Occult Acetabular Fractures in the Elderly: A Report of Three Cases and Review of Literature

Lee, Marcus J; Ho, Sean Wl; Kwek, Ernest Bk

doi:10.47102/annals-acadmedsg.v46n10p404

Cited by 4 publications

(7 citation statements)

References 20 publications

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“…6 However, they have become the regional delicacy and pose an occupational hazard to fisherman, fishmonger, and chefs. 7 Though seldom fatal, a stonefish sting may be so painful that most of our patients (87%) presented themselves to ED within 2 h following the sting. The active component of stonefish venom is a potent membrane-damaging toxin that is capable of releasing substance P and cyclooxygenase (causing intense pain) and increasing vascular permeability (causing swelling).…”

Section: Discussionmentioning

confidence: 81%

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A 10-year retrospective review of stonefish sting injury in Hong Kong

Poon

Tse

2019

Hong Kong Journal of Emergency Medicine

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Background: Stonefish sting injury is one of the common marine stings in Hong Kong. It is commonly sustained during maritime activities, and it could be regarded as occupational hazard for chefs or domestic hazard for family. Its envenomation could lead to significant local symptoms (pain or swelling) and serious complications, including infection and compartment syndrome. Objectives: This study is to review its clinical presentation and various treatment modalities. Methodology and study design: Reported cases of stonefish stings to Hong Kong Poison Information Centre from October 2008 to October 2018 were included in the study. The cases were retrieved from the Hong Kong Poison Information Centre electronic database. Information on patient demographic data, clinical parameters (e.g. the site of injury, presenting symptoms), and various treatment modalities (e.g. analgesics, hot water immersion, and use of antivenom) was collected. Results: There were 32 eligible patients included in this case series. All of them sustained the injury over either their fingers or hands. All patients reported pain over the site of injury. Other reported symptoms included numbness (41%), swelling (81%), and redness (47%). Twenty-five patients (78%) had radiograph done, and one of them was noted to have foreign body retained at the site of envenomation. All patients received hot water immersion to the affected part at 40°C–45°C for at least 30 min. Altogether eight patients (25%) received stonefish antivenom for pain relief. One patient developed compartment syndrome and received emergency operation of fasciotomy of right hand and forearm. Conclusion: Stonefish envenomation can cause extreme pain, swelling, and erythema, which can be managed with hot water immersion, analgesics, and prophylactic antibiotics. Use of antivenom can be considered in selected case.

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Section: Discussionmentioning

confidence: 81%

“…Systemic envenomation symptoms include vomiting, sweating, muscle weakness, pulmonary edema, anaphylaxis, hypotension, and even cardiac arrest 6 . However, they have become the regional delicacy and pose an occupational hazard to fisherman, fishmonger, and chefs 7 …”

Section: Discussionmentioning

confidence: 99%

A 10-year retrospective review of stonefish sting injury in Hong Kong

Poon

Tse

2019

Hong Kong Journal of Emergency Medicine

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“…Tetanus toxoid and broad-spectrum antibiotics (concern for Vibrio , Aeromonas , Mycoplasma , and Erysipelothrix spp) can be considered owing to the high risk of infection. 52 Because of the risk of paralysis and hemodynamic collapse, supportive care including ventilation may be required. In Australia, antivenom is available for stonefish envenomation, but it is not currently available in Okinawa.…”

Section: Marine Animals—vertebratesmentioning

confidence: 99%

Marine Envenomation in Okinawa: Overview and Treatment Concept

Hughey,

Kotler,

Ozaki

et al. 2024

Wilderness & Environmental Medicine

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Okinawa prefecture is a popular tourist destination due to its beaches and reefs. The reefs host a large variety of animals, including a number of venomous species. Because of the popularity of the reefs and marine activities, people are frequently in close contact with dangerous venomous species and, thus, are exposed to potential envenomation. Commonly encountered venomous animals throughout Okinawa include the invertebrate cone snail, sea urchin, crown-of-thorns starfish, blue-ringed octopus, box jellyfish, and fire coral. The vertebrates include the stonefish, lionfish, sea snake, and moray eel. Treatment for marine envenomation can involve first aid, hot water immersion, antivenom, supportive care, regional anesthesia, and pharmaceutical administration. Information on venomous animals, their toxins, and treatment should be well understood by prehospital care providers and physicians practicing in the prefecture.

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“…Der Steinfisch (Synanceia spp.) gilt als welt weit giftigster Fisch [1]. In den ruhigen Ge wässern des Indo-Pazifiks lauert er gut ge tarnt im Meeressand auf seine Beute.…”

Section: Diskussionunclassified

“…Mit seinen scharfen 13 Rückenstacheln stellt er eine potenzielle Gefahr für ungeschützte Schwimmer und Taucher dar. Der Giftappa rat besteht aus paarig angelegten Giftdrü sen an der Stachelbasis, welche auf mecha nischen Druck unwillkürlich Gift freisetzen [1].…”

Section: Diskussionunclassified

Protrahierter Verlauf mit Fingeramputation in Folge einer Steinfischvergiftung

Schnegg

Först

Schoonhoven

et al. 2023

Handchir Mikrochir Plast Chir

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FallberichtEine 53-jährige Frau stellte sich 2,5 Wochen, nachdem sie sich auf Mauritius eine Steinfischstichverletzung am rechten Kleinfinger zugezogen hatte, in unserer Notfallambulanz vor. Sie hatte im Urlaub beim Schwimmen am Meeresufer versehentlich auf einen im Sand vergrabenen Steinfisch gegriffen (Abb. 1). Sofort war es neben massiven Schmerzen am gesamten Arm zu einer Rötung am Kleinfinger und einer Schwellung der Hand gekommen. Nach notfallmäßigem Transport in das nächste Krankenhaus wurde der Patientin dort aufgrund einer starken systemischen Reaktion ein Antidot im Rahmen eines kurzzeitigen intensivmedizinischen Aufenthaltes verabreicht. Bei Blasenbildung wurde eine oberflächliche Wundrevision und eine Kompartmentspaltung palmar an der rechten Hand am Folgetag durchgeführt. Die Narben ließen allerdings auf eine nur minimale Eröffnung der Stichwunde und der Intermetakarpalräume schließen. Eine Antibiotikatherapie erfolgte während des 4-tägigen Krankenhausaufenthaltes mittels Ampicillin/Sulbactam intravenös, welche bei Entlassung oralisiert und bis zur Vorstellung in unserer Klinik fortgesetzt wurde.

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Occult Acetabular Fractures in the Elderly: A Report of Three Cases and Review of Literature

Cited by 4 publications

References 20 publications

A 10-year retrospective review of stonefish sting injury in Hong Kong

A 10-year retrospective review of stonefish sting injury in Hong Kong

Marine Envenomation in Okinawa: Overview and Treatment Concept

Protrahierter Verlauf mit Fingeramputation in Folge einer Steinfischvergiftung

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