Destruction of the anterior muscle group of the leg in a patient with electrical burns

Electrical burns are traumatic injuries that lead to tissue necrosis of varying extent and depth. They are accompanied by large muscle destruction and are capable of causing large disfiguring or disabling sequelae, and even death. In these lesions, damage is greater in the tendon insertions and the...

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Main Authors: Alexander García Urquijo, Romy Lorenzo Manzanas, Horacio Martines Izquierdo
Format: Article
Language:Spanish
Published: Editorial Ciencias Médicas 2012-07-01
Series:Acta Médica del Centro
Subjects:
Online Access:http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/745
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author Alexander García Urquijo
Romy Lorenzo Manzanas
Horacio Martines Izquierdo
author_facet Alexander García Urquijo
Romy Lorenzo Manzanas
Horacio Martines Izquierdo
author_sort Alexander García Urquijo
collection DOAJ
description Electrical burns are traumatic injuries that lead to tissue necrosis of varying extent and depth. They are accompanied by large muscle destruction and are capable of causing large disfiguring or disabling sequelae, and even death. In these lesions, damage is greater in the tendon insertions and the periosteal regions, especially in deep muscle groups; blood vessels progressively thrombose and are responsible for secondary necrosis hindering the circulation into the affected area. Both the broad muscular and vascular damage lead to limb amputation in 60% of the victims, and serious motor limitations. The case of a 21-year-old white male patient is reported. A worker of Electric Company with a history of previous health, he suffered an electric thermal injury that destroyed the entire anterior muscle group of his right leg, leaving intact a narrow strip of posterior tissue. Although the possible amputation was discussed, it was preferred a watchful waiting because the little viable tissue could guarantee adequate irrigation without edema and a successful recovery. At discharge, it was noticed a limitation of the foot flexion that almost did not affect the patient's gait.
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spelling doaj.art-ea3cad3c0bab4daca331135f77dc90ab2022-12-22T02:43:25ZspaEditorial Ciencias MédicasActa Médica del Centro2709-79272012-07-01635863713Destruction of the anterior muscle group of the leg in a patient with electrical burnsAlexander García Urquijo0Romy Lorenzo Manzanas1Horacio Martines Izquierdo2Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, CubaHospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, CubaHospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, CubaElectrical burns are traumatic injuries that lead to tissue necrosis of varying extent and depth. They are accompanied by large muscle destruction and are capable of causing large disfiguring or disabling sequelae, and even death. In these lesions, damage is greater in the tendon insertions and the periosteal regions, especially in deep muscle groups; blood vessels progressively thrombose and are responsible for secondary necrosis hindering the circulation into the affected area. Both the broad muscular and vascular damage lead to limb amputation in 60% of the victims, and serious motor limitations. The case of a 21-year-old white male patient is reported. A worker of Electric Company with a history of previous health, he suffered an electric thermal injury that destroyed the entire anterior muscle group of his right leg, leaving intact a narrow strip of posterior tissue. Although the possible amputation was discussed, it was preferred a watchful waiting because the little viable tissue could guarantee adequate irrigation without edema and a successful recovery. At discharge, it was noticed a limitation of the foot flexion that almost did not affect the patient's gait.http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/745quemaduras por electricidad/etiologíatraumatismos de la pierna
spellingShingle Alexander García Urquijo
Romy Lorenzo Manzanas
Horacio Martines Izquierdo
Destruction of the anterior muscle group of the leg in a patient with electrical burns
Acta Médica del Centro
quemaduras por electricidad/etiología
traumatismos de la pierna
title Destruction of the anterior muscle group of the leg in a patient with electrical burns
title_full Destruction of the anterior muscle group of the leg in a patient with electrical burns
title_fullStr Destruction of the anterior muscle group of the leg in a patient with electrical burns
title_full_unstemmed Destruction of the anterior muscle group of the leg in a patient with electrical burns
title_short Destruction of the anterior muscle group of the leg in a patient with electrical burns
title_sort destruction of the anterior muscle group of the leg in a patient with electrical burns
topic quemaduras por electricidad/etiología
traumatismos de la pierna
url http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/745
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AT horaciomartinesizquierdo destructionoftheanteriormusclegroupoftheleginapatientwithelectricalburns