PubMed · 8096962
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1993-04-24. Why anonymous?. https://pubmed.ncbi.nlm.nih.gov/8096962/
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Following an outbreak of Legionnaires disease in a Michigan prison in 1993 (1), which was first recognized at a civilian hospital, the Michigan Department of Public Health (MDPH) recommended that surveillance for acute infectious diseases be established in the Michigan Department of Corrections (MDOC). In April 1994, MDOC and MDPH implemented a pilot system to monitor trends and detect clusters of selected acute infectious diseases and injury in six Michigan state correctional facilities. This report summarizes the findings of injury surveillance during April 1994-March 1995.
Avulsion injuries of the hand caused by moving rollers usually create a distally or, less commonly, a laterally based skin flap. Progressive necrosis in the distant part of the flap usually occurs because of arterial insufficiency and venous stasis over the next 2 to 3 weeks. From 1991 to 1994, we applied the concept of the "arterialized venous flap" to salvage the palmar tissue by revascularizing the superficial palmar venous network with an arterial anastomosis in eight patients. Six of the flaps survived completely and two had a small strip of marginal necrosis which healed secondarily. When compared with conventional methods, this method can remarkably improve the circulation of the flap and provide a better cosmetic and functional result for the highly specialized palmar tissue.
High-pressure water jets are used in industry as a cleaning and cutting tool. Penetrating injuries by these devices can produce minimal external evidence of extensive internal damage. We report a literature review and the case of a limb-threatening injury to the lower extremity caused by such a device.