Unusual injuries of the hand: Impalement injuries

Authors

1 Department of General Surgery, Mayo Institute of Medical Sciences, Barabanki, Uttar Pradesh, India

2 Department of Plastic Surgery, King George Medical University, Lucknow, Uttar Pradesh, India

Abstract

Impalement injuries are relatively rare. The most common anatomical site of involvement is the extremities. Impalement injuries are defined as penetrating injuries where a traumatic agent remains impaled in the human body. Foreign body penetration of the hand and wrist is presented as emergency cases. Due to the rarity of such finial impalement injuries presenting to the emergency, the management of this clinical condition remains controversial. Here, we report two cases of impalement injuries of the hand and their successful management. The patients even though been injured by such an object had minimum injuries, the chances of which are quite low. Case 1: A 27-year-old female presented with a history of accidental slipping in the staircase and sustained penetrating injury over the right hand by iron fence finial 5 h before presentation. Case 2: A 42-year-old male presented with a history of slipping while trying to cross a fence. He sustained penetrating injury over his left hand by iron fence finial 7 h before presentation.

Keywords

References

1. Horowitz MD, Dove DB, Eis@mont FJ, Green BA. Impalement injuries. J Trauma 1985;25:914‑6.
2. Goel T, Bhate S. Case report of isolated impaling lung injury with successful outcome. Int Surg J. 2017;4:3548-51.
3. Eachempati SR, Barie PS, Reed RL 2nd. Survival after transabdominal impalement from a construction injury: A review of the management of impalement injuries. J Trauma 1999;47:864‑6.
4. Mathur RM, Devgarha S, Goyal G, Sharma D. Impalement injury involving both heart and lung: A rare case report. IOSR J Dent Med Sci 2013;9:62‑5.
5. Heath KJ, CalaAD. Metal railing fences and accidental death. J Forensic Sci 2018;63:972‑5.
6. Akhiwu BI, Adoga AS, Binitie OP, Ani CC, Iweagwu M, Adetutu O,et al. Impalement head injury with a spear. J West Afr Coll Surg 2016;6:113‑24.
7. Goel T, Bhate S. Case report of isolated impaling lung injury with successful outcome. Int Surg J. 2017;4:3548-51.
8. Salomone JP. More than skin deep: Use caution when treating impalement injuries. JEMS 2011;36:40‑3.
9. Banshelkikar SN, Sheth BA, Dhake RP, Goregaonkar AB. Impalement injury to thigh: A case report with review of literature. J Orthop Case Rep 2018;8:71‑4
Archives of Trauma Research
Volume 10, Issue 3
July 2021
Pages 173-175

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History

  • Receive Date: 15 September 2022
  • Accept Date: 15 September 2022

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