Fracture of the Humeral Shaft Secondary to High-Velocity Gunshot (Machine Gun) Injury: A Case Report.
10.12671/jkfs.2017.30.2.83
- Author:
Ki Won LEE
1
;
Joo Yul BAE
;
Suk Kyu LEE
Author Information
1. Department of Orthopaedic Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea. qwonduf@gmail.com
- Publication Type:Case Report
- Keywords:
Humerus;
Fracture;
Gunshot wound
- MeSH:
Anti-Bacterial Agents;
Debridement;
Fracture Fixation;
Fractures, Open;
Humans;
Humerus;
Military Personnel;
Wounds and Injuries;
Wounds, Gunshot
- From:Journal of the Korean Fracture Society
2017;30(2):83-88
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
High-velocity gunshot injury (muzzle velocity greater than 609.6 m/s) is uncommon and primarily a military injury. Humerus shaft fracture, caused by a high-velocity gunshot, should be considered as a severe open fracture. The principles of treatment are immediate and aggressive irrigation, wide debridement, primary delayed wound closure, and broad-spectrum intravenous antibiotics. External fixation has been widely used for fracture fixation. We report a case of humerus shaft fracture secondary to high-velocity gunshot (machine gun) injury, with a literature review.