Crush injury to shoulder / arm from Tractor wheel
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Crush injuries are usually difficult to treat when they are around the shoulder girdle and pelvic girdle. Recently a middle aged gentleman was referred to us after giving initial treatment in a local govt hospital. On examination the shoulder, upper limb was crushed, edematous, tense and infected. Clavicle and Corocoid process fracture was noted. There was occlusion of the 2nd and 3rd part of the subclavian artery. Devitalized skin (necrotic skin) around the shoulder and arm was infected. A large collection was noted in the axilla and sub pectoral region. There was significant induration around the clavicle fracture (12 days) and it was looking like phlegmon.
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Crush injuries are usually difficult to treat when they are around the shoulder girdle and pelvic girdle. Recently a middle aged gentleman was referred to us after giving initial treatment in a local govt hospital. On examination the shoulder, upper limb was crushed, edematous, tense and infected. Clavicle and Corocoid process fracture was noted. There was occlusion of the 2nd and 3rd part of the subclavian artery. Devitalized skin (necrotic skin) around the shoulder and arm was infected. A large collection was noted in the axilla and sub pectoral region. There was significant induration around the clavicle fracture (12 days) and it was looking like phlegmon.
what should be done in such cases?
what is the expected outcome?
By
Pinjala R K
Pinjala R K
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