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At least 55 records · Page 3Linked to original sources
PubMed1991

[Organ-sparing treatment of finger injuries caused by a punching].

There have been studied 1037 cases of hand and finger punch injuries, observed in 786 victims. An analysis of the trauma causes allowed to carry out the complex of preventive measures. The efficiency of these measures is testified by 3-fold decrease of occupational traumatism at Lysvensk metal works during 5 recent years. It has been stated that 496 (52.6%) of 945 finger and hand wounds were tissue avulsion and crush. These damages are typical ones in case of finger injuries with a punch. There have been analysed the results of treatment of 341 patient with scalped wounds, open fractures, finger and hand avulsions and crushes (482 wounds). It has been stated that careful surgical treatment of a wound with edge dissection, removal of damaged fatty tissue and free fractured fragments is a reliable method of infectious complication prophylaxis when the wound has been stitched without intention and the skin defects closed by means of the first skin plasty. The first skin plasty has been used for treatment of 62 wounds. Complete graft survival has been noted in 70.9% cases. In 85% of cases there have been obtained good functional results. A special section of sparing treatment presents finger replantation in case of their avulsion. Microsurgical technique has been applied with 9 patients. There have been replanted 13 fingers and 1 hand (survived 10 fingers and the hand). There have been revascularized 3 fingers (2 of them have survived).

Accidents, Occupational↗
PubMedDate not supplied

Finger injuries in extreme rock climbers. Assessment of high-resolution ultrasonography.

Dynamic high-resolution ultrasonography findings obtained in 34 extreme rock climbers with finger injuries were compared with those in 20 healthy volunteers. Thicknesses of the flexor tendon and A-2 flexor tendon pulley system were measured at the base of the proximal phalanx. The distance between the tendon and phalanx was evaluated with the finger in extension and in forced flexion as a measure of bowstringing. Gliding ability of the flexor tendons was assessed during active and passive motion. Compared with healthy volunteers, climbers showed a significantly increased thickness of the flexor tendons and the flexor tendon pulley system but no impairment of the gliding mechanism. Only in climbers did the distance between tendon and phalanx increase from 0.14 cm (+/-0.07) during extension to 0.30 cm (+/-0.09) during forced flexion. In three climbers with complete A-2 pulley ruptures this distance was up to 0.51 cm (+/-0.15) during forced flexion. Clinically unsuspected synovial cysts, thickened joint capsules, fibrous tissue, or fluid collection were found only in climbers. We concluded that dynamic ultrasonography is a valuable tool for accurate assessment of early changes in "climber's finger." It provides useful information, especially in cases where clinical evaluation is difficult, and should be performed to select appropriate therapeutic management.

Adult↗
PubMed1991

Finger injuries to children involving exercise bicycles.

OBJECTIVE: A previously unreported source of injuries to children, the exercise bicycle, is identified and the associated injuries and their treatment are described. DESIGN: A retrospective review of clinical records and the records of the Victorian Injury Surveillance System. SETTING: The Plastic Surgery Unit of the Royal Children's Hospital, Parkville, Victoria. PATIENTS: Seventeen children with finger injuries from exercise bicycles presented to the Emergency Department of the hospital and one presented to one of us (K L M) at his private practice. Sixteen of the 18 children were under five years of age; 10 were less than two years of age. Five times as many boys as girls were injured. INTERVENTIONS: Fourteen children required surgical treatment of their injuries. RESULTS: Four children had superficial injuries not in need of surgical repair. Eleven children had single digit injuries--five had injuries that were repaired by suture; five had complete avulsion of the tip of the digit that required flap graft repair; and one child underwent amputation of the index finger. Three boys had multiple digit injuries, each one requiring the amputation of a digit and repair of other digits. Two of these boys underwent replantation of a digit; only one replantation was successful. CONCLUSIONS: The most dangerous parts of the exercise bike were the wheel, the chain and the sprocketwheel. Design modifications and education of parents about the risks for children playing near exercise bikes are warranted.

Accidents, Home↗
PubMed2000

Isolated finger injuries in children--incidence and aetiology.

Details were recorded prospectively in a specifically designed questionnaire for all children presenting to the Accident and Emergency Department with isolated finger injuries over a period of 6 months, in order to understand the incidence and aetiology. Among the 426 injuries in 283 children, most occurred at home (59%) more in the <5 year age group (38%), involving the middle finger (25%) and terminal phalanges (47%). "Jamming/crushing" was the commonest reason (48%), mostly caused by a child (59%) at the living room door (32%) and more commonly at the hinge side (49%). Nail injuries were seen in 48% of cases and 16 amputations of terminal phalanges were noticed in 15 children. Tendon injuries were only caused when cut by sharp objects, and were not caused by jamming/crushing. Both children and adults should be educated about causation, reiterating that damage to fingers can be prevented or reduced by observing safety measures.

Accidents, Home↗
PubMed1994

Extended palmar advancement flap with V-Y closure for finger injuries.

The technique of using volar advancement flaps with V-Y closure to the fingers is described. It is possible to perform volar flap advancements up to 15 mm and use V-Y closures in the distal palm, avoiding a skin graft. This method is based on knowledge of the vascular anatomy of the finger dorsum, to avoid devitalising dorsal skin. This method was applied to 14 fingers of 13 patients including finger amputations, claw nail deformities, and skin defects of the middle phalanx. Favourable results were observed.

Adolescent↗
PubMed1981

A rare finger injury.

A closed injury of the left index finger displacing the skeleton out of its soft tissue bed is reported. Reduction of the displaced segments in place resulted in normal function of the finger.

Adolescent↗
PubMed1990

Indoor cricket finger injuries.

Indoor cricket is a popular winter sport, but injuries sustained in the game have not been previously reported. The Accident Compensation Corporation statistics showed that in 1987 520 injuries were sustained in indoor cricket. This paper reports 33 finger and thumb injuries sustained in two seasons of indoor cricket. The majority of patients had some residual stiffness, deformity or loss of function as a result of the injuries.

Adult↗