Mechanisms and Outcomes after Crush Injuries of the Foot

Kate, Nicholls; Henry, Goodier; Philippa, Bennett; Taylor, Hugh R.; Savva, Nicholas

doi:10.23937/2643-3885/1710056

Int J Foot Ankle

2021

DOI: 10.23937/2643-3885/1710056

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Mechanisms and Outcomes after Crush Injuries of the Foot

Nicholls Kate¹,

Goodier Henry²,

Bennett Philippa³

et al.

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2024

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Cited by 2 publications

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Crush injuries to the lower limbs at a major UK trauma centre: a retrospective observational study

Rama,

Jayawant,

Zhang

et al. 2024

Eur J Orthop Surg Traumatol

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Purpose Crush injuries result from the physical compression of muscles and may lead to crush syndrome. Early fluid resuscitation and surgical intervention is key. Few studies have reported the outcomes of crush injuries in the non-disaster setting. This retrospective study aims to characterise such cases. Methods Patients with lower limb crush injuries were identified from an internal database. Non-crush injuries and patients under the age of 18 were excluded. Types of injuries, management, and complications were extracted. Results 27 patients were included. The right leg (n = 10) was the most frequently injured site. Mechanisms included being run over by vehicles (n = 10) and being crushed by, between, or inside vehicles (n = 8). Fractures were the most common acute injuries (n = 16), while other injuries included rhabdomyolysis, compartment syndrome and degloving. Fluid resuscitation was required in 17 patients. 58 surgeries were performed on 18 patients, with wound debridement and amputations being common. Complications such as acute kidney injury, hyperkalaemia, and sepsis were noted during hospitalisation. Individuals with injuries to the leg or thigh experienced a greater burden of injury and incidence of in-hospital complications compared to those with isolated injuries to the foot. Conclusion Crush injuries in the non-disaster setting show distinct mechanisms and injury patterns. Those with crush injuries to the leg or thigh more closely resemble a patient cohort seen in the disaster setting compared to those with isolated foot injuries.

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Crush injuries to the lower limbs at a major UK trauma centre: a retrospective observational study

Rama,

Jayawant,

Zhang

et al. 2024

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

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Managing Complex Foot Crush Injuries: A Case Report

Ahuja,

Akhuj,

Yadav

et al. 2024

Cureus

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A serious kind of fractured foot ailment is a foot crush injury. Foot injury commonly happens in accidents involving transportation or the workplace, such as automobile accidents, big objects falling on the foot, or heavy machinery running over the foot. Foot crush injuries are more severe than regular foot fractures. These wounds are usually very serious, involving many fractures and soft tissue injuries. The main symptoms include pain, severe muscle and tissue damage, and extreme swelling. Because of this, treating a foot crush injury can be quite challenging and frequently requires the collaboration of physical therapists, orthopedic surgeons, and podiatrists. Physiotherapy is important for reducing pain, increasing range of motion, strengthening muscles, and improving leg function. It also decreases the chance of contractures, deformities, and stiffness following crush injuries. In this report, we present the case of a 58-year-old male with a lacerated wound over his left foot with chief complaints of severe pain. Patient-tailored physiotherapy rehabilitation, including active movements, passive movements, isometric exercises, and a strengthening regimen consisting of numerous repetitions and progressive complexity, was given. At the end of four weeks, the patient had improved strength and quality of life.

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Mechanisms and Outcomes after Crush Injuries of the Foot

Cited by 2 publications

References 10 publications

Crush injuries to the lower limbs at a major UK trauma centre: a retrospective observational study

Crush injuries to the lower limbs at a major UK trauma centre: a retrospective observational study

Managing Complex Foot Crush Injuries: A Case Report

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