[hermantheshocker]

Switzerland. A 27-year-old patient admitted to the neurosurgical department after a non-fatal accident (non-observed fall from height) at a construction site. According to all accounts, the man had fallen from a height of 3 m (9.8 ft) during his work on a construction site. Following this incident, he was presenting injuries which could not be explained easily.


Fig.1 Non-fatal accident at a construction site.


Fig.2 Bone fragment sticking to the hair.

The 27-year-old patient was awake, appropriate, and presented amnesia for the incident. He had multiple injuries in his face and body, which could all be assessed to be the result of blunt trauma. His torso and upper extremities displayed several bruises and at his right upper arm, a skin penetrating injury compatible with an impalement trauma. Moreover, he showed several lacerations of the face. The most conspicuous injury was a round, approximately 2.5 cm in diameter wide bone splinter sticking to his hair at the right temporal region.


Fig.3 3D reconstruction from computed tomography as shown initially.


Fig.4 Computed tomography. Asterisk: skull fracture; arrow: dislocated bone fragment.


Fig.5 Documentation of the injury during surgery.

During surgery (wound debridement and Palacos® plastic), photos were taken (without linear scale) by the colleagues of neurosurgery. After shaving of the temporal region, it is showing a sharp-edged wound in shape of a crescent with unbruised margins. The subsequent inspection of the CT images demonstrated one—not as primarily assumed two—head fracture with dislocation of a larger bone splinter outwards.


Fig.6 Construction site. Circle: twisted fence.


Fig.7 Temporary security fence.

A fall from height with tangential impingement onto a tube was postulated and we reached out to the police for pictures of the scene of accident. These show a temporary fence distorted in the upper part. This is consistent with the assumption of a punch lesion of the skin and bone by a pipe.

In this case, the long sharp-edged object was constituted of the lateral tube of a temporary fence, whereas a fall with a first impact of the head on an inanimate object (the fence) and subsequent downwards pulling through the body led comprehensible to a rotation of the head.

There was no further info about the health of the patient.

-

This post is for educational purposes only and is nonprofit. Under Section 107 of the US Copyright Act of 1976; Allowance is made for "Fair Use" for purposes such as criticism, comment, news reporting, teaching, scholarship, and research. OP is not a medical expert. No copyright infringement intended. This post does not encourage or glorify violence/harassment. Images might have been upscaled and enhanced. Text might have been shortened and simplified/reorganized for online view.

[mr_feelgood]

fantastic

[Pyramid_Head]

Now that looks fucking painful.

[k0rg0th]

A perfect circle would’ve been nice

[Karma]

I'm glad he's still alive though. Poor bloke. Hate it when people get hurt or killed just trying to work for a living.