Finger laceration from glass?
Hello, I recently suffered a cut on the first phalanx of my finger from glass while working at a glass factory.
It looked somewhat deep to the naked eye, but it stopped bleeding quickly, and I didn't go to see a doctor.
Now, about half a month has passed, and the surface of the wound has healed, but the healed area feels a bit like dead tissue.
When I press on the wound, I experience a sensation similar to an electric shock that travels to my fingertip, and the flesh around the wound feels slightly numb.
I would like to know if I still need to go to the hospital for an examination, or if it will heal over time.
I'm also concerned about the possibility of glass fragments remaining inside.
Thank you for your response!
Mr. Chen, 20~29 year old female. Ask Date: 2018/11/04
Dr. Li Zhonghuai reply Surgery
Hello! I would like to ask if it is still necessary to go to the hospital for an examination, or will it heal on its own with time? I am unsure if there are any glass fragments remaining inside.
If there are symptoms, it is advisable to perform debridement around the wound, as sometimes glass fragments can be trapped inside.
Take care! Changhua Hospital cares about you!
Reply Date: 2018/11/04
More Info
When dealing with a deep cut on your finger, especially one caused by glass, it is crucial to assess the situation carefully to determine whether medical attention is necessary. Based on your description, it sounds like you sustained a significant injury that initially stopped bleeding and has since healed superficially. However, the sensations you are experiencing—such as a "dead" feeling in the area, tingling or electric-like sensations when pressing on the wound, and a slight numbness—are concerning and warrant further evaluation.
Firstly, it is essential to understand that even if the surface of the wound appears healed, deeper tissues may still be affected. The symptoms you describe could indicate nerve involvement or potential complications from the injury. The tingling sensation you experience could be a sign of nerve irritation or damage, which can occur with deep cuts. Additionally, the feeling of "dead" tissue might suggest that there is necrotic (dead) tissue present or that the area is not healing properly.
Another critical factor to consider is the possibility of foreign material, such as glass shards, remaining in the wound. Even if the initial bleeding stopped and the surface healed, small fragments of glass can sometimes be left behind, leading to chronic pain, inflammation, or infection. This is particularly relevant given that you work in a glass factory, where exposure to such materials is more likely.
Given these considerations, it is advisable to seek medical attention. A healthcare professional can perform a thorough examination, which may include imaging studies such as an X-ray or ultrasound, to check for any retained foreign bodies. While X-rays are excellent for detecting larger pieces of glass, smaller fragments may not be visible, so a physical examination is also crucial.
If there is any suspicion of nerve damage or if the symptoms persist, a referral to a specialist, such as a hand surgeon or orthopedic surgeon, may be necessary. They can provide a more detailed assessment and recommend appropriate treatment options, which may include surgical intervention if foreign material is found or if there is significant nerve damage.
In summary, while your wound may appear to have healed on the surface, the symptoms you are experiencing suggest that there may be underlying issues that need to be addressed. It is better to err on the side of caution and consult a doctor to ensure that your finger heals properly and to prevent any long-term complications. Early intervention can often lead to better outcomes, so seeking medical advice sooner rather than later is recommended.
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