{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T04:22:52Z","timestamp":1785817372523,"version":"3.56.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2015,3,14]],"date-time":"2015-03-14T00:00:00Z","timestamp":1426291200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:p>We present a prospective study outlining the management of clenched fist \u2018fight bite\u2019 injuries. Over a 4-year period all patients with such injuries had surgical exploration with further d\u00e9bridements as necessary. For metacarpophalangeal joint injuries, a midline tendon-splitting approach was used. For proximal interphalangeal joint injuries, an approach was made between the lateral band and central slip of the extensor mechanism. A total of 147 patients with 159 joint injuries were treated, with 130 metacarpophalangeal joint and 29 proximal interphalangeal joint injuries. The joint was penetrated in 96% of joints overall. The number of d\u00e9bridements ranged from two to eight. Twenty patients defaulted within 1\u2009week of surgery and were not included in the analysis of the results. All patients with metacarpophalangeal joint injury had satisfactory or good outcomes. A total of 42% of patients with proximal interphalangeal joint injuries had poor results, four requiring amputation and one a fusion. The tendon-splitting approach to the metacarpophalangeal joint allows excellent access and avoids damage to the sagittal bands and consequent instability of the extensor mechanism.<\/jats:p>","DOI":"10.1177\/1753193415576249","type":"journal-article","created":{"date-parts":[[2015,3,14]],"date-time":"2015-03-14T20:32:44Z","timestamp":1426365164000},"page":"819-824","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":26,"title":["The management of clenched fist \u2018fight bite\u2019 injuries of the hand"],"prefix":"10.1177","volume":"40","author":[{"given":"D. J.","family":"Shewring","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery, University Hospital of Wales, Cardiff, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. W.","family":"Trickett","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery, University Hospital of Wales, Cardiff, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. N.","family":"Subramanian","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery, University Hospital of Wales, Cardiff, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Hnyda","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery, University Hospital of Wales, Cardiff, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,3,14]]},"reference":[{"key":"bibr1-1753193415576249","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(93)90194-K"},{"key":"bibr2-1753193415576249","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2013.03.013"},{"key":"bibr3-1753193415576249","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(89)70343-1"},{"key":"bibr4-1753193415576249","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(93)90104-B"},{"key":"bibr5-1753193415576249","doi-asserted-by":"publisher","DOI":"10.1016\/0190-9622(95)90296-1"},{"key":"bibr6-1753193415576249","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.06.044"},{"key":"bibr7-1753193415576249","doi-asserted-by":"publisher","DOI":"10.1016\/S0072-968X(78)80017-5"},{"key":"bibr8-1753193415576249","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1910.04330100043016"},{"key":"bibr9-1753193415576249","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(96)00067-8"},{"key":"bibr10-1753193415576249","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(88)90280-8"},{"key":"bibr11-1753193415576249","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(77)80090-7"},{"key":"bibr12-1753193415576249","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.1999.0357"},{"key":"bibr13-1753193415576249","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(91)90020-O"},{"key":"bibr14-1753193415576249","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(21)00419-4"},{"key":"bibr15-1753193415576249","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1097\/00003086-198707000-00033","volume":"220","author":"Patzakis M","year":"1987","journal-title":"Clin Orthop Rel Res"},{"key":"bibr16-1753193415576249","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(89)90023-5"},{"key":"bibr17-1753193415576249","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198306000-00006"},{"key":"bibr18-1753193415576249","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2006.05.009"},{"key":"bibr19-1753193415576249","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/8.1.50"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193415576249","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1753193415576249","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193415576249","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:47:04Z","timestamp":1777502824000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1753193415576249"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,3,14]]},"references-count":19,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.1177\/1753193415576249"],"URL":"https:\/\/doi.org\/10.1177\/1753193415576249","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,3,14]]}}}