RT Book, Section A1 McGinnis, Henderson D. A2 Cline, David M. A2 Ma, O. John A2 Cydulka, Rita K. A2 Meckler, Garth D. A2 Handel, Daniel A. A2 Thomas, Stephen H. SR Print(0) ID 56271803 T1 Chapter 13. Lacerations to the Leg and Foot T2 Tintinalli's Emergency Medicine Manual, 7e YR 2012 FD 2012 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-178184-8 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=56271803 RD 2024/04/19 AB The mechanism of the injury determines the likelihood of disruption to underlying tissue, the risk of a retained foreign body, and the degree of potential contamination. The following circumstances are associated with specific pathogens: (a) farming accidents (Clostridium perfringens), (b) wading in a freshwater stream (Aeromonas hydrophila), and (c) high-pressure water systems used for cleaning surfaces (Acinetobacter calcoaceticus). Evaluation of wounds in general is discussed in Chapter 9. It is important to determine the position of the limb at the time of injury, which will help to uncover occult tendon injuries.