Abstract
Bone injuries related to electric shocks are usually seen with high-voltage current exposure or with additional traumas, such as falls. Few cases of fractures after electric shocks at low-voltages (with no direct blunt trauma) are reported in the literature. They result from electrically-induced tetanic muscle contractions. Most of them involve the proximal appendicular skeleton, while distal fractures of limbs are uncommon. We report the case of a 6-year-old girl who suffered local superficial burns of the hand and a distal radius buckle-type fracture after sustaining a 230-V electric shock. The accident occurred while the girl was touching with the right hand the metallic stand of a non-insulated street lamp. She felt a sudden jolt and managed to pull her hand free quickly, without falling or losing consciousness. The superficial burns of the hand were consistent with Jellinek’s electric marks, while the buckle fracture of the radius was consistent with a forceful contraction of the flexor muscles of the hand. Only four cases of radius fractures resulting from accidental electric shocks at low voltages have been previously reported in the literature. All of them involved pediatric patients, suggesting that a child’s vulnerability to this kind of fracture may exist. The present case is the youngest one ever described.
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Boyer JM, Anotin P, Lacroix G, Anton J, Yassine H, Hamon A, et al. (2008) Electrisé. http://www.sfmu.org/urgences2008/donnees/articles_titre/fs_conf24_art03.htm. Accessed 9 September 2013
Bailey B, Vadeboncoeur A, Dupont P (2004) Électrisation et foudre. In: Ellrodt A (ed) Les urgences de loisir. Masson, Paris, pp 151–165
Tarquinio T, Weinstein ME, Virgilio RW (1979) Bilateral scapular fractures from accidental electric shock. J Trauma 19(2):132–133
Beswick DR, Morse SD, Barnes AU (1982) Bilateral scapular fractures from low-voltage electrical injury. Ann Emerg Med 11(12):676–677
Stueland DT, Stamas P Jr, Welter TM, Cleveland DA (1989) Bilateral humeral fractures from electrically induced muscular spasm. J Emerg Med 7(5):457–459
Sohal H-S, Goyal D (2013) Simultaneous bilateral femoral neck fractures after electrical shock injury: a case report. Chin J Traumatol 16(2):126–128
Van den Brink WA, van Leeuwen O (1995) Lumbar burst fracture due to low voltage shock. A case report. Acta Orthop Scand 66(4):374–375
Hostetler MA, Davis CO (2000) Galeazzi fracture resulting from electrical shock. Pediatr Emerg Care 16(4):258–259
Kelly JP (1954) Fractures complicating electro-convulsive therapy and chronic epilepsy. J Bone Joint Surg (Br) 36-B(1):70–79
Lutz EG (1967) Electro-convulsive therapy and cerebral inhibition: Change of susceptibility to fractures during electro-convulsive therapy. Int J Neuropsychiatr 3:125–130
Ramin JE, Viet H (1953) Fractures during electroshock therapy. Am J Psychiatry 110:153–154
Kam AC, Kam PC (1994) Scapular and proximal humeral head fractures: an unusual complication of cardiopulmonary resuscitation. Anaesthesia 49:1055–1057
Sloane CM, Chan TC, Vilke GM (2008) Thoracic spine compression fracture after TASER activation. J Emerg Med 34(3):283–285
Winslow JE, Bozeman WP, Fortner MC, Alson RL (2007) Thoracic compression fractures as a result of shock from a conducted energy weapon: a case report. Ann Emerg Med 50(5):584–586
Cser I, Vajda A (1976) Bilateral fracture of the scapulae caused by a convulsive seizure. Arch Orthop Unfallchir 86:227–233
Benton J, Nelson C (1971) Avulsion of the coracoïd process in an athlete. J Bone Joint Surg Am 53(2):356–358
Gregersen HN (1971) Fractures of the humerus from muscular violence. Acta Orthop Scand 42:506–512
Adams AJ, Beckett MW (1997) Bilateral wrist fractures from accidental electric shock. Injury 28(3):227–228
Pappano D (2010) Radius fracture from an electrical injury involving an electric guitar. South Med J 103(3):242–244
Yildirim AÖ, Öken ÖF, Ünal VS, Baloglu K, Uçaner A (2012) Painful wrist in a 9-year-old child after an electrical injury. Eur J Surg Sci 3(1):33–35
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Peyron, P.A., Cathala, P., Vannucci, C. et al. Wrist fracture in a 6-year-old girl after an accidental electric shock at low voltages. Int J Legal Med 129, 297–300 (2015). https://doi.org/10.1007/s00414-014-0991-3
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DOI: https://doi.org/10.1007/s00414-014-0991-3