Friday, September 03, 2010

Hand


Interesting, no? I saw this patient recently for "phantom limb pain", a bit of a misnomer in this case as the "phantom limb" here is where the ring finger used to be. This patient had a pneumatic drill injury to his ring finger, and even though the finger was viable from a neurovascular standpoint, the surgeon could not repair the bones and tendons well enough to make it anything other than a nuisance. Above you see the result of the surgery which removed the useless finger and created a functional hand. For his part, aside from having some phantom pain, the patient is quite happy with the result. He says he only rarely notices the absence of the finger.

15 comments:

  1. Looks like this guy is a HORNED FROG fan! I love him!

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  2. Many cartoon characters have only four fingers ... I guess it is easier to draw acceptable looking hands that way! The Hamburger Helper hand only has four fingers as well.

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  3. i know drackman is lurking with this comment so i'll just beat him to it... for a dude, it's all good as long as you can still snap the old bean. right frank?

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  4. Why didn't the surgeon fashion some webbing? He would have been greased lightning in the side stroke.

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  5. I know a pt w/ chronic testicular pain, no testicle. He is a chronic pain pt. Is it possible to have phantom testicular pain? What do you think?

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  6. Always one for alliteration, would this not be better termed: Phantom Phalangeal Pain (probably palliated by permanent Percocet perscriptions)?

    As to OF's comment, if I lost my two middle fingers and was forced to make the "hook 'em" sign in perpetuity, I would have to chew off one of the two remaining fingers!

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  7. i've got phantom testicular pain just thinking about it.

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  8. I suppose I could look it up but any specific treatments for phantom pain that differ from typical pain management?

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  9. Was gonna save this for my own Pulitzer/Emmy/Oscar/Nobel prize winning Blog but I'll give y'all a Freebie
    When I was a kid used to get my hair cut by this One Armed Barber...and not at "Fantastic Sams" or some Homo Unisex "Salon" thats turned our young men into sniveling emo eunuchs.. I got my Flattops at the Air Force Base Barber Shop sittin next to guys who dropped Napalm on Gooks and laughed about it...
    You'd read real MEN's Magazines like "Argosy" or "Field & Stream" and take a number just like you were in friggin Russia, unless you were an Officer's kid, then you went to the front of the line...
    And the guy had a Friggin HOOK!!!!!! just like in Peter Pan, which ironically, wasn't as creepy as his other hand that he'd use to needlessly massage Vitalis into your neck...
    And there was that uncomfortable time my dad said "Nice Haircut "Lefty" , and my Dad was talkn to ME, but the barber thought he was talkin to HIM, and the hook was on his Left arm, so it wasn't even accurate, and it was the one time my Dad didn't ask for change back for my 75 cent haircut...
    We moved not to long after that...

    Frank

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  10. I tell you what, if I had a prosthetic hand, I'd get all kinds of useful attachments for it. One with a letter opener and scissors, one with a back scratcher, one with a can opener ...

    Does Leatherman make prosthetic limbs?

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  11. dear peggyU,
    i think you get credit for the first million dollar idea on the blog. leatherman prosthetics... somebody give me an amen.

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  12. Go go, gadget...blender...

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  13. The batteries might make it cumbersome, butt it wouldn't get stuck so easily.

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  14. Swiss Army Knife prosthetic?

    You think the Nevada Department of Corrections would let OJ do the infomercials?

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  15. @Anonymous 5:53p

    There are brilliant therapies for phantom limb pain that involve rewiring the brain through exercises done with mirrors.

    (I don't see how this would work with phantom testicular pain, though.)

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