CASE REPORT


Ballistic Trauma of Limbs



Léopold Lamah*, Damany Keita, Ibrahima Marie Camara, Mohamed Lamine Bah, Sidimé Sory, Mamadou Moustapha Diallo
University of Conakry Gamal Abdel Nasser - Medecine Hospital Donka, Conakry 00224, Guinea


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© 2017 Lamah et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at University of Conakry Gamal Abdel Nasser - Medecine, Hospital Donka, Conakry 00224, Guinea; Tel: 628000042; E-mails: leolamah@yahoo.fr, mustodjinkan87@yahoo.fr


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.

Keywords: Ballistics, Case special, Donka members, Traumatism, Traumatology.