Crush Degloving of Palm & Dorsum of Hand

Crush-degloving injury of palm & dorsum of hand

G.C. is a 57-year-old right-handed gentleman who caught his right hand in a printing press in August 2013 sustaining extensive crush-degloving injuries involving almost the entire palm and dorsum of his right hand, second degree burns to the forearm, open fracture of the middle phalanx of the right middle finger and near complete amputation of the right ring finger.

GC underwent extensive debridement, decompressive fasciotomies of the carpal tunnel, Guyon’s canal, the intrinsic muscles, the first web space for impending neurovascular compromise, open reduction and internal fixation of the open fractures of the middle and ring fingers and various soft tissue flap coverage procedures. Subsequently, the patient had several soft tissue coverage procedures, full-thickness skin grafting and intraoperative manipulation of the joints under anesthesia.

  • Date: November 5, 2013