The role of arthroscopy in bullet removal: A systematic review of the literature

Cantrell, Colin K.; Gerlach, Erik B.; Butler, Bennet A.; Sheth, Ujash; Tjong, Vehniah K.

doi:10.1016/j.jor.2020.09.019

Cited by 8 publications

(9 citation statements)

References 52 publications

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“…Intra-articular ballistic injuries to the knee are associated with high rates of chondral injury (15%) and meniscal injury (42%) without associated radiographic findings 76,85 . No consensus exists to guide imaging recommendations for the evaluation of articular cartilage and meniscal/labral injuries.…”

Section: Fracture Fixation and Soft Tissue Repairmentioning

confidence: 99%

“…They concluded there is a lack of homogeneity in reporting and long-term outcomes in these patients; however, overall, there were very few complications. Most studies with intra-articular retained bullets in the knee and shoulder have been treated arthroscopically [76][77][78][79][80] whereas the treatment of the hip is more split [81][82][83][84] .…”

Section: Removal Of Retained Intra-articular Bullets and Loose Bodiesmentioning

confidence: 99%

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Firearm-Related Injuries—Wound Management, Stabilization, and Associated Injuries

et al. 2023

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Gun violence–related and firearm-related injuries are a public health crisis with increasing rates, particularly among younger demographics, in the United States despite a decline in incidence worldwide.There exists limited high-quality evidence to guide the management of firearm-related orthopaedic injuries.Associated injuries (i.e., neurological and vascular) are common in ballistic injuries to the extremity.Where indicated, low-energy orthopaedic injuries can be managed successfully with standard fixation and management strategies with similar complications to closed fractures.

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Section: Fracture Fixation and Soft Tissue Repairmentioning

confidence: 99%

Section: Removal Of Retained Intra-articular Bullets and Loose Bodiesmentioning

confidence: 99%

Firearm-Related Injuries—Wound Management, Stabilization, and Associated Injuries

et al. 2023

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“…60,126 −130 A 2020 systematic review identified 31 studies with 62 patients that underwent arthroscopically assisted bullet removal. 128 All 62 patients underwent successful bullet removal and only one patient was reported to have a complication which was compartment syndrome. Open arthrotomy can likely achieve similar outcomes; however, there are no established indications and outcomes for joint-specific arthroscopy versus arthrotomy.…”

Section: Dovepressmentioning

confidence: 99%

“…Open arthrotomy can likely achieve similar outcomes; however, there are no established indications and outcomes for joint-specific arthroscopy versus arthrotomy. 12,[128][129][130][131][132][133][134][135][136][137] In this scope of this review, we examine considerations for retained bullet removal in the upper extremity, lower extremity, and spine.…”

Section: Dovepressmentioning

confidence: 99%

Gunshot Wounds: Ballistics, Pathology, and Treatment Recommendations, with a Focus on Retained Bullets

Baum¹,

Baum²,

Hayward³

2022

ORR

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As the epidemic of gunshot injuries and firearm fatalities continues to proliferate in the United States, knowledge regarding gunshot wound (GSW) injury and management is increasingly relevant to health-care providers. Unfortunately, existing guidelines are largely outdated, written in a time that high-velocity weapons and deforming bullets were chiefly restricted to military use. Advances in firearm technology and increased accessibility of military grade firearms to civilians has exacerbated the nature of domestic GSW injury and complicated clinical decision-making, as these weapons are associated with increased tissue damage and often result in retained bullets. Currently, there is a lack of literature addressing recent advances in the field of projectile-related trauma, specifically injuries with retained bullets. This review aims to aggregate the available yet dispersed findings regarding ballistics, GSW etiology, and treatment, particularly for cases involving retained projectiles.

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“…The hemodynamic patient status should be controlled. Gunshot injuries to the neck area are associated with high morbidity and mortality due to the complex anatomy and presence of various vital structures in this region [1][2][3][4][5][6][7][8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

Removal of a bullet lying between carotid arteries, following a gunshot injury

Zarachi¹,

Komnos²,

Tsoumani³

et al. 2021

Int. J. Sci. Res. Arch.

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Gunshot injuries can be very threatening to the patient's life. A bullet in the neck area after a gunshot usually causes tissue damage and bleeding because of the presence of vital structures in this region. We present the case of a young man that arrived emergently to our hospital because of gunshot injury in the right neck area and the right shoulder. He was hemodynamically stable, with no laryngeal edema or hematoma. The cervical radiography showed a foreign body lying on the right side of the spine, in front of the third cervical vertebra. The CT scanning revealed a metallic foreign body, lying between the internal carotid artery and the external carotid artery, without causing bleeding in the surrounding tissues. A bullet was also found in the right shoulder area. A barium esophagography showed no contrast agent escape. An emergency operation was performed, under general anesthesia. The metallic bullet was found under an enlarged submandibular lymph node and was removed. The bullet removal caused vessel intraoperative bleeding, that was repaired satisfactory. No postoperative complications were noticed and patient was discharged home.

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The role of arthroscopy in bullet removal: A systematic review of the literature

Cited by 8 publications

References 52 publications

Firearm-Related Injuries—Wound Management, Stabilization, and Associated Injuries

Firearm-Related Injuries—Wound Management, Stabilization, and Associated Injuries

Gunshot Wounds: Ballistics, Pathology, and Treatment Recommendations, with a Focus on Retained Bullets

Removal of a bullet lying between carotid arteries, following a gunshot injury

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