Wringer arm injuries
During a 20-yr period, 483 children 16 yr of age or under were hospitalized for management of a wringer arm injury. Although the majority were indigent, black males, such trauma was frequently sustained by all classes and races as well as by both sexes. Principles of treatment consisted of cleansing...
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| Veröffentlicht in: | Journal of pediatric surgery 1976-06, Vol.11 (3), p.375-379 |
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| container_title | Journal of pediatric surgery |
| container_volume | 11 |
| creator | Stone, H. Harlan Cantwell, Danny V. Fulenwider, Julius T. |
| description | During a 20-yr period, 483 children 16 yr of age or under were hospitalized for management of a wringer arm injury. Although the majority were indigent, black males, such trauma was frequently sustained by all classes and races as well as by both sexes.
Principles of treatment consisted of cleansing the abrasion wound, application of a pressure dressing from axilla to finger tips, elevation, and close observation. With the exception of a destroyed brachial vein in one patient, significant vascular injuries did not occur despite a “medical fixation” on evidences of impaired circulation. Likewise, no fractures were noted even though all patients had x-rays of the full extremity. However, there were six metacarpo-phalangeal dislocations, five instances of neuropathy, and one traumatic amputation. Major skin sloughs occurred in 18 children, yet only 11 of them required a skin graft. |
| doi_str_mv | 10.1016/S0022-3468(76)80192-3 |
| format | Article |
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Principles of treatment consisted of cleansing the abrasion wound, application of a pressure dressing from axilla to finger tips, elevation, and close observation. With the exception of a destroyed brachial vein in one patient, significant vascular injuries did not occur despite a “medical fixation” on evidences of impaired circulation. Likewise, no fractures were noted even though all patients had x-rays of the full extremity. However, there were six metacarpo-phalangeal dislocations, five instances of neuropathy, and one traumatic amputation. Major skin sloughs occurred in 18 children, yet only 11 of them required a skin graft.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/S0022-3468(76)80192-3</identifier><identifier>PMID: 957061</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Accidents, Home ; Adolescent ; Age Factors ; Arm Injuries - etiology ; Arm Injuries - therapy ; Child ; Female ; Georgia ; Household Articles ; Humans ; Male ; Retrospective Studies</subject><ispartof>Journal of pediatric surgery, 1976-06, Vol.11 (3), p.375-379</ispartof><rights>1976 Grune & Stratton, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-2553caa1b9535cec5c5800cab492d271518b2b9f9d53af0230ff640dc33bc06b3</citedby><cites>FETCH-LOGICAL-c359t-2553caa1b9535cec5c5800cab492d271518b2b9f9d53af0230ff640dc33bc06b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0022-3468(76)80192-3$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/957061$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stone, H. Harlan</creatorcontrib><creatorcontrib>Cantwell, Danny V.</creatorcontrib><creatorcontrib>Fulenwider, Julius T.</creatorcontrib><title>Wringer arm injuries</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>During a 20-yr period, 483 children 16 yr of age or under were hospitalized for management of a wringer arm injury. Although the majority were indigent, black males, such trauma was frequently sustained by all classes and races as well as by both sexes.
Principles of treatment consisted of cleansing the abrasion wound, application of a pressure dressing from axilla to finger tips, elevation, and close observation. With the exception of a destroyed brachial vein in one patient, significant vascular injuries did not occur despite a “medical fixation” on evidences of impaired circulation. Likewise, no fractures were noted even though all patients had x-rays of the full extremity. However, there were six metacarpo-phalangeal dislocations, five instances of neuropathy, and one traumatic amputation. Major skin sloughs occurred in 18 children, yet only 11 of them required a skin graft.</description><subject>Accidents, Home</subject><subject>Adolescent</subject><subject>Age Factors</subject><subject>Arm Injuries - etiology</subject><subject>Arm Injuries - therapy</subject><subject>Child</subject><subject>Female</subject><subject>Georgia</subject><subject>Household Articles</subject><subject>Humans</subject><subject>Male</subject><subject>Retrospective Studies</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1976</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUMtOwzAQtBCvUrhxBKknBIfA2u4m8QmhipdUiQMgjpbtbJCrJil2U4m_J22qXjmtdmdmRzOMXXK45cDTu3cAIRI5TvPrLL3Jgatu22MDjpInCDLbZ4Md5ZidxDgD6M7Aj9ihwgxSPmDnX8HX3xRGJlQjX8_a4CmesoPSzCOdbeeQfT49fkxekunb8-vkYZo4iWqZCETpjOFWoURHDh3mAM7YsRKFyDjy3AqrSlWgNCUICWWZjqFwUloHqZVDdtX_XYTmp6W41JWPjuZzU1PTRp1LBNXpOiL2RBeaGAOVehF8ZcKv5qDXZehNGXqdVGep3pSh17qLrUFrKyp2qj59B9_3MHUhV56Cjs5T7ajwgdxSF43_x-APADZsJQ</recordid><startdate>197606</startdate><enddate>197606</enddate><creator>Stone, H. Harlan</creator><creator>Cantwell, Danny V.</creator><creator>Fulenwider, Julius T.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>197606</creationdate><title>Wringer arm injuries</title><author>Stone, H. Harlan ; Cantwell, Danny V. ; Fulenwider, Julius T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-2553caa1b9535cec5c5800cab492d271518b2b9f9d53af0230ff640dc33bc06b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1976</creationdate><topic>Accidents, Home</topic><topic>Adolescent</topic><topic>Age Factors</topic><topic>Arm Injuries - etiology</topic><topic>Arm Injuries - therapy</topic><topic>Child</topic><topic>Female</topic><topic>Georgia</topic><topic>Household Articles</topic><topic>Humans</topic><topic>Male</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stone, H. Harlan</creatorcontrib><creatorcontrib>Cantwell, Danny V.</creatorcontrib><creatorcontrib>Fulenwider, Julius T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stone, H. Harlan</au><au>Cantwell, Danny V.</au><au>Fulenwider, Julius T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Wringer arm injuries</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>1976-06</date><risdate>1976</risdate><volume>11</volume><issue>3</issue><spage>375</spage><epage>379</epage><pages>375-379</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>During a 20-yr period, 483 children 16 yr of age or under were hospitalized for management of a wringer arm injury. Although the majority were indigent, black males, such trauma was frequently sustained by all classes and races as well as by both sexes.
Principles of treatment consisted of cleansing the abrasion wound, application of a pressure dressing from axilla to finger tips, elevation, and close observation. With the exception of a destroyed brachial vein in one patient, significant vascular injuries did not occur despite a “medical fixation” on evidences of impaired circulation. Likewise, no fractures were noted even though all patients had x-rays of the full extremity. However, there were six metacarpo-phalangeal dislocations, five instances of neuropathy, and one traumatic amputation. Major skin sloughs occurred in 18 children, yet only 11 of them required a skin graft.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>957061</pmid><doi>10.1016/S0022-3468(76)80192-3</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-3468 |
| ispartof | Journal of pediatric surgery, 1976-06, Vol.11 (3), p.375-379 |
| issn | 0022-3468 1531-5037 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Accidents, Home Adolescent Age Factors Arm Injuries - etiology Arm Injuries - therapy Child Female Georgia Household Articles Humans Male Retrospective Studies |
| title | Wringer arm injuries |
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