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Journal of Hand Surgery (British and European Volume)
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Articles

Clenched Fist Human Bite Injuries

I. C. PHAIR
D. N. QUINTON

From the Leicester Royal Infirmary

Correspondence: Mr. I. C. Phair, Registrar in Accident and Emergency, The Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW

A prospective study has been made of 29 human bite injuries caused by the clenched fist, 27 over M.P. joints and two over P.I.P. joints.

All were treated by surgical exploration, within 24 hours in 84% of cases. In 62% the wound had entered the underlying joint and in 58% the bone was injured. Significantly less morbidity was noted in those cases where there was no joint injury (P < 0.001). Early surgical exploration to identify and to treat the joint injury is recommended.

Journal of Hand Surgery (British and European Volume), Vol. 14, No. 1, 86-87 (1989)
DOI: 10.1016/0266-7681(89)90023-5
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