MULTIPLE FINGER AMPUTATIONS

MULTIPLE FINGER AMPUTATIONS

Multiple finger amputations refer to the loss of two or more fingers from a hand, either as a result of trauma or surgical intervention. This can have a significant impact on hand function and quality of life.

Types 

Some common types of procedures involved in the treatment of multiple finger amputations include:

• Replantation surgery, which involves reattaching the severed fingers to the hand
• Prosthetic fitting, which involves the use of custom-made devices to replace the missing fingers
• Hand therapy and rehabilitation, which focuses on improving hand function and range of motion
• Psychological counseling and support, to help cope with the emotional impact of the amputations

Causes

The causes of multiple finger amputations can vary, but some common causes include:

• Trauma, such as crush injuries or lacerations
• Work-related accidents, such as machinery accidents or falls
• Medical conditions, such as frostbite or cancer
• Surgical interventions, such as amputation to treat a severe infection or injury

Symptoms

The symptoms of multiple finger amputations can include:

• Pain at the amputation site
• Difficulty performing daily activities, such as gripping or holding objects
• Emotional distress or depression related to the loss of fingers

Diagnosis

Diagnosis of multiple finger amputations typically involves a physical examination and imaging studies, such as X-rays or MRI, to assess the extent and severity of the amputations. In cases of traumatic amputation, emergency care may be required to stabilize the patient and prevent further injury.

(a) The ratings for multiple finger amputations apply to amputations at the proximal interphalangeal joints or through proximal phalanges.

(b) Amputation through long phalanges will be rated as prescribed for unfavorable ankylosis of the fingers.

(c) Amputations at distal joints, or through distal phalanges, other than negligible losses, will be rated as prescribed for favorable ankylosis of the fingers.

(d) Amputation or resection of metacarpal bones (more than one-half the bone lost) in multiple fingers injuries will require a rating of 10 percent added to (not combined with) the ratings, multiple finger amputations, subject to the amputation rule applied to the forearm.

(e) Combinations of finger amputations at various levels, or finger amputations with ankylosis or limitation of motion of the fingers will be rated on the basis of the grade of disability; i.e., amputation, unfavorable ankylosis, most representative of the levels or combinations. With an even number of fingers involved, and adjacent grades of disability, select the higher of the two grades.

(f) Loss of use of the hand will be held to exist when no effective function remains other than that which would be equally well served by an amputation stump with a suitable prosthetic appliance.