EJMCR |

Case Report

Volume: 8 | Issue: 1 | Published: Apr 05, 2024 | Pages: 5 - 8 | DOI: 10.24911/ejmcr.173-1687977517

Bilateral shoulder disarticulation after high-tension electrical burns: a case report

Authors: Kehinde Adesola Alatishe , Aofolajuwonlo Taiwo

Article Info

Authors

Kehinde Adesola Alatishe

Orthopaedic and Trauma Department, National Orthopaedic Hospital, Lagos, Nigeria

ORCID

Aofolajuwonlo Taiwo

Orthopaedic and Trauma Department, National Orthopaedic Hospital, Lagos, Nigeria.

Publication History

Received: June 28, 2023

Revised: December 03, 2023

Accepted: February 10, 2024

Published: April 05, 2024

Abstract

Background: High tension electrical burns are rare but devastating injuries with high mortality usually from overwhelming sepsis, poor cardiovascular support and multiple organ dysfunction syndrome (MODS). However, survivors of such burns have varying degrees of injuries with significant morbidity especially after radical amputation to save their lives. The objective of this case report was to present this rare scenario and highlight the importance of prompt intervention and acute surgical management that improves survival. Case report: This was a descriptive case report of a 23-year-old male, a survivor of high-tension electrical burns (11,000volts) to both upper limbs. He had immediate admission into the intensive care unit with ventilatory support and multi-disciplinary approach to care. He had some investigations which included daily full blood count, serum electrolytes, urea and creatinine, clotting studies, blood sugar, urine analysis, lactate level, iron and creatine kinase studies, chest x-rays, electrocardiogram and abdominopelvic scan. He had multiple blood products transfusion; antibiotic therapy, staged surgeries including bilateral shoulder disarticulation to control sepsis and preserve life. He was discharged home with healed disarticulated shoulders and satisfactory clinical condition after 35 days on admission. Conclusion: Early resuscitation, cardiovascular support in the intensive care unit, urgent wound debridement and amputation of devitalized limb were life-saving interventions. These prompt care improved his survival chances following high -tension electrical burns.

Keywords: high-tension electrical burns, upper limb gangrene, amputation, shoulder disarticulation, report, green

Pubmed Style

Kehinde Adesola Alatishe, Aofolajuwonlo Taiwo. Bilateral shoulder disarticulation after high-tension electrical burns: a case report. EJMCR. 2024; 05 (April 2024): 5-8. doi:10.24911/ejmcr.173-1687977517

Web Style

Kehinde Adesola Alatishe, Aofolajuwonlo Taiwo. Bilateral shoulder disarticulation after high-tension electrical burns: a case report. https://ejmcr.com/articles/1263 [Access: December 25, 2024]. doi:10.24911/ejmcr.173-1687977517

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Kehinde Adesola Alatishe, Aofolajuwonlo Taiwo. Bilateral shoulder disarticulation after high-tension electrical burns: a case report. EJMCR. (2024), [cited December 25, 2024]; 05 (April 2024): 5-8. doi:10.24911/ejmcr.173-1687977517

Harvard Style

Kehinde Adesola Alatishe, Aofolajuwonlo Taiwo (2024) Bilateral shoulder disarticulation after high-tension electrical burns: a case report. EJMCR, 05 (April 2024): 5-8. doi:10.24911/ejmcr.173-1687977517

Chicago Style

Kehinde Adesola Alatishe, Aofolajuwonlo Taiwo. "Bilateral shoulder disarticulation after high-tension electrical burns: a case report." 05 (2024), 5-8. doi:10.24911/ejmcr.173-1687977517

MLA (The Modern Language Association) Style

Kehinde Adesola Alatishe, Aofolajuwonlo Taiwo. "Bilateral shoulder disarticulation after high-tension electrical burns: a case report." 05.April 2024 (2024), 5-8. Print. doi:10.24911/ejmcr.173-1687977517

APA (American Psychological Association) Style

Kehinde Adesola Alatishe, Aofolajuwonlo Taiwo (2024) Bilateral shoulder disarticulation after high-tension electrical burns: a case report. , 05 (April 2024), 5-8. doi:10.24911/ejmcr.173-1687977517