title: Digital Chondrolysis and Epiphysiolysis Associated With Snakebite: A Report of 2 Cases.
abstract: BACKGROUND
  Here, we present 2 cases of the unusual sequelae of a venomous bite to the finger in children resulting in chondrolysis and physeal loss. There have been few isolated case reports documenting this phenomenon. Currently, there is no preventative treatment, and patients should be warned of this possible complication of envenomation.
  
  
  METHODS
  Two patients with chondrolysis and physeal loss have been seen in our practice.
  
  
  RESULTS
  Chondrolysis and epiphysiolysis occurred in 2 patients. One patient was treated with proximal interphalangeal joint fusion and one is being managed conservatively.
  
  
  CONCLUSIONS
  The toxic action of snake venom may cause loss of the growth plate and chondrolysis in the pediatric hand.
  
  
  METHODS
  Level IV.
authors.affiliation: Texas Scottish Rite Hospital for Children, Dallas, TX.
authors.forename: Rey N
authors.initials: RN
authors.lastname: Ramirez
authors.forename: Robert
authors.initials: R
authors.lastname: Umberhandt
authors.forename: Scott N
authors.initials: SN
authors.lastname: Oishi
authors.forename: Marybeth
authors.initials: M
authors.lastname: Ezaki
mesh_terms: D000293:Adolescent; D017836:Agkistrodon; D000818:Animals; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage*; D002357:Cartilage Diseases / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D002648:Child; D003646:Debridement / Q000379:methods*; D004839:Epiphyses, Slipped / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D005383:Finger Injuries / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D005384:Finger Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006132:Growth Plate / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D011859:Radiography; D012909:Snake Bites / Q000150:complications / Q000628:therapy
chemical_list: D000893:Anti-Inflammatory Agents