Document Detail

An unusual log-splitter injury leading to radial artery thrombosis, ulnar artery laceration, and scapholunate dissociation.
MedLine Citation:
PMID:  18827886     Owner:  NLM     Status:  MEDLINE    
A log splitter is a gasoline- or diesel-powered machine that uses a hydraulic-powered cutting wedge to do the work of an axe. Log-splitter injuries that do not result in amputation of digits or limbs are uncommon and not well described in the literature. We present a unique case of a patient who sustained a log-splitter injury that resulted in thrombosis of the radial artery and avulsion laceration of the ulnar artery leading to acute hand ischemia, in addition to scapholunate ligament disruption leading to a DISI deformity. In this case, thrombolytic therapy was contraindicated and surgical revascularization was the best possible treatment option. Our case illustrates the pitfalls of using this modality in a crush injury, since the use of thrombolytics in this instance would have resulted in severe hemorrhage. An important clinical caveat is the potentially misleading arteriographic diagnosis of thrombosis and/or spasm.
Christopher R Spock; Jeffrey C Salomon; Deepak Narayan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Yale journal of biology and medicine     Volume:  81     ISSN:  1551-4056     ISO Abbreviation:  Yale J Biol Med     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-10-01     Completed Date:  2008-12-08     Revised Date:  2013-06-05    
Medline Journal Info:
Nlm Unique ID:  0417414     Medline TA:  Yale J Biol Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  115-9     Citation Subset:  IM    
Department of Plastic and Reconstructive Surgery, Yale University School of Medicine, New Haven, Connecticut 06520-8062, USA.
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MeSH Terms
Accidents, Occupational
Multiple Trauma / diagnosis*,  surgery*
Radial Artery / injuries,  surgery*
Thrombosis / diagnosis*,  surgery*
Ulnar Artery / injuries*,  surgery*
Wrist Injuries

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