A Zone-II Flexor Tendon Injury Secondary to a Catfish Spine: A Case Report. Issue 3 (July 2017)

• Record Type: Journal Article
• Authors: Spitler, Clay; Rehm, Jason
• Is Part Of: JBJS case connector. Volume 7:Issue 3(2017)
• Publication Date: 2017-07
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.16.00198
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: We present the case of a 17-year-old man who sustained a delayed rupture of a zone-II flexor tendon injury in the long finger from a catfish spine, which caused local envenomization and a likely secondary bacterial infection. He underwent surgical exploration and irrigation and debridement of the finger. The flexor digitorum profundus tendon was found to be lacerated and was primarily repaired. Conclusion: Catfish spines can cause traumatic disruption of anatomic structures and can envenomate the area of injury, which can lead to a secondary bacterial infection. We review the literature regarding catfish spine injuries and describe a basic treatment algorithm for patients who are injured by catfish spines.