Finger Jammed in a Door Knob (original) (raw)
Related papers
The use of flaps in the treatment of fingertip injuries
World Journal of Surgery, 1991
Fingertip injuries constitute a large portion of the traumatic injuries sustained to the hand and are frequently associated with significant disability for the patient. While many methods are available for the treatment of such injuries, quite often only certain procedures are appropriate for a particular digit in any given patient. The use of flaps in such instances provides an important tool for coverage of the exposed fingertip bone when more simple measures are inadequate. Herein follows a discussion of the indications and potential pitfalls for a variety of flaps which may be employed in the treatment of fingertip injuries. Les lésions de la pulpe constituent une proportion importante des lésions traumatiques de la main, et sont souvent responsables d'une incapacité de travail non négligeable. Alors qu'il existe de nombreuse méthodes pour traiter ces lésions, très souvent, un nombre plus restreint de procédés de reconstruction sied parfaitement à tel ou tel doigt chez un patient donné. L'utilisation d'un lambeau dans cette situation constitue un outil capital pour couvrir la pulpe ainsi exposée alors des techniques beaucoup plus simples ne sont pas suffisantes. On présente alors les indications et les écueils potentiels d'une large gamme de lambeaux qui trouvent leurs indications dans le traitement des lésions de la pulpe digitale. Las amputationes distales de los dedos representan una proporción considerable de las lesiones taumáticas de la mano y con frecuencia aparecen asociadas con incapacidad importante para el paciente. Aunque existen muchos métodos disponibles para el tratamiento de tales lesiones, es frecuente que sólo algunos procedimientos resulten apropiados para el manejo de un dedo en particular en un determinado paciente. El uso de colgajos en tales circunstancias constituye un método importante de cobertura del hueso expuesto del dedo, en aquellos casos en que otros métodos más sencillos resulten inadecuados. Se incluye una discusión sobre las indicaciones y potenciales fallas de una variedad de colgajos que pueden ser utilizados en el tratamiento de las lesiones de las puntas de los dedos.
Fingertip injury: A case report in emergency departments
International journal of health & medical sciences, 2023
Fingertip injury is one of the most common injuries to the hand. Injuries can include damage to the skin and soft tissue, bones (distal phalanx), nails and nailbeds. The fingertips are rich in nerves and very sensitive. Without prompt and precise treatment, finger injuries can interfere with the complex function of the hand and may result in permanent deformity and disability. This report aims to report management in patients with fingertip injuries. A 25-year-male patient with a fingertip injury in the area of the right index finger. The results of the local status examination found a laceration measuring 3x1,5 cm with uneven edges in the aspectus volar in the distal phalanx in the II digit along with tenderness and no limited finger movement. Patients treated with pharmacotherapy and operative measures for the reconstruction of fingertip injuries, with a local flap using the V-Y flap method.
A Case of an Uncommon Injury of the Index Finger
Acta morphologica et anthropologica, 2019
Herein we present a case of a traumatic injury to the right index finger by an electric screw gun. The screw entered the finger through the medial part of the proximal interphalangeal joint and ended in the middle phalanx, therefore we will discuss bone damage. We point out the approach for immediate treatment, including the use of a screwdriver in order to extract the screw.
Composite graft repair in distal finger injuries: emergency room or operating room?
Turkish Journal of Trauma and Emergency Surgery
BACKGROUND: Fingertip amputations are common injuries presenting to the emergency room. However, all amputations do not have a chance of replantation, and composite graft is among the salvage treatments in this case. This treatment is both easy to apply and economical. Our study compares the success and cost of composite grafting in the emergency and operating rooms. METHODS: Thirty-six patients who met the criteria were included in the study. The decision on the repair site was made by the surgeon according to patient compliance and the intensity of the emergency clinic. Demographic and disease information of the patients were recorded. P<0.05 was accepted as the significance level. RESULTS: Twenty-two cases were pediatric patients. Eighteen cases of crush injuries and 22 cases were treated in the emergency room. There was no significant difference in terms of complications, need for additional intervention, and short fingers related to interventions performed in the emergency room and operating room. Interventions in the emergency department were significantly lower in cost and shorter hospitalization times. There was no significant difference in terms of patient satisfaction. CONCLUSION: Composite grafting is a simple and reliable method in fingertip injuries and gives satisfactory results in terms of patient satisfaction. In addition, composite graft application in fingertip injuries in the emergency department will both reduce the cost and prevent hospital infections that may occur due to the reduction in hospitalization.
Finger ? tip injuries are one of the most common injuries faced in the Emergency department of any hospital. This article deals with the experience of our hospital, over a period of 2 Years ? From September 2014 to September 2016 done as a prospective study. Ninety Patients that underwent some form of surgical Procedure were included and followed up over a period of six month. The analysis focused on factors such as mode of injury ? viz. Domestic, Industrial, Road traffic accidents etc, Hand Dominance, Digit involved, Surface involved, Procedure employed, Time taken to return to work, functional outcome and aesthetics. Out of Ninety, Thirty eight patients could be followed up fully. Choice of surgical procedure was made based on the orientation and configuration of the wound. Most of the patients were right handed. Index finger was the commonest digit involved followed by middle, ring, little fingers and thumb. Return to work time was delayed in patients with heterodigital flaps. Most of the patients were satisfied with the aesthetic outcome.
Treatment of crush degloving injury of the hand with totally avulsed thumb
Turkish Journal of Plastic Surgery, 2018
IntroductIon Avulsion injuries of the upper extremities are challenging injuries for microsurgeons, and almost always crush and degloving components are present. Replantation in this type of injuries is often considered difficult. Currently, replantation indications are accepted as multiple digit amputations, thumb amputations, whole hand or transmetacarpal hand amputations, and all amputations in children. [1] Avulsion injuries of the upper extremities are challenging injuries for microsurgeons, and almost always crush and degloving components are present. Due to the severe damage to the neurovascular structures, microsurgical treatment options are quite difficult, but technical advances in microsurgery have resulted in increases in the possibilities of success in crush-avulsion type replantation. Good functional outcomes can be obtained with successful replantation in these cases. In this case report, we present a successful replantation of the totally degloved thumb, the result of a crush-avulsion injury caused by silicone molding machine.