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Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 3, 404-405.
doi: 10.1302/0301-620X.86B3.14311  
Copyright © 2004 by British Editorial Society of Bone and Joint Surgery
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Transient claw hand owing to a bee sting

A REPORT OF TWO CASES

R. Saravanan, FRCS, Orthopaedic Specialist Registrar; R. King, FRCS, Orthopaedic Consultant; and J. White, FRCS, Orthopaedic Consultant

Oldchurch Hospital NHS Trust, Romford RM7 0BE, UK.

Correspondence should be sent to Mr R. Saravanan at 57 Roding Lane North, Woodford Green, Essex IG8 8NR, UK.

We describe two patients with claw hand as a result of a bee sting. It is likely that this was caused by the apamin in the sting which has an effect on the upper limb, at the spinal cord and on the peripheral nerves. It is important to recognise that the claw hand is not owing to compartment syndrome. Both patients were treated conservatively with full resolution within 48 hours, without any lasting effects.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General