Self-mutilation of Fingers Following Median Nerve Injury: Case Reports and Literature Review

Abstract

Self-mutilation of fingers following nerve injuries is extremely rare, but it can lead to serious complications, including amputation if not treated timely. We report here what we believe to be the first English language reports of self-mutilation of fingers following median nerve injury caused by a supracondylar humeral fracture.

The Musculoskeletal Care of Children Who Self-Harm

“…Table II, most self-mutilating behaviors that are observed in this age group result from nerve injury and most often present as biting of the hands and fingers 32,33,67,68 . Advanced imaging, referral to genetics or neurology departments, and careful history-taking for nerve injury or lack of sensation in the limb are indicated in the literature that discusses these presentations in patients of younger ages 31 .…”

“…In this review of the literature, stereotypic behavior at a younger age based on case reports may more typically indicate central and/or peripheral nerve disorders or genetic anomalies such as Lesch-Nyhan syndrome, central or peripheral tumors causing paralysis, or cognitive disorders such as autism or Rett syndrome. As seen in Table II, most self-mutilating behaviors that are observed in this age group result from nerve injury and most often present as biting of the hands and fingers 32,33,67,68 . Advanced imaging, referral to genetics or neurology departments, and careful history-taking for nerve injury or lack of sensation in the limb are indicated in the literature that discusses these presentations in patients of younger ages 31 .…”