Things that may raise the risk of this problem are:
- Jobs that require using dangerous machines
- Removing safety guards from machinery, such as power saws or wood chippers
- Short-cuts and poor technique while using machines
- Not shutting off power to a tool when using hands to work on it
- Operating machinery or vehicles under the influence of alcohol or drugs
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:
- Physical therapy to improve movement
- Occupational therapy to help with daily tasks and self care
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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a (Hand Trauma; Hand Injury)
Hand Care—American Society for Surgery of the Hand http://handcare.assh.org
OrthoInfo—American Academy of Orthopaedic Surgeons http://www.orthoinfo.org
Canadian Orthopaedic Foundation http://www.canorth.org
The Canadian Society of Plastic Surgeons http://www.plasticsurgery.ca
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.