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Background: With the insurgency and farmer-herder crisis in northeast Nigeria, arrow injuries with various fatalities have been on the increase. Practicing in a low-resource setting with no functional computed tomography (CT) scan necessitates utmost dependence on plain X-rays for decision-making in patient care.
Case Description: We present our experience with a patient who presented in our facility with a right transorbital subfrontal arrow injury. The patient had retrograde extraction of the arrow based on plain X-ray findings with no sequelae.
Conclusion: We highlighted the role of X-ray in the management of arrow injuries, although bone window CT without or with angiography is the gold standard of imaging modalities in the management of patients with arrow injuries to the head.
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http://dx.doi.org/10.25259/SNI_618_2024 | DOI Listing |
Cureus
August 2025
General Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, ESP.
We report the case of a 77-year-old woman who presented to the emergency department (ED) after being unexpectedly struck in the head by an arrow while walking through a densely populated urban area in Barcelona, Spain. This highly unusual presentation in a modern city context prompted immediate multidisciplinary evaluation in the ED. Initial radiographs showed a metallic arrow tip in close proximity to the skull's cortical surfaces.
View Article and Find Full Text PDFEar Nose Throat J
August 2025
Department of Otolaryngology - Head and Neck Surgery, University of Washington, Seattle, WA, USA.
We present a case of a 49 year-old male who suffered from a homicide attempt with a crossbow arrow, resulting in a retained foreign body through his mandible, pterygoids, nasopharynx, and parotid gland. The patient was being managed conservatively with antibiotics to manage symptoms of recurrent infections prior to transfer to our center. The patient developed worsening congestion, foul drainage from the arrow exit wound, as well as developing worsening facial pain.
View Article and Find Full Text PDFArthrosc Tech
July 2025
Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Medial knee injuries are common and sometimes overlooked in cases of anterior cruciate ligament injuries. Persistent anteromedial rotatory instability can lead to chronic pain and later anterior cruciate ligament reconstruction failure. Moreover, in cases with multiligamentous knee injuries, there may be combined anteromedial and posteromedial rotatory instabilities.
View Article and Find Full Text PDFCureus
June 2025
Neurosurgery, Massachusetts General Hospital, Boston, USA.
This case report and literature review describe an intracranial injury resulting from a handcrafted arrow that required emergent surgical management in a patient treated at a public hospital in Sub-Saharan Africa. The authors are members of the non-profit organizations Chunilal Initiative and Kisumu Intuitive, which deliver charitable neurosurgical care to the region on a quarterly basis. This unique neurotrauma case, involving a penetrating, contaminated, metallic object, highlights the surgical and antibacterial management of intracranial arrow injuries and emphasizes the importance of neurosurgical missions to underserved regions globally.
View Article and Find Full Text PDFJ Am Coll Emerg Physicians Open
August 2025
Gertner Institute of Epidemiology and Health Policy Research, Sheba Medical Center, Ramat Gan, Israel.
Objectives: Neck injuries in warfare are critical due to the concentration of vital structures within a relatively unprotected anatomical region. This study aims to provide a comprehensive analysis of the epidemiology, severity, and outcomes of neck injuries during Military operations under "Operation Swords of War," leveraging data from the Israeli National Trauma Registry.
Methods: Data were retrospectively collected for casualties from October 7, 2023, through December 31, 2023.