Crush Injury of Upper Extremity Leading to Bywater’s Syndrome: A Case Report
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2024, Vol 36, Issue 01
Abstract
A male came to the ER with wounds on his left arm after a vehicle incident. He was run over by the truck’s wheels on his left upper extremity until his whole arms were crushed. He had a massive crush injury on his whole left arm, no movement and pulse were detected. MESS Scoring resulted in score of 11, thus an indication for amputation. Blood examination showed increase of ureum and creatinine without previous kidney disease history. The patient was diagnosed with a crush injury of the upper extremity and Bywater’s Syndrome based on kidney involvement. He was consulted to the orthopedic department and was given fluid resuscitation, injections of analgesic, antibiotics, and Human Tetanus Immunoglobulin (HTIG). Proximal humeral amputation was performed. A second surgery later was performed to debride the wound due to contaminated necrotic tissues.
Authors and Affiliations
Anis Puspita Utami1, Rahmadia Kusumamardhika2, Agus Maruli3
Keywords
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