A dtt e) ullufi9tufluu Original Article A d.i4 -lul:ryrurulafl?::rirJ:vmYnd Rr:fl orro mil oolRU lotr9{ aBRnuno Human Bite Iniury of the Hand in Sawanpracharak Hospital il:cmu lorhvraigaiad r.r.u. ndr.r r uffasn::uo oif rfl fi n ci t I:s fl u ru ra aa::rfiJ tvtrYnd vvd 0.tfi?niln:fl?::n .!, v e fl2::tnil:urttRHt?Iil1: ti 4U4lv<a lJ?r 5 01ru7r 2 ilqunlnil-fl{il]nil 2551 Prathan Oprasertsawat M.D. Department of Orthopaedics Sawanpracharak Hospital Nakhon Sawan Sawanpracharak Medical ]ournal VoLr Noz May-August zooa vl uYtfio80 Tnoilrsasri t : fi n ur r.l :vun m a.,: fril? g uavn-nufucnr:u1 n r5u nr :inur ua c zu n nr:fnur et. Aa Aa u zuu? uYtilu1 n uzu am :J aa1 n n n nu n Fl {q dA r d, v d dcrluYtflRt{'l : L:{Tr?r1u1af,?::nu:c{1:nu trjuuunrtSffs : nr:finurr3.,:n::ruu'r U t v t e. ) u & ' A u o nciu6aorix : frr.larlfirflrfun1:inu1 n{Bn ilnr1nil 2s46 fi.,: fuernru 2ss0 druru na q lVlI !iln?oal{r : { 27 11s.J ?[Rt:flRU't : FfnUlErAU?1n{[nUn1TilUn?Ur??TeLUETU LLnrRlT{n1fl:{6{ ?OeiAnUUiln { il:vnau fir u 01 s rrrr rt fi a{rrd rfi or uzua ac'r ufi iltzatu1 a trrJ a :s?rvL?n1 & rA ' u - e A ,ad d d Fh: trn rn nu1 Ft trr{ aau L?']TU n1::fl trl r{ a fl 1:tll1vtua glu0muc rl{ily{ufl ruu air rior uarnm ruir ru fi a'[, n.rrrr.d', 4 vh c. o d air 4I1' a ruaRlrflRur : iltJtu zz:1u L{lur?{F[t1sv'r&.:uua alurqdg ze fl nuurruuudlurd'rnu.t {q & ra v v u O I I I 3 Lt9{ A :euct'l61 n\: Ltn tn AUl rl U9,l nAU L?1:U n1::fl 1*'l [U [:il?l tl1U1A tAA U z riu n{rudruriunrffiulmEflu qB d'ilN,: nufin:annn-n tatlac 25.0 uu*ru*.u'r'lunr:uoul:{vmnu1arfl dfl z {u nrirufr ruriunrtinurfir q rryufinr:a-nraufinrdau?r?6uulFlrri{aiauar as.z fi'l"rurun1ff.hgl-orilr1nn'i1 uar:rfl Br?artunr:uoul:{Tr ulularada r z {u firhsilriun.rrrr.#''t nrrufoiaaas, 4o.T A d , v d e v Ja o ci v lvu iortoittoEdtil : ulouzuaannrnoilHauil:ndoilu1n rJanl::nu1flna1ruuna{l.oiuFr?1u qs irilfiao'rnfrrhEr nldlnn a : u'r n urunfl n nu rTn, u1 n url ao1 nnr:rirn rinun q nvlu {du
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A dtt e)ullufi9tufluu Original Article
A d.i4 -lul:ryrurulafl?::rirJ:vmYndRr:fl orro mil oolRU lotr9{ aBRnuno
Human Bite Iniury of the Hand in Sawanpracharak Hospital
il:cmu lorhvraigaiad r.r.u.
ndr.r r uffasn::uo oif rfl fi n citI:s fl u ru ra aa::rfiJ tvtrYndvvd0.tfi?niln:fl?::n
.!, v efl2::tnil:urttRHt?Iil1:ti
4U4lv<alJ?r 5 01ru7r 2 ilqunlnil-fl{il]nil 2551
Prathan Oprasertsawat M.D.
Department of Orthopaedics
Sawanpracharak Hospital
Nakhon Sawan
Sawanpracharak Medical ]ournal
VoLr Noz May-August zooa
vluYtfio80
Tnoilrsasrit : fi n ur r.l :vun m a.,: fril? g uavn-nufucnr:u1 n r5u nr :inur ua c zu n nr:fnuret. Aa Aa uzuu? uYtilu1 n uzu am :J aa1 n n n nu n Fl{q
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To study the prevalence of human bite of the hand, and type ofinjury severity, treatment and result of treatment.
Sawanpracharak Hospital.
Descriptive study
27 patients presented with hand injury by human bite between2003-2007.
This study was performed by reviewing of medical records with focuson site of injury, duration from injury until treatment, microbiological
culture, antibiotic intervention, operative findings and compliance.
All27 patients were male with mean age of 2g years. Most of injury
involved 3d Metacapo-pharyngear joint. Time interval between injury
and presentation was 2 days. patients in an early treatment group(with in 48 hours) were presented with fracture (2s.0%); further morepatients in a delay treatment group were present with infectivecomplications (85.7%). 4o.7o/" of patients on post operative appointment
attend follow-up session.
Hand injuries from human bites are complicated by hand infections
and must be treated adequately. optimal treatrnent and follow up is often
difficult to achieve due to high rates of non compliance.
Human bite injury, Clench fist injury
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