Biting the hand that feeds you: Management of human and animal bites

Elcock, Katherine L; Reid, Jenny; Moncayo-Nieto, Olga Lucia; Rust, Philippa A

doi:10.1016/j.injury.2021.11.045

Cited by 8 publications

(1 citation statement)

References 95 publications

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“…Human bite wounds are commonly contaminated and pose a high risk of infection [4]. Therefore, aggressive interventions, such as surgical procedures and antibiotic administration, are recommended [1][2][3][4]. However, no studies have reported bite injuries to the hands treated by flaps.…”

Section: Introductionmentioning

confidence: 99%

Reverse Posterior Interosseous Artery Flap for Human Bite Injury to the Hand

Hattori,

Kawaguchi,

Joyo

et al. 2024

Case Reports in Orthopedics

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Bite injuries frequently occur on human hands. Human bite injuries to the hand may lead to an infection because of limited soft tissue protection and wound contamination. However, no studies have reported severe bite injuries on hands treated by flaps. We report a case of an 80-year-old woman diagnosed with a major neurocognitive disorder. The patient accidentally had a self-bite injury accompanied with an open metacarpal fracture. Debridement and fixation of the first metacarpal fracture were performed. Afterward, skin necrosis occurred gradually on the dorsum of the hand. Therefore, a reverse posterior interosseous artery (PIA) flap was used, and the postoperative course was uneventful. Given the high risk of infection, human bite injuries, particularly hand bites, should be treated immediately. Delayed treatment for such injuries may lead to extensive soft tissue defects requiring reconstruction with flaps.

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