Mechanisms and Outcomes after Crush Injuries of the Foot

Hip disarticulation is an amputation through the hip joint capsule, removing the entire lower extremity, with closure of the remaining musculature over the exposed acetabulum. Tumors of the distal and proximal femur were treated by total femur resection; a hip disarticulation sometimes is performance for massive trauma with crush injuries to the lower extremity. This article discusses the design a system for rehabilitation of a patient with bilateral hip disarticulations. The prosthetics designed allowed the patient to do natural gait suspended between parallel articulate crutches with the body weight support between the crutches. The care of this patient was a challenge due to bilateral amputations at such a high level and the special needs of a patient mobility.

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Musculotendinous Disorders in the Upper Extremity: Part 1. MRI of the Shoulder and Upper Arm

Seminars in Musculoskeletal Radiology ◽

10.1055/s-0037-1604009 ◽

2017 ◽

Vol 21 (04) ◽

pp. 359-375

Author(s):

Robert Boutin ◽

Russell Fritz

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Rotator Cuff ◽

Latissimus Dorsi ◽

Deltoid Muscle ◽

Tendon Injuries ◽

Resonance Imaging ◽

Upper Arm ◽

Teres Major ◽

Crush Injuries

AbstractMuscle and tendon injuries about the shoulder and upper arm are commonly evaluated and characterized with magnetic resonance imaging. This article reviews our experience with abnormalities of the rotator cuff tendons and muscles as well as the deltoid muscle in the shoulder. We discuss and illustrate abnormalities of the upper arm such as strain injuries of the pectoralis major, strain injuries of the teres major and latissimus dorsi, and contusion and crush injuries of the biceps and brachialis muscles in the upper arm.

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Split-Thickness Skin Excision: Its Use for Immediate Wound Care in Crush Injuries of the Foot

Foot & Ankle ◽

10.1177/107110078901000202 ◽

1989 ◽

Vol 10 (2) ◽

pp. 54-60 ◽

Cited By ~ 16

Author(s):

Mark Myerson

Keyword(s):

Wound Care ◽

Skin Flap ◽

Free Flaps ◽

Complete Coverage ◽

Compartment Syndromes ◽

Wound Debridement ◽

Thickness Skin ◽

Skin Excision ◽

Crush Injuries ◽

Skin Coverage

Split-thickness skin excision (STSE) was used as an adjunctive modality in the treatment of eight crush injuries of the foot. Compartment syndromes were present in four feet and were treated with fasciotomy. Wound debridement, internal fixation of fractures, and STSE followed. This technique accurately determined the viability of the skin flap, simultaneously providing skin for local wound coverage. All flaps treated in this manner survived and all (100%) of the degloved STSE grafts healed. Additional procedures were performed in four patients (two free flaps and two split-thickness skin grafts) adjacent to the debrided flap for complete coverage. STSE proved to be an effective modality for skin coverage in crush injuries of the foot associated with degloving of skin.

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