An unusual mechanism of hook impalement injury — A case report

A six-year-old boy was playing at his home, trying to climb up on a metallic gate which was attached with a hooked chain, and suddenly the child slipped down. The hook of the chain, including its ‘U’ shape segment got embedded into the posteromedial aspect of his thigh, through a small entry wound....

Full description

Bibliographic Details
Main Authors: Awaneesh Katiyar, Ajay Kumar, Neeraj Kumar, Bhaskar Sarkar, Quamar Azam
Format: Article
Language:English
Published: Elsevier 2020-08-01
Series:Trauma Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S235264402030056X
_version_ 1818500928222789632
author Awaneesh Katiyar
Ajay Kumar
Neeraj Kumar
Bhaskar Sarkar
Quamar Azam
author_facet Awaneesh Katiyar
Ajay Kumar
Neeraj Kumar
Bhaskar Sarkar
Quamar Azam
author_sort Awaneesh Katiyar
collection DOAJ
description A six-year-old boy was playing at his home, trying to climb up on a metallic gate which was attached with a hooked chain, and suddenly the child slipped down. The hook of the chain, including its ‘U’ shape segment got embedded into the posteromedial aspect of his thigh, through a small entry wound. An anteromedial aspect of the thigh carries a neuro-vascular bundle of the lower limb. To remove the hooked part from muscles near to femoral vessels without damaging them requires surgical skill and consideration for vascular emergencies. At the same time, the procedure is an important step. After resuscitation, the patient is taken into the emergency operation theatre, and the hook was safely removed under vision. In the postoperative period, the child recovered well, and the wound was healthy at the time of discharge.
first_indexed 2024-12-10T20:49:17Z
format Article
id doaj.art-a1b5015fbb1e4caebeb6812e8d8e24ef
institution Directory Open Access Journal
issn 2352-6440
language English
last_indexed 2024-12-10T20:49:17Z
publishDate 2020-08-01
publisher Elsevier
record_format Article
series Trauma Case Reports
spelling doaj.art-a1b5015fbb1e4caebeb6812e8d8e24ef2022-12-22T01:34:08ZengElsevierTrauma Case Reports2352-64402020-08-0128100332An unusual mechanism of hook impalement injury — A case reportAwaneesh Katiyar0Ajay Kumar1Neeraj Kumar2Bhaskar Sarkar3Quamar Azam4Corresponding author at: Department of Trauma Surgery and Critical Care, All India Institute of Medical Sciences, Rishikesh, UK, India.; Trauma Surgery and Critical Care, All India Institute of Medical Sciences, Rishikesh, UK, IndiaTrauma Surgery and Critical Care, All India Institute of Medical Sciences, Rishikesh, UK, IndiaTrauma Surgery and Critical Care, All India Institute of Medical Sciences, Rishikesh, UK, IndiaTrauma Surgery and Critical Care, All India Institute of Medical Sciences, Rishikesh, UK, IndiaTrauma Surgery and Critical Care, All India Institute of Medical Sciences, Rishikesh, UK, IndiaA six-year-old boy was playing at his home, trying to climb up on a metallic gate which was attached with a hooked chain, and suddenly the child slipped down. The hook of the chain, including its ‘U’ shape segment got embedded into the posteromedial aspect of his thigh, through a small entry wound. An anteromedial aspect of the thigh carries a neuro-vascular bundle of the lower limb. To remove the hooked part from muscles near to femoral vessels without damaging them requires surgical skill and consideration for vascular emergencies. At the same time, the procedure is an important step. After resuscitation, the patient is taken into the emergency operation theatre, and the hook was safely removed under vision. In the postoperative period, the child recovered well, and the wound was healthy at the time of discharge.http://www.sciencedirect.com/science/article/pii/S235264402030056XImpalementHook injuryPaediatric traumaUnusual mechanismPenetrating injury
spellingShingle Awaneesh Katiyar
Ajay Kumar
Neeraj Kumar
Bhaskar Sarkar
Quamar Azam
An unusual mechanism of hook impalement injury — A case report
Trauma Case Reports
Impalement
Hook injury
Paediatric trauma
Unusual mechanism
Penetrating injury
title An unusual mechanism of hook impalement injury — A case report
title_full An unusual mechanism of hook impalement injury — A case report
title_fullStr An unusual mechanism of hook impalement injury — A case report
title_full_unstemmed An unusual mechanism of hook impalement injury — A case report
title_short An unusual mechanism of hook impalement injury — A case report
title_sort unusual mechanism of hook impalement injury a case report
topic Impalement
Hook injury
Paediatric trauma
Unusual mechanism
Penetrating injury
url http://www.sciencedirect.com/science/article/pii/S235264402030056X
work_keys_str_mv AT awaneeshkatiyar anunusualmechanismofhookimpalementinjuryacasereport
AT ajaykumar anunusualmechanismofhookimpalementinjuryacasereport
AT neerajkumar anunusualmechanismofhookimpalementinjuryacasereport
AT bhaskarsarkar anunusualmechanismofhookimpalementinjuryacasereport
AT quamarazam anunusualmechanismofhookimpalementinjuryacasereport
AT awaneeshkatiyar unusualmechanismofhookimpalementinjuryacasereport
AT ajaykumar unusualmechanismofhookimpalementinjuryacasereport
AT neerajkumar unusualmechanismofhookimpalementinjuryacasereport
AT bhaskarsarkar unusualmechanismofhookimpalementinjuryacasereport
AT quamarazam unusualmechanismofhookimpalementinjuryacasereport