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

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.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11562/1074388
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