Crush injuries of the finger, hand, wrist, and upper limb: Causes, symptoms, treatment, and recovery
Understanding crush injuries
Crush injuries occur when a body part, in this case, the finger, hand, wrist, or upper limb, is subjected to a force or pressure beyond its capacity to withstand. This can damage the skin, muscles, blood vessels, nerves, and bones, leading to significant impairment.
Causes of crush injuries
Crush injuries can happen in various situations, including:
Industrial accidents: Workers in manufacturing, construction, or other industries that involve heavy machinery and equipment are at risk.
Motor vehicle accidents: Collisions, rollovers, or entrapment in a vehicle can lead to crush injuries.
Falls: Falling from heights or onto a limb can cause crushing trauma.
Sporting accidents: Sports-related injuries, especially in contact sports or rock climbing, can result in crush injuries.
Symptoms of Crush Injuries
The symptoms of a crush injury in the finger, hand, wrist, or upper limb can vary in severity but often include:
Pain: Severe pain at the site of the injury.
Swelling: Swelling and bruising are often extensive.
Deformity: Visible deformity or misalignment of the affected limb.
Numbness or tingling: Loss of sensation or a tingling sensation in the injured area, indicating possible nerve damage.
Weakness: Reduced strength and function in the affected limb.
Treatment for crush injuries
The treatment for crush injuries depends on their severity and can include:
Consult with an expert: An Accredited Hand Therapist is a physiotherapist or occupational therapist with expertise in the finger, hand, wrist, elbow, and shoulder.
Stabilisation: Immobilising the injured limb with an othosis or cast to prevent further damage.
Elevation: Keeping the injured limb elevated to reduce swelling.
Pain medication: Over-the-counter or prescribed pain relievers to manage pain and inflammation.
Surgery: In severe cases with extensive damage, surgical intervention may be necessary to repair and reconstruct the affected tissues.
Exercise: Engaging in rehabilitation exercises and range-of-motion activities prescribed by an Accredited Hand Therapist to improve strength and mobility.
Nerve repair: If there is nerve damage, surgical repair may be required.
Recovery and rehabilitation
Recovery from crush injuries can be a challenging and lengthy process. Here are essential points to consider during the recovery:
Follow advice: Adhere to the treatment plan recommended by an Accredited Hand Therapist or surgeon.
Rehabilitation exercises: Engage in prescribed exercises to regain strength, flexibility, and function.
Wound care: Proper wound care and dressing changes are crucial to prevent infection and promote healing.
Emotional support: Seek support from friends, family, or mental health professionals if you are experiencing emotional distress.
Patience: Recovery from a crush injury can take time. Be patient and allow the affected tissues to heal properly.
Find a local Accredited Hand Therapist
Patients can find a local Accredited Hand Therapist on our website using the link below.