The management of penetrating skeletal extremity trauma is a clinical challenge even for experienced surgeons. While the treatment of associated vascular injuries should be prioritized, there is still a lack of evidence regarding the management of foreign bodies in case of bone fractures or neurological injuries. Here we present a case of impalement of the right proximal humerus with a construction steel rod. The 54-year-old man was successfully treated without vascular, neurological, and thoracic sequelae. A review of the current literature about the most appropriate extrication sequences and soft tissue reconstruction following massive foreign body injuries was carried out.

Impalement injuries of the shoulder: a case report with literature review

Scaglia, Marco;Negri, Stefano;Pellizzari, Gianmarco;Amarossi, Andrea;Pasquetto, Davide;Samaila, Elena Manuela;Maluta, Tommaso;Vecchini, Eugenio;Ricci, Matteo;Valentini, Roberto;Magnan, Bruno
2022-01-01

Abstract

The management of penetrating skeletal extremity trauma is a clinical challenge even for experienced surgeons. While the treatment of associated vascular injuries should be prioritized, there is still a lack of evidence regarding the management of foreign bodies in case of bone fractures or neurological injuries. Here we present a case of impalement of the right proximal humerus with a construction steel rod. The 54-year-old man was successfully treated without vascular, neurological, and thoracic sequelae. A review of the current literature about the most appropriate extrication sequences and soft tissue reconstruction following massive foreign body injuries was carried out.
2022
Humans
Male
Middle Aged
Shoulder
Foreign Bodies
Shoulder Injuries
Thoracic Injuries
Wounds, Penetrating
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11562/1074388
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