PMC3988597_01
Five-year old boy with a crush injury extending from his shoulder to the distal part of his left arm. The injury was sustained by the curling of the affected arm around the pulling cable of a haulage cable car (arrow).
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F1
According to witnesses, pulling cable of a haulage cable car coiled around the patient's left wrist, elbow, and shoulder [Figure 1].
Five-year old boy with a crush injury extending from his shoulder to the distal part of his left arm. X-ray shows spiral fracture of the distal diaphysis of the left humerus (arrows).
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F2
The cable amputated the distal phalanx of the 3rd digit, and detached the flexor digitorum profundus tendon of the 3rd digit, and caused a spiral fracture of the humerus [Figure 2].
Five-year old boy with a crush injury extending from his shoulder to the distal part of his left arm. Photograph of the nerve after lateral incision shows the cut radial nerve (arrow).
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F3
The radial nerve was discontinuous (neurotmesis) [Figure 3].
Five-year old boy with a crush injury extending from his shoulder to the distal part of his left arm. X-ray shows proper reduction (arrow a) and intramedullary fixation (arrow b) of the humeral diaphysis.
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F4
Following proper reduction of the humerus, intramedullary fixation was applied [Figure 4].
Five-year old boy with a crush injury extending from his shoulder to the distal part of his left arm. Photograph shows radial nerve (arrow) repaired by microsurgery.
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F5
The radial nerve was repaired by microsurgery [Figure 5].
Five-year old boy with a crush injury extending from his shoulder to the distal part of his left arm. Photograph of the arm and wrist six-months after the opeartion shows the affected wrist and digits of the patient had regained full extension.
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F6
Tinel sign. The affected wrist and digits regained full extension six months after the operation [Figure 6].