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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2018, Number 1

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An Med Asoc Med Hosp ABC 2018; 63 (1)

Arthroscopic bullet extraction

Atri LJ, Aguilar ALD, Kahana RAH

Language: Spanish
References: 10
Page: 64-67
PDF size: 248.52 Kb.


ABSTRACT

The arthroscopic extraction of firearm projectiles has been reported in joints such as the shoulder, knee and hip, with favorable results. The procedure avoids extensive approaches, which reduces morbidity and surgical complications. We present two cases of patients initially assessed according to ATLS protocols in the emergency department. The first case is of a 24-year-old man who suffered a gunshot wound to the deltoid region of the left shoulder, retaining the bullet in the glenohumeral joint. The bullet was arthroscopically retrieved and six weeks after the surgery the patient was able to perform normal daily life activities without restriction. The second case involves a 35-year-old man who sustained a gunshot wound to the right knee; the bullet was lodged in the lateral compartment causing an osteochondral fracture and a lateral meniscal tear. The bullet was arthroscopically removed without complications, avoiding further injury. Intra-articular foreign bodies must be removed in order to avoid a series of complications ranging from synovial inflammation, chondral lesions and mechanical locking to post-traumatic osteoarthritis and, in the case of retained bullets, lead poisoning.


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