Gunshots around the Elbow - Tips and Tricks for Such Unusual Fracture Scenarios

Description

In this educational video, Dr. Sergio Rowinski presents an insightful lecture focused on the management of gunshot injuries around the elbow. Filmed in Sao Paulo, Brazil, the lecture introduces various cases of elbow fractures caused by gunshots, emphasizing the challenges and strategic approaches to treatment, particularly in young patients involved in violent scenarios.



Throughout the presentation, Dr. Rowinski shares detailed insights into six specific cases, including a 22-year-old patient with a highly comminuted fracture resulting from a gunshot, as well as multiple other complex cases involving varying degrees of comminution and soft tissue injury. He stresses the importance of immediate action, including the use of external fixation to stabilize the fracture and protect soft tissues, providing the patient with the necessary time for further surgical planning.



Dr. Rowinski highlights the critical role of advanced imaging techniques such as CT scans to analyze the extent of injuries and the corresponding treatment strategies ranging from bridge plate constructions to percutaneous fixation. He shares lessons learned from each case, including how different types of firearms result in varying degrees of wound severity and fragment presence around fractures.



The lecture concludes with Dr. Rowinski's key take-home messages for orthopedic surgeons dealing with similar cases, including the significant importance of clinical judgment, the use of external fixation, and the methodology for addressing comminuted fractures. Ultimately, viewers are encouraged to engage with the content, subscribe to the channel, and follow Dr. Rowinski's ongoing work in shoulder and elbow medicine.

DOI: 10.1302/3114-221013

Specialties