Lead poisoning from a gunshot wound

Dillman, Robert O.; Crumb, C. K.; Lidsky, Martin J.

doi:10.1016/0002-9343(79)91083-0

Cited by 118 publications

(14 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…12,13 Infection, cartilage damage, synovitis, foreign body reactions and lead poisoning may also be observed along the track of the bullet through the soft tissue. 11,14 Before beginning surgical treatment, all of these should be considered. No lead intoxication was observed in any of the current study patients.…”

Section: Discussionmentioning

confidence: 99%

Total hip arthroplasty after hip joint gunshot injury

Pazarci

Kılınç

Çamurcu

et al. 2019

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

Background: Gunshot injury of the hip joint was reported to constitute 2–17% of all extremity firearm injuries. However, there are few studies in the literature related to gunshot injuries of the hip joint. The aim of the current study was to present the results of 10 cases treated with arthroplasty following a gunshot injury to the hip joint together with the recommended treatment algorithm. Methods: Patients with a previous medical history of hip joint region gunshot injury who underwent total hip arthroplasty were retrospectively evaluated. Those with incomplete medical records or who were lost to follow-up were excluded. Patients were classified according to the severity of the previous gunshot injury to the hip joint region. Harris hip score (HHS) and Short Form-12 quality of life score were the main outcome measurements. Postoperative complications encountered during follow-up were recorded. Results: The mean age of the patients at the time of surgery was 29.9 years. The mean preoperative HHS was 25.2 points and it was 65.8 at the final follow-up. Patients with bullet fragments in the hip joint, classified as group 1, had better HHS, whereas those with contaminated hip joint with intestinal flora, classified as group 3, had worst HHS. Conclusion: Hip arthroplasty after hip joint gunshot injury is a good treatment choice in young patients to reduce pain and regain functions. However, very high infection rates can be seen in patients with accompanying intestinal injury.

show abstract

Section: Discussionmentioning

confidence: 99%

Total hip arthroplasty after hip joint gunshot injury

Pazarci

Kılınç

Çamurcu

et al. 2019

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

show abstract

“…Scattered reports, summarized by Cagin et al (14) and Dillman et al (15) indicate that individuals with chronic lead poisoning develop clinical lead toxicity during periods of metabolic changes affecting bone (e.g. acidosis, hyperparathyroidism) or the nervous system (viral meningitis), or both (hyperthyroidism, acute infection).…”

Section: Discussionmentioning

confidence: 99%

The Serum Lead level in Patients With Retained Lead Pellets

et al. 2014

View full text Add to dashboard Cite

Background:Patients, who survived from shotgun injuries, often have some retained lead pellets in their bodies. Several cases of lead toxicity have been reported regarding these patients.Objectives:This study seeks to compare the serum lead level in patients who have retained lead pellets in their bodies with the control group.Patients and Methods:In this case-control study, we gathered the serum lead levels of 25 patients with some retained lead pellets in their bodies due to shotgun and 25 volunteers without similar lead exposure and compared them in view of the age, gender, and living place.Results:While the mean serum lead level in both groups was lower than the standard level (i.e. 40 µg/dL) , the mean ± SD of serum lead level were 29 ± 12.8 µg/dL and 25.3 ± 6.4 µg/dL in the case and control groups, respectively without any significant difference (P = 0. 30) . However, a positive relationship was seen between serum lead level, and the number of retained lead pellets (r = 0.447, P = 0. 025) .Conclusions:Although extensive surgery to remove the lead pellets is not recommended in patients injured with shotguns, those with many retained lead pellets in their bodies should be considered at risk for lead poisoning and monitored carefully.

show abstract

“…Exposure of a bullet to synovial uid may lead to dissolution of the leaded fragments due to the presence of hyaluronic acid and the low pH of synovial uid. Thus, patients with intraarticular fragments require removal because they may lead to mechanical abrasion and joint destruction [12,15,[16][17][18][19].…”

Section: Discussionmentioning

confidence: 99%

Treatment of Secondary Hip Arthritis from Shell Fragment and Gunshot Injury in the Syrian Civil War

Özden¹,

Davut

Doğramacı

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: In gunshot and shell fragment injuries to the hip joint, orthopaedic intervention includes wound assessment and care, osteosynthesis of fractures, and avoiding of infection and osteoarthritis. The aim of this study was to evaluate the outcomes of the patients with secondary hip arthritis due to prior gunshot and shell fragment (shrapnel) injuries who underwent primary total hip arthroplasty. Methods: This retrospective study reviewed 26 patients (24 males, 2 females) who underwent hip arthroplasty due to prior gunshot and shell fragment injuries from November 2013 to January 2019. For all patients Harris Hip Score (HHS) were evaluated preoperatively and after surgery. Results: Mean age was 31,5 (range, 19-48) years. The mean preoperative HHS was 52.95 points and the mean postoperative HHS was 79.92 points at the final follow-up after surgery. Patients with shell fragment injuries to the hip joint, had higher infection rates but it is not statistically significant.Conclusions: An anatomic reduction of the fracture may not be possible in these cases as a result of significant bone and/or cartilage loss. Total hip arthroplasty can be done after gunshot and shell fragment related posttraumatic arthritis. It is efective treatment choice to reduce pain and improve function but the surgeon must be very carefull because of high rate of infection.

show abstract

Lead poisoning from a gunshot wound

Cited by 118 publications

References 19 publications

Total hip arthroplasty after hip joint gunshot injury

Total hip arthroplasty after hip joint gunshot injury

The Serum Lead level in Patients With Retained Lead Pellets

Treatment of Secondary Hip Arthritis from Shell Fragment and Gunshot Injury in the Syrian Civil War

Contact Info

Product

Resources

About