Mutilating Hand Injuries
(Hand Trauma; Hand Injury)
by Cynthia M. Johnson, MA
A mutilating hand injury is severe damage to the hand. It will make it hard or impossible to use the hand. There may be damage to bones, tendons, tissues, nerves, and skin.
Care is needed right away. It can be deadly.
This problem may be caused by:
Things that may raise the risk of this problem are:
Hand injuries are visible. Common problems are:
The doctor will examine the injury. Anesthesia may be given to block pain during the exam. Nerves and tendons of the hand will be tested.
Images will be taken to look for damage to the bones, nerves, tendons, and skin. This can be done with:
Emergency care will be needed. An IV will be started to give fluids and pain medicine.
The goals of treatment are to stop bleeding, manage pain, and repair damage. Options are:
Medicine will be given to ease pain and to block pain during medical care. Antibiotics may be given to lower the risk of infection.
People who have not had a recent tetanus vaccination may be given one. It can help the body find and attack the bacteria.
The wound will be flushed with water. It will help to remove any debris that may be trapped in the wounds. This will help to prevent infection.
Less severe injury will be dressed and splinted. A surgical plan can be made later.
Surgery may be needed right away for severe injury. The goal is to repair as much damage as possible. They may save some hand function. Several surgeries are often needed for this type of injury.
Rehab can help a person get back movement in the hand. It can also help to make changes if there are some limits to hand movement. Rehab may include:
To lower the risk of this problem:
Hand Care—American Society for Surgery of the Hand
OrthoInfo—American Academy of Orthopaedic Surgeons
Canadian Orthopaedic Foundation
The Canadian Society of Plastic Surgeons
Fingertips injuries and amputations. American Academy of Orthopaedic Surgeons Ortho Info website. Available at: https://orthoinfo.aaos.org/en/diseases--conditions/fingertip-injuries-and-amputations. Accessed August 19, 2021.
Mallet finger. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/mallet-finger. Accessed August 19, 2021.
Snowblower safety. American Society for Surgery of the Hand Hand Care website. Available at: https://www.assh.org/handcare/safety/snow-blower. Accessed August 19, 2021.
Last reviewed July 2021 by EBSCO Medical Review Board James Cornell, MD
Last Updated: 8/19/2021