Abstract
Air-powered guns can cause serious trauma to body structures. We describe a 10-year-old
boy who suffered injuries to his gluteal and thenar regions as a result of a single
gunshot. Surgical management included cleansing of the gluteal region, as well as
an external fixation device and a fasciosubcutaneous flap based on a perforator branch
of the distal radial artery. To the best of our knowledge, this case illustrates the
youngest patient to benefit from this kind of perforator flap. We also underline the
long-term risk of lead toxicity for this kind of injury.
Key words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- What should define a "perforator flap"?.Plast Reconstr Surg. 2010; 126: 2258-2263
- Free perforator flaps in children.Plast Reconstr Surg. 2005; 116: 159-169
- Microsurgical nonmicrovascular flaps in forearm and hand reconstruction.Microsurgery. 2007; 27: 384-394
- Radial artery perforator flap.J Hand Surg Am. 2010; 35: 308-311
- The distally based radial forearm fasciosubcutaneous flap with preservation of the radial artery: an anatomic and clinical approach.Plast Reconstr Surg. 1994; 94: 675-684
- Island adipofascial flap based on distal perforators of the radial artery: and anatomic and clinical investigation.Plast Reconstr Surg. 1997; 100: 1762-1766
- The protean toxicities of lead: new chapters in a familiar history.Int J Environ Res Public Health. 2011; 8: 2593-2628
- Lead exposure in children: prevention, detection, and management..Pediatrics. 2005; 116: 1036-1046
- Lead and children: clinical management for family physicians.Can Fam Physician. 2010; 56: 531-535
Article info
Publication history
Accepted:
September 20,
2012
Received:
August 15,
2012
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
