|
Year |
2003 |
|---|---|
|
Question Number |
118. |
|
Category |
Musculoskeletal Trauma |
Question
A 17-year-old boy sustains a wound to his proximal forearm from a handgun. Radiographs reveal a radiopaque projectile in the soft tissues of the midforearm but no fractures. Examination reveals that he has no wrist or finger extension, and he reports minimal pain with passive finger motion. Initial management should consist of
1- surgical debridement of the wound and removal of the bullet
2- surgical debridement of the wound and exploration of the radial nerve in the proximal forearm
3- local wound care and exploration of the radial nerve in 2 to 3 weeks if there are no signs of infection
4- local wound care and immediate electromyography
5- local wound care and delayed electromyography
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