{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T17:14:45Z","timestamp":1740158085374,"version":"3.37.3"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T00:00:00Z","timestamp":1648598400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>While high-voltage electrical injuries usually cause severe burn wounds and axonal polyneuropathy, low-voltage electrical injuries cause limited cutaneous wounds and demyelinating mononeuropathy, of which the median and ulnar nerves are the most commonly involved. We present the case of a 42-year-old man who suffered a 480-voltage electrical injury at his right elbow, resulting in a 24 \u00d7 10 cm fourth-degree burn wound and immediate radial nerve palsy. The burn wound was debrided with confirmation and preservation of radial nerve continuity. The wound was covered with a free anterolateral thigh flap and it healed uneventfully. The Tinel\u2019s sign continued to advance at follow-up, and electrodiagnostic studies showed progressive reinnervation. His radial nerve function recovered completely in 9 months. This is a rare case of low-voltage electrical injury with a fourth-degree burn wound and immediate radial nerve palsy. We treated the wound aggressively with early debridement and prompt flap coverage, but conservatively treated the radial nerve injury. The nerve recovery course indicates that it had a \u201cshocked-cooked\u201d injury and served itself as a well-placed nerve graft for the subsequent regeneration. We believe that our successful outcome in this case can provide more insights into the management of such injuries.<\/jats:p>","DOI":"10.1093\/jbcr\/irac040","type":"journal-article","created":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T12:25:22Z","timestamp":1648643122000},"page":"977-980","source":"Crossref","is-referenced-by-count":0,"title":["Anterolateral Thigh Flap for Low-Voltage Fourth-Degree Electrical Burn Injury With Immediate Radial Nerve Palsy at the Elbow: A Case Report"],"prefix":"10.1093","volume":"43","author":[{"given":"Yen-Shuo","family":"Lai","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University , Tainan , Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7937-6785","authenticated-orcid":false,"given":"Yao-Chou","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University , Tainan , Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,3,30]]},"reference":[{"key":"2022070116562008800_CIT0001","doi-asserted-by":"crossref","first-page":"e293","DOI":"10.1097\/BCR.0000000000000373","article-title":"Review of adult electrical burn injury outcomes worldwide: an analysis of low-voltage vs high-voltage electrical injury","volume":"38","author":"Shih","year":"2017","journal-title":"J Burn Care Res"},{"key":"2022070116562008800_CIT0002","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1016\/S0305-4179(97)00028-4","article-title":"Pediatric electrical burns: management strategies","volume":"23","author":"Zubair","year":"1997","journal-title":"Burns"},{"key":"2022070116562008800_CIT0003","doi-asserted-by":"crossref","first-page":"565","DOI":"10.3109\/02699052.2013.766928","article-title":"Possible mechanisms for delayed neurological damage in lightning and electrical injury","volume":"27","author":"Reisner","year":"2013","journal-title":"Brain Inj"},{"key":"2022070116562008800_CIT0004","first-page":"107","article-title":"Peripheral neuropathy after burn injury","volume":"17","author":"Tamam","year":"2013","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"2022070116562008800_CIT0005","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1016\/j.burns.2016.08.003","article-title":"Burn-related peripheral neuropathy: a systematic review","volume":"43","author":"Tu","year":"2017","journal-title":"Burns"},{"key":"2022070116562008800_CIT0006","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1097\/00006534-200201000-00023","article-title":"Peripheral nerve compression associated with low-voltage electrical injury without associated significant cutaneous burn","volume":"109","author":"Smith","year":"2002","journal-title":"Plast Reconstr Surg"},{"key":"2022070116562008800_CIT0007","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/S0305-4179(02)00204-8","article-title":"Experience of 14 years of emergency reconstruction of electrical injuries","volume":"29","author":"Zhu","year":"2003","journal-title":"Burns"},{"key":"2022070116562008800_CIT0008","doi-asserted-by":"crossref","first-page":"e378","DOI":"10.1097\/GOX.0000000000000344","article-title":"Electrical burn causing a unique pattern of neurological injury","volume":"3","author":"Schaefer","year":"2015","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"2022070116562008800_CIT0009","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1016\/S0305-4179(00)00160-1","article-title":"Clonus: an unusual delayed neurological complication in electrical burn injury","volume":"27","author":"Deveci","year":"2001","journal-title":"Burns"},{"key":"2022070116562008800_CIT0010","doi-asserted-by":"crossref","first-page":"e33","DOI":"10.1097\/SAP.0000000000001151","article-title":"Acute-onset quadriplegia with recovery after high-voltage electrical injury","volume":"79","author":"Delgadillo","year":"2017","journal-title":"Ann Plast Surg"},{"key":"2022070116562008800_CIT0011","doi-asserted-by":"crossref","first-page":"217","DOI":"10.4103\/ijps.IJPS_177_16","article-title":"Direct electrical injury to brachial plexus","volume":"50","author":"Devale","year":"2017","journal-title":"Indian J Plast Surg"},{"issue":"6 Pt 1","key":"2022070116562008800_CIT0012","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1097\/00004630-199611000-00015","article-title":"Long thoracic nerve injury due to an electric burn","volume":"17","author":"Still","year":"1996","journal-title":"J Burn Care Rehabil"},{"key":"2022070116562008800_CIT0013","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1016\/j.burns.2008.08.009","article-title":"Causative factors affecting peripheral neuropathy in burn patients","volume":"35","author":"Lee","year":"2009","journal-title":"Burns"},{"key":"2022070116562008800_CIT0014","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1097\/01.bcr.0000176890.12785.70","article-title":"Delayed brain atrophy after electrical injury","volume":"26","author":"Isao","year":"2005","journal-title":"J Burn Care Rehabil"},{"key":"2022070116562008800_CIT0015","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/0305-4179(89)90175-7","article-title":"Delayed neurological sequelae of high-tension electrical burns","volume":"15","author":"Koller","year":"1989","journal-title":"Burns"},{"key":"2022070116562008800_CIT0016","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1136\/jnnp.71.4.535","article-title":"Pathogenesis and recovery of tetraplegia after electrical injury","volume":"71","author":"Thaventhiran","year":"2001","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"2022070116562008800_CIT0017","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1007\/s13312-020-1713-1","article-title":"Electrical injury causing facial nerve palsy in a toddler","volume":"57","author":"Reddy","year":"2020","journal-title":"Indian Pediatr"},{"key":"2022070116562008800_CIT0018","first-page":"914","article-title":"Neurologic sequelae of minor electric burns","volume":"70","author":"Rosenberg","year":"1989","journal-title":"Arch Phys Med Rehabil"},{"key":"2022070116562008800_CIT0019","doi-asserted-by":"crossref","first-page":"bcr2014208092","DOI":"10.1136\/bcr-2014-208092","article-title":"Carpal tunnel syndrome following an electrical injury in a child","volume":"2015","author":"Anand","year":"2015","journal-title":"BMJ Case Rep"},{"key":"2022070116562008800_CIT0020","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1539\/joh.2017-0247-CS","article-title":"Carpal tunnel syndrome after an electrical injury: a case report and review of literature","volume":"60","author":"Wong","year":"2018","journal-title":"J Occup Health"},{"key":"2022070116562008800_CIT0021","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1097\/00003086-197410000-00008","article-title":"Early tendon transfer in upper extremity peripheral nerve injury","volume":"104","author":"Burkhalter","year":"1974","journal-title":"Clin Orthop Relat Res"},{"key":"2022070116562008800_CIT0022","first-page":"8","article-title":"Free flap transfer in burn reconstruction","volume":"14","author":"Lo","year":"1991","journal-title":"Changgeng Yi Xue Zhi"},{"key":"2022070116562008800_CIT0023","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1093\/jbcr\/irz075","article-title":"Microcirculatory free flap failure with patent anastomosis salvaged by in situ thrombolysis in vulnerable phase burn","volume":"40","author":"Coeugniet","year":"2019","journal-title":"J Burn Care Res"},{"key":"2022070116562008800_CIT0024","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/j.burns.2006.06.022","article-title":"Thirty-eight free fasciocutaneous flap transfers in acute burned-hand injuries","volume":"33","author":"Pan","year":"2007","journal-title":"Burns"}],"container-title":["Journal of Burn Care &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jbcr\/advance-article-pdf\/doi\/10.1093\/jbcr\/irac040\/43455526\/irac040.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jbcr\/article-pdf\/43\/4\/977\/44373254\/irac040.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jbcr\/article-pdf\/43\/4\/977\/44373254\/irac040.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T16:56:59Z","timestamp":1656694619000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jbcr\/article\/43\/4\/977\/6555972"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,30]]},"references-count":24,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,3,30]]},"published-print":{"date-parts":[[2022,7,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jbcr\/irac040","relation":{},"ISSN":["1559-047X","1559-0488"],"issn-type":[{"type":"print","value":"1559-047X"},{"type":"electronic","value":"1559-0488"}],"subject":[],"published-other":{"date-parts":[[2022,7,1]]},"published":{"date-parts":[[2022,3,30]]}}}