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Case Reports
. 2024 Jun 21;57(3):227-230.
doi: 10.1055/s-0044-1787279. eCollection 2024 Jun.

Fish Arrow Injuries to the Extremities: A Case Series

P Umar Farooq Baba  1 , Raheeb Ahmad Shah  2 , Mir Yasir  1 , Eknath J  1 , Sheikh Adil Bashir  1 , Adil Hafeez Wani  1
Affiliations
Case Reports

Fish Arrow Injuries to the Extremities: A Case Series

P Umar Farooq Baba et al. Indian J Plast Surg. .

Abstract

Fishing as a hobby is fairly popular among youth in hilly and mountainous areas of the world. Hence, injuries to extremities are also common by fishing equipment, especially in untrained people using indigenous equipment. The mechanism of injury is that of penetrating trauma. There is a paucity of literature regarding fishing equipment injury to extremities. In this article, we have presented a case series of fishing arrow injuries presented to us in the Department of Plastic and Reconstructive Surgery, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu and Kashmir, India. Most of these injuries were treated under the wide-awake local anesthesia no tourniquet technique which has revolutionized the management of extremity injuries. Also, special precautions regarding the prevention of further tissue injury by arrow hooks while retrieving the arrows have been highlighted.

Keywords: WALANT; arrow hook; extremities; fish arrow injuries.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
The fish hook injury on the left hand, the arrow being removed in an antegrade direction.
Fig. 2
Fig. 2
After the removal of the foreign body, demonstrating the full range of movements (ROMs) under the wide-awake local anesthesia no tourniquet (WALANT) technique of anesthesia.
Fig. 3
Fig. 3
Fish arrow injury on the right foot. Incision made, neurovascular (NV) bundle and extensor hallucis longus (EHL) identified, and the tip of arrow located.
Fig. 4
Fig. 4
Foreign body removed after proper identification of anatomy.
Fig. 5
Fig. 5
Fish hook injury on the right hand. and removal of the arrow under wide-awake local anesthesia without t tourniquet (WALANT).
See this image and copyright information in PMC

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