23.17 Penile zipper injury Michelle Lin Background The most common cause of penile entrapment is an unintentional zipper injury. Most commonly seen in boys aged 2–6 years, this injury occurs while the child is zipping up his pants. In addition to being painful, this condition is a tremendously anxiety-inducing injury for the child. The patient usually presents for medical attention only after failed attempts at self-extrication. There are two patterns of entrapment for the often-macerated and oedematous soft tissue. First, the movable zipper head may ‘catch onto’ the external genitalia tissue. Second, the interlocking teeth along the zipper path may entrap some soft tissue. In order to disassemble a zipper, one must understand its anatomy. Specifically, a thin median bar is the only structure separating the two tracks on the zipper-sliding device, interlocking them. Indications Soft-tissue entrapment in a zipper. Contraindications None. Equipment Bone or wire cutters. Mineral oil. Local anaesthesia (1% lidocaine without adrenaline (epinephrine), syringe, 30-gauge needle). Preparation and positioning Carefully position the patient supine or semisupine in the caregiver’s lap, being careful not to jostle the pants or zipper. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Syncope Abdominal and pelvic trauma Paediatric advanced life support (PALS, APLS) Pertussis Infective endocarditis Availing web-based resources Stay updated, free articles. Join our Telegram channel Join Tags: Textbook of Paediatric Emergency Medicine Sep 7, 2016 | Posted by admin in EMERGENCY MEDICINE | Comments Off on Penile zipper injury Full access? Get Clinical Tree
23.17 Penile zipper injury Michelle Lin Background The most common cause of penile entrapment is an unintentional zipper injury. Most commonly seen in boys aged 2–6 years, this injury occurs while the child is zipping up his pants. In addition to being painful, this condition is a tremendously anxiety-inducing injury for the child. The patient usually presents for medical attention only after failed attempts at self-extrication. There are two patterns of entrapment for the often-macerated and oedematous soft tissue. First, the movable zipper head may ‘catch onto’ the external genitalia tissue. Second, the interlocking teeth along the zipper path may entrap some soft tissue. In order to disassemble a zipper, one must understand its anatomy. Specifically, a thin median bar is the only structure separating the two tracks on the zipper-sliding device, interlocking them. Indications Soft-tissue entrapment in a zipper. Contraindications None. Equipment Bone or wire cutters. Mineral oil. Local anaesthesia (1% lidocaine without adrenaline (epinephrine), syringe, 30-gauge needle). Preparation and positioning Carefully position the patient supine or semisupine in the caregiver’s lap, being careful not to jostle the pants or zipper. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Syncope Abdominal and pelvic trauma Paediatric advanced life support (PALS, APLS) Pertussis Infective endocarditis Availing web-based resources Stay updated, free articles. Join our Telegram channel Join Tags: Textbook of Paediatric Emergency Medicine Sep 7, 2016 | Posted by admin in EMERGENCY MEDICINE | Comments Off on Penile zipper injury Full access? Get Clinical Tree
