{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:32Z","timestamp":1753877252277,"version":"3.41.2"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T00:00:00Z","timestamp":1738713600000},"content-version":"vor","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100019779","name":"Qatar National Library","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019779","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Gunshot injuries to the upper limb are complex, particularly when a projectile lodges between the radius and ulna. These cases demand a detailed approach due to the complicated anatomy and potential for severe functional impairment. A 42-year-old female presented with severe right upper limb pain and motor impairment following a gunshot injury. The bullet entered through the posterior shoulder, shattered the mid-humerus and proximal radius, and lodged between the distal radius and ulna. Multidisciplinary surgical intervention included external fixator application and removal, open reduction, and internal fixation of the humerus, complete nerve decompression, and vascular repair using an interposition reversed saphenous vein graft. The patient\u2019s postoperative course was uneventful, and follow-up showed sensory improvement and some motor recovery. This case highlights the complexity of managing gunshot injuries with bullets lodged between the radius and ulna. Multidisciplinary care is essential for addressing the varied challenges posed by such injuries. Further research is needed to refine treatment strategies and improve patient outcomes in similar cases.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf036","type":"journal-article","created":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T06:23:11Z","timestamp":1738736591000},"source":"Crossref","is-referenced-by-count":0,"title":["Interosseous impasse: a unique case of bullet lodgement between the radius and ulna"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0496-6083","authenticated-orcid":false,"given":"Rand Y","family":"Omari","sequence":"first","affiliation":[{"name":"Plastic and Reconstructive Surgery Department, Hamad Medical Corporation , Ahmed Bin Ali Street, Doha ,","place":["Qatar"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiyas","family":"Mohammedali","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Department, Hamad Medical Corporation , Ahmed Bin Ali Street, Doha ,","place":["Qatar"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sohail J","family":"Quazi","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Department, Hamad Medical Corporation , Ahmed Bin Ali Street, Doha ,","place":["Qatar"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"El-Debs","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Department, Hamad Medical Corporation , Ahmed Bin Ali Street, Doha ,","place":["Qatar"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad Y","family":"Al-Omari","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Department, Hamad Medical Corporation , Ahmed Bin Ali Street, Doha ,","place":["Qatar"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mazin","family":"Mohammed","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Department, Hamad Medical Corporation , Ahmed Bin Ali Street, Doha ,","place":["Qatar"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Muneer","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Department, Hamad Medical Corporation , Ahmed Bin Ali Street, Doha ,","place":["Qatar"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,2,5]]},"reference":[{"key":"2025020506230150400_ref1","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1001\/jamainternmed.2020.6696","article-title":"Epidemiologic trends in fatal and nonfatal firearm injuries in the US, 2009\u20132017","volume":"181","author":"Kaufman","year":"2021","journal-title":"JAMA Intern Med"},{"key":"2025020506230150400_ref2","doi-asserted-by":"publisher","first-page":"e301","DOI":"10.5435\/JAAOS-D-17-00676","article-title":"Gunshot wounds to the upper extremity","volume":"27","author":"Omid","year":"2019","journal-title":"J Am Acad Orthop Surg"},{"key":"2025020506230150400_ref3","doi-asserted-by":"publisher","first-page":"293","DOI":"10.2147\/ORR.S378278","article-title":"Gunshot wounds: ballistics, pathology, and treatment recommendations, with a focus on retained bullets","volume":"14","author":"Baum","year":"2022","journal-title":"Orthop Res Rev"},{"key":"2025020506230150400_ref4","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1053\/j.sult.2018.10.018","article-title":"Gunshot wounds: ballistics and imaging findings","volume":"40","author":"Pinto","year":"2019","journal-title":"Semin Ultrasound CT MRI"},{"key":"2025020506230150400_ref5","first-page":"173","article-title":"Operative versus nonoperative management of traumatic arthrotomies from civilian gunshot wounds","volume":"39","author":"Shultz","year":"2019","journal-title":"Iowa Orthop J"},{"key":"2025020506230150400_ref6","doi-asserted-by":"publisher","DOI":"10.1177\/1558944721998016","article-title":"Gunshot injuries of the hand: incidence, treatment characteristics, and factors associated with healthcare utilization","volume":"18","author":"Anantavorasakul","year":"2023","journal-title":"HAND"},{"key":"2025020506230150400_ref7","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1097\/JTN.0b013e31827757a7","article-title":"The long-term outcome of retained foreign bodies in pediatric gunshot wounds","volume":"19","author":"Mazotas","year":"2012","journal-title":"J Trauma Nurs"},{"key":"2025020506230150400_ref8","doi-asserted-by":"publisher","first-page":"bcr2016217351","DOI":"10.1136\/bcr-2016-217351","article-title":"Severe lead toxicity attributed to bullet fragments retained in soft tissue","author":"Weiss","year":"2017","journal-title":"BMJ Case Rep"},{"key":"2025020506230150400_ref9","doi-asserted-by":"publisher","first-page":"e107","DOI":"10.1093\/milmed\/usx076","article-title":"Extra-articular retained missiles; 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