Lead arthropathy from a wrist gunshot wound: A rare case report
Introduction: Lead arthropathy results from gunshot wounds with retained bullet fragments in the intraarticular spaces. Lead arthropathy's mode of manifestation may cause a delay in diagnosis. Case report: We present an atypical case of a 32-year-old male patient who presented with a wrist mass...
| Published in: | Journal of Orthopaedic Reports |
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| Main Authors: | , |
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-06-01
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| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773157X24001474 |
| _version_ | 1850343779546955776 |
|---|---|
| author | Collen Sandile Nkosi Tatolo Ishmael Sefeane |
| author_facet | Collen Sandile Nkosi Tatolo Ishmael Sefeane |
| author_sort | Collen Sandile Nkosi |
| collection | DOAJ |
| container_title | Journal of Orthopaedic Reports |
| description | Introduction: Lead arthropathy results from gunshot wounds with retained bullet fragments in the intraarticular spaces. Lead arthropathy's mode of manifestation may cause a delay in diagnosis. Case report: We present an atypical case of a 32-year-old male patient who presented with a wrist mass after a gunshot injury and wrist arthropathy with a retained bullet fragment. Lead arthritis features are reviewed on radiographs and intraoperatively. Conclusion: The presence of chronic retained bullet fragments following gunshot may go unreported for years, leading to severe lead arthritis. To mitigate the risk of lead arthropathy, orthopaedic hand facilities with experienced surgeons should treat hand gunshot injuries. We advocate for the removal of bullets from non-weight-bearing joints. |
| format | Article |
| id | doaj-art-540cdeecbfa543a2bb7b8a96b8472ca3 |
| institution | Directory of Open Access Journals |
| issn | 2773-157X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| spelling | doaj-art-540cdeecbfa543a2bb7b8a96b8472ca32025-08-19T23:13:03ZengElsevierJournal of Orthopaedic Reports2773-157X2025-06-014210045210.1016/j.jorep.2024.100452Lead arthropathy from a wrist gunshot wound: A rare case reportCollen Sandile Nkosi0Tatolo Ishmael Sefeane1Corresponding author. Orthopaedic Surgery Department, Chris Hani Baragwanath Academic Hospital, 26 Chris Hani Rd Diepkloof 319-Iq, Johannesburg, 1864, South Africa.; Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand, Johannesburg, South AfricaChris Hani Baragwanath Academic Hospital, University of the Witwatersrand, Johannesburg, South AfricaIntroduction: Lead arthropathy results from gunshot wounds with retained bullet fragments in the intraarticular spaces. Lead arthropathy's mode of manifestation may cause a delay in diagnosis. Case report: We present an atypical case of a 32-year-old male patient who presented with a wrist mass after a gunshot injury and wrist arthropathy with a retained bullet fragment. Lead arthritis features are reviewed on radiographs and intraoperatively. Conclusion: The presence of chronic retained bullet fragments following gunshot may go unreported for years, leading to severe lead arthritis. To mitigate the risk of lead arthropathy, orthopaedic hand facilities with experienced surgeons should treat hand gunshot injuries. We advocate for the removal of bullets from non-weight-bearing joints.http://www.sciencedirect.com/science/article/pii/S2773157X24001474Lead arthrogramPoisoningArthritisGunshot wound |
| spellingShingle | Collen Sandile Nkosi Tatolo Ishmael Sefeane Lead arthropathy from a wrist gunshot wound: A rare case report Lead arthrogram Poisoning Arthritis Gunshot wound |
| title | Lead arthropathy from a wrist gunshot wound: A rare case report |
| title_full | Lead arthropathy from a wrist gunshot wound: A rare case report |
| title_fullStr | Lead arthropathy from a wrist gunshot wound: A rare case report |
| title_full_unstemmed | Lead arthropathy from a wrist gunshot wound: A rare case report |
| title_short | Lead arthropathy from a wrist gunshot wound: A rare case report |
| title_sort | lead arthropathy from a wrist gunshot wound a rare case report |
| topic | Lead arthrogram Poisoning Arthritis Gunshot wound |
| url | http://www.sciencedirect.com/science/article/pii/S2773157X24001474 |
| work_keys_str_mv | AT collensandilenkosi leadarthropathyfromawristgunshotwoundararecasereport AT tatoloishmaelsefeane leadarthropathyfromawristgunshotwoundararecasereport |