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Bite injuries (hand)

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Most frequently, bite injuries to the hand are the result of a punch by the injured party to the teeth of an opponent. Skin, tendon and the capsule of the dorsum of the metacarpophalangeal joint may be breached.

Organisms involved include:

  • mixed growth - 65%
  • Staphylococcus - 26%
  • Streptococcus - 9%
  • Eikenella corodense, an anaerobic Gram-negative rod

Serious injuries, they require rapid treatment:

  • radiography of hand to exclude foreign bodies: all foreign bodies should be removed
  • broad spectrum antibiotics, particularly against anaerobes, until cultures are available
  • wound excision and irrigation
  • repair of damaged structures e.g. tendons
  • delayed primary closure if extensive or late presentation

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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