Digital chondrolysis and epiphysiolysis associated with snakebite: A report of 2 cases

Rey N. Ramirez, Robert Umberhandt, Scott N. Oishi, Marybeth Ezaki

Research output: Contribution to journalArticle

Abstract

Background: Here, we present 2 cases of the unusual sequelae of a venomous bite to the finger in children resulting in chondrolysis and physeal loss. There have been few isolated case reports documenting this phenomenon. Currently, there is no preventative treatment, and patients should be warned of this possible complication of envenomation. Methods: Two patients with chondrolysis and physeal loss have been seen in our practice. Results: Chondrolysis and epiphysiolysis occurred in 2 patients. One patient was treated with proximal interphalangeal joint fusion and one is being managed conservatively. Conclusion: The toxic action of snake venom may cause loss of the growth plate and chondrolysis in the pediatric hand.

Original languageEnglish (US)
Pages (from-to)e60-e64
JournalJournal of Pediatric Orthopaedics
Volume35
Issue number6
StatePublished - 2015

Keywords

  • Chondrolysis
  • Epiphysiolysis
  • Pediatric snakebite
  • Snakebite

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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