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[Frostbite: findings May 1990].

B Marsigny1, J Foray

  • 1Hôpital de Chamonix Mont-Blanc.

Zeitschrift Fur Unfallchirurgie Und Versicherungsmedizin : Offizielles Organ Der Schweizerischen Gesellschaft Fur Unfallmedizin Und Berufskrankheiten = Revue De Traumatologie Et D'Assicurologie : Organe Officiel De La Societe Suisse De
|January 1, 1990
PubMed
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Frostbites are common in mountain sports, often caused by poor equipment and environmental factors. Prevention is the most effective treatment, with amputations occurring in only 8% of cases.

Area of Science:

  • Sports Medicine
  • Environmental Physiology
  • Trauma Surgery

Context:

  • Frostbite is a significant pathology in mountain sports, with 80 cases treated annually in Chamonix.
  • Contributing factors include inadequate equipment, humidity, wind, high-altitude polycythemia, and dehydration.
  • The physiopathology involves both physical freezing and a vasomotor response.

Purpose:

  • To outline the diagnosis, prognosis, and treatment of frostbite injuries in athletes.
  • To emphasize the importance of preventative measures in managing frostbite.
  • To report amputation rates in a cohort of frostbite patients.

Summary:

  • Diagnosis of frostbite is typically straightforward.
  • Prognosis relies on bone scintigraphy.

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  • Treatment involves rapid rewarming, vasodilators, hemodilution, and potentially delayed surgery.

    • Impact:

    • Effective management strategies can significantly reduce the need for amputation, with only 8% of patients requiring it in this cohort.
    • Highlighting prevention underscores its critical role in mitigating frostbite risks for mountain sports participants.
    • This study provides valuable insights for clinicians managing cold-related injuries in active populations.