS, FICS, I. A. Ikpeme, MBBS, FWACS, FICS, and I. Abang, MBBCH CASE REPORT A 22-year-old woman with a history of inability to use both upper limbs since 2 months presented in the accident and emergency unit. This followed a lightning strike in a village while she was asleep in the […]
Read MoreAn 18-year-old man presented with a workplace-related injury, wherein his left shirt sleeve was caught in a cloth rolling machine and consequently his left upper limb was avulsed and amputated at his shoulder. He presented to our center 3 hours after the incident, with the amputated part brought without cooling. Initial examination showed pallor but […]
Read MoreCASE REPORT A 62-year-old, right-handed woman suffered a complete double-level amputation transversely across the left distal forearm and the wrist and a severe crush injury of the midhand in a tree-shredder (Fig.1). Cold ischemia time was less than 2 hours. The proximal amputation occurred at the forearm 3 cm proximal to the radiocarpal joint, the distal obliquely […]
Read MoreThe patient sustained a deep cut across lateral side of the nose and right cheek after being attacked by a wild boar. The best therapy for wild animal inflicted wounds with special regard to optimal wound healing time, minimum complications and minimal residual functional and aesthetic impairment would be, in our opinion primary wound debridement […]
Read MoreA 5-year-old white boy presented with soft-tissue cellulitis involving the soft tissue of the lower ear auricle and adjacent neck (Figs 1a and 1b) as a result of a brown recluse spider bite. Wound cultures gave negative results upon initial debridement. The involved area progressed from cellulitis to necrosis of the skin of the lateral neck and lower […]
Read MoreCase presentation A 29-year-old man was brought to our level one trauma hospital after a motor vehicle accident, during which he was ejected from the vehicle during the crash. He lost consciousness on impact but was alert and oriented on arrival at the hospital, and was able to move all four extremities during the initial […]
Read MoreAbstract Temporomandibular joint (TMJ) reconstruction is a challenging clinical problem that has been revolutionized due to the development of total alloplastic TMJ replacement (TMJ-TJR); however, the costs are still very high. We used an alternative approach to treat comminuted mandibular condyle fracture with an unviable condyle head caused by gunshot wounds. Our surgical technique consisted […]
Read MoreCombat and domestic improvised explosive devices (IEDs) deserve special consideration and mention as they result in additional trauma to the soft and hard tissues that extend far beyond that of typical ballistic patterns of permanent and temporary cavitation effects seen with handguns, shotguns, or even high-powered rifles. In addition to direct tissue damage from blast […]
Read MoreLakkana Thaikruea & Potjaman Siriariyaporn It is widely known that box jellyfish are one of the most venomous marine animals in the world [1]. Envenomation involves the physical discharge of venom into tissues. The venom is a complex mixture of polypeptides and proteins, including hemolytic, cardiotoxic and dermatonecrotic toxins The islands of Samui and Pha-ngan have the […]
Read MoreLei Liu, Gang Tan, Fujun Luan, Xin Tang, Pengde Kang, Chongqi Tu, and Fuxing Pei The Wenchuan earthquake (May 12, 2008; 2:28 p.m. local time) was a disaster for China. Orthopedic surgeons faced major challenges in controlling fractures quickly and effectively, repairing tissue defects, closing the wounds, promoting wound healing, preventing infection, and minimising complications. […]
Read MoreA 41-year-old male patient presented to Khoula Hospital, Muscat, Oman, in 2015 with nine amputated fingers. While operating a paper cutting machine, eight of the patient’s fingers were amputated through the proximal phalanges, while the right thumb was amputated through the distal phalanx [Figure 1]. The total ischaemia time when the patient was received at […]
Read MoreA 44-year-old male presented to our department with an amputated thumb with radial part of the hand (Fig. 1). His injury was occurred by an electrical saw. The index finger circulation was intact. The margins of both the parts were crushed and severely damaged. Under general anesthesia and tourniquet control, they explored the wound. After […]
Read MoreA 35 year old male patient reported to emergency OPD with history of bear attack when he had gone to the jungle to graze his cattle. There was history of loss of consciousness for half an hour but no history of vomiting and ENT bleeding. On examination the patient was stable, neurological and cervical spine examinations […]
Read MoreA 19-year-old man from Kosovo was working on a farm when an agricultural machine ran over his leg causing severe injuries. The patient underwent a complicated operation comprising of debridement of devitalised tissue, soft tissue reconstruction and external fixation of broken bone segments. After a period of several months he managed to walk again. Case […]
Read MoreCase presentation A 35-year-old man, non-diabetic, non-hypertensive, married, having two children with normal erectile function, presented 4 h after sustaining gunshot injury to the left side of chest and left upper limb (figure 1). There were no injuries to the external genitalia. On evaluation, he had left pneumo-haemothorax which was relieved with insertion of intercostal chest […]
Read MoreAuthors: Josher Molendijk, BSc, MSc,1 Bob Vervloet, BSc, MSc,1 Eppo B. Wolvius, DDS, MD, PhD,1 and Maarten J. Koudstaal, MD, DDS, PhD1 Case A 29-year-old man was hit directly in the face by a rocket in the night of January 1, 2011. The patient was seen at the emergency department of our institution according to the Advanced Trauma Life […]
Read MoreCASE REPORT We present a case for a 38 years old male, who tripped on the platform besides the running train. Immediate investigation and CT scan revealed a large degloving injury of his left hand up to metacarpophalangeal joint and forearm up to the level proximal of the elbow. The distal phalanx of the left […]
Read MoreThe patient is a 30-year-old female, who presented to the ED in extreme pain after walking in the woods and being attacked by an unknown animal. There were significant wounds to her left leg, forearm, shoulder, back, ear, and face with substantial skin, subcutaneous tissue, and muscle damage. She received a tetanus booster, antibiotics, rabies […]
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