Primary reconstructive and functional management of severe spaghetti wrist injury due to forearm laceration: a case report

Abstract

Upper extremity trauma is very common in emergency services. These are complex injuries that represent a challenge for the surgeon and require management by a multidisciplinary team. We report a case of a 48-year-old male who suffered a fall from his own height causing a laceration in the distal region of the forearm. Physical examination revealed active bleeding through the wound, and absence of strength and sensation. Applying standardized management for trauma patients is essential, ensuring that first aid is administered according to established protocols. Hemostasis could be achieved with different procedures; however, surgical hemostasis can provide immediate control of bleeding. It is vital to establish a protocol that effectively identifies patients who will benefit from a recovery process. Providing an effective strategy for managing upper extremity trauma is crucial. Early detection and treatment are important in preventing the condition from worsening, while ensuring the extremity functions as effectively as possible.