Radiation Induced Hand Necrosis of an Orthopaedic Surgeon Who Had Treated a Patient with Fluoroscopy-Guided Spine Injection.
10.4055/jkoa.2014.49.3.250
- Author:
Dae Moo SHIM
1
;
Yu Mi KIM
;
Sung Kyun OH
;
Chul Min LIM
;
Byoung Tack KOWN
Author Information
1. Department of Orthopedic Surgery, School of Medicine, Wonkwang University, Iksan, Korea.
- Publication Type:Case Report
- Keywords:
orthopaedic surgeon;
hand;
radiation induced skin necrosis
- MeSH:
Dermatitis;
Fluoroscopy;
Hand*;
Heart;
Humans;
Liver;
Necrosis*;
Spine*;
Thyroid Gland
- From:The Journal of the Korean Orthopaedic Association
2014;49(3):250-254
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
As the frequency of radiation exposure by fluoroscopy continues to increase in orthopaedic fields, the level of hazard for the orthopaedic surgeon increases at the same time. Exposure of the clinician's hand is highest during performance of surgery or procedures within the actual clinics. Studies on radiation exposure on thyroid, eye or whole body, or reports on radiation treatment of cancer or for dermal lesions occurring from therapeutic intervention on the body such as heart and liver, and studies on radioactive damage to hands derived from radioactive material handlers have been reported; however, no studies on radioactive damage to a clinician's hand have been reported. Therefore, we report on a case of chronic radiation dermatitis and necrosis of an orthopaedic surgeon's hand as well as its soft tissue defect.