A farmer may suffer mutilating injuries to the fingers if a hand gets caught in a mechanical corn-picker. Gorsche and Wood graded the functional outcome following surgical repair. The authors are from the Mayo Clinic.
Factors affecting outcome:
(1) number of fingers remaining
(2) sensation in skin covering the areas of amputation
Parameters:
(1) function in hand with or without assistance from the other upper limb
(2) grasp and pinch
Function in Hand
Grasp and Pinch
Outcome
independent of other upper limb
present
good
in conjunction with other upper limb
absent
fair
nothing useful
absent
poor
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