Flexor Compartment Infection Secondary to Bovine Injection Needlestick Injury: A Case Report.

JBJS Case Connect

Vanderbilt Orthopaedic Institute and the Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.

Published: April 2021

Animal injection-related needlestick injuries are a common occupational hazard for livestock workers and veterinarians. Although often unreported, these injuries can cause significant damage and may require extensive medical and surgical management. This case describes a 69-year-old farmer who accidentally injected his forearm while vaccinating cattle, resulting in a flexor compartment infection. Conservative management with oral and intravenous antibiotics was unsuccessful, and he required multiple surgical debridements for definitive treatment CONCLUSIONS:: Animal injection-related needlestick injuries can present unique challenges to orthopaedic surgeons. Important considerations include the injury location, needle type, vaccine volume and components, injection pressure, and environmental contaminants.

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Source
http://dx.doi.org/10.2106/JBJS.CC.20.00081DOI Listing

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Article Synopsis
  • A 27-year-old right-handed man experienced a rare scaphoid waist fracture where the proximal fragment was displaced unusually into the forearm's flexor compartment.
  • Urgent surgical intervention involved open reduction and internal fixation with a Herbert screw, leading to successful healing and good wrist function after one year.
  • The case highlights the importance of personalized treatment strategies for complex fractures to achieve positive long-term outcomes.
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