Author(s): Ansa Naseem1, Aqsa Younas2, Naureena Munawar3, Iqra Nosheen4
Pages: 45-47 | DOI: https://doi.org/10.5455/pjps.1718987581
Distal radial fracture (DRF) can lead to various nerve injuries primarily due to direct trauma. However
manipulation of fracture by quacks and application of tight cast can rarely lead to Ischemic injury to the
nerves.We present the case of 9 years old male who had DRF that was managed by quacks. The manipulation
and application of tight cast led to ischemic injury to nerves. Later on due to loss of sensation, patient had burn
injury while attempting to warm up near the fire. This led to loss of middle and distal phalanges of the hand.
Flame burn injuries due to peripheral neuropathy post-incorrect casting are rare but severe. Prompt
recognition and management are crucial in pediatric orthopedic care.
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