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Digital deformity: an effect of frostbite in children.

Two young children, aged 2 1/2 and 3 1/2, were briefly exposed to temperatures of -20 degrees F (-29 degrees C) without adequate hand protection. Hand contact with snow and metal doorknobs also occurred. Second and third degree frostbite of the cold injured digits ensured. Within six months, and progressing thereafter, the fingers developed a stubby appearance and demonstrated distal angulation and weak extension. Roentgenograms revealed undermineralization of the phalanges and coarsening of the trabecular pattern. The epiphyses of the middle and distal epiphyses were absent or atrophic. The metaphyses were irregularly convoluted. The pathogenesis of this deformity appears to be the direct effect of freezing and of ischemia on the most metabolically active site in the digit--the growth plate.

Child, Preschool↗

Intractable foot pain following frostbite: case report.

This report describes a patient with intractable foot pain following frostbite in 1945. The patient continued to have progressively worsening foot pain, which eventually resulted in his losing his job and becoming wheelchair-bound. A combination of transcutaneous nerve stimulator, patellar, tendon weight-bearing/ankle foot orthoses (PTB/AFO), and crutches resulted in pain relief and good ambulatory status. A review of the literature regarding possible pathophysiology is made.

Crutches↗

[Diagnosis and treatment of frostbite of the extremities].

The method of thermography is believed to be a valuable means of an early diagnosis of the depth of the injury in frosbites of the extremities. The use of immune preparations aimed at the lessening of the percentage of infectious complications, both with conservative and surgical treatment of the frostbites of the extremities, should be applied for prophylaxis of the above-mentioned complications.

Arm Injuries↗

Achilles peritendinosis: an unusual case due to frostbite in an elite athlete.

Achilles peritendinosis is common in running and jumping sports and can present with or without Achilles tendinosis itself. Several authors describe this condition as associated with over-use syndromes. This article describes an Achilles peritendinosis subsequent to frostbite in an elite runner who eventually underwent surgical treatment and was able to resume running 3 weeks postoperatively.

Achilles Tendon↗

Coffee, tea, or frostbite? A case report of inflight freezing hazard from dry ice.

Occupational and recreational cold exposure is fairly well described in the literature. This is a case report of a passenger on a commercial airline flight who suffered third degree frostbile due to the attempted therapeutic use of a cold pack. This cold pack was offered by the flight attendant and consisted of a section of dry ice used for cooling in the galley. The resulting injury consisted of a full thickness cold injury of the left lumbar amounting to approximately 1.5% TBSA (total body surface area). The occurrence of third degree frostbite due to a medicinally used ice pack such as this has not been noted in the past writings. The resulting injury, care and outcome of such an injury are described and discussed.

Adult↗

[Restoration of grip function in both hands after frostbite of all fingers and toes. A case report].

Evaluation, therapeutical possibilities, and surgical planning for the restoration of bilateral grip function are described, based upon a 34-year-old engineer presenting after severe bilateral frostbite of the hands and feet with loss of all fingers and toes. Finally, the given level of amputation and remaining components of the hand together with distraction-lengthening of both thumbs permitted restoring a basic grip on both sides in combination with bone and soft tissue procedures.

Activities of Daily Living↗

[Actinomycosis infection presenting as malignant pelvic frostbite].

Actinomycosis is a chronic inflammatory disease rarely observed in the pelvic form but rather frequently in the cervicofacial tract. The pelviabdominal form is difficult to diagnose because of its various clinical presentations that can lead to misdiagnosis by imitating a neoblastic disease, a bowel inflammatory disease, an acute diverticulitis or gynecological disorders. The case is reported of a 43 year old woman with prolonged use of an intrauterine contraceptive device and with severe phlogosis secondary to extensive pelvic actinomycosis involving both ovaries, the urinary duct and the rectosigmoid, misdiagnosed as pelvic frostbite presentation of a malignant neoplasm. A bilateral hysterosalpingo-oophorectomy surgery was performed and a urethral stent was placed before the operation. Rarely, has the pelvis been so heavily involved by a chronic actinomycosis infection.

Actinomycosis↗