Journal article
Frostbite in an Adolescent Football Player: A Case Report
Journal of athletic training, v 49(1), pp 97-101
01 Jan 2014
PMID: 24143903
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: To present the case of vascular compromise of a finger from a confluent circumferential blister due to an inappropriately applied commercial cold pack in a high school athlete and to describe the mechanism of iatrogenic injury, acute surgical management, rehabilitation, and pathophysiology of frostbite and constriction injuries.
Background: A 17-year-old male football player presented with a frostbite and constriction injury to the index finger secondary to prolonged use of a cooling pack after a mild traumatic injury to the digit. He developed a prolonged sensory deficit from thermal injury, as well as acute vascular compromise requiring urgent operative intervention.
Differential Diagnosis: Frostbite and constriction injury to the index finger.
Treatment: Emergency surgical decompression and occupational therapy.
Uniqueness: Frostbite injuries can occur iatrogenically because of inappropriate use of cooling devices or gel packs. Fingers are commonly injured extremities that are particularly susceptible to frostbite and compression injuries. To our knowledge, no case of vascular compromise from the blister constriction of digits has been reported.
Conclusions: Patients and their caregivers must be educated about how to properly use cooling devices. Clinicians need to fully evaluate patients with iatrogenic frostbite injuries, giving particular attention to neurovascular status, and must recognize the need for surgical release of constriction syndrome to prevent substantial morbidity.
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Details
- Title
- Frostbite in an Adolescent Football Player: A Case Report
- Creators
- Michael Rivlin - Rothman InstituteMarnie King - Community Health Systems - Dupont HospitalRichard Kruse - Community Health Systems - Dupont HospitalAsif M. Ilyas - Thomas Jefferson University Hospital
- Publication Details
- Journal of athletic training, v 49(1), pp 97-101
- Publisher
- Natl Athletic Trainers Assoc Inc
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000342696500014
- Scopus ID
- 2-s2.0-84893836977
- Other Identifier
- 991021838140404721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Sport Sciences