{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T08:59:53Z","timestamp":1781168393184,"version":"3.54.1"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Paediatric crush injuries of the hand may present with fractures and threatened digital vascularity, requiring careful differentiation between venous congestion and arterial ischaemia.\n\nCase Report: A 6-year-old boy sustained a crush injury to the left hand with phalangeal fractures and threatened vascularity of the middle finger. The patient was managed conservatively with immobilisation, limb elevation, hydration, anticoagulation, thermal support, and serial vascular monitoring. Progressive recovery of perfusion and viability was achieved without surgical intervention.\n\nConclusion: Conservative management with close observation may successfully salvage borderline ischaemic digits in selected paediatric crush injuries and avoid unnecessary surgical exploration.\n\nKeywords: Pediatric crush injury, digital ischemia, venous congestion, missed injuries, precarious viability, deformity, stiffness.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i06.7514","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T08:31:16Z","timestamp":1781166676000},"page":"477-481","source":"Crossref","is-referenced-by-count":0,"title":["Hang Fire \u2013 Acute Crush Injury of Fingers \u2013 Till Appropriate Intercede \u2013 A Case Report"],"prefix":"10.13107","volume":"16","author":[{"given":"S.","family":"Karthick","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Balasubramanian","family":"Nellaiyappan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subashini","family":"Rajendiran","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T08:31:16Z","timestamp":1781166676000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/06\/hang-fire-acute-crush-injury-of-fingers-till-appropriate-intercede-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i06.7514","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}