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Digital Chondrolysis and Epiphysiolysis Associated With Snakebite: A Report of 2 Cases
Rey N Ramirez1, Robert Umberhandt, Scott N Oishi
1Texas Scottish Rite Hospital for Children, Dallas, TX.
Background:
Here, we present 2 cases of the unusual sequelae of a venomous bite to the finger in children resulting in chondrolysis and physeal loss. There have been few isolated case reports documenting this phenomenon. Currently, there is no preventative treatment, and patients should be warned of this possible complication of envenomation.
Methods:
Two patients with chondrolysis and physeal loss have been seen in our practice.
Results:
Chondrolysis and epiphysiolysis occurred in 2 patients. One patient was treated with proximal interphalangeal joint fusion and one is being managed conservatively.
Conclusion:
The toxic action of snake venom may cause loss of the growth plate and chondrolysis in the pediatric hand.
Level Of Evidence:
Level IV.
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