PubMed · 4123407
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I McKay. 1973-04-21. Nail elevator.. https://doi.org/10.1016/s0140-6736(73)91425-6
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Retained foreign bodies can be a source of infection and a cause of disability. A 63-year-old white man presented with a nonhealing wound of the right second finger of 1 month's duration. The injury occurred while cleaning fish. Radiographs and subsequent wound exploration showed a retained fish scale in a finger wound. In addition to foreign bodies, atypical infectious organisms must be considered in nonhealing wounds associated with fish or water.
Because the clinical diagnosis of rupture of a digital flexor tendon was uncertain 10 days after primary repair, magnetic resonance imaging was used for evaluation, correlating precisely with the surgical pathology. This non-invasive tool can be very helpful in the early post-operative period when active flexion is not possible to aid in the clinical diagnosis of tendon rupture.
A survey was taken of one thousand members of the American Society for Surgery of the Hand to determine the methods by which clinicians currently treat partial lacerations of flexor tendons. Results from 591 respondents show that most surgeons use a modified Kessler technique and begin protected mobilization within the first 48 hours.