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Self-inflicted finger cold injury leading to amputation: Report of a case
- Source :
- Clinics and Practice
- Publication Year :
- 2020
- Publisher :
- PAGEPress Publications, Pavia, Italy, 2020.
-
Abstract
- A cold injury can result in devastating outcomes, leading to significant morbidity and loss of distal extremities. Amputations are common after severe frostbite injuries with delayed presentation, often mediated by post-injury arterial thrombosis. Ischemic injuries are managed according to the ischemia time. The most controversial aspect of treating a salvage injury is the time of surgical intervention, which used to be based on the previous management dogma freeze in January, amputate in July. Recently, the paradigm has shifted to early surgical management if the level of viability of the deep structure can be ascertained using 99mTc pertechnetate scintigraphy (99mTc bone scans). We present a case of a finger amputation resulting from a cold injury secondary to a crush injury.
- Subjects :
- medicine.medical_specialty
cold injury
medicine.medical_treatment
Case Report
030204 cardiovascular system & hematology
Scintigraphy
03 medical and health sciences
Finger amputation
0302 clinical medicine
extremity salvage
amputation
Medicine
030212 general & internal medicine
thrombolytic therapy
medicine.diagnostic_test
business.industry
Self-induced injury
General Medicine
99mtc pertechnetate
medicine.disease
Thrombosis
Surgery
Amputation
Frostbite
Crush injury
Cold injury
business
Subjects
Details
- Language :
- English
- ISSN :
- 20397283 and 20397275
- Volume :
- 10
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Clinics and Practice
- Accession number :
- edsair.doi.dedup.....bbe79b8e444ade089fa95331314d9825