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Hand Crushed and Degloved in Work Accident

Hand Crushed and Degloved in Work Accident 

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  #1  
09-18-2021, 01:55 PM
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Hand Crushed and Degloved in Work Accident

2019 - Jigani, India. A 19-year-old boy presented to the ER with a worksite injury to his left hand. His hand got crushed while working on a machine. There was a degloving injury to the left-hand palm, crush injury to the left middle finger at dip joint level, crush injury to the left ring finger at dip joint level, crush injury to the left little finger at dip joint level, neurovascular injury.

The procedure by plastic and reconstructive surgeon included surgical debridement of the left hand, abdominal pocket flap elevated in subcutaneous plane, hand buried in the abdominal flap, and inset given to the proximal portion of the forearm. The patient's follow-up included flap division and insetting, the volar side was skin grafted. The patient gained some function after the flap division and insetting.

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This post is for educational purposes only and is nonprofit. Under Section 107 of the US Copyright Act of 1976; Allowance is made for "Fair Use" for purposes such as criticism, comment, news reporting, teaching, scholarship, and research. OP is not a medical expert. No copyright infringement intended. This post does not encourage or glorify violence/harassment. Images might have been upscaled and enhanced. Text might have been shortened and simplified/reorganized for online view. Dr. N. Jithendran M.S. (Orthopaedics), M.Ch (Plastic Surgery), D.N.B. (Plastic Surgery)
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  #2  
09-18-2021, 04:31 PM
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Re: Hand Crushed and Degloved in Work Accident

Soooooo...are they sticking with this configuration or are there plans for something less mitten-like?

Herman, :xyxth umbs:
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  #3  
09-18-2021, 08:45 PM
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Re: Hand Crushed and Degloved in Work Accident

If that was me I'd rather have no "hand"
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  #4  
09-19-2021, 08:27 AM
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Re: Hand Crushed and Degloved in Work Accident

holy crap
great pics and info
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  #5  
09-19-2021, 08:27 AM
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Re: Hand Crushed and Degloved in Work Accident

If that was me I'd rather have no "hand"
Imagine you getting fingered with that
  #6  
09-20-2021, 11:37 AM
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Re: Hand Crushed and Degloved in Work Accident

Now he has an oven mitt for a hand.
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  #7  
09-21-2021, 06:12 AM
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Re: Hand Crushed and Degloved in Work Accident

He needs to move to my state.....Michigan the mitt
  #8  
09-21-2021, 12:03 PM
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Re: Hand Crushed and Degloved in Work Accident

…….cause I got one hand in my pocket
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  #9  
09-23-2021, 10:05 AM
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Re: Hand Crushed and Degloved in Work Accident

Can anybody explain what is going on in pictures 9 and 10? They seem to show that the doctors placed the wounded hand inside the mans abdomen and sewed it there?

Thinking harder about it I guess they put his hand there to do a skin graft? What a strange site regardless. I wonder if he still has finger bones under that oven mitt that he could use to wiggle his mitt around with.
  #10  
09-25-2021, 07:50 AM
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Re: Hand Crushed and Degloved in Work Accident

Can anybody explain what is going on in pictures 9 and 10? They seem to show that the doctors placed the wounded hand inside the mans abdomen and sewed it there?

Thinking harder about it I guess they put his hand there to do a skin graft? What a strange site regardless. I wonder if he still has finger bones under that oven mitt that he could use to wiggle his mitt around with.
Doctors placed his hand inside a pocket of tissue in his abdomen to give it time to heal and form a new blood supply.
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