Reverse Posterior Interosseous Artery Flap for Human Bite Injury to the Hand
Bite injuries frequently occur on human hands. Human bite injuries to the hand may lead to an infection because of limited soft tissue protection and wound contamination. However, no studies have reported severe bite injuries on hands treated by flaps. We report a case of an 80-year-old woman diagno...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2024-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2024/5392926 |
| _version_ | 1797294394321141760 |
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| author | Yusuke Hattori Yohei Kawaguchi Yuji Joyo Hideki Okamoto Hideki Murakami Yuko Waguri-Nagaya |
| author_facet | Yusuke Hattori Yohei Kawaguchi Yuji Joyo Hideki Okamoto Hideki Murakami Yuko Waguri-Nagaya |
| author_sort | Yusuke Hattori |
| collection | DOAJ |
| description | Bite injuries frequently occur on human hands. Human bite injuries to the hand may lead to an infection because of limited soft tissue protection and wound contamination. However, no studies have reported severe bite injuries on hands treated by flaps. We report a case of an 80-year-old woman diagnosed with a major neurocognitive disorder. The patient accidentally had a self-bite injury accompanied with an open metacarpal fracture. Debridement and fixation of the first metacarpal fracture were performed. Afterward, skin necrosis occurred gradually on the dorsum of the hand. Therefore, a reverse posterior interosseous artery (PIA) flap was used, and the postoperative course was uneventful. Given the high risk of infection, human bite injuries, particularly hand bites, should be treated immediately. Delayed treatment for such injuries may lead to extensive soft tissue defects requiring reconstruction with flaps. |
| first_indexed | 2024-03-07T21:29:36Z |
| format | Article |
| id | doaj.art-47b3135a0fe84de7ab66c5fca318ec57 |
| institution | Directory Open Access Journal |
| issn | 2090-6757 |
| language | English |
| last_indexed | 2024-03-07T21:29:36Z |
| publishDate | 2024-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj.art-47b3135a0fe84de7ab66c5fca318ec572024-02-27T00:00:04ZengHindawi LimitedCase Reports in Orthopedics2090-67572024-01-01202410.1155/2024/5392926Reverse Posterior Interosseous Artery Flap for Human Bite Injury to the HandYusuke Hattori0Yohei Kawaguchi1Yuji Joyo2Hideki Okamoto3Hideki Murakami4Yuko Waguri-Nagaya5Department of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryBite injuries frequently occur on human hands. Human bite injuries to the hand may lead to an infection because of limited soft tissue protection and wound contamination. However, no studies have reported severe bite injuries on hands treated by flaps. We report a case of an 80-year-old woman diagnosed with a major neurocognitive disorder. The patient accidentally had a self-bite injury accompanied with an open metacarpal fracture. Debridement and fixation of the first metacarpal fracture were performed. Afterward, skin necrosis occurred gradually on the dorsum of the hand. Therefore, a reverse posterior interosseous artery (PIA) flap was used, and the postoperative course was uneventful. Given the high risk of infection, human bite injuries, particularly hand bites, should be treated immediately. Delayed treatment for such injuries may lead to extensive soft tissue defects requiring reconstruction with flaps.http://dx.doi.org/10.1155/2024/5392926 |
| spellingShingle | Yusuke Hattori Yohei Kawaguchi Yuji Joyo Hideki Okamoto Hideki Murakami Yuko Waguri-Nagaya Reverse Posterior Interosseous Artery Flap for Human Bite Injury to the Hand Case Reports in Orthopedics |
| title | Reverse Posterior Interosseous Artery Flap for Human Bite Injury to the Hand |
| title_full | Reverse Posterior Interosseous Artery Flap for Human Bite Injury to the Hand |
| title_fullStr | Reverse Posterior Interosseous Artery Flap for Human Bite Injury to the Hand |
| title_full_unstemmed | Reverse Posterior Interosseous Artery Flap for Human Bite Injury to the Hand |
| title_short | Reverse Posterior Interosseous Artery Flap for Human Bite Injury to the Hand |
| title_sort | reverse posterior interosseous artery flap for human bite injury to the hand |
| url | http://dx.doi.org/10.1155/2024/5392926 |
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