Report of Ten Cases of Vascular and Orthopedic Injuries Following the Throwing Motion
Murat Eroğlu, Selim Akarsu, Fahri Hayri Atli, Korhan Erkanli
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Abstract
Vascular and orthopedic traumas due to throwing motion in the upper extremities are rarely seen in the emergency room, and they may end with serious complications if not early di- agnosed and treated. Ten patients' records were evaluated retrospectively in terms of symptoms and treatment which were seen and treated due to vascular and orthopedic trauma in the upper extremity caused by throwing motion. All patients had pain and decreased rate of motion in the right upper extremity and a history of throwing an object. Four of them had severe cyanosis in the right hand. Capillary filling time was above 15 seconds, but distal pulses were palpable. Humerus frac- ture was detected in two patients by radiological evaluation. Four patients with cyanosis in the right hand were admitted to the Department of Cardiovascular Surgery. Remaining four cases were discharged after medical treatment with the diagnosis of soft tissue trauma. Early intervention will decrease the risk of complication in these traumas, thus they should not be underestimated.
Keywords : Upper extremity; cyanosis; arm injuries; humeral fractures