Case Report

Arrow Shaft Injury of the Wrist and Hand: Case Report, Management, and Surgical Technique

Authors: Robert A. Launikitis MD, Steven F. Viegas MD

Abstract

Abstract:A case of accidental, self-inflicted injury to the hand from a hollow carbon shaft arrow which broke in its midshaft while attempting to shoot the arrow from a compound bow is presented. Basic knowledge of low velocity gunshot wounds and arrow injuries was applied in the treatment of this injury along with a unique management technique. The outcome, including hand function was good without any functional loss.

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References

References1. Rayan GM. Archery-related injuries of the hand, forearm, and elbow. South Med J 1992;85:961–964.RayanGMArchery-related injuries of the hand, forearm, and elbow.South Med J199285961-9642. Rodrigues RL, Sammer DM, Chung KC. Treatment of complex below-the-elbow gunshot wounds. Ann Plast Surg 2006;56:122–127.RodriguesRL]]SammerDM]]ChungKCTreatment of complex below-the-elbow gunshot wounds.Ann Plast Surg200656122-1273. Chappell JE, Mitra A, Weinberger J, et al. Gunshot wounds to the hand: management and economic impact. Ann Plast Surg 1999;42:418–423.ChappellJE]]MitraA]]WeinbergerJ&etal;Gunshot wounds to the hand: management and economic impact.Ann Plast Surg199942418-4234. Nathan R. The management of penetrating trauma to the hand. Hand Clin 1999;15:193–199.NathanRThe management of penetrating trauma to the hand.Hand Clin199915193-1995. Verleisdonk EJ. [Gunshot wounds, firearms and wound ballistics]. Ned Tijdschr Geneeskd 2002;146:1271–1275.VerleisdonkEJ[Gunshot wounds, firearms and wound ballistics].Ned Tijdschr Geneeskd20021461271-12756. Kiehn MW, Mitra A, Gutowski KA. Fracture management of civilian gunshot wounds to the hand. Plast Reconstr Surg 2005;115:478–481.KiehnMW]]MitraA]]GutowskiKAFracture management of civilian gunshot wounds to the hand.Plast Reconstr Surg2005115478-4817. Simpson BM, Wilson RH, Grant RE. Antibiotic therapy in gunshot wound injuries. Clin Orthop Relat Res 2003;82–85.SimpsonBM]]WilsonRH]]GrantREAntibiotic therapy in gunshot wound injuries.Clin Orthop Relat Res2003&NA;82-85