Journal of the Korean Fracture Society  2017;30(2):83-88

doi:10.12671/jkfs.2017.30.2.83

Fracture of the Humeral Shaft Secondary to High-Velocity Gunshot (Machine Gun) Injury: A Case Report.

Ki Won LEE 1 ; Joo Yul BAE ; Suk Kyu LEE

Affiliations

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Keywords

Humerus; Fracture; Gunshot wound

Country

Republic 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.