Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations David K. Barnes, MD, FACEP and Garth Utter, MD, MSc, FACS | September 25, 2024

https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations In this WebM&M Spotlight Case with CE/MOC, a man presented at the emergency department (ED) after a motorcycle crash. He had superficial lacerations on his left elbow, where wood chips were noted on exam and x-ray but were not fully removed before discharge. He was discharged with antibiotic prescriptions, but returned three days later with worsening symptoms, including pain, swelling, and pus, leading to additional foreign material being removed and further antibiotic treatment, but without repeat x-rays. Ultimately, he developed osteomyelitis, requiring multiple surgeries and a long hospital stay due to the retained foreign bodies. The commentary highlights the importance of evaluating patient risk of wound infection and poor wound healing, the role of imaging modalities to help identify foreign material in wounds, and diligent follow-up to prevent complications.