High-energy XXXX to the upper extremity.

@entity1 @entity174 @entity1347 @entity4 @entity5300 @entity5925 @entity2054 @entity272 @entity923 @entity2950 @entity130
Eleven cases of high-energy industrial @entity130 treated between 1980 and 1984 were retrospectively reviewed. The dominant extremity was affected in nine. Six @entity1 sustained @entity174 and/or dislocations, and three of these @entity1 required fasciotomies for clinical signs of impending compartment syndromes. All @entity174 /dislocations, with the exception of a @entity174 , @entity1347 of a thumb interphalangeal joint, and a fractured coronoid process of the ulna, required open reduction with internal fixation. Three @entity1 required split-thickness skin grafting for extensive @entity272 . Two @entity1 required immediate amputation. Late sequelae included prolonged @entity4 , nutritional depletion, @entity2950 formation of the superficial branch of the radial nerve, late @entity923 , and partial @entity5300 . Industrial @entity130 continue to be an occupational hazard associated with more severe crushing @entity130 than the low-energy wringer washer injuries first described by MacCollum (11). Attention must be paid to the treatment of crushed skin, muscle, and nerves, @entity174 stabilization, nutritional support, and occupational therapy. Concurrent monitoring for signs of a developing @entity2054 and complications of @entity5925 is essential.
