Flexor Tendon Rupture After a Cat Bite - A Case Report of An Uncommon Sequela.

Brett Lewellyn, Matthew Young, Paula Blanco
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Abstract

Introduction: Cat bites are a remarkably common injury seen in the emergency department setting . Due to the morphology of feline teeth and anatomy of the human hand, seemingly innocuous surface bites can seed infections in deeper structures of the hand that can result in adverse outcomes. We report on a case of a rare complication of a flexor tendon rupture that occurred well after the initial treatment of a superficial infection.

Case report: A healthy 61 year old male presented to the emergency department with concerns for possible infection after sustaining a cat bite to the proximal phalanx of his left long finger 48 hours earlier. The patient was treated for suspected cellulitis and underwent irrigation and debridement within 36 hours. Five months after presentation, it was determined that the patient had suffered a spontaneous rupture of the flexor digitorum profundus tendon of the left long finger. The patient underwent surgical debridement, flexor tendon tenolysis, and tendon reconstruction. Postoperatively, the patient returned to normal activities with good function of his left hand after a course of occupational therapy.

Conclusion: The purpose of this case report is to describe the clinical course of a patient with the rare complication of a flexor tendon rupture after being bitten by a cat, as well as to review the current literature and treatment for feline bite-related hand injuries. We recommend patients who have sustained a cat bite with a suspected infection to present as early as possible for an evaluation by a medical professional, early appropriate empiric antibiotic administration, and early surgical debridement when warranted to help prevent complications.

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猫咬伤后屈肌腱断裂1例罕见后遗症。
简介:猫咬伤是一个非常常见的伤害看到在急诊室设置。由于猫科动物牙齿的形态和人类手部的解剖结构,看似无害的表面咬伤可能会导致手部深层结构的感染,从而导致不良后果。我们报告一例罕见的并发症的屈肌腱断裂,发生在初步治疗后的浅表感染。病例报告:一名健康的61岁男性在48小时前左长指近端指骨被猫咬伤后,因担心可能感染而前往急诊室就诊。患者因疑似蜂窝织炎接受治疗,并在36小时内进行冲洗和清创。就诊5个月后,确诊为患者左长指指深屈肌腱自发性断裂。患者接受手术清创、屈肌腱松解和肌腱重建。术后,患者经过一个疗程的职业治疗,左手功能恢复正常。结论:本病例报告的目的是描述一名罕见的被猫咬伤后屈肌腱断裂并发症的临床过程,并回顾目前的文献和治疗猫咬伤相关的手部损伤。我们建议被猫咬伤并疑似感染的患者尽早就诊,接受医学专业人员的评估,早期适当的经验性抗生素治疗,并在必要时进行早期手术清创,以帮助预防并发症。
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发文量
128
审稿时长
30 weeks
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