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December 1967, Vol 114, No. 6 >
Article | December 1967

Epiphyseal Destruction From Frostbite of the Hands FREE

James E. Wenzl, MD; Edmund C. Burke, MD; Anthony J. Bianco, MD
[+] Author Affiliations

Received for publication April 3, 1967.

Reprint requests to 200 First St, SW, Rochester, Minn 55901.


Am J Dis Child. 1967;114(6):668-670. doi:10.1001/archpedi.1967.02090270124018.
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References
Comments

EPIPHYSEAL destruction caused by frostbite of the hands is apparently rare. We have found detailed reports of only five cases.1-5 Bigelow and Ritchie6 studied six children with frostbite injury of the hands, and reported some clinical details on three of these children. Since frostbite must be fairly common in some parts of the world, we are not certain whether this injury is really rare, or merely taken for granted. We are reporting a case in order to bring the entity to the attention of clinicians dealing with such injuries.

Report of Case  A 10-year-old boy complained of swollen finger joints. One year earlier, he had pushed his bicycle home through deep snow in a temperature of OF. He wore no gloves or mittens, and was outdoors for about 30 minutes. When he entered his home, the fingers of both hands were white and hard, distal to the proximal

REFERENCES

1 +
Löhr, W.:  Die Verschiedenheit der Auswirkung gleichartiger bekannter Schäden auf den Knochen Jagendlicher und Erwachsener, gezeigt an Epiphysenstörungen nach Erfrierungen und bei der Hämophilie , Zbl Chir 57:898-909 ( (April) ) 1930;.
2 +
Bennett, R.B., and Blount, W.P.:  Destruction of Epiphyses by Freezing , JAMA 105:661-662 ( (Aug 31) ) 1935;.
3 +
Thelander, H.E.:  Epiphyseal Destruction by Frostbite , J Pediat 36:105-106 ( (Jan) ) 1950;.
4 +
Dreyfuss, J.R., and Glimcher, M.J.:  Epiphyseal Injury Following Frostbite , New Eng J Med 253: 1065-1068 ( (Dec 15) ) 1955;.
5 +
Florkiewicz, L., and Kozlowski, K.:  Symmetrical Epiphyseal Destruction by Frostbite , Arch Dis Child 37:51-52 ( (Feb) ) 1962;.
6 +
Bigelow, D.R., and Ritchie, G.W.:  The Effects of Frostbite in Childhood , J Bone Joint Surg 45: 122-131 ( (Feb) ) 1963;.
7 +
Washburn, B.:  Frostbite: What It Is—How to Prevent It—Emergency Treatment , New Eng J Med 266:974-989 ( (May 10) ) 1962;.
8 +
Caffey, J.: Pediatric X-Ray Diagnosis: A Textbook for Students and Practitioners of Pediatrics, Surgery, and Radiology , ed 4, Chicago: Year Book Medical Publishers, Inc., 1961;, 1236 pp.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Löhr, W.:  Die Verschiedenheit der Auswirkung gleichartiger bekannter Schäden auf den Knochen Jagendlicher und Erwachsener, gezeigt an Epiphysenstörungen nach Erfrierungen und bei der Hämophilie , Zbl Chir 57:898-909 ( (April) ) 1930;.
2 +
Bennett, R.B., and Blount, W.P.:  Destruction of Epiphyses by Freezing , JAMA 105:661-662 ( (Aug 31) ) 1935;.
3 +
Thelander, H.E.:  Epiphyseal Destruction by Frostbite , J Pediat 36:105-106 ( (Jan) ) 1950;.
4 +
Dreyfuss, J.R., and Glimcher, M.J.:  Epiphyseal Injury Following Frostbite , New Eng J Med 253: 1065-1068 ( (Dec 15) ) 1955;.
5 +
Florkiewicz, L., and Kozlowski, K.:  Symmetrical Epiphyseal Destruction by Frostbite , Arch Dis Child 37:51-52 ( (Feb) ) 1962;.
6 +
Bigelow, D.R., and Ritchie, G.W.:  The Effects of Frostbite in Childhood , J Bone Joint Surg 45: 122-131 ( (Feb) ) 1963;.
7 +
Washburn, B.:  Frostbite: What It Is—How to Prevent It—Emergency Treatment , New Eng J Med 266:974-989 ( (May 10) ) 1962;.
8 +
Caffey, J.: Pediatric X-Ray Diagnosis: A Textbook for Students and Practitioners of Pediatrics, Surgery, and Radiology , ed 4, Chicago: Year Book Medical Publishers, Inc., 1961;, 1236 pp.

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