Mutilating Hand Injuries
(Hand Trauma; Hand Injury)
by Patricia Griffin Kellicker, BSN
A mutilating hand injury is severe damage to the hand. It will make it hard or impossible to use the hand. The injury may include damage to bones, tendons, soft tissues, nerves, and skin. It can become a life-threatening condition.
If you have this type of injury, call for medical help right away. Immediate care may result in a better repair. It can also decrease the chance of further damage. Serious infections and long term disability can develop without care.
Mutilating hand injuries can be caused by a variety of factors, including:
Risk Factors TOP
Factors that may increase your chance of injury include:
Injury to the hand is often obvious. Common symptoms include:
The doctor will quickly assess the injury. The wound will be checked. Nerves and tendons of the hand will be tested.
Image tests will show more detail of the damage. They can show damage to the bones, nerves, tendons, and skin. Tests may include:
Anesthesia may be given. It will block pain so that the doctor can examine the wound more closely.
Immediate care will stop any bleeding. An IV will be started to give fluids and pain medicine. A hand specialist may be needed. Other steps may include:
Bacteria on the skin can enter the body through damaged skin. This can lead to a serious infection called tetanus. If you have not had a recent tetanus vaccination, you may be given one. It will help your body find and attack the bacteria.
Medicine may help in the following ways:
Wound Irrigation TOP
The wound will be flushed out with water. It will help to remove any debris that may be trapped in the wounds. This will help to prevent infection.
Hand Surgery TOP
Immediate surgery may be needed. Less severe injury will be dressed and splinted. A surgical plan can be made later.
The goal of surgery is to repair as much damage as possible. It may be able to save some function in the hand. Several surgeries are often needed for this type of injury.
Rehab can help to regain movement in the hand. It can also help to make changes if there are some limits to hand movement. Rehab may include:
To help reduce your chance of a hand injury:
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/. Updated July 2016. Accessed January 7, 2019.
Kamrani RS, Mehrpour SR, Aghamirsalim MR. High-pressure plastic injection injury of the hand: case report. Occup Med (Lond). 2011;61(7):518-520.
Mallet finger. EBSCO DynaMed Plus website. Available at: http://www.dynamed.... Updated June 5, 2017. Accessed Accessed January 7, 2019.
Neumeister MW, Brown RE. Mutilating hand injuries: principles and management. Hand Clinics. 2003;19(1):1-15.
Snowblower and lawnmower injuries. American Society for Surgery of the Hand Hand Care website. Available at:
...(Click grey area to select URL)
Accessed January 7, 2019.
4/25/2014 DynaMed Plus Systematic Literature Surveillance. http://www.dynamed.com: Bruno MA, Weissman BN, Kransdorf MJ, et al. American College of Radiology (ACR) Appropriateness Criteria for acute hand and wrist trauma. Available at:
...(Click grey area to select URL)
Updated 2013. Accessed April 25, 2014.
Last reviewed January 2019 by EBSCO Medical Review Board Monica Zangwill, MD, MPH
Last Updated: 1/8/2019
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