TY - JOUR
T1 - Foreign bodies in the hand in children
AU - Becton, James Louis
AU - Christian, Joe D.
PY - 1977/1/1
Y1 - 1977/1/1
N2 - Foreign bodies in the hand in children are best managed when the surgeon has a well-organized approach to the total problem. The procedure of restraining a child, infiltrating the wound with local anesthetic, and probing the wound deep in the hand on the day of injury to remove the foreign body is discouraged. A detailed examination of the hand for cut tendons and nerves should be done. The initial treatment should be thorough cleaning of the skin, application of compresses wet with Bunnell’s hand solution, systemic antibiotics, and tetanus prophylaxis. The foreign body is removed, as an elective surgical procedure, only if there is evidence of infection or persistent pain or both. Six weeks after all evidence of infection has cleared appropriate reconstructive procedures can be done.
AB - Foreign bodies in the hand in children are best managed when the surgeon has a well-organized approach to the total problem. The procedure of restraining a child, infiltrating the wound with local anesthetic, and probing the wound deep in the hand on the day of injury to remove the foreign body is discouraged. A detailed examination of the hand for cut tendons and nerves should be done. The initial treatment should be thorough cleaning of the skin, application of compresses wet with Bunnell’s hand solution, systemic antibiotics, and tetanus prophylaxis. The foreign body is removed, as an elective surgical procedure, only if there is evidence of infection or persistent pain or both. Six weeks after all evidence of infection has cleared appropriate reconstructive procedures can be done.
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U2 - 10.1097/00007611-197702000-00006
DO - 10.1097/00007611-197702000-00006
M3 - Article
C2 - 841388
AN - SCOPUS:0017619598
SN - 0038-4348
VL - 70
SP - 147
EP - 149
JO - Southern Medical Journal
JF - Southern Medical Journal
IS - 2
ER -