Püschel K, Hildebrand E, Hitzer K, al-Hashimy S
Institut für Rechtsmedizin der Universität Hamburg.
Unfallchirurgie. 1998 Apr;24(2):75-80. doi: 10.1007/BF02044357.
The case of a self-amputation of the left-sided forefinger is presented. It was an isolated smooth amputation near the basic ankle of the finger without any accompanying injury of other fingers. The victim (a physician) claimed financial compensation from his accident-insurance; his contract included special disability taxes for finger injuries. However, the insurance company did not pay but was able to demonstrate--by means of a medico-legal reconstructive expertise--that the amputation was voluntary and self-inflicted. The argumentation concerning self-mutilation is presented (including the so-called execution-position of the finger and ergonometric aspects). Concerning the surgical care, intervention and diagnostic procedures a detailed documentation of the case history and the morphology of the injury pattern are recommended (especially in isolated finger-amputations of the non-working hand.
本文介绍了一例左手食指自断的病例。这是一次孤立的、发生在手指近基节处的整齐断离，无其他手指伴随损伤。受害者（一名医生）向其意外保险公司索赔经济补偿；他的保险合同包含针对手指损伤的特殊残疾税。然而，保险公司未予赔付，并通过法医学重建专业鉴定证明此次断指是自愿且自我造成的。文中展示了关于自残行为的论证（包括所谓的手指姿势及工效学方面）。关于手术护理、干预措施及诊断程序，建议详细记录病史及损伤形态（尤其是非惯用手的孤立手指断离情况）。
