A black finger does not equal a dead finger
Revascularisation and replant surgery occasionally produces sub-optimal results. We present two cases of near total amputation of the digits. The first patient was an 11-year-old boy with a middle finger avulsion injury sustained after the finger was caught in a washing machine with the flexor...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2018
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| Online Access: | http://journalarticle.ukm.my/20627/ http://journalarticle.ukm.my/20627/1/26_ms0247_pdf_62763.pdf |
| _version_ | 1848815152868098048 |
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| author | Shalimar Abdullah, William H, Levin KB, Parminder GS, Nur Azuatul AK, Tan, JA Ahmed Suparno BM, |
| author_facet | Shalimar Abdullah, William H, Levin KB, Parminder GS, Nur Azuatul AK, Tan, JA Ahmed Suparno BM, |
| author_sort | Shalimar Abdullah, |
| building | UKM Institutional Repository |
| collection | Online Access |
| description | Revascularisation and replant surgery occasionally produces sub-optimal results.
We present two cases of near total amputation of the digits. The first patient
was an 11-year-old boy with a middle finger avulsion injury sustained after the
finger was caught in a washing machine with the flexor digitorum profundus still
attached. The second patient was a 42-year-old male who sustained a machete
attack and had near total amputation of his small and ring fingers with a 2 cm skin
bridge still attached. All patients underwent revascularization with repair of only
one digital artery for each finger as the opposite artery was non-viable. No digital
veins were repaired. Relief of venous congestion was done by pin-prick six times
a day up till one week. At one week post-surgery, the fingers were discoloured
black but had good pulp turgor and full contour with arterial bleed on pin-prick.
Inexperienced surgeons may view this as gangrene and amputate the fingers.
However, we continued observation and at one month post-surgery, the black
skin had desloughed and the underlying skin was pink. |
| first_indexed | 2025-11-15T00:45:27Z |
| format | Article |
| id | oai:generic.eprints.org:20627 |
| institution | Universiti Kebangasaan Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T00:45:27Z |
| publishDate | 2018 |
| publisher | Pusat Perubatan Universiti Kebangsaan Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | oai:generic.eprints.org:206272022-11-28T13:16:59Z http://journalarticle.ukm.my/20627/ A black finger does not equal a dead finger Shalimar Abdullah, William H, Levin KB, Parminder GS, Nur Azuatul AK, Tan, JA Ahmed Suparno BM, Revascularisation and replant surgery occasionally produces sub-optimal results. We present two cases of near total amputation of the digits. The first patient was an 11-year-old boy with a middle finger avulsion injury sustained after the finger was caught in a washing machine with the flexor digitorum profundus still attached. The second patient was a 42-year-old male who sustained a machete attack and had near total amputation of his small and ring fingers with a 2 cm skin bridge still attached. All patients underwent revascularization with repair of only one digital artery for each finger as the opposite artery was non-viable. No digital veins were repaired. Relief of venous congestion was done by pin-prick six times a day up till one week. At one week post-surgery, the fingers were discoloured black but had good pulp turgor and full contour with arterial bleed on pin-prick. Inexperienced surgeons may view this as gangrene and amputate the fingers. However, we continued observation and at one month post-surgery, the black skin had desloughed and the underlying skin was pink. Pusat Perubatan Universiti Kebangsaan Malaysia 2018-12 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/20627/1/26_ms0247_pdf_62763.pdf Shalimar Abdullah, and William H, and Levin KB, and Parminder GS, and Nur Azuatul AK, and Tan, JA and Ahmed Suparno BM, (2018) A black finger does not equal a dead finger. Medicine & Health, 13 (2). pp. 229-234. ISSN 2289-5728 https://www.medicineandhealthukm.com/toc/13/2 |
| spellingShingle | Shalimar Abdullah, William H, Levin KB, Parminder GS, Nur Azuatul AK, Tan, JA Ahmed Suparno BM, A black finger does not equal a dead finger |
| title | A black finger does not equal a dead finger |
| title_full | A black finger does not equal a dead finger |
| title_fullStr | A black finger does not equal a dead finger |
| title_full_unstemmed | A black finger does not equal a dead finger |
| title_short | A black finger does not equal a dead finger |
| title_sort | black finger does not equal a dead finger |
| url | http://journalarticle.ukm.my/20627/ http://journalarticle.ukm.my/20627/ http://journalarticle.ukm.my/20627/1/26_ms0247_pdf_62763.pdf |