Document
Spontaneous fracture of the humerus 18 months after a high voltage electrical injury : a case report.
Identifier
DOI 10. 5001/omj.2014.39
Contributors
Mohammadi, Ali Akbar., Author
Jafari, Seyed Morteza Seyed., Author
Publisher
Oman Medical Specialty Board.
Gregorian
2014-03
Language
English
English abstract
Electrical burn occurs when a current passes through the body, interfering with the function of internal organs or sometimes burning tissue. Four major mechanisms of electricity-induced injuries are presently known. In this case report, a 29-year-old farmer sustained electrical trauma to extremities from a high voltage transformer, followed by a major, deep burn wound on upper lateral aspect of his left arm, and a deep burn wound over the left medial ankle. After a few months, the patient developed left arm fracture with complete separation of two segments, and plantar wound with purulent discharge accompanied by complete destruction of the head of 4th metatarsal bone which was in favor of chronic osteomyelitis. In this case, passage of the high voltage current and direct trauma could destroy metaphyseal, medullary and periosteal blood supply. Patients with high voltage electrical-induced bone injuries who underwent reconstructive surgery seem to be susceptible to osteonecrosis and pathologic fractures; therefor, these patients should be under close follow-up and periodic radiologic evaluations may be recommended.
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Resource URL
Citation
Imani, Mohammad Taghi, Mohammadi, Ali Akbar, & Jafari, Seyed Morteza Seyed (2014). Spontaneous fracture of the humerus 18 months after a high voltage electrical injury : a case report. Oman Medical Journal, 29 (2), [1-3].
Category
Journal articles