To the Editor.—
Ischemic injuries of the fingertips have been reported after cold exposure and trauma. This is a case report of a loss of a fingertip, secondary to a loose thread in a mitten.
Report of a Case.—
A previously healthy 3-week-old boy was seen at the orthopedic clinic with a three-day history of gangrenous changes to the tip of his right index finger. The grandmother stated that she had a mitten on the hand to protect the child from scratching himself. A loose thread had apparently become wrapped around the affected digit, and a necrotic finger distal to the distal interphalangeal joint (DIP) of the right index finger was seen (Figure). Slight cellulitis was noted proximally on the digit. The patient began receiving orally administered dicloxacillin and was seen 48 hours later. As no resolution of the cellulitis was noted, debridement of the distal phalanx was thought to
Rork PE, Moore DR, Bagg RJ. Gangrene of a Fingertip From a Mitten Thread. JAMA. 1982;248(8):924–925. doi:10.1001/jama.1982.03330080014016
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