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Article
May 1, 1926

SEVERE LACERATION OF HAND WITH TRAUMATIC AMPUTATION OF TWO FINGERS

JAMA. 1926;86(18):1345-1347. doi:10.1001/jama.1926.26720440001009a
Abstract

History.  —A boy, aged 8 years, was run over by a truck, June 29, 1923. Shortly after, on admission to the hospital, he was seen by two able surgeons, who happened to be in the institution, and who advised an amputation of the hand above the wrist. I mention this fact, not in disparagement of these men, but merely to give an idea of the severity of the trauma. I did not see the hand until the boy was under narcosis and ready for operation, two hours after the injury. My decision as to procedure was therefore immediately made.

Preoperative Findings.  —The metacarpal bones of the ring and small finger of the right hand were broken, together with their attachments of muscles and nerves. The skin of the palm of the hand, together with the underlying palmar fascia, was torn off the hand, and these and the two traumatically amputated

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