Hand and Wrist Dog-Leash Injuries in the Outpatient Setting: A Review of 443 Cases.

Background: Injuries sustained from dog leashes often result in visits to hand surgeons. This study presents an analysis of dog-leash-related upper-extremity injuries at a single orthopedic practice, including treatment options for these injuries, and guidance for prevention.

Methods: We identified all outpatients who presented to a hand surgeon at a single institution from 2016 to 2021 following an upper-extremity injury related to a dog leash. Charts were reviewed and demographics, injury description and mechanism, and details of treatment were recorded.

Results: We identified 443 patients that presented for a dog-leash-related injury. The average time from injury to outpatient visit was 23 days. Surgery occurred following injury in 96 patients (21.6%). The most common injury locations were the ring finger, followed by the wrist, third finger, and fifth finger. Interphalangeal joint sprain was the most common injury type followed by phalangeal fracture. The majority of injuries were caused by the extremity catching in the leash while being pulled (337, 75.9%). Among the 96 patients requiring surgery, open reduction and internal fixation was the most commonly performed procedure followed by closed reduction with percutaneous pinning. For patients not requiring surgery (348, 78.4%), splinting or bracing was the most common treatment recommended.

Conclusion: The majority of dog-leash injuries were caused by the patient's extremity catching in the leash as it was pulled, resulting in interphalangeal joint injures and phalanx fractures. The most common treatment required for these patients was nonoperative.