Hand Machinery Injuries Presentation and Management (Omdurman Teaching Hospital)

Haitham Mohammed; Osama Ahmed

Hand Machinery Injuries Presentation and Management (Omdurman Teaching Hospital)

Haitham Yousif Elhaj Mohammed * §

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Osama Murtada Ahmed §

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§ University of Khartoum, Sudan

Hand Machinery Injuries Presentation and Management (Omdurman Teaching Hospital)

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Abstract

Aim to evaluate the amplitude of MHI received by OTH. This prospective descriptive cross sectional hospital base study carried out in a single plastic surgery unit at OTH in the period from sep 2012- sep 2013. A total of 106 MH injured patients were enrolled in this study; Evaluation is purely clinical and radiological. Initial management included general assessment of the patient status, wash of the wound with antiseptic, careful limited initial debridement, elevation of the hand, antibiotic and anti tetanus prophylaxis. Beside exploration of the wound with proper surgical management according to the injury ranging from minimal stitching, V.Y flap, skin graft, vessel, nerve, tendon repair to bone fixation .with severely crushed hand a limited stitching and waiting for 48 h before a second look. The study revealed that the right hand dominance was prevalent in 97.2% and was the most affected (64.1%). The mean age of the study group 25 years with male to female ratio of 4:1. Among named machines, Grinder injury is the commonest represent about (36.8%); followed by plastic machine 8.7%. The most involve part of the hand is the middle finger 14.2% , index 10.4% and thumb 8.5% .Highest percentage of fractures found in the middle finger 15.1% . Skin loss was seen mainly in index finger 4.7%. Concerning the management at tertiary hospital, minimal stitching constitutes 55.7% followed by V.Y flap 7.5%. Amputation in MHI is of great significance of P-value < 0.03, at initial discharge from ER; thumb represent (2.8%), and index (4.7)% Conclusion : Severe hand injury in form of finger amputation, skin loss, nerve and arterial injuries are more common in age below 25 years. Grinder and plastic machines are the commonest cause of MHI among named machines.

References

36 Cites in Article

Reference Format

1. Lord Zucllerman (1981). A new System of Anatomy.
2. Greg Mclatchiea (2007). Greg Mclatchiea .Oxford clinical Surgery.
3. Norman Williams,Loves Bailey,Holder-Arnold (2008). Norman.S.Williams .Bailey and loves.
4. R. Gustillo,J. Anderson (1976). prevention of infection in the treatment of open fractures of long bones: (453-8).
5.
6.
7.
8. Grinding machine injury of the hand: preliminary report. PMID :1628550
PubMed
9. Bureau of Labor Statistics (2006). Bureau of Labor Statistics.
CrossRef DOI
10. Roberto Adani,Claudio Castagnetti,Antonio Landi (1995). Degloving injuries of the hand and fingers Clin Orthop Relat Res. Clinical Orthopaedics and Related Research, 314, 19-25.
CrossRef DOI
11. Z. Arnez,U. Khan,M. Tyler (2010). Classification of softtissue degloving in limb trauma. J Plast Reconstr Aesthet Surg, 63, 1865-9.
12. Lefèvre Y,Mallet C,Ilharreborde B,Jehanno P,Frajmann JM,Penneçot GF,Mazda K,Fitoussi F (2011). Digital avulsion with compromised vascularization: study of 23 cases in children. J Pediatr Orthop, 31, 259-65.
13. Lin YH,Jeng CH,Hsieh CH,Lin HC (2010). Salvage of the skin envelope in complex incomplete avulsion injury of thumb with venous arterializaiton: A case report Microsurgery. Microsurgery, 30, 469-471.
14. Antoniou D,Kyriakidis A,Zaharopoulos A,Moskoklaidis S (2005). Report of Two Cases and Review of the Literature. Eur J Trauma, 31, 593-6.
15. J. Davis (1964). An unusual degloving injury of the hand Am J Surg. The American Journal of Surgery, 108(1), 89-91.
CrossRef DOI
16. (2011). Treatment of Traumatic Degloving Injuries of the Fingers and Hand. Tech Hand Up Extrem Surg, 15, 151-155.
17. J. Ju,Q. Zhao,Y. Liu,C. Wei,L. Li,Jin Li,J. Liu,X. Wang,H. Hou,R. (2009). Repair of whole-hand destructive injury and hand degloving injury with transplant of pedis compound free flap. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi, 23, 1153-6.
18. G. Yu,H. Lei,S. Guo,H. Yu,J. Huang (2011). Treatment of degloving injury of three fingers with an anterolateral thigh flap Chin J Traumatol. Chin J Traumatol, 14, 126-128.
19. Kim YH,Ng SW,Youn SK,Kim CY,Kim JT (2011). Use of latissimus dorsi perforator flap to facilitate simultaneous great toe-to-thumb transfer in hand salvage. J Plast Reconstr Aesthet Surg, 64, 827-30.
20. L. Zhang,Y. Pan,G. Tian,W. Tian,X. Guo,M. Wang (2010). Thumb reconstruction with modified free wraparound flap Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi, 24, 309-314.
21. Grinding machine injury of the hand: a preliminary report –abstract-(Europe PubMed central). Grinding machine injury of the hand: a preliminary report -abstract
22. PMID: 12425806[PubMed - indexed for MEDLINE].
PubMed
23. Trybus M,Lorkowski J,Brongel L (2006). Causes and consequences of hand injuries. Am J Surg, 192, 52-7.
24. Mock C,Quansah R,Kobusingye O (2004). Trauma care in Africa, the way forward African J Trauma. African Journal of Trauma, 3(1), 3.
CrossRef DOI
25. Rosberg HE,Dahlin LB (2004). Epidemiology of hand injuries in the middle-sized city in Southern Sweden: a retrospective comparison of 1989 and 1997. Scand J Plast Reconstr Surg Hand Surg, 38, 347-55.
26. Beaton AA,William L,Moseley LG (1994). Handedness and Hand Injuries. J Hand Surg [Br], 19, 158-161.
27. P. Saxena,L. Cutler,L. Feldberg (2004). Assessment of the severity of hand injuries using ‘hand injury severity score’, and its correlation with the functional outcome. Injury, 35, 511-516.
28. Trybus M,Guzik P (2004). Occupational hand injuries. Med Pr, 55, 341-4.
29. E. Ahmed,T. Chaka (2006). Prospective study of patients with hand injuries: Tikur Anbessa University Teaching Hospital, Addis Abba Ethiop Med J. Ethiop Med J, 44, 175-181.
30. D. Campbell,Spj Kay (1996). The Hand Injury Severity Scoring system. J Hand Surg Br, 21, 295-8.
31. M. O’Sullivan,J. Colville (1993). The economic impact of hand injuries. J Hand Surg Br, 18, 395-8.
32. A. Mink van Der Molen,A. Ettema,S. Hovius (2003). Outcome of hand trauma: the Hand Injury Severity Scoring system (HISS) and subsequent impairment and disability. J Hand Surg Br, 28, 295-9.
33. Nieminen S,Nurmi M,Isberg U (1981). Hand injuries in Finland. Scand J Plast Reconstr Surg, 15, 57-60.
34. J. Ousby,D. Wilson (1982). 1086 consecutive injuries caused by glass Injury. Injury, 13, 427-430.
35. E. Ljungberg,H. Rosberg,L. Dahlin (2003). Hand injuries in young children. J Hand Surg Br, 28, 376-80.
36. P. Olaitan,B. Jiburum (2008). A review of amputation of 106 hand digits Nigerian J Orthop Trauma. Nigerian Journal of Orthopaedics and Trauma, 7(1), 3-6.

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Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

How to Cite This Article

Haitham Yousif Elhaj Mohammed, Osama Murtada Ahmed. 2014. "Hand Machinery Injuries Presentation and Management (Omdurman Teaching Hospital)". Global Journal of Medical Research - I: Surgeries & Cardiovascular System GJMR-I Volume 13 (GJMR Volume 13 Issue 19 (I4)).

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GJMR Volume 13 Issue 19 (I4)

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Journal Specifications

Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

Keywords

amputation crush finger grinder palm

Classification

GJMR-I Classification NLMC Code: WO 700

Submission ReceivedApril 12, 2013
Peer Review Double Blind
Handling Editor
Accepted May 1, 2013
Published May 15, 2013

Version of record

v1.2

Issue date

July 22, 2013

Language

English

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Total Score: 72

Country: Sudan

Subject: Global Journal of Medical Research - I: Surgeries & Cardiovascular System

Authors: Haitham Yousif Elhaj Mohammed, Osama Murtada Ahmed (PhD/Dr. count: 0)

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Publish Date: 2013 07, Wed

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