Ver el código de «Extremity trauma»

==Background==
*Can result in soft tissue, neurovascular, muscular, and ligamentous damage

==Clinical Features==
Limb salvage is based of several features (See calculator below):
*Age
*Severity of skeletal and soft tissue injury
*Severity of limb ischemia
*Duration of limb ischemia
*Severity of shock

==Differential Diagnosis==
{{Extremity trauma DDX}}

==Evaluation==
===Workup===
*ATLS
*X-rays
*Trauma labs with close attention to K, Creat, and CK
*Consider CTA or conventional angiography if evidence for vascular compromise

==Management==
*ATLS protocols if unstable 
*Consider use of [[tourniquet]]
**Can be an excellent adjunct to control bleeding
*Tetanus
*Antibiotics
**[[Cefazolin]] 2g IV
**Consider adding [[Gentamycin]] or [[Tobramycin]]
*Additional treatments depending on specific findings

==Disposition==
*May require admission with trauma team with consultation from ortho and/or vascular surgery

==See Also==
*[[Compartment Syndrome]]
*[[Compartment Pressure Measurement]]
*[[Rhabdomyolysis]]
*[[Fractures (Main)]]
*[[Open Fracture]]

==External Links==
*[http://www.mdcalc.com/mangled-extremity-severity-score-mess-score/ MDCalc Mangled Extremity Severity Score (MESS)]

==References==
<References/>

[[Category:Trauma]]
[[Category:Orthopedics]]