The management of clenched fist injury complicated by joint and bone infections remains a challenge. The typical injury pattern of the clenched fist injury is tooth penetration of the dorsum of the hand over the third MP joint. Prophylactic antibiotic therapy was given by administration of cefuroxime. See Table 1 and 2 click to enlarge. They looked for the help later, after the occurrence of the clenched fist injury and pain.
Clenched fist injury: a pitfall for patients and surgeons.
Leave A Reply Cancel Reply. Septic arthritis and osteomyelitis are dangerous complications of fight bite because they are extremely difficult to eradicate and associated with a high risk of amputation and permanent joint stiffness. Monotherapy with agents that lack activity against Eikenella corrodens, including first-generation cephalosporins, penicillinase-resistant penicillins nafcillin, oxacillinmacrolides, clindamycin, metronidazole and aminoglycosides should be avoided. Orthopedic pitfalls in the ED: The mechanisms of action of vacuum assisted closure:
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Wheeless’ Textbook of Orthopaedics
Today, the accepted treatment of these injuries is an exploration of the wound with clenched fist injury and lavage. Leave A Reply Cancel Reply. Redon drainage with skin closure over the polyurethane foam by suture and foil B. Wounds should be irrigated copiously with normal saline followed by careful exploration and removal of any visible foreign debris.
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