A prospective study has been made of 29 human bite injuries caused by the clenched fist, 27 over M.P. joints and two over P.I.P. joints.
All were treated by surgical exploration, within 24 hours in 84% of cases. In 62% the wound had entered the underlying joint and in 58% the bone was injured. Significantly less morbidity was noted in those cases where there was no joint injury (P < 0.001). Early surgical exploration to identify and to treat the joint injury is recommended.
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References
1.
CHUINARDR. G., and D'AMBROSIAR. D. (1977). Human Bite Infections of the Hand. Journal of Bone and Joint Surgery, 59A: 416–418.
2.
DREYFRUSSU. Y., and SINGERM. (1985). Human bites of the hand: A study of one hundred and six patients. Journal of Hand Surgery, 10A: 6(1): 884–889.
3.
EATONR. G., and BUTSCHD. P. (1970). Antibiotic guidelines for hand infections. Surgery, Gynecology and Obstetrics, 130: 119–122.
4.
GOLDSTEINE. J. C., MILLERT. A., CITROND. M., and FINEGOLDS. M. (1978). Infection following clenched-fist injury: A new perspective. Journal of Hand Surgery, 3: 5: 455–457.
MANNR. J., HOFFELDT. A., and FARMERC. B. (1977). Human bites of the hand: Twenty years of experience. Journal of Hand Surgery, 2: 2: 97–104.
7.
PATZAKISM. J., WILKINSJ., and BASSETTR. L. (1987). Surgical Findings in Clenched-Fist Injuries. Clinical Orthopaedics and Related Research, 220: 237–240.
8.
PEEPLESE., BOSWICKJ. A., and SCOTTF. A. (1980). Wounds of the Hand Contaminated by Human or Animal Saliva. Journal of Trauma, 20: 5: 383–389.
9.
RESNICKD., PINEDAC. J., WEISMANM. H., and KERRR. (1985). Osteomyelitis and septic arthritis of the hand following human bites. Skeletal Radiology, 14: 263–266.
10.
SCHMIDTD. R., and HECKMANJ. D. (1983). Eikenella corrodens in Human Bite Infections of the Hand. Journal of Trauma, 23: 6: 478–482.
11.
SHIELDSC., PATZAKISM. J., MEYERM. H., and HARVEYJ. P. (1975). Hand infections secondary to human bites. Journal of Trauma, 15: 3: 235–236.
12.
WELCHC. E. (1936). Human bite infections of the hand. New England Journal of Medicine, 215: 901–908.
