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Case Reports in Orthopedics
Volume 2011 (2011), Article ID 427823, 4 pages
Case Report

Occupational Traumatic Amputation of Distal Part of Thumb Caused by Constriction Effect of Nylon Rope: A Case Report with Review of Literature

1Department of Orthopaedics, Lady Hardinge Medical College, Delhi 110001, India
2Department of Orthopaedics, Sohar Hospital, Sohar 321, Oman
3Central Health Services, C1-160/161, 2nd Floor, Sector16, Rohini, Delhi 110089, India

Received 18 July 2011; Accepted 11 August 2011

Academic Editors: D. A. Fisher, M. Gotoh, A. H. Kivioja, and P. Lafforgue

Copyright © 2011 M. Kalra et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A 60-year-old farmer came to the accident and emergency department complaining of traumatic amputation of distal part of right thumb. On examination, there was a circumferential wound located at the base of right thumbnail with injury to both neurovascular bundles and fracture of distal part of distal phalanx with the distal part hanging by volar skin only. The wound was irrigated and the distal part terminalised with direct loose skin closure. Discussion with the patient about the scenario of trauma revealed a mechanism of injury which may appear unique.