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SKIN PUNCTURE WOUND

General Information

DEFINITION--Wound produced by any object that penetrates the skin to the soft tissue, bones or joint below.

BODY PARTS INVOLVED

Any part of the body.
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SIGNS & SYMPTOMS

Hole in the skin with a puckered and discolored edge. The hole may appear smaller than the object that caused it, due to partial re-expansion of the damaged tissues.

CAUSES

Any foreign body that penetrates the skin and underlying tissue (cleats, javelin, splinters, glass).

RISK INCREASES WITH

  • Contact sports.
  • Athletic activities on rough terrain.

    HOW TO PREVENT

    Avoid rough terrain for athletic activities.

    WHAT TO EXPECT

    APPROPRIATE HEALTH CARE -- Doctor's treatment to clean the wound and sometimes to explore it surgically to determine the extent of damage.

    DIAGNOSTIC MEASURES

  • Your own observation of symptoms.
  • Medical history and physical exam by a doctor.
  • X-rays of the underlying area to rule out fractures and joint damage.

    POSSIBLE COMPLICATIONS

  • Fluid collection under a closed penetrating wound.
  • Wound infection.

    PROBABLE OUTCOME

    With treatment, a puncture wound usually heals without complications.

    HOW TO TREAT

    NOTE -- Follow your doctor's instructions. These instructions are supplemental.

    FIRST AID

  • Remove any foreign material (splinter, glass or others) if you can.
  • Clean the area with warm water and soap.

    CONTINUING CARE

  • Extensive or deep penetrating wounds may need to be enlarged and explored surgically under antiseptic conditions.
  • If bleeding occurs, control it by applying firm pressure to the wound with a cloth.
  • Use warm immersion soaks (See Glossary) to relieve pain and swelling.
  • Rest the injured part until it heals.
  • Wear a snug elastic bandage over the injured area if you can. This will decrease fluid collection under the wound and minimize further bleeding.
  • Get a tetanus toxoid booster.

    MEDICATION

  • For minor discomfort, you may use non-prescription drugs such as acetaminophen.
  • Your doctor may prescribe antibiotics to fight infection.

    ACTIVITY

    Resume normal activity slowly after clearance by your doctor.

    DIET

    For a serious puncture wound, eat a well-balanced diet that includes extra protein, such as meat, fish, poultry, cheese, milk and eggs.

    REHABILITATION

    None.

    CALL YOUR DOCTOR IF

  • You receive a puncture wound and have not had a tetanus booster in 10 years.
  • You develop signs of a wound infection (fever, headache, or increasing pain, redness and fluid with pus at the puncture site).
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