S66.123

Clinical Causes: Accidental cuts from sharp objects such as knives, glass, or metal tools. Workplace injuries during tasks involving machinery or cutting instruments. Fingers getting caught in machinery or moving parts that cause a deep cut. Falls that result in a hand injury with a sharp impact. Bites or puncture wounds that cause tearing of the tendons and muscles.

Key Symptoms: Pain at the site of the injury, especially when attempting to move the finger. Swelling and tenderness around the affected area. Deformity or abnormal bending of the finger if tendons are severely damaged. Limited or loss of movement in the middle finger. Bruising or discoloration around the injury. Possible bleeding and visible cut or wound.

Diagnosis Path: Diagnosis typically involves a physical examination where a healthcare professional assesses the wound, finger mobility, and general hand function. Imaging tests like X-rays can help rule out associated injuries such as fractures. In some cases, ultrasound or MRI may be used to evaluate the extent of soft tissue damage more precisely. The healthcare provider may also check for signs of nerve damage or blood vessel injury to determine the full scope of the injury.

Treatment Protocols: Wound cleaning and debridement to remove dirt, debris, and reduce the risk of infection. Surgical repair may be necessary to stitch or reattach severed tendons, muscles, or fascia. Immobilization of the finger, often with splints or casts, to allow proper healing of repaired structures. Administration of antibiotics to prevent infection, especially if the wound is deep or contaminated. Pain management with medications as advised by the healthcare provider. Physical therapy or hand rehabilitation exercises post-healing to regain strength, mobility, and function. Monitoring for possible complications like infection, delayed healing, or nerve damage.