1650 MANAGEMENT OF GUNSHOT WOUNDS TO THE HAND

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25. Ordog GJ, Sheppard GF, Wasserberger JS, et al. Infection in minorgunshot wounds. J Trauma. 1993;34(3):358–365.

26. Phillips P III, Hansraj KK, Cox EE II, et al. Gunshot wounds to thehand. The Martin Luther King, Jr, General Hospital experience.Orthop Clin North Am. 1995;26(1):95–108.

27. Brown PW. War wounds of the hand revisited. J Hand Surg Am.1995;20(3 Pt 2):S61–67.

28. Bartlett CS. Clinical update: gunshot wound ballistics. Clin OrthopRelat Res. 2003(408):28–57.

29. Luce EA, Griffen WO. Shotgun injuries of the upper extremity.J Trauma. 1978;18(7):487–492.

30. Stromberg BV. Management of low-velocity gunshot wounds ofhand. South Med J. 1978;71(9):1087–1088.

31. Zajic Z, Micanovic V, Papazoglu K. Gunshot injuries of the limbs(5 years of experience; 1970–1975) [in Serbian]. Acta Chir Iugosl.

JOURNAL CME QUESTIONS

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32. Pereira C, Boyd JB, Olsavski A, et al. Outcomes of complex gunshotwounds to the hand and wrist a 10-year level I urban trauma centerexperience. Ann Plast Surg. 2012;68(4):374–377.

33. Kakinoki R, Ikeguchi R, Matsumoto T, et al. Reconstruction of aphalangeal bone using a vascularised metacarpal bone graft nour-ished by a dorsal metacarpal artery. Injury. 2008;39 Suppl 4:25–28.

34. Nalbantoglu U, Gereli A, Ucar BY, et al. Treatment of metacarpalfractures with open reduction and low-profile plate and screw fixa-tion [in Turkish]. Acta Orthop Traumatol Turc. 2008;42(5):303–309.

35. Stahl S, Lerner A, Kaufman T. Immediate autografting of bone inopen fractures with bone loss of the hand: a preliminary report. Casereports. Scand J Plast Reconstr Surg Hand Surg. 1999;33(1):117–122.

36. Bach HG, Gonzalez MH, Hall RF Jr. Locked intramedullary nailingof metacarpal fractures secondary to gunshot wounds. J Hand Surg

1976;23(1 Suppl):229–238. Am. 2006;31(7):1083–1087.

Management of Gunshot Wounds to theHand: A Literature Review

The use of prophylactic intravenous antibiotics isleast indicated in which type of missile injury?

a. A high-energy gunshot wound

b. Shotgun injuries

c. A large wound cavitation

d. Low-energy low-velocity soft tissue gunshot wounds

e. An intra-articular gunshot wound with gross

Nonsurgical treatment with local debridementand oral antibiotics and without surgicalintervention is acceptable in which of thefollowing gunshot wounds?

a. Superficial fragments in the palm presenting 12hours after injury

b. A minor wound from a low-energy injury with-out damage to anatomical structures

c. Neurovascular damage

d. Tissue damage with contamination

contamination e. A tendon or bony injury

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