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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Bones of the Upper Limb: Ulna01:15

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The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
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Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation
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Machete injuries to the upper extremity.

Chester J Donnally1, William Hannay2, Derek A Rapp2

  • 1Department of Orthopedics, Jackson Memorial Hospital, 1611 N.W. 12th Avenue, Miami, FL, 33136-1096, USA. Chester.Donnally@jhsmiami.org.

Archives of Orthopaedic and Trauma Surgery
|September 2, 2017
PubMed
Summary
This summary is machine-generated.

Machete upper extremity injuries, often from assaults, present complex challenges. Patients frequently have comorbidities and require careful management to avoid complications like infection, especially with tobacco use.

Keywords:
AssaultBoloCutlassKnife injuriesMacheteUpper extremity wounds

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Public Health

Background:

  • Machete-related upper extremity injuries are infrequent but severe.
  • Understanding injury patterns, complications, and patient factors is crucial for effective treatment.

Purpose of the Study:

  • To analyze the spectrum of upper extremity injuries from machete incidents.
  • To identify associated complications, comorbidities, and treatment challenges.

Main Methods:

  • Retrospective review of patients with machete-related upper extremity injuries at a Level 1 Trauma Center (2008-2016).
  • Data collected included demographics, injury mechanism, surgical management, and complications.
  • Pearson Chi-square analysis was used for data assessment.

Main Results:

  • 48 patients (mean age 42) were analyzed; 96% were male, 81% assault-related.
  • High rates of psychiatric history, substance abuse, tobacco use, and underinsurance were noted.
  • 44% experienced complications (infection, nerve/tendon issues); tobacco use increased infection risk.

Conclusions:

  • Machete injuries necessitate attention to complex patient comorbidities and social factors.
  • Physicians must consider these issues for optimal treatment outcomes.