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Complex pediatric "Spin Dryer" injuries - An uncommon mechanism and pattern of synchronous upper limb fractures
Marlon M Mencia1, Raakesh Goalan1
1Department of Clinical Surgical Sciences, University of the West Indies, Kingston, Jamaica.
Abstract:
Ipsilateral humerus and forearm fractures, or 'floating elbow,' are high-energy injuries, uncommon in children and usually due to falls or motor vehicle accidents. Early models of washing machines were associated with various reports of upper extremity injuries in children, mostly occurring when the child attempted to remove clothes from a spinning machine. Some of these accidents resulted in serious injuries, including amputation, but have become considerably less common with the introduction of improved safety features in modern appliances. We describe the successful management of a child with multiple complex upper limb fractures caused by a modern washing machine.
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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...

