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Hand Injury: tic tac toe classification
Mutilating hand injuries may be classified by this scheme of Orientation,
Wound type and Zone of injury:
| Orientation |
|
Wound Subtype |
| I |
Dorsal |
A |
Soft Tissue Loss |
| II |
Palmar |
B |
Bony Loss |
| III |
Ulnar |
C |
Combined Tissue Loss |
| IV |
Radial |
1 |
Vascularized |
| V |
Transverse |
2 |
Devascularized |
| VI |
Degloving |
| VII |
Combined |
Zone of Injury
| Zone |
Radial |
Central |
Ulnar |
| Distal |
I
Thumb P1, P2 |
II
Index, Middle P1, P2, P3 |
III
Ring, Small P1, P2, P3 |
| Central |
IV
Thumb Metacarpal |
V
Index, Middle Metacarpal |
VI
Ring, Small Metacarpal |
| Proximal |
VII
Scaphoid, Trapezium, Trapezoid |
VIII
Capitate, Lunate |
IX
Hamate, Triquetrum, Pisiform |
Classification Home Page
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