Rahmani G, Martin-Smith J, Sullivan P
Department of Plastic and Reconstructive Surgery, Beaumont Hospital, Dublin, Ireland.
Ir Med J. 2017 Dec 18;110(10):658.
Accidental self-inflicted knife injuries to digits are a common cause of tendon and nerve injury requiring hand surgery. There has been an apparent increase in avocado related hand injuries. Classically, the patients hold the avocado in their non-dominant hand while using a knife to cut/peel the fruit with their dominant hand. The mechanism of injury is usually a stabbing injury to the non-dominant hand as the knife slips past the stone, through the soft avocado fruit. Despite their apparent increased incidence, we could not find any cases in the literature which describe the "avocado hand". We present a case of a 32-year-old woman who sustained a significant hand injury while preparing an avocado. She required exploration and repair of a digital nerve under regional anaesthesia and has since made a full recovery.
手指意外自伤性刀伤是需要进行手部手术的肌腱和神经损伤的常见原因。与牛油果相关的手部损伤明显增多。传统上，患者用非优势手握住牛油果，同时用优势手用刀切割/去皮。损伤机制通常是当刀滑过果核，穿过柔软的牛油果果肉时，非优势手被刺伤。尽管其发病率明显增加，但我们在文献中未发现任何描述“牛油果手”的病例。我们报告一例32岁女性在准备牛油果时手部严重受伤的病例。她在区域麻醉下需要探查并修复指神经，此后已完全康复。
