Indian Journal of Orthopaedics

CASE REPORT
Year
: 2016  |  Volume : 50  |  Issue : 2  |  Page : 213--217

Severely comminuted radius fracture presenting as a signature patterned injury


Saurabh Jain1, Sunil Rajan2, Abhishek Srivastava3 
1 Department of Orthopaedics, Mahavir Hospital, Indore (M.P.), India
2 Department of Orthopaedics, Synergy Hospital, Indore (M.P.), India
3 Department of Spinal Surgery, Queens hospital, Nottingham, United Kingdom

Correspondence Address:
Saurabh Jain
A-2, Mahavir Hospital, Footi Khothi Square, Indore, Madhya Pradesh - 452 009
India

Dilemma still prevails, regarding the exact management of mangled extremity injuries between limb salvage versus amputation, each having there own set of complications. We here present a case of severely comminuted fractures of radius (bag of bones) along with the multiple criss-cross shaped lacerated wounds on the forearm and wrist presenting as a “signature pattern injury” caused by entrapment of the limb in the concrete mixer. MESS score of patient was 8, a score valid for amputation, but contrary, we successfully salvaged the patient's limb with use of radio-carpal distracter. Management of mangled injuries should be individualized, with due consideration to the mechanism and force of injury, associated injuries, and the patient profile.


How to cite this article:
Jain S, Rajan S, Srivastava A. Severely comminuted radius fracture presenting as a signature patterned injury.Indian J Orthop 2016;50:213-217


How to cite this URL:
Jain S, Rajan S, Srivastava A. Severely comminuted radius fracture presenting as a signature patterned injury. Indian J Orthop [serial online] 2016 [cited 2020 Feb 21 ];50:213-217
Available from: http://www.ijoonline.com/article.asp?issn=0019-5413;year=2016;volume=50;issue=2;spage=213;epage=217;aulast=Jain;type=0