Volume 2009, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426


An unusual case of a blunt and penetrating injury to the thumb is described. A laterally displaced epiphyses of the first metacarpal divided the digital artery and a penetrating injury in the first web space inflicted on the medial digital artery resulting in a total vascular interruption leading to gangrene and ultimate amputation. Such injuries are rare in children but proper assessment and examination could have prevented the end result.


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  1. Sagiv P, Shabat S, Mann M, Ashur H, Nyska M. Rehabilitation process and functional results of patients with amputated fingers. Plastic and Reconstructive Surgery. 2002; 110::497503.
    [Google Scholar]
  2. Jenkins NL, Lalikos JF, Wooden WA, Benacci JC, Meadows WM. Innovative techniques in bony reconstruction to facilitate hgtnd salvage. Annals Plast Surg. 2002; 48::484488.
    [Google Scholar]
  3. Buckhout BC, Warner MA. Digital perfusion of handball players. Effect of repeated ball impact on structures of the hand. Am J Sports Med. 1980; 8::206207.
    [Google Scholar]
  4. Kostianen S, Orava S. Blunt injury of the radial and ulnar arteries in volleyball players. A report of three cases of the antebrachialpalmar hammer syndrome. Br J Sports Med. 1983; 17::172176.
    [Google Scholar]
  5. Synder WH, Thai ER, Bridges RA, Fry WJ, et al., The validity of normal arteriography in penetrating trauma. Arch Surg. 1978; 113::424426.
    [Google Scholar]
  6. Reynolds RR, McDowell HA, Deithelm AG. The surgicaltreatment of arterial injuries in the civilian population. Ann Surg. 1979; 189::700707.
    [Google Scholar]
  7. Hayton M. Assessment of hand injuries. Curr orthopedics. 2002; 16::246254.
    [Google Scholar]
  8. Danilov AA, Shchitov VS, Panasiuk VA, Prokopishin AL. Osteosynthesis in hand bone fractures in children. Orthop Travmatol Protez. 1991; 4::1823.
    [Google Scholar]
  9. Sukop A, Turdek M, Kufa R. The primary use of venous grafts in thumb replantation. Acta Chir Plast. 2005; 47:4:103106.
    [Google Scholar]
  • Article Type: Case Report
Keyword(s): Digital Artery Injury and Gangrene Thumb
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