Occupational Traumatic Amputation of Distal Part of Thumb Caused by Constriction Effect of Nylon Rope: A Case Report with Review of Literature

A 60-year-old farmer came to the accident and emergency department complaining of traumatic amputation of distal part of right thumb. On examination, there was a circumferential wound located at the base of right thumbnail with injury to both neurovascular bundles and fracture of distal part of dist...

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Bibliographic Details
Main Authors: Kalra, M., Mahmood, A., Patralekh, M.
Format: Online
Language:English
Published: Hindawi Publishing Corporation 2011
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3505907/
Description
Summary:A 60-year-old farmer came to the accident and emergency department complaining of traumatic amputation of distal part of right thumb. On examination, there was a circumferential wound located at the base of right thumbnail with injury to both neurovascular bundles and fracture of distal part of distal phalanx with the distal part hanging by volar skin only. The wound was irrigated and the distal part terminalised with direct loose skin closure. Discussion with the patient about the scenario of trauma revealed a mechanism of injury which may appear unique.