Civilian vascular trauma has increased over the past decade with a concurrent surge in the use of firearms. Penetrating trauma accounts for approximately 90% of arterial injuries. These are often difficult to diagnose and treat. Early descriptions of the diagnosis and management of traumatic vascular injuries came from both military and civilian trauma surgeons. Trauma patients frequently have ...

Pilon fractures are distal tibia end fractures affecting the weight-bearing articular surface. They represent around 1% of all lower extremity fractures, and are more common in males between 35 and 40 years of age.1 Such injuries may be caused by highor low-energy mechanisms. Axial compression injuries where the talus impacts on the distal articular surface, causing implosion of the tibial plaf...

Electrical burns are among the most devastating of burn injuries. High voltage electrical injuries result in extensive deep tissue damage and are associated with multiple complications, long term morbidity, and a high mortality rate. We describe the case of a 47 year-old electric company linesman who suffered a high voltage electrical injury (HVEI) of 14,000 volts to bilateral hands and wrists ...