Abstract: Fracture Patterns Following Gunshot Wounds to the Upper Extremity
نویسندگان
چکیده
CONCLUSION: Thumb injuries from fireworks result from high-energy avulsion, hyperextension, and hyperabduction, frequently injuring the thumb, destabilizing the CMC joint, and seriously damaging the first webspace. The first webspace requires particular consideration as deep injury may result in adduction contracture and require secondary reconstruction with tissue outside the zone of injury if not prevented. In our experience, application of thumb stabilization with either a miniature external fixation device or Kirschner wires to stabilize the CMC joint is imperative to maintain the first webspace and prevent thumb adduction contracture.
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