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Published in: Forensic Science, Medicine and Pathology 2/2015

01-06-2015 | Images in Forensics

A rare cause of finger amputation

Authors: Ignasi Galtés, María Ángeles Gallego, Carles Martín-Fumadó

Published in: Forensic Science, Medicine and Pathology | Issue 2/2015

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Excerpt

During a domestic dispute between a husband and wife the wife was violently shoved to the floor. The 46-year-old woman felt a sharp pain in her right hand and discovered that the end of her fourth finger was missing above the second interphalangeal joint, although she did not know exactly how it happened. The husband took her to the hospital emergency department, where surgeons diagnosed avulsion of part of the distal finger (Fig. 1). The level of amputation and the irregularity of the wound precluded digital repair. No other traumatic injuries of the upper limb, particularly of the hand and wrist, were observed. Treatment included surgical trimming and suturing of the wound, antibiotic, analgesic, and anti-inflammatory medications, and outpatient follow-up.
Literature
1.
go back to reference Birrer RB. Trauma epidemiology in the martial arts. The results of an eighteen year survey. Am J Sports Med. 1996;24:S72–9.CrossRefPubMed Birrer RB. Trauma epidemiology in the martial arts. The results of an eighteen year survey. Am J Sports Med. 1996;24:S72–9.CrossRefPubMed
2.
go back to reference Diesselhorst MM, Rayan GM, Pasque CB, Holder R. Survey of upper extremity injuries among martial arts participants. Hand Surg. 2013;18:151–7.CrossRefPubMed Diesselhorst MM, Rayan GM, Pasque CB, Holder R. Survey of upper extremity injuries among martial arts participants. Hand Surg. 2013;18:151–7.CrossRefPubMed
3.
go back to reference Corcoran J, Farkus E. Karate. In: Corcoran J, Farkus E, Sobel S, editors. The original martial arts encyclopedia: tradition—history—pioneers. Los Angeles: Pro-Action Publishing; 1993. p. 46–80. Corcoran J, Farkus E. Karate. In: Corcoran J, Farkus E, Sobel S, editors. The original martial arts encyclopedia: tradition—history—pioneers. Los Angeles: Pro-Action Publishing; 1993. p. 46–80.
5.
go back to reference Buscemi MJ, Page BJ II. Flexor digitorum profundus avulsions with associated distal phalanx fractures. A report of four cases and review of the literature. Am J Sports Med. 1987;15:366–370. Buscemi MJ, Page BJ II. Flexor digitorum profundus avulsions with associated distal phalanx fractures. A report of four cases and review of the literature. Am J Sports Med. 1987;15:366–370.
6.
go back to reference Manske PR, Lesker PA. Avulsion of the ring finger flexor digitorum profundus tendon: an experimental study. Hand. 1978;10:52–5.CrossRefPubMed Manske PR, Lesker PA. Avulsion of the ring finger flexor digitorum profundus tendon: an experimental study. Hand. 1978;10:52–5.CrossRefPubMed
8.
go back to reference Tuttle HG, Olvey SP, Stern PJ. Tendon avulsion injuries of the distal phalanx. Clin Orthop Relat Res. 2006;455:157–68. Tuttle HG, Olvey SP, Stern PJ. Tendon avulsion injuries of the distal phalanx. Clin Orthop Relat Res. 2006;455:157–68.
9.
go back to reference Al-Qattan MM. Type 5 avulsion of the insertion of the flexor digitorum profundus tendon. J Hand Surg Br. 2001;26:427–31.CrossRefPubMed Al-Qattan MM. Type 5 avulsion of the insertion of the flexor digitorum profundus tendon. J Hand Surg Br. 2001;26:427–31.CrossRefPubMed
10.
go back to reference Takami H, Takahashi S, Ando M, Masuda A. Flexor digitorum profundus avulsion with associated fracture of the distal phalanx. Arch Orthop Trauma Surg. 1997;116:504–6.CrossRefPubMed Takami H, Takahashi S, Ando M, Masuda A. Flexor digitorum profundus avulsion with associated fracture of the distal phalanx. Arch Orthop Trauma Surg. 1997;116:504–6.CrossRefPubMed
11.
go back to reference Rizis D, Mahoney J. A rare presentation of flexor digitorum profundus type V avulsion injury with associated intra-articular fracture: A case report. Can J Plast Surg. 2011;19:62–3.PubMedCentralPubMed Rizis D, Mahoney J. A rare presentation of flexor digitorum profundus type V avulsion injury with associated intra-articular fracture: A case report. Can J Plast Surg. 2011;19:62–3.PubMedCentralPubMed
Metadata
Title
A rare cause of finger amputation
Authors
Ignasi Galtés
María Ángeles Gallego
Carles Martín-Fumadó
Publication date
01-06-2015
Publisher
Springer US
Published in
Forensic Science, Medicine and Pathology / Issue 2/2015
Print ISSN: 1547-769X
Electronic ISSN: 1556-2891
DOI
https://doi.org/10.1007/s12024-014-9634-8

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