Finger injuries - care and cure

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Author: 
Fathima Farshana M., Ashok Swaminathan Govindarajan., Subramanian C.S and Anand Babu P

Background: Finger injuries are commonly encountered injuries in OPD and emergency department. They are quite common among all age groups and all populations. These injuries have a wide range of presentation from minor abrasions to total crush amputations. However early treatment is effective in

1. Preventing deformity
2. Restoring function and
3. Achieving cosmesis.

This study focuses on the incidence, mode of finger injuries, various treatment options, outcome and highlights the possible preventive measures.

Materials and Methods: This is a prospective study of 100 cases of finger injuries in RMMCH for a period of 2 years with 6 months follow up. Patients comprised of 69 males and 21 females 10 children. All procedures were done after proper Clinical examination, and necessary investigations, under local/regional/general anaesthesia depending on the site , nature of injury and age of the patient.

Results: In our study, males have a higher incidence (69%) than females (21%). Among 100 cases, accidental finger injuries (n=49) were most common, where those found to be increasingly occurring in workplace (occupational=21) dominated the scenario. Household, RTA, Door Crush were the next common causes. 33 cases were treated with primary skin suturing, 14 cases involved tendon repair and rest of the cases needed reconstructive procedures. 76 patients had no complaints and 24 patients had minor problems like stiffness, raw area and flap necrosis. 7 patients needed secondary procedures whereas rest of the patients improved with conservative measures.

Conclusion

1. The incidence of finger injuries is higher in male population compare to female.
2. Preventable types of injuries such as occupational, door crush, household were most common. All patients underwent surgical management. With adequate evaluation and early treatment maximum number of cases withstood the primary procedures well, be it primary suturing or reconstructive procedures. With proper guidelines and preventive measures these injuries can very well be prevented.
3. Early intervention after proper evaluation gives good functional and cosmetic outcome.

Page: 
460-464
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