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Erschienen in:
24.02.2021 | Clinical Image
Shackling Ulcer: an Upper Extremity Ulcer Secondary to Handcuffs
Erschienen in: Journal of General Internal Medicine | Ausgabe 7/2021
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A 42-year-old man with post-traumatic stress disorder presented for a mental health emergency. He was placed in custody when police identified an outstanding warrant for arrest and shackled with metal cuffs to the hospital bedframe. Physical examination of the limbs on hospital day 2 revealed a linear, circumferential stage 2 pressure ulcer of the wrist at the shackle site (Fig. 1). The patient was diagnosed with a shackling ulcer. The treating team requested the custody officer loosen the handcuff ratchet teeth. The patient was monitored for infection and underwent local wound care with hydrocolloid dressings.
Fig. 1
Linear, circumferential stage 2 pressure ulcer of the wrist at the shackle site during physical examination on hospital day 2
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