J. McCann

Hair-thread Tourniquet Syndrome in an Infant With Bony Erosion: A Case Report, Literature Review, and Meta-analysis

Hair-thread tourniquet syndrome is a rare condition where appendages are strangulated by an encircling strand of hair, a thread, or a fiber. The condition usually occurs in very young patients in the first few months of life. We present a unique case of a 3-month-old baby girl with hair-thread tourniquet syndrome in whom a hair cheese-wired through the skin and soft tissue of the toe and caused bony erosion of the underlying phalanx. An extensive literature review and meta-analysis of the topic are also presented.

Moray Eel Attack in the Tropics: A Case Report and Review of the Literature

As more people use the oceans for recreational purposes, encounters with potentially dangerous sea creatures are becoming more common. We report the case of a scuba diver bitten by a moray eel off the coast of Cuba. The diver received an extensive crush avulsion injury with near loss of his right upper arm. A review of the existing literature identifies the significant characteristics of such attacks. Given the potential seriousness and complications of these attacks, a greater awareness among both treating physicians and emergency personnel may improve overall management of injuries. In addition, greater respect for moray eels among divers and other ocean users may decrease the likelihood of serious eel encounters.

Pressure ulcers of the popliteal fossae caused by thromboembolic deterrent stockings (TEDS)

IntroductionThromboembolic deterrent (TED) stockings are commonly used in the prevention of deep venous thrombosis. We would like to highlight a potential complication associated with the use of TED stocking. A 42-year-old paraplegic gentleman suffering from a complicated Ischial ulcer was admitted for debridement and closure with a fasciocutaneous rotational flap. Two weeks later, new pressure sores of the popliteal fossae of both his legs had developed. Clinical assessment revealed linear pressure sores in the presence of poorly fitted, tight, thigh-length TED stockings, which had rolled up at the popliteal fossa creating a focal linear compression in the presence of bilateral spastic flexed knees in this paraplegic patient. The TED stockings were immediately discontinued and the pressure sores were managed with regular wound care and dressing change.ConclusionWe would like to highlight the complications that could arise amongst paraplegic patients with the widespread use of TED stockings.

Blackthorn injuries to the hand

ConclusionA seemingly innocuous penetrating injury from the blackthorn may result in longterm continued disability Early presentation for treatment is recommended.

Tissue expansion: a six year review

ConclusionThese figures indicate a significant workload and commitment on the part of both surgeon and patient. Favourable outcome assessments (both subjective and objective) suggest that tissue expansion, though labour intensive, is worth the effort.

Frozen milk in hot beverages could prevent serious scald injury in children

ConclusionAdding frozen rather than refrigerated milk would significantly limit the time period drinks about the home remain dangerously hot and increase the time available to remove clothing and apply cold water when spills occur, thus preventing serious scald injuries.