Related Experiment Video
Updated: Jun 3, 2025

High-Resolution Three-Dimensional Imaging of the Footpad Vasculature in a Murine Hindlimb Gangrene Model
Published on: March 16, 2022
A Rare Case of Gas Gangrene after Upper Limb Fracture
Alona Katzir1, Max Gordon1, Yoram A Weil1
1Department of Orthopedic Surgery, Hadassah University Medical Center, Jerusalem, Israel.
Introduction:
Gas gangrene, is an aggressive and life-threatening necrotizing infection of soft tissues. We report a case of upper-limb trauma resulting in clostridial gas gangrene.
Case Report:
A 36-year-old healthy male presented to our department with a left humeral shaft fracture and an open elbow fracture. During surgery wound discharge, and diffuse crepitations due to gaseous accumulation were noted around the medial elbow and forearm. Debridement and fasciotomy were performed, and IV penicillin and clindamycin were administrated. The infection spread into adjacent soft tissues, requiring repeated surgical interventions and long-term IV antibiotics till resolution.
Conclusion:
Early and repeated debridements are imperative in traumatic gas gangrene, to preserve limb and function.
Related Concept Videos
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Flail 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...
Burn Injuries
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...

