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Upper extremity wringer injury.

J L Franz, H D Root

    Vascular Surgery
    |November 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Wringer injuries, common in children, often affect the upper extremity. Prompt treatment and close observation are crucial for preventing complications like swelling and tissue loss, ensuring good functional recovery.

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    Area of Science:

    • Orthopedics
    • Trauma Surgery
    • Pediatric Surgery

    Background:

    • Wringer injuries are a significant cause of upper extremity trauma, particularly in children.
    • A review of 92 cases highlights the need for understanding injury patterns and effective management.

    Purpose of the Study:

    • To present a clinical survey of upper extremity wringer injuries.
    • To outline a treatment regimen and evaluate outcomes.
    • To emphasize the importance of hospitalization and close observation.

    Main Methods:

    • Retrospective review of 92 upper extremity wringer injuries.
    • Detailed documentation of injury characteristics, treatment protocols, and patient outcomes.
    • Hourly monitoring for vascular compromise and hourly extremity checks.

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    Main Results:

    • 76% of injuries occurred in children under 10; 72% involved the extremity below the elbow.
    • 96% presented with swelling and tenderness; 21% had no skin violation.
    • 87% achieved full functional recovery; impairment was linked to major avulsion injuries.

    Conclusions:

    • Hospitalization is recommended for most wringer injuries to prevent edema and tissue loss.
    • Close monitoring is essential for early detection of vascular insufficiency.
    • The presented treatment regimen leads to favorable functional outcomes in the majority of cases.