Saturday, August 29, 2009

EMERGENCY HAND CASE - STARTERS







This 19 yr old man had sustained injuries in an injection moulding machine at around 1 AM on 13 June 2009. Presented to us at 10.45 AM. Examination findings as below.
Skin loss on the dorsum of the left hand about 5 cm / 4 cm
Laceration on the palm
Extensor tendon loss for the ring finger ( 3 cm loss )
Bone loss _ about 2.5 cm on the IV metacarpal in shaft
No flexor tendon / neurovascular bundle injury
The segment that is missing is totally crushed.
What would be your plan of management?
We shall discuss what we did, in the next post and we can compare notes.

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