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Published on: August 14, 2018
Shotgun Bean Bag Projectiles Causing Open Fractures and Retained Radiolucent Foreign Bodies: A Report of 2 Cases
Jordan A Miller1, Jalen Paulos2, Charlton H Bassett2
1Department of Orthopaedic Surgery, Kirk Kerkorian School of Medicine at the University of Nevada Las Vegas, Las Vegas, Nevada.
Case:
Bean bag projectiles (BBPs) are less lethal munition composed of a cloth bag filled with lead pellets and marking powder housed in a plastic casing fired from a 12-gauge shot gun. Two patients sustained penetrating BBP injuries that resulted in open fractures and retained BBP. Patient clothing and all BBP components were found deep in the wounds with marking powder surrounding fracture edges. Both patients healed without infection.
Conclusion:
Surgical exploration of penetrating BBP injuries is recommended to remove marking powder, fabric, plastic, and potentially other forms of contamination. Fracture stabilization should adhere to existing guidelines pertaining to open contaminated wound conditions.
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