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Wringer arm injuries

H H Stone, D V Cantwell, J T Fulenwider

    Journal of Pediatric Surgery
    |June 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Wringer arm injuries in children are common across all demographics. Treatment involves wound care, pressure dressings, and elevation, with rare severe complications like vascular injury or fractures.

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    Area of Science:

    • Orthopedics
    • Pediatric Trauma
    • Wound Management

    Background:

    • Wringer arm injuries are a common pediatric trauma, often affecting children under 16.
    • Previous understanding of wringer arm injury complications and treatment efficacy requires further investigation.

    Purpose of the Study:

    • To analyze the incidence, demographics, and management of wringer arm injuries in children.
    • To evaluate the frequency and nature of complications associated with these injuries.

    Main Methods:

    • Retrospective review of 483 pediatric patients hospitalized for wringer arm injuries over a 20-year period.
    • Analysis of patient demographics, injury characteristics, treatment protocols, and outcomes.
    • Radiographic and clinical assessment for fractures, vascular compromise, and soft tissue damage.

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    Main Results:

    • The majority of the 483 patients were indigent, black males, but injuries occurred across all demographics.
    • Standard treatment included wound cleansing, pressure dressings, elevation, and observation.
    • Complications were infrequent, with no significant vascular injuries or fractures noted; however, six metacarpophalangeal dislocations, five neuropathies, and one traumatic amputation occurred. Major skin sloughs affected 18 children, with 11 requiring skin grafts.

    Conclusions:

    • Wringer arm injuries in children, while common, rarely lead to severe complications like fractures or vascular damage.
    • Conservative management, including pressure dressings and elevation, is generally effective.
    • Close monitoring is essential to identify and manage less common but significant complications such as dislocations, neuropathy, and skin sloughs.