Strauss M B, MacDonald R I
Clin Orthop Relat Res. 1976 Jan-Feb(114):216-8.
Sea urchin spine injury is usually a benign process that rarely comes to the attention of a physician. Aside from the transient episode of excruciating pain which responds dramatically to hot water soaks, there is usually no residual disability. As in any puncture wound, tetanus prophylaxis and observation for latent infection is advised. Complications arise, however, when spines are embedded over bony prominences, within joints, or in contact with nerves. Cases are reported herein of the latter two problems occurring in the hand. A case of a neuropathy associated with sea urchin injuries has not been previously reported in the literature. When such injuries necessitate exploration, aseptic surgical technique is required.
海胆刺损伤通常是一个良性过程，很少引起医生的注意。除了对热水浸泡反应剧烈的短暂剧痛发作外，通常不会留下残疾。与任何刺伤一样，建议进行破伤风预防并观察潜在感染情况。然而，当刺嵌入骨突出部位、关节内或与神经接触时，就会出现并发症。本文报告了手部发生后两种问题的病例。文献中此前尚未报道过海胆损伤相关的神经病变病例。当此类损伤需要进行探查时，需要采用无菌手术技术。
