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Review
. 2022 Mar 10;92(S3):e2021565.
doi: 10.23750/abm.v92iS3.12563.

Impalement injuries of the shoulder: a case report with literature review

Marco Scaglia  1 , Stefano Negri  2 , Gianmarco Pellizzari  3 , Andrea Amarossi  4 , Davide Pasquetto  5 , Elena Manuela Samaila  6 , Tommaso Maluta  7 , Eugenio Vecchini  8 , Matteo Ricci  9 , Roberto Valentini  10 , Bruno Magnan  11
Affiliations
Review

Impalement injuries of the shoulder: a case report with literature review

Marco Scaglia et al. Acta Biomed. .

Abstract

The management of penetrating skeletal extremity trauma is a clinical challenge even for experienced surgeons. While the treatment of associated vascular injuries should be prioritized, there is still a lack of evidence regarding the management of foreign bodies in case of bone fractures or neurological injuries. Here we present a case of impalement of the right proximal humerus with a construction steel rod. The 54-year-old man was successfully treated without vascular, neurological, and thoracic sequelae. A review of the current literature about the most appropriate extrication sequences and soft tissue reconstruction following massive foreign body injuries was carried out.

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Conflict of interest statement

Each author declares that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangement etc.) that might pose a conflict of interest in connection with the submitted article.

Figures

Figure 1.
Figure 1.. Clinical appearance at admission (A-B)
Figure 2.
Figure 2.. Radiographic imaging: X-rays (A), CT scan (B-C), 3D reconstruction (D-E)
Figure 3.
Figure 3.. CT scan imaging after foreign body removal: CT scan sections (A-C) and 3D reconstruction (D-F)
See this image and copyright information in PMC

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