A severely mangled left hand!!
This injury occurred by an industrial tortilla slicer when the patients hand came in contact with the blades. You can see why his hand lost this badly in the fight against the machine! The image shows a near complete amputation of the thumb at proximal phalanx with a resultant avascular digit, amputated index finger, hanging on with an elongated tendon, with avascular digit, a degloved middle finger, and ring amputation with preserved tendon. He also had a partially degloved dorsal hand, with minor extensor tendon involvement. As easy as that would be, salvaging of some of the fingers is possible. The thumb in this case is totally unsalvagable due to the avascularity and near complete amputation. In cases like this, surgeons are likely to do a “spare parts” surgery, which entails replanting another digit (i.e. toe or decent looking amputated finger) to function as the thumb. Rearticulation of the index PIP joint is not possible, so amputation at the MCP joint will have to be done. Middle can be salvaged by a skilled surgeon. Ring finger should be an easy replantation due to the tendon being fully intact. Lastly, dorsum of the hand needs the extensor tendons to be repaired followed by a skin graft procedure to aid in the healing of the hand. Photo by @trauma_time
Pictures like this make me rethink getting a job in an ED
Either that's a bad sfx job or you need too pack finger on ice and tie turnakit around hand ice is so when they sew it back on you won't lose use of your hand pain shot hydromorphone and amoxicillin four times a day for four weeks 500mg
Does this hand stand the chance of ever been normal again?
