IJCRR - 6(23), December, 2014
Pages: 27-30
DEMOGRAPHICS AND MANAGEMENT OF FOREIGN BODY PENETRATIONS IN HAND
Author: Pawan Kumar K. M., Ranganatha B. T.
Category: Healthcare
[Download PDF]
Abstract:
Background: The penetration of foreign bodies into the hand is generally accepted as a simple injury with the misconception that treatment will be easy. The aim of this study was to analyze the diagnostic and therapeutic challenges during the removal of foreign bodies in hand. Methods: Prospective analysis of patients who had hand injuries caused by foreign body penetration and had been treated in the Department of Orthopaedics from January 2010 to December 2013. Results: The mean age among the 84 patients was 33.03 with standard deviation of ± 10.98 years, ranging from 14 years to 64 years. Most of them were between the age of 21 and 30 years (43%). About 71.4% (60) of the injured were males. About 69% of foreign body penetrations were occupational injuries. A variety of foreign bodies were isolated from the site of injury; they included metal splinters (33.4%),broken glass (27.4%),broken needles (20%),wood splinters(13%) thorns (5%) and tooth ( 1%). About in 21% (17) of cases the diagnosis of foreign body penetration was missed during the first consultation. Plain radiographs were able to pick up the foreign body in 81% (68) of the cases. In 83.3% of cases local anaesthesia was enough for the extraction of the foreign body. Conclusion: The study gives a clear understanding of the demographics of foreign body penetration and helps to plan in a better
way in managing similar cases.
Keywords: Foreign body, Hand, Canine tooth, Foreign body penetration
Citation:
Pawan Kumar K. M., Ranganatha B. T.. DEMOGRAPHICS AND MANAGEMENT OF FOREIGN BODY PENETRATIONS IN HAND International Journal of Current Research and Review. 6(23), December, 27-30
References:
1. Vishnu C Potini, Ramces Francisco, Benhoor Shamian, Virak Tan. Sequelae of foreign bodies in the wrist and hand. Hand 2013; 8:77–81
2. Emre Hocao?lu, Samet Vasfi Kuvat, Burhan Özalp, Anvar Akhmedov, Yunus Do?an, Erol Kozano?lu, Fethi Sarper Mete, Metin Erer. Foreign body penetrations of hand and wrist: a retrospective study. Turkish Journal of Trauma and Emergency Surgery 2013; 19 (1):58-64
3. Han KJ, Lee YS, Kim JH. Progressive median neuropathy caused by the proximal migration of a retained foreign body (a glass splinter). J Hand Surg Eur 2011; 36:608-609.
4. Talan DA, Abrahamian FM, Moran GJ, Mower WR, Alagappan K, Tiffany BR, et al. Tetanus immunity and physician compliance with tetanus prophylaxis practices among emergency department patients presenting with wounds. Ann Emerg Med 2004; 43:305-314.
5. Banwell H. What is the evidence for tissue regeneration impairment when using a formulation of PVP-I antiseptic on open wounds? Dermatology 2006; 212:66-76.
6. Ranganatha BT, Pawan Kumar KM. Canine tooth in hand - A rare entity. Journal of Clinical Orthopaedics and Trauma 2014; 5: 91-93.
7. Ozsarac M, Demircan A, Sener S. Glass foreign body in soft tissue: possibility of high morbidity due to delayed migration. J Emerg Med 2011; 41:125-128.
8. Tuncer S, Ozcelik IB, Mersa B, Kabakas F, Ozkan T. Evaluation of patients undergoing removal of glass fragments from injured hands: a retrospective study. Ann Plast Surg 2011;67: 114-118
9. Steele MT, Tran LV, Watson WA, Muelleman RL. Retained glass foreign bodies in wounds: predictive value of wound characteristics, patient perception, and wound exploration. Am J Emerg Med 1998; 16:627-630
10. Levine MR, Gorman SM, Young CF, Courtney DM. Clinical characteristics and management of wound foreign bodies in the ED. Am J Emerg Med 2008;26:918-922.
11. Hamnett NT, Tehrani H, McArthur P. Perch fin foreign body in a paediatric hand. J Plast Reconstr Aesthet Surg 2013; 63:2198-2199.
12. Halaas GW. Management of foreign bodies in the skin. Am Fam Physician 2007; 76:683-688.
13. Anderson MA, Newmeyer 3rd WL, Kilgore Jr ES. Diagnosis and treatment of retained foreign bodies in the hand. Am J Surg.1982; 144(1):63–67.
14. De Lacey G, Evans R, Sandin B. Penetrating injuries: how easy is it to see glass (and plastic) on radiographs? Br J Radiol. 1985; 58(685):27–30.
15. Russell RC, Williamson DA, Sullivan JW, Suchy H, Suliman O. Detection of foreign bodies in the hand. J Hand SurgAm. 1991;16 (1):2–11.
16. Blankstein A, Cohen I, Heiman Z, Salai M, Heim M, Chechick A. Localization, detection and guided removal of soft tissue in the hands using sonography. Arch Orthop Trauma Surg. 2000; 120 (9):514–517.
17. Salati SA, Rather A. Missed foreign bodies in the hand: an experience from a center in Kashmir. Libyan J Med 2010; 5:5083.
18. Smoot EC, Robson MC. Acute management of foreign body injuries of the hand. Ann Emerg Med. 1983; 12(7):434– 437.
19. Tuncer S, Ozcelik IB, Mersa B, Kabakas F, Ozkan T. Evaluation of patients undergoing removal of glass fragments from injured hands: a retrospective study. Ann Plast Surg. 2011; 67(2):114–118.

|