Ballistic Trauma of Limbs
Léopold Lamah*, Damany Keita, Ibrahima Marie Camara, Mohamed Lamine Bah, Sidimé Sory, Mamadou Moustapha Diallo
Identifiers and Pagination:Year: 2017
First Page: 268
Last Page: 273
Publisher ID: TOORTHJ-11-268
Article History:Received Date: 13/12/2016
Revision Received Date: 14/02/2017
Acceptance Date: 16/02/2017
Electronic publication date: 31/03/2017
Collection year: 2017
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.
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.