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Avulsed Arm

Avulsed Arm 

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  #1  
05-23-2024, 04:20 PM
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Avulsed Arm

A three-year-old boy was brought to the emergency department 1 hour after sustaining an agricultural accident while playing in a field. The right sleeve of his clothing had been caught by a tractor belt and the arm had been avulsed.

Replantation was performed involving stabilization of the limb to the chest wall and vascular anastomosis. The nerve repair was delayed for later elective surgery in order not to prolong the operation time. Brachial plexus was reconstructed 9 days later using sural nerve graft. The patient has to an extent gained both motor and sensory function of the upper extremity.
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  #2  
05-23-2024, 06:42 PM
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Re: Avulsed Arm

Reminds me of Washing machine type injuries
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  #3  
05-23-2024, 07:58 PM
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Re: Avulsed Arm

Wow, that even ripped the scapula right out with the arm. I hope he regains sufficient use of it.
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  #4  
05-23-2024, 09:56 PM
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Re: Avulsed Arm

The weird and amazing thing about an accident happening to someone so young is that they heal and regain the use of the limb much faster and easier than an older child or adult. I know of a child who was hit by a car and was in a coma and them on a throat tube and whose family was told to allow him to die as he would never regain the use of his limbs. The family, over doctors objections, refused and the child later regained some increasing use of his arms. Doctor's don't know everything!
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  #5  
05-24-2024, 02:26 AM
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Re: Avulsed Arm

Poor kid, he was lucky though as
About every three days, a child dies in an agriculture-related incident, and each day, at least 33 children are seriously injured.

Leading reported sources of fatalities involved transportation (47%), which includes tractors and all-terrain vehicles (ATVs), and contact with machinery (20 percent) such as being pinned between a skid steer’s lift arms and frame.

Other notable statistics on injuries among youth:

Youth under age 16 have 12 times the risk of ATV injuries (both fatal and non-fatal) compared to adults.

From 2001 to 2015, 48 percent of all fatal occupational injuries to young workers occurred in agriculture.

There are over four times more actual occupational injuries than are reported. As many as 88 percent of agricultural injuries and illnesses are not captured by traditional surveillance methods.
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05-24-2024, 11:11 PM
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Re: Avulsed Arm

I grew up on a farm, and I have seen my share of deadly accidents both on and off our farm. One while I was on duty in the early 90's was a fella who was picking up those huge round bales of hay with a bucket on his tractor that he fixed up in order to pick those bales up and stack them on the back of a flatbed truck. The bale that killed him weighed about 1500 lbs and he had it on the spike and raised over his head when it came off the spike and bounced off his head. It was the craziest thing you ever saw! Just this guys body sitting in the seat of his tractor with both hands on the wheel, without a head. You could see his hair sticking up between his shoulders. When the bale hit him, it drove his head into his chest cavity. Picture that in your head for a minute, un-good. No blood either because it never broke the skin. I wish I could have saved a picture of the ex-rays though. So yeah, farms are deadly.
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