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Case Report

Self-Inflicted Finger Cold Injury Leading to Amputation: Report of a Case

Department of Plastic Surgery Prince Sultan Military Medical City, Riyadh, Saudi Arabia
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Author to whom correspondence should be addressed.
Clin. Pract. 2020, 10(3), 1217; https://doi.org/10.4081/cp.2020.1217
Submission received: 27 October 2019 / Revised: 5 July 2020 / Accepted: 30 July 2020 / Published: 7 September 2020

Abstract

A cold injury can result in devastating outcomes, leading to significant morbidity and loss of distal extremities. Amputations are common after severe frostbite injuries with delayed presentation, often mediated by post-injury arterial thrombosis. Ischemic injuries are managed according to the ischemia time. The most controversial aspect of treating a salvage injury is the time of surgical intervention, which used to be based on the previous management dogma freeze in January, amputate in July. Recently, the paradigm has shifted to early surgical management if the level of viability of the deep structure can be ascertained using 99mTc pertechnetate scintigraphy (99mTc bone scans). We present a case of a finger amputation resulting from a cold injury secondary to a crush injury.
Keywords: self-induced injury; cold injury; thrombolytic therapy; amputation; extremity salvage self-induced injury; cold injury; thrombolytic therapy; amputation; extremity salvage

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MDPI and ACS Style

Alwaleed, A.; Jamal, A. Self-Inflicted Finger Cold Injury Leading to Amputation: Report of a Case. Clin. Pract. 2020, 10, 1217. https://doi.org/10.4081/cp.2020.1217

AMA Style

Alwaleed A, Jamal A. Self-Inflicted Finger Cold Injury Leading to Amputation: Report of a Case. Clinics and Practice. 2020; 10(3):1217. https://doi.org/10.4081/cp.2020.1217

Chicago/Turabian Style

Alwaleed, Alammar, and Almadani Jamal. 2020. "Self-Inflicted Finger Cold Injury Leading to Amputation: Report of a Case" Clinics and Practice 10, no. 3: 1217. https://doi.org/10.4081/cp.2020.1217

APA Style

Alwaleed, A., & Jamal, A. (2020). Self-Inflicted Finger Cold Injury Leading to Amputation: Report of a Case. Clinics and Practice, 10(3), 1217. https://doi.org/10.4081/cp.2020.1217

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