Deworming the Grinder for Successful Extrication of a Mangled Hand: A Case Report

Authors

  • Zuhri Md Yusoff Department of Orthopaedic Surgery, Hospital Serdang, 43000 Kajang, Selangor, Malaysia http://orcid.org/0000-0002-8230-052X
  • Mohd Hezery Harun Department of Orthopaedics, Hospital Pengajar Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
  • Ashraf Hakim Ab Halim Department of Orthopaedics, Hospital Pengajar Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
  • Fadzrul Abbas Mohamed Ramlee Department of Orthopaedics, Hospital Pengajar Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
  • Lim Teck Siang Department of Orthopaedics, Hospital Pengajar Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia

DOI:

https://doi.org/10.33102/mjosht.v8i1.226

Keywords:

Mangled Hand, Occupational Injury, Hand Injuries, Grinding Machine, Occupational Hazard

Abstract

Grinding machine injuries are known to cause severe mutilating injuries of the upper limb. In some cases, the machinery equipment may still be attached to the limb when the patient reaches the hospital. In treating these injuries, the patient’s hemodynamic status should be the first priority of resuscitation. Following this and whenever possible, a reversal of the grinding mechanism should be done to free the limb. This would allow assessment of the extent of zone-of-injury prior to starting the surgical procedure. We report a case of a 28-year-old male who sustained a mangled hand injury that was successfully extricated from an industrial grinding machine, thereby allowing preservation of precious length of the limb during surgery. This case highlights the importance of adhering to safety precautions at the workplace to reduce the risk of potential occupational hazards when dealing with machinery equipment.

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References

Tosti, R., & Eberlin, K. R. (2018). “Damage control” hand surgery: evaluation and emergency management of the mangled hand. Hand clinics, 34(1), 17-26. doi: 10.1016/j.hcl.2017.09.002

Brandner, M., Bunkis, J., & Trengove-Jones, G. (1985). Meat grinder injuries to the upper extremity. Annals of plastic surgery, 14(5), 454-457. doi: 10.1097/00000637-198505000-00009

Neal, M., Bansal, V., Alarcon, L., & Russavage, J. (2007). A wrench in the OR aided our amputation. Contemporary Surgery, 63(1), 39. doi:

Green, D. P., Terry, G. C., & Whittemore, A. K. (1975). Extrication of the hand from a meat grinder. The Journal of trauma, 15(1), 32-35. doi: 10.1097/00005373-197501000-00005

Department of Occupational Safety and Healthy MoHR, Malaysia. Annual Report of DOSH Malaysia 2019. 2020.

Department of Occupational Safety and Healthy MoHR, Malaysia. Act 514 Occupational Safety and Health Act 1994 1994.

Pomares, G., Coudane, H., Dap, F., & Dautel, G. (2018). Epidemiology of traumatic upper limb amputations. Orthopaedics & Traumatology: Surgery & Research, 104(2), 273-276. doi: 10.1016/j.otsr.2017.12.014

Kinoshita H, Sato N, Mimura S, Kato S, Takada T, Nakajima Y. Anesthetic induction and endotracheal intubation in the sitting position due to the fixed forearm caught by a meat grinder. Braz J Anesthesiol. 2021. doi: 10.1016/j.bjane.2021.07.030

Moran, S. L., & Berger, R. A. (2003). Biomechanics and hand trauma: what you need. Hand clinics, 19(1), 17-31. doi: 10.1016/S0749-0712(02)00130-0

Hongaiah D, Abhilash, Kumar D, Kumar S V. Mixer grinder fingertip injuries and treatment outcome in a rural-based tertiary center: a retrospective study. International Surgery Journal. 2019;6(7). doi: 10.18203/2349-2902.isj20192974

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Published

2022-01-25

How to Cite

Md Yusoff, Z., Harun, M. H., Ab Halim , A. H. ., Mohamed Ramlee, F. A., & Lim, T. S. (2022). Deworming the Grinder for Successful Extrication of a Mangled Hand: A Case Report . Malaysian Journal of Science Health & Technology, 8(1), 9–13. https://doi.org/10.33102/mjosht.v8i1.226

Issue

Section

Medical