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Thread: Help Identifying Bullet (From Xray)

  1. #21
    Hammertime
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    Quote Originally Posted by EzGoingKev View Post
    If that happened in CONUS what would be the course of treatment for that?
    Take the fibula bone out of the leg and use it to replace humerus.

  2. #22
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    Quote Originally Posted by Doc_Glock View Post
    There is conjecture amongst my upper extremity surgery colleagues that there could have been a pre existing bone tumor or something to explain the outstanding bone loss. I think that is probably a reach, but anything is possible.

    Unfortunately the doc who posted the Xray has gone completely dark. I will give more details when available.
    What about hitting an ABC? I'd buy that...

  3. #23
    Hammertime
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    Quote Originally Posted by Dr_Thanatos View Post
    What about hitting an ABC? I'd buy that...
    I am not familiar with the term "ABC?"

  4. #24
    Quote Originally Posted by Doc_Glock View Post
    Take the fibula bone out of the leg and use it to replace humerus.
    I am not a doctor so IDK if you are kidding or not, but the none doctor in me says WTF does the leg do now that it is missing a bone?

  5. #25
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    Quote Originally Posted by EzGoingKev View Post
    I am not a doctor so IDK if you are kidding or not, but the none doctor in me says WTF does the leg do now that it is missing a bone?
    Parts is parts.

  6. #26
    Hammertime
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    Quote Originally Posted by EzGoingKev View Post
    I am not a doctor so IDK if you are kidding or not, but the none doctor in me says WTF does the leg do now that it is missing a bone?
    Two bones in lower leg. It can get along.

    https://www.microsurgeon.org/fibulaflap

  7. #27
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    Quote Originally Posted by Doc_Glock View Post
    I am not familiar with the term "ABC?"
    Sorry, shorthand.

    Aneurysmal Bone Cyst. It's also a good location for a simple cyst, but he might not be a good age. Both could account for abnormal bone in the location of the bullet injury.

  8. #28
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    Oct 2011
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    Asuncion, Paraguay
    Quote Originally Posted by Doc_Glock View Post
    Take the fibula bone out of the leg and use it to replace humerus.
    Fascinating that an arm with such an horrendous injury can be saved.

    What is the success rate in such procedures?

  9. #29
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    Mar 2016
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    Knoxville, TN
    Long time Ortho PA. ABC is a reasonable possibility. Common location and typical appearance. While the bullet fragmented, it wouldn't produce that kind of bony void. Looks like impact was more in the anatomical neck and shattered the glenoid as well. Abduction splint may give better alignment and like most ABCs the trauma may induce more healing. The problem will be the loss of motion and probable fusion of the glenoid with the humerus. Interesting to be able to follow progress, but can see a reverse total joint after initial healing.

  10. #30
    Quote Originally Posted by chances R View Post
    Long time Ortho PA. ABC is a reasonable possibility. Common location and typical appearance. While the bullet fragmented, it wouldn't produce that kind of bony void. Looks like impact was more in the anatomical neck and shattered the glenoid as well. Abduction splint may give better alignment and like most ABCs the trauma may induce more healing. The problem will be the loss of motion and probable fusion of the glenoid with the humerus. Interesting to be able to follow progress, but can see a reverse total joint after initial healing.
    Would you please provide us with a medical cliff notes for dummies on that?

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