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Journal of Bone and Joint Surgery, 1968;50:1161-1170.
© 1968 by The Journal of Bone and Joint Surgery, Inc

Card Injury of the Hand: Its Characteristics and Treatment

J. ROY SMITH PH.D., M.D.1 and JORGE ASTURIAS M.D.2

1 33 Oak Avenue, Worcester, Massachusetts 01605
2 Memorial Hospital, Belmont Avenue, Worcester, Massachusetts 01605

One type of hand injury produced by wool-carding machines is described. The wound is confined to one surface of the hand and is produced by the rotating needled drum which inflicts deep striated avulsion and loss of tissues without significant crushing, thermal damage, or fracture. Treatment of nine such injuries, seven acute and two old, is described. Emphasis is placed on prompt primary coverage of the acute wound using filleted fingers as flaps in the severe injuries. Local soft tissues, in the absence of crushing and thermal damage, can be used as flaps as well as free grafts for the superficial wounds. The results of treatment are considered in terms of the duration of disability, the nature of functional restoration, and the return to gainful employment.


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