Case series of: Iatrogenic digital compression ischaemic injury in the emergency department

Am J Emerg Med. 2021 Dec:50:602-605. doi: 10.1016/j.ajem.2021.09.052. Epub 2021 Sep 21.

Abstract

This brief report is a retrospective review of three cases of iatrogenic digital ischemia and clinical outcome at six months. Hand injuries are one of the most common injuries that occur in the working population. Iatrogenic digital ischemia is a rare condition that can be avoided by proper wound management. After the correct initial treatment is provided, it is important to apply the wound dressing correctly to avoid iatrogenic trauma or ischemia. Currently, there is no consensus regarding the best treatment for these injuries. Our aim is to remind clinicians of this rare condition, and to highlight prevention and treatment strategies.

Keywords: Digital tourniquet; Hand injury; Hand surgery; Iatrogenic digital injury; Iatrogenic digital ischemia.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Emergency Service, Hospital*
  • Female
  • Finger Injuries / etiology*
  • Finger Injuries / pathology*
  • Finger Injuries / therapy
  • Fingers / blood supply*
  • Humans
  • Ischemia / etiology*
  • Ischemia / pathology*
  • Ischemia / therapy
  • Male