Hand VS. Grenade!
This patient was rushed to the hospital with an injury that most of us have only seen on TV.
The incident occurred in close proximity to the patient, who suffer large lacerations and comminuted fractures but fortunately, some vital structures remained intact, leaving the possibility of reconstruction still available to save his hand.
Hand grenade blast injuries can cause singular or multiple organ injuries, they are complex to approach and involves various surgical disciplines and extensive radiographic imaging to identify the extent of the damage.
This emergency situation is dealt with by stabilizing the patient's vital signs followed by extensive reconstructive surgery to allow the patient to regain a proper range of motion, either partial or full.