Paul M. Melvin
NIOSH Education and Information Division
AUTHOR
ABSTRACT
The
corn picking machine can inflict mutilating wounds to the
hand. The injuries often cause marked tissue necrosis and
are grossly contaminated. The surgeon is faced with an injury
which has occurred many hours before and in which uncertain
tissue viability makes initial surgical debridement very difficult.
There is a high rate of infection in those patients treated
with primary skin cover. If tissue viability is in question,
delayed skin cover should be used. The dominant hand is most
commonly injured. Either traumatic or surgical amputation
of one or more fingers is frequent. The thumb and radial side
of the hand are more commonly spared than the ulnar side.
The remaining fingers are often stiff, sensitive, and of little
value to the patient.
JOURNAL AND
NATIONAL LIBRARY OF MEDICINE ID#
JOURNAL:
Arch Surg. 1972; 104(1): 26-29.
Note:
Archives of Surgery.
NLOM ID#:
72077534
Disclaimer
and Reproduction Information: Information in NASD does not
represent NIOSH policy. Information included in NASD appears
by permission of the author and/or copyright holder. More
NASD Review: 04/2002
This
document was extracted from the CDC-NIOSH Epidemiology of
Farm Related Injuries: Bibliography With Abstracts, U.S.
Department of Health and Human Services, Public Health Service,
Centers for Disease Control, National Institute for Occupational
Safety and Health.
We
are unable to supply copies of the full report cited
in this entry. Readers are advised to use the following
sources:
- Author
or publisher: articles are frequently available
from the author or publisher.
- Medical
or other research libraries: these facilities
often have the material on hand or know where
it can be obtained. If available, each journal
entry includes the appropriate National Library
of Medicine unique identification number to aid
in interlibrary loan requests.
- Government:
some U.S. Government-sponsored research reports,
including ones out-of print, are available from
the National Technical Information Service, U.S.
Department of Commerce.
|
|