Related Experiment Video
Updated: Dec 20, 2025
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Sledge Hammer Impalement: a case report of challenges of managing a patient with a heavy pendant
M I Ajaero1, C P Echieh2, C Onyema1
1Department of E.N.T., Federal Medical Centre Owerri, Nigeria.
Introduction:
Impalement injuries are well defined. Transfixion injuries involve impalement and are defined in terms of fixation usually to a large object.
Case Report:
We report a spectacular case of sledge hammer impalement in the neck where the patient was transfixed, albeit to a small object, requiring movement of the patient and the transfixing object as a single unit.
Discussion:
The patient was fixed to the head of the sledge hammer because he was unable to move with the heavy pendant.
Conclusion:
We argue that transfixion injuries should be defined in terms of weight of the object in relation to the patient's weight and the ability of the patient to move (with) the impaling object.
Related Concept Videos
01:26Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
01:24Flail Chest-I
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
01:28Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
01:27Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...