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Related Experiment Videos

Foreign bodies in the hand.

W J Morgan, T Leopold, R Evans

    Journal of Hand Surgery (Edinburgh, Scotland)
    |June 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Foreign bodies in the hand, especially in digits, require removal. Prompt surgical intervention is recommended over conservative management to prevent complications and ensure effective treatment.

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    Area of Science:

    • Orthopedic Surgery
    • Emergency Medicine
    • Radiology

    Background:

    • Foreign bodies in the hand are a common presentation in accident departments.
    • Delayed presentation and conservative management can lead to symptomatic complications.

    Purpose of the Study:

    • To evaluate the optimal management strategy for hand foreign bodies.
    • To determine the most effective anesthetic and surgical techniques.

    Main Methods:

    • Prospective study of 164 consecutive patients with hand foreign bodies.
    • Analysis of presentation, management, and outcomes.
    • Radiographic evaluation, particularly for glass fragments.

    Main Results:

    • The distal digits were the most frequent location for foreign bodies.

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  • Conservative management led to symptom development.
  • Infiltration anesthesia had a high failure rate, and secondary exploration a high complication rate.
  • Glass fragments were consistently visible on plain X-rays.
  • Conclusions:

    • Surgical removal of hand foreign bodies is indicated to avoid complications.
    • Effective regional anesthesia with a tourniquet is preferred over infiltration anesthesia.
    • Plain X-rays are valuable for detecting glass foreign bodies.