Severely comminuted radius fracture presenting as a signature patterned injury

Saurabh Jain, Sunil Rajan, Abhishek SrivastavaIndian Journal of Orthopaedics 2016 50(2):213-217Dilemma still prevails, regarding the exact management of mangled extremity injuries between limb salvage versus amputation, each having there own set of complications. We here present a case of severely comminuted fractures of radius (bag of bones) along with the multiple criss-cross shaped lacerated wounds on the forearm and wrist presenting as a “signature pattern injury” caused by entrapment of the limb in the concrete mixer. MESS score of patient was 8, a score valid for amputation, but contrary, we successfully salvaged the patient's limb with use of radio-carpal distracter. Management of mangled injuries should be individualized, with due consideration to the mechanism and force of injury, associated injuries, and the patient profile.

Source: Indian Journal of Orthopaedics - February 29, 2016 Category: Orthopaedics Authors: Saurabh JainSunil RajanAbhishek Srivastava Source Type: research