Table 1 Clinical data, presentation, management and outcome of 5 cases of thumb avulsion and crush injury
# | Gender/age | Occupation | Injured thumb | Mechanism | Level of amputation | Phalanx used | Soft tissue | Matching with other hand | MCP/ROM | Sensation | Grip & pinch | Duration of Treatment |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | M/22 y | Tire repairing | left | Crush/avulsion | Base of proximal phalanx | Proximal and distal of same thumb | Distally based fasciocutaneous RFF | Good | 0 – 45 | Protective | 25 kg 5 kg | 3 months |
2 | M/25 y | Mechanic | right | Avulsion | IP joint and soft tissue at MCP joint | Distal phalanx of same hand | Distally based fasciocutaneous RFF | Good | 0 – 50 | Protective | 27 kg 7 kg | 2 months |
3 | M/27 y | Steel fitter | left | Saw cut | Base of prox. Phalanx with loss of dorsal soft tissue | Distal and middle phalanx of amputated index | Proximally based dorsal metacarpal flap | Acceptable | 0 – 50 | Normal volar sensation & dorsal protective | 30 kg 8 kg | 3 months |
4 | M/24 y | Mechanic | right | Car dropped on his hand | Comminuted lost segments of proximal and distal phalanx | Middle and distal phalanx of amputated index | Same soft tissue and skin graft | Very good | 0 – 55 | Normal | 35 kg 10 kg | 4 months |
5 | M/32 y | Carpenter | right | Saw amputation on 2 levels | MCP joint and IP joints | Proximal ph. of same thumb | Groin flap | Reasonable | 0 – 35 | Protective | 20 kg 5 kg | 5 months |