Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e
|Section 6. Emergency Wound Management >|
Chapter 48. Lacerations of the Leg and Foot
Sections: Epidemiology, Pathophysiology, Clinical Features, Treatment, Disposition and Follow-Up, Acknowledgment, References.
Topics Discussed: foot injuries; foot laceration; leg injuries; leg laceration.
Excerpt:"Injuries to the leg and foot account for about 13% of
traumatic wounds evaluated in the ED, distributed roughly into a
third each for the foot, calf, and knee and thigh regions.1 Traumatic
wounds to the foot can be sustained in a variety of ways, from simple
plantar puncture wounds to catastrophic lawn mower injuries. The
leg or foot is commonly injured in sports and recreational activities.2 Urban
children can sustain foot lacerations while playing in water from
fire hydrants, mostly due to stepping on broken glass.3 Bicycle
spoke injuries result in complex lacerations with marked surrounding
abrasions and even tissue loss, usually occurring over the Achilles
tendon area.4 Metal lawn and garden edging is associated
with plantar and knee lacerations.5 Home exercise equipment,
particularly exercise bikes and treadmills, are a cause of lower
extremity lacerations, fractures, and dislocations in children.6 Hockey skates
are associated with boot-top injuries; typically these consist of
a small cutaneous laceration with injury to the underlying tibialis
anterior tendon, extensor hallucis tendon, and dorsalis pedis artery
and nerve.7 High-pressure water spray cleaning
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