Tiger Attack Resulting in a Humeral Defect Treated with Proximal Humeral Replacement and Latissimus Dorsi Flap: A Case Report
Largo Medical Center
wounds and injuries, fracture, bone defect
Orthopedics | Surgical Procedures, Operative
CASE: A 69-year-old woman presented with a type IIIB left proximal humerus fracture with a 500-square-centimeter soft tissue defect, 10-cm bone defect, and radial nerve laceration after a tiger attack. The surgical intervention included proximal humeral replacement with muscular integration, radial nerve repair, and latissimus dorsi flap coverage.
CONCLUSION: This case presents an exceedingly rare injury mechanism resulting in a significant soft tissue and bone defect. Its novelty lies in the complexity of the injury, which required a well-coordinated multispecialty treatment approach. This strategy applies to injuries with similar extensive soft tissue and bone defects.
Publisher or Conference
JBJS Case Connector
Murphy JD, Judson WR 4th, Edge L, Vollant M, Harker J, Florschutz A. Tiger Attack Resulting in a Humeral Defect Treated with Proximal Humeral Replacement and Latissimus Dorsi Flap: A Case Report. JBJS Case Connect. 2023;13(2):e22.00501. doi:10.2106/JBJS.CC.22.00501