S68.711

Clinical Causes: Workplace accidents involving heavy machinery or saws Falls from significant heights resulting in hand trauma Motor vehicle or motorcycle collisions Explosive impacts or blast injuries Crushing injuries from heavy objects

Key Symptoms: Complete severance of the fingers from the hand at the transmetacarpal level Bleeding and evident tissue damage at the injury site Severe pain immediately following the injury Swelling and swelling of the hand and fingers Loss of function and inability to move the fingers or hand Visible debris or foreign objects embedded in the wound Possible exposure of bones and tissues

Diagnosis Path: Diagnosis primarily involves a physical examination of the injury, where the healthcare provider assesses the extent of tissue and bone damage. Imaging tests such as X-rays are essential to determine the exact level of amputation, assess any associated fractures, and plan treatment accordingly. The healthcare team evaluates blood flow and nerve function in the remaining hand to determine the injury's severity and potential for recovery or reconstruction.

Treatment Protocols: Treatment focuses on stabilizing the patient, controlling bleeding, preventing infection, and preserving as much function as possible. Common approaches include: - Emergency management with bleeding control and wound stabilization - Antibiotic therapy to prevent infection - Surgical intervention to reconstruct the residual limb or prepare for prosthetic fitting - Tetanus prophylaxis if needed - Pain management - Rehabilitation therapy to improve remaining hand function and adapt to the injury, including physical and occupational therapy In some cases, amputation may be followed by the fitting of a prosthesis to restore some hand function and facilitate daily activities. The specific course of treatment depends on the injury's extent and the patient's overall condition.