update from pervious case.... Crush injury rt foot...... Use | Figure 1

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update from pervious case.... Crush injury rt foot...... Used only normal saline for dressing and debridement

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hand came in contact with conveyor belt. Full disruption of articular surface so ortho completed amputation. Also had tendon injury to 3rd digit which was repaired.

MVA - degloving of right foot, crush injury

This 22-year-old injured his foot playing a sport. What sport was it and what exactly happened? A hint for those of you who know sports trivia: Clint Malarchuk's injury 28 years ago was sustained by similar means. You are shown sagittal water-weighted images with a key structure highlighted (green arrow). I'll be back tomorrow with my answer. #FootMRI #MRI #radiology #radres

Ortho Casuality Day 1 28/Male Came with a right hand wound. Massive bleeding and extremely contaminated. The person assisting claimed he is a fellow worker whose hand got stuck in a mill. The fingers were brought in a frozen box, not very well preserved and unfortunately were not viable for surgical reconstruction. The wrist block of 2% lignocaine was given at the median nerve and the ulnar nerve blindly. The wound was thoroughly cleaned with normal saline. The bleeding vessel was clamped and treated with hydrogen peroxide. There wasn't much that we could do, hence we did bone nibbling and removed the bone shards that were popping out. Next we did bandage and sent it to the surgical department for flap reconstruction. They plan to take a flap from his abdomen to cover the site. Sorry, I don't have an X-ray or post bandage treatment. Tips I learnt-

  1. Any wound clean rigorously with NS.
  2. Use Hydrogen peroxide if a bleeding vessel, and let it act for 1 minute.
  3. Never break the rule of disinfection.