{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T22:43:13Z","timestamp":1769553793042,"version":"3.49.0"},"reference-count":9,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,4,30]]},"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:p>A 38-year-old right-hand dominant man sustained a severe, work-related left-hand crushing injury. A multi-staged approach to salvage was employed in conjunction with aggressive hand therapy involvement for a successful, functional outcome. Now at approximately 5\u2009years postinjury, the patient can perform daily activities, coaches sports and has returned to and maintained his full-time work position. Mangled, severe hand crush injuries warrant immediate treatment to debride non-salvageable tissues, stabilise and revascularise the hand in an effort to maximise reconstructive potential and functional capacity. It is critical to recognise that these cases require multiple stages of operative reconstruction with direct and ongoing involvement of hand therapy and pending degree of injury, rehabilitation often lasting months to years.<\/jats:p>","DOI":"10.1136\/bcr-2021-248429","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T07:40:58Z","timestamp":1653291658000},"page":"e248429","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Multi-staged management of a mangled, exploded hand crush injury with long-term outcome: the critical link between surgery and therapy"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1757-8410","authenticated-orcid":false,"given":"Spencer R","family":"Anderson","sequence":"first","affiliation":[{"name":"Plastic and Reconstructive Surgery, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob A","family":"Vincent","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunishka M","family":"Wimalawansa","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,5,20]]},"reference":[{"key":"2025082712085818000_15.5.e248429.1","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.hcl.2017.09.002","article-title":"\"Damage Control\" Hand Surgery: Evaluation and Emergency Management of the Mangled Hand","volume":"34","author":"Tosti","year":"2018","journal-title":"Hand Clin"},{"key":"2025082712085818000_15.5.e248429.2","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/j.cps.2016.11.002","article-title":"Severe crush injury to the forearm and hand: the role of microsurgery","volume":"44","author":"Del Pi\u00f1al","year":"2017","journal-title":"Clin Plast Surg"},{"key":"2025082712085818000_15.5.e248429.3","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1016\/j.cps.2020.06.003","article-title":"An Update on the Management of Severe Crush Injury to the Forearm and Hand","volume":"47","author":"Del Pi\u00f1al","year":"2020","journal-title":"Clin Plast Surg"},{"key":"2025082712085818000_15.5.e248429.4","doi-asserted-by":"publisher","DOI":"10.1177\/1753193412468577"},{"key":"2025082712085818000_15.5.e248429.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2006.04.007"},{"key":"2025082712085818000_15.5.e248429.6","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1097\/PRS.0000000000001879","article-title":"Hand trauma care in the United States: a literature review","volume":"137","author":"Maroukis","year":"2016","journal-title":"Plast Reconstr Surg"},{"key":"2025082712085818000_15.5.e248429.7","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/j.jhsa.2017.03.028","article-title":"Crush injuries of the hand","volume":"42","author":"Goodman","year":"2017","journal-title":"J Hand Surg Am"},{"key":"2025082712085818000_15.5.e248429.8","first-page":"155894472110068","article-title":"Effects of Injury Pattern and Treatment on Case Length and Disposition for Hand Injuries Treated Under a Workers\u2019 Compensation Claim","volume":"47","author":"Gray","year":"2021","journal-title":"HAND"},{"key":"2025082712085818000_15.5.e248429.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2013.10.001"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-248429","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:09:05Z","timestamp":1756321745000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-248429"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5]]},"references-count":9,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2022,5,20]]},"published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1136\/bcr-2021-248429"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-248429","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5]]}}}