Hand and arm injuries of torpid evolution after a puncture wound in a male fond of hiking

2021 ◽  
Author(s):  
Francisco Javier Rodríguez-Gómez ◽  
Juan Antonio Pérez Cáceres ◽  
Francisco Javier Martínez-Marcos ◽  
Dolores Merino Muñoz
Keyword(s):  
Puncture Wound ◽  
Arm Injuries

COMMITTEE ON ACCIDENT PREVENTION

PEDIATRICS ◽  
1957 ◽  
Vol 20 (3) ◽  
pp. 565-566
Author(s):  
Keyword(s):  
Emergency Care ◽  
Surgical Care ◽  
Electrical Energy ◽  
Civil Defense ◽  
Accident Prevention ◽  
Skeletal Trauma ◽  
Leg Injuries ◽  
Arm Injuries ◽  
Cervical Injuries ◽  
Open Injuries

The Committee on Accident Prevention of the American Academy of Pediatrics, in co-operation with the Surgical Section of the same organization, has prepared the following statements to cover the emergency management of childhood skeletal trauma and burns. Both of these statements are endorsed by the Committee on Trauma of the American College of Surgeons and have been approved by the Federal Civil Defense Administration. EMERGENCY CARE OF CHILDHOOD SKELETAL TRAUMA 1. Evaluate and splint where they lie before moving. Do not attempt reduction. 2. Move cervical injuries face up on a rigid support with manual traction applied gently by cupping chin at the time of moving. Sand bags on either side of neck to prevent turning, if possible. 3. Spine injuries should not be flexed in transportation. 4. Lower leg injuries, transport in pillow strapped with belt. 5. Upper leg injuries, transport with both legs and trunk bound to board without circulatory interference. 6. Lower arm injuries, transport with splint such as rolled newspaper, gentle compression wrapping and sling. 7. Upper arm can be bound to chest with lower arm supporting in sling. 8. Open injuries or open wounds, cover with sterile dressing, do not dust with antibiotic, but systemic antibiotic is useful. Do not attempt to retract bone back under skin. Get to surgical care promptly. 9. Do not cover distal tips of extremities if it can be avoided thus allowing a circulation check to be made from time to time. EMERGENCY CARE OF BURNS 1. Burns are due to thermal agents (scalds or fire); chemical agents (battery acid or lye); radiation (sunburn or nuclear); and electrical energy.

scholarly journals Throwing Arm Injuries

2014 ◽  
Vol 04 (05) ◽  
Author(s):  
Tony Kochhar Harry Batty
Keyword(s):  
Arm Injuries

Calcaneal osteomyelitis after puncture wound to foot: case report and review of the literature

2005 ◽  
Vol 6 (4) ◽  
pp. 194-196 ◽  
Author(s):  
E. Cetinus ◽  
P. Ciragil ◽  
M. Uzel ◽  
E. Bilgic ◽  
M. Gul ◽  
...  
Keyword(s):  
Case Report ◽  
Review Of The Literature ◽  
Puncture Wound

Mycobacterium AbscessusInfection in a Puncture Wound

1972 ◽  
Vol 106 (2) ◽  
pp. 275-277 ◽  
Author(s):  
Pattisapu R. Gangadharam ◽  
Katharine H. K. Hsu
Keyword(s):  
Puncture Wound

Humeral Fractures Without Obvious Etiologies in Children Less Than 3 Years of Age: When Is It Abuse?

PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 667-671
Author(s):  
Richard T. Strait ◽  
Robert M. Siegel ◽  
Robert A. Shapiro
Keyword(s):  
Medical Center ◽  
Retrospective Chart Review ◽  
Humeral Fracture ◽  
Humeral Fractures ◽  
Supracondylar Fractures ◽  
Fractures In Children ◽  
Arm Injuries ◽  
Made In

Objective. To determine the occurrence and frequency of abuse in children with humeral fractures without immediately obvious etiologies who are less than 3 years old and present with arm injuries. Methods. A retrospective chart review was conducted of all children less than 3 years old treated for a humeral fracture at Children's Hospital Medical Center between July 1, 1990, and September 10, 1993. One hundred twenty-four charts of children with humeral fractures were reviewed for possible abuse using previously developed criteria. Charts were evaluated independently by the investigators. Consensus was reached on classification of each chart into the following categories: abuse, indeterminate, or not abuse. Results. Abuse was diagnosed in 9 of 25 (36%) children less than 15 months of age, but in only 1 of 99 (1%) children older than 15 months (P < .05). Abuse was excluded in 91 of 124 (73%) children. No determination of abuse (indeterminate) could be made in 23 of 124 (18.5%) children. In children less than 15 months of age, abuse was diagnosed in 2 of 10 (20%) with supracondylar fractures and in 7 of 12 (58%) with spiral/oblique fractures. Conclusion. The prevalence of abuse in our children presenting with humeral fractures was much lower than in other published reports, especially in the children over the age of 15 months. However, we found a higher prevalence of supracondylar fractures associated with abuse than those same reports. Given these findings, abuse should be considered in all children less than 15 months of age with humeral fractures, including those with supracondylar fractures. The majority of humeral fractures in children are accidental, especially beyond the age of 15 months.

Eikenella corrodens Osteomyelitis

PEDIATRICS ◽  
1982 ◽  
Vol 70 (3) ◽  
pp. 462-463
Author(s):  
Kenneth Polin ◽  
Stanford T. Shulman
Keyword(s):  
Antibiotic Treatment ◽  
Pure Culture ◽  
Oral Secretions ◽  
Eikenella Corrodens ◽  
Puncture Wound ◽  
Incision And Drainage

A 9-year-old boy developed osteomyelitis of the calcaneus following a puncture wound by a toothpick. Culture of the bone yielded a pure culture of Eikenella corrodens, an organism that is normally found in oral secretions. Recovery was complete following incision and drainage and antibiotic treatment with penicillins.

scholarly journals Shoulder Range of Motion and Baseball Arm Injuries: A Systematic Review and Meta-Analysis

2018 ◽  
Vol 53 (12) ◽  
pp. 1190-1199 ◽  
Author(s):  
Garrett S. Bullock ◽  
Mallory S. Faherty ◽  
Leila Ledbetter ◽  
Charles A. Thigpen ◽  
Timothy C. Sell
Keyword(s):  
Range Of Motion ◽  
External Rotation ◽  
Meta Analysis ◽  
P Value ◽  
High Quality ◽  
Level Of Evidence ◽  
Baseball Players ◽  
Shoulder Range Of Motion ◽  
Methodologic Quality ◽  
Arm Injuries

Objective Arm injuries in baseball players are a common problem. The identification of modifiable risk factors, including range of motion (ROM), is essential for injury prevention. The purpose of this review was to assess the methodologic quality and level of evidence in the literature and to investigate the relationship between shoulder ROM and the risk of arm injuries in baseball players. Data Sources Relevant studies in PubMed, CINAHL, Embase, and SPORTDiscus published from inception to August 1, 2017. Study Selection Only studies that encompassed healthy baseball cohorts who were assessed for shoulder ROM and prospectively evaluated for injuries throughout a baseball season or seasons were included. Data Extraction Six articles met the search criteria. Only 3 studies were included in the meta-analysis due to disparate participant groups. Data Synthesis The modified Downs and Black scale (0–15 points) was used to analyze methodologic quality. Study quality ranged from 11 to 14. Four studies received high-quality (≥12) and 2 studies received moderate-quality (≥10) scores. The overall pooled analysis demonstrated that absolute and internal-rotation deficits (–5.93 [95% confidence interval {CI} = –9.43, –2.43], P < .001 and 4.28 [0.71, 7.86], P = .02, respectively) and absolute total ROM (TROM; –6.19 [95% CI = –10.28, –2.10]; P = .003) were predictors of injury, and these data exhibited homogeneity (absolute IR P value = .77, I2 = 0%; IR deficit P value = .41, I2 = 0%; absolute TROM P value = .78, I2 = 0%). No significance was observed for absolute external rotation (–2.86 [95% CI = –6.56, 0.83], P = .13), which had data with high heterogeneity (P = .003; I2 = 83%). A deficit in horizontal adduction was a predictor of injury (–8.32 [95% CI = –12.08, –4.56]; P < .001); these data were homogeneous but yielded a moderate heterogenic effect (P = .16; I2 = 50%). Conclusions High-quality evidence demonstrated that deficits in throwing-arm TROM and IR were associated with upper extremity injury in baseball players. Heterogeneity across studies for horizontal adduction suggested that this may be a modifiable risk factor for injury, but it requires further research.

Salivary secretions from the honeybee mite, Varroa destructor: effects on insect haemocytes and preliminary biochemical characterization

Parasitology ◽  
2011 ◽  
Vol 138 (5) ◽  
pp. 602-608 ◽  
Author(s):  
E. H. RICHARDS ◽  
BENJAMIN JONES ◽  
ALAN BOWMAN
Keyword(s):  
Wound Healing ◽  
Honey Bee ◽  
Varroa Destructor ◽  
Biochemical Characterization ◽  
Electrophoretic Analysis ◽  
Cotton Wool ◽  
Puncture Wound ◽  
Molecular Weights ◽  
Insect Haemocytes

SUMMARYIntroduction. The ectoparasitic honey bee mite Varroa destructor feeds on the haemolymph of the honey bee, Apis mellifera, through a single puncture wound that does not heal but remains open for several days. It was hypothesized that factors in the varroa saliva are responsible for this aberrant wound healing. Methods. An in vitro procedure was developed for collecting salivary gland secretions from V. destructor. Mites were incubated on balls of cotton wool soaked in a tissue culture medium (TC-100), and then induced to spit by topical application of an ethanolic pilocarpine solution. Results. Elution of secretions from balls of cotton wool, followed by electrophoretic analysis by SDS-PAGE and electroblotting indicated the presence of at least 15 distinct protein bands, with molecular weights ranging from 130 kDa to <17 kDa. Serial titration of V. destructor salivary secretions in TC-100 followed by an 18-h incubation with haemocytes from the caterpillar, Lacanobia oleracea, indicated that the secretions damage the haemocytes and suppresses their ability to extend pseudopods and form aggregates. Conclusion. We suggest that these secretions facilitate the ability of V. destructor to feed repeatedly off their bee hosts by suppressing haemocyte-mediated wound healing and plugging responses in the host.

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