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Medical Education Division |
Operational Medicine 2001
Emergency War Surgery
Second United States Revision of The Emergency War Surgery NATO
Handbook
United States Department of Defense
Emergency War Surgery
Second United States Revision of The Emergency War Surgery NATO Handbook
United States Department of Defense
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Emergency War Surgery NATO Handbook: Part III: General Considerations of Wound Management: Chapter XX: Wounds and Injuries of Peripheral Nerves Blood Clot or Significant Soft Tissue ContusionUnited States Department of Defense Occasionally missile wounds are associated with significant clot. If the clot is confined to a closed space incorporating neural elements, progressive loss of function can occur. Such closed spaces include the popliteal and knee spaces, the anterior compartment of the lower legs, and the buttocks, especially in the subgluteal space Similar dosed spaces in the upper extremity include the elbow and forearm, either beneath the lacertus fibrosis and pronator musculature, or the more distal forearm muscles. Immediate decompression and drainage are indicated for clots in these areas, while fasciotomy is indicated for extensive contusions which have resulted in a swollen, tight extremity. Nerve damage, muscle necrosis, fibrosis, and limb contracture can occur. A Volkinann's contracture, for example, can result in loss of median, radial, and sometimes ulnar function.
Approved for public release; Distribution is unlimited. The listing of any non-Federal product in this CD is not an endorsement of the product itself, but simply an acknowledgement of the source. Operational Medicine 2001 Health Care in Military Settings
This web version is provided by The Brookside Associates Medical Education Division. It contains original contents from the official US Navy NAVMED P-5139, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense. |