JBJS | Article

The Journal of Bone & Joint Surgery, Volume 91, Issue 4

Selected Instructional Course Lecture | April 01, 2009

Joint and Long-Bone Gunshot Injuries

Paul J. Dougherty, MD¹; Rahul Vaidya, MD²; Craig D. Silverton, DO³; Craig Bartlett, MD⁴; Soheil Najibi, MD³

¹ Department of Orthopaedic Surgery, University of Michigan, 2912 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48103. E-mail address: pauldoug@med.umich.edu
² Detroit Receiving Hospital, 4201 Saint Antoine Street, Detroit, MI 48201
³ Henry Ford Hospital, 2799 West Grand Boulevard, K-12, Detroit, MI 48202
⁴ University of Vermont, 192 Tilley Drive, South Burlington, VT 05403

The Journal of Bone & Joint Surgery. 2009; 91:980-997

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The care of patients with gunshot wounds can be clinically challenging as a result of the injury severity and systems-based factors, yet relatively few reports concerning the care of these patients have been written. To place the magnitude of the problem in perspective, it should be noted that there are 60,000 to 80,000 nonfatal gunshot wounds annually in the United States¹. In comparison, in the sixty-six months from March 19, 2003, through October 4, 2008, only 30,072 individuals sustained battlefield wounds during Operation Iraqi Freedom². Clearly, gunshot wounds are an enormous problem and orthopaedic surgeons should be aware of these injuries and their treatment.

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Topics

fracture ; gunshot wounds ; external fixation devices ; intramedullary nailing ; long bone

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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