Acute Compartment Syndrome of the Hand from a Parrot Bite

Dotson, Marc P; Mullen, John D.

doi:10.7759/cureus.3845

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…In another case report, a case of compartment syndrome developed due to a parrot bite without any fracture and in a very short period. 24 In another case report, a hawk caused a puncture injury and superficial abrasions on someone’s hand who was admitted to the hospital two days after the event. The patient developed a severe soft tissue infection, and surgery was recommended, considering that he had progressed to compartment syndrome.…”

Section: Discussionmentioning

confidence: 99%

Injuries related to pets, exotic animals, and falconry in Qatar

Turkmen,

Alinier,

Elmoheen

et al. 2024

Qatar Medical Journal

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Introduction: Pets and exotic animals are increasingly popular all over the world. Some of these animals may cause injuries to their owners or other people during interactions. Both injuries and systemic infections always present diagnosis and treatment challenges. Emergency physicians´ clinical experience in managing patients with injuries caused by pets and exotic animals, in particular, is limited; hence, we believe that it is a domain to explore in a Middle Eastern country to help raise awareness and provide reminders as to the best evidence-based medical practice. Methods: Hamad Medical Corporation’s hospital records of patients treated between 2015 and 2022 were analyzed retrospectively. Cases whose diagnosis was recorded as injuries caused by animals kept as pets were included in the study. Patients were evaluated in terms of demographic characteristics, type of injury, injury locations, injury severity, treatments applied, and complications. Descriptive statistics were carried out, and findings were expressed as percentages in a frequency table. Results: Following a search of the electronic patient records during the period of interest, 43 patients were found to have sought treatment following an injury caused by a pet or domestic exotic animal. The mean age of the patients was 23.5 years; about three-quarters were male, and approximately half were children. All injuries were minor, and 74.4% were skin abrasions. The most commonly injured body parts were the hand, the leg, and facial injuries. It was observed that cats caused 53.5% of the injuries, whereas falcons were involved in 11.6% of the cases. All patients were prescribed prophylactic antibiotics, and 60.5% were administered a tetanus injection. Conclusion: Despite our study spanning over seven years, a relatively low number of patients reported to the government hospitals´ emergency departments. The injuries are most commonly caused by cats and often involve children and animal bites to hands. The key recommendations are for parents or childminders to always supervise children when interacting with animals, be particularly cautious, and wear some form of protection when handling pets and domestic, exotic animals. Whether it is a bite or a scratch, healthcare professionals should always anticipate the potential risk of infection, treat the patient accordingly, and prescribe prophylactic antibiotics.

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Section: Discussionmentioning

confidence: 99%

Injuries related to pets, exotic animals, and falconry in Qatar

Turkmen,

Alinier,

Elmoheen

et al. 2024

Qatar Medical Journal

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“…Diagnosis of ACS is made based on clinical findings and intercompartmental pressure measuring in 46 cases (35.7%) [ 11 , 15 , 19 , 25 , 30 , 31 , 38 ], on the other hand, 45 cases diagnosed based on clinical findings only (34.9% of all cases) [ 18 , 22 - 24 , 26 , 27 - 30 , 32 , 34 , 35 - 37 , 39 , 41 - 42 ]. The remaining cases did not specify the method of diagnosis in 38 cases (29.5%) [ 9 , 20 - 21 , 34 ].…”

Section: Reviewmentioning

confidence: 99%

Etiology of Trauma-Related Acute Compartment Syndrome of the Hand: A Systematic Review

Alsaedi¹,

Alshahir²,

Alsuhaibani³

et al. 2023

Cureus

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Hand compartment syndrome is a limb-threatening emergency. Although it is a relatively uncommon condition, early diagnosis, and urgent fasciotomy can prevent irreversible ischemia, myonecrosis, nerve dysfunction, and subsequently permanent loss of hand functions. The occurrence of hand compartment syndrome is relatively infrequent, resulting in a limited amount of literature on its causes. As a result, we conducted a systematic review to provide the most comprehensive data regarding the etiology of traumatic hand compartment syndrome. This systematic review was conducted and reported in light of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. We searched among Medline, and EBSCO Database, with no restriction on the dates (last date of the systematic search was done on April 28, 2022). We included all studies containing data regarding traumatic hand compartment syndrome. A total of 29 articles with 129 patients constituted the basis of this review. The etiology of traumatic hand compartment syndrome was classified into three groups: soft tissue injury-related, fracture-related, and vascular injury-related causes. The most common etiology of hand compartment was related to soft tissue injuries which constituted 86.8% of all etiologies, followed by fracture-related (5.4%), then vascular injury-related (1.5%). Further, burns were the most likely injury to lead to hand compartment syndrome which made up 63.4% of soft-tissue injuries, followed by animal bites (8.9%). Hand compartment syndrome can be caused by multiple etiologies that affect people of different ages. Therefore, identifying the most prevalent causes can help in early detection of compartment syndrome by frequent assessment of patients that present with the most prevalent causes like burn among soft tissue injuries and metacarpal bone fracture among fractures.

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“…Together, these features are thought to improve the force generating potential of the feeding system. Indeed, parrot bites are well known to cause severe injuries often requiring medical intervention (Dotson & Mullen, 2019; King et al., 2015). Moreover, parrots are an ancient arboreal lineage and exhibit numerous adaptations toward tree climbing including co‐opting their beak as a key component of their locomotor system when scaling vertical surfaces (Reader et al., 2022; Young et al., 2022).…”

Section: Introductionmentioning

confidence: 99%

In vivo bite force in lovebirds (Agapornis roseicollis, Psittaciformes) and their relative biting performance among birds

2022

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Bite force represents a critical measure of an animal's feeding capabilities and has been analyzed in the context of ecology and body size in numerous vertebrate lineages. Among birds, bite force potential has been comprehensively quantified in finches; however, no in vivo data have been reported within parrots (order: Psittaciformes), and an anatomical estimate of bite force has been calculated for only two species. Despite this paucity of data, the parrot feeding system represents one of the most functionally interesting among tetrapods, exhibiting many anatomical novelties unique among birds and contributing to locomotion when parrots climb vertical surfaces. Within this study, we present in vivo bite force data from six rosy‐faced lovebirds (Agapornis roseicollis) at a range of gapes (2.5–10 mm, or 20–50°). These data are contextualized against more than 70 other avian taxa for which bite forces have been previously reported. Our findings demonstrate that bite forces decreased iteratively with each increase in gape size, with all between‐group differences yielding statistical significance. Relative to other birds, Agapornis, Psittacus, and Myiopsitta all exhibit larger bite forces than would be expected for their body size. We infer that the diet of parrots – many of which are specialized granivores, capable of crushing large and mechanically resistant seeds – may have contributed to their relatively strong biting capabilities. This interpretation is supported by other recent studies highlighting how the mechanical properties of foods drive bite forces in other vertebrate lineages, such as lizards and bats.

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Acute Compartment Syndrome of the Hand from a Parrot Bite

Cited by 3 publications

References 9 publications

Injuries related to pets, exotic animals, and falconry in Qatar

Injuries related to pets, exotic animals, and falconry in Qatar

Etiology of Trauma-Related Acute Compartment Syndrome of the Hand: A Systematic Review

In vivo bite force in lovebirds (Agapornis roseicollis, Psittaciformes) and their relative biting performance among birds

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