Editing Animal bite (section)

===Reverse bite injury===
A reverse bite injury (also called a clenched fist injury, closed fist injury, or fight bite) results when a person punches another person in the face, and the skin (and sometimes tendons) of their knuckles are cut against the teeth of the person they are punching.<ref name="PerronMiller2002">{{cite journal |doi=10.1053/ajem.2002.31146 |pmid=11880877 |title=Orthopedic pitfalls in the ED: Fight bite |journal=The American Journal of Emergency Medicine |volume=20 |issue=2 |pages=114–117 |year=2002 |last1=Perron |first1=Andrew D. |last2=Miller |first2=Mark D. |last3=Brady |first3=William J. }}</ref> The proximity of the wound is often located over the [[metacarpophalangeal joint]] resulting in tendon injury.<ref name="HenryPurcell2007">{{cite journal |doi=10.1136/emj.2006.045054 |pmid=17582031 |pmc=2658386 |title=The human bite injury: A clinical audit and discussion regarding the management of this alcohol fuelled phenomenon |journal=Emergency Medicine Journal |volume=24 |issue=7 |pages=455–458 |year=2007 |last1=Henry |first1=F. P. |last2=Purcell |first2=E. M. |last3=Eadie |first3=P. A. }}</ref>

The medical treatment of this injury is similar to those of a [[Human biting injuries|human bite]], but may also involve damage of the underlying tendons.<ref name="ShewringTrickett2015">{{cite journal |doi=10.1177/1753193415576249 |pmid=25770897 |title=The management of clenched fist 'fight bite' injuries of the hand |journal=Journal of Hand Surgery (European Volume) |volume=40 |issue=8 |pages=819–824 |year=2015 |last1=Shewring |first1=D. J. |last2=Trickett |first2=R. W. |last3=Subramanian |first3=K. N. |last4=Hnyda |first4=R. }}</ref>

These injuries should be managed as other human bites: wound irrigation and [[antibiotics]] are essential as human saliva can contain a number of bacteria.<ref name="TalanAbrahamian2003">{{cite journal |doi=10.1086/379331 |pmid=14614671 |title=Clinical Presentation and Bacteriologic Analysis of Infected Human Bites in Patients Presenting to Emergency Departments |journal=Clinical Infectious Diseases |volume=37 |issue=11 |pages=1481–1489 |year=2003 |last1=Talan |first1=D. A. |last2=Abrahamian |first2=F. M. |last3=Moran |first3=G. J. |last4=Citron |first4=D. M. |last5=Tan |first5=J. O. |last6=Goldstein |first6=E. J. C. |author7=Emergency Medicine Human Bite Infection Study Group |doi-access=free }}</ref> The nature of these injuries is such that even if the injury is optimally managed, poor outcomes may still occur.<ref name="PerronMiller2002"/>