Dahl William J, Jebson Peter, Louis Dean S
Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI 48109-5328, USA.
Iowa Orthop J. 2010;30:153-6.
Sea urchin injuries to the hand are uncommon. A variety of home remedies can be found on the internet and other sources for dealing with this problem in the acute setting. Many long term complications such as granulomas, arthritis, and tenosynovitis can result from a neglected sea urchin injury. We report an unusual case of a patient with a remote sea urchin injury who presented with ulnar digital nerve paresthesias. A traumatic neuroma was found on surgical exploration. We review the literature on injuries to the hand caused by sea urchins and their management. Management of sea urchin injuries to the hand with retained spines requires surgical debridement in order to prevent significant long term complications including stiffness, tenosynovitis, granulomas, and arthritis.
海胆刺伤手部并不常见。在互联网及其他渠道可以找到多种针对急性情况下处理此问题的家庭疗法。许多长期并发症，如肉芽肿、关节炎和腱鞘炎，可能源于被忽视的海胆刺伤。我们报告一例不寻常病例，一名有陈旧性海胆刺伤的患者出现尺侧指神经感觉异常。手术探查发现一个创伤性神经瘤。我们回顾了有关海胆致手部损伤及其处理的文献。对于有残留棘刺的海胆手部损伤，需要进行手术清创，以预防包括僵硬、腱鞘炎、肉芽肿和关节炎在内的严重长期并发症。
