A rare case: Avulsion amputation of the hand with degloving of the soft tissues from the level of the arm

Management of Hand Avulsion Injury: A Case Report of a 39-Year-Old With Partial Soft Tissue Avulsion

“…Reattachment of the avulsed tissue back in place can be achieved with desirable outcomes if the mechanism of injury, composition of the avulsed tissue, the extent of damage to the underlying tissues, and dimensions of the avulsed tissue are assessed and feasible [3,5].…”

“…Successful replantation of avulsed digits, scalp, penile skin and even composite facial tissues has been reported. Skin graft harvesting from the avulsed flap has also been described; even composite flaps can be harvested from avulsed and amputated tissues that are not suitable for replantation but will need microsurgical transfer for their reattachment [3,5,[6][7][8][9][10]. However, these techniques will require a longer admission duration and overall care cost.…”

“…In managing hand injuries, following identifying the injured structures, the examiner must decide what immediate steps should be taken toward restoring full function. Reattachment of the avulsed tissue back in place can be achieved with desirable outcomes if the mechanism of injury, composition of the avulsed tissue, the extent of damage to the underlying tissues, and dimensions of the avulsed tissue are assessed and feasible [ 3 , 5 ].…”

“…Though such injuries can occur in any part of the body, extremities are more commonly involved. Avulsion amputations are a severe form of these injuries where usually the projecting body parts get accidentally trapped in rotating machine shafts, and the tissues, in turn, are avulsed and detached to a variable extent [ 5 ].…”

“…Hands play an important role in maintaining body image and sense of identity as well as serving as an organ of communication, among other things [1]. Hand injuries occur in the region of the upper limb distal to the wrist crease [1][2][3][4][5]. They are rarely life-threatening but carry the potential for serious handicaps with far-reaching consequences, as hand injuries are more common in the productive age group [2][3].…”