54 years old man presented to emergency with history of crush injury of hand in fodder cutting machine. All the fingers excluding thumb were amputated just few centimeters from base of the fingers [ All the amputations were proximal to proximal interphalangeal joint].

Multiple lacertated wounds over the dorsum of the hand also indicate towards hand being crushed.

Note

In rural areas it is very common to use fodder cutting machines which are driven by motor but need ot be fed manually. A dangerous combination because once the hand gets caught in the machine everything happens very fast. The arm gets sucked in and before person could call for help the trauma would have already occurred.

I have seen people with amputated forearms arms because nobody was around to stop the motor when their limbs were being chopped.

A purely manual machine in contrast is much safer. Because you need person to run it and it is slow as compared to motor driven, the danger is much less.

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