Spin Safe: Investigations and Management of Hand Injuries due to Washing Machine

The aim is to analyze injuries sustained to the hand when using the washing machine. The mechanism and pattern of injuries were analyzed retrospectively. Fifty patients who presented with washing machine injuries between April 2022 and April 2023 were included in this study. Injuries occurred to the index finger in most of the cases and occurred while using the semi - automatic machine. All injuries occurred in a domestic setting. Crush injury with skin loss associated with proximal phalanx fracture and extensor tendon injury were seen. Management included fracture fixation and tendon repair. Primary suturing, flap coverage, or shortening and closure were performed as needed. Flexor tendon injury was observed in 4 cases for which primary repair was done. Four patients sustained blunt injuries with dislocation, which were managed with closed reduction. Complete amputation of the proximal phalanx occurred in one case, where replantation was attempted and successful. Washing machine injuries are rare but devastating injuries. Modern - day use of gadgets has seen an increase in such injuries. Due to the nature of the injury, it is difficult to give optimal results in most of the cases. Prevention of such injuries can be done by altering the make of the machine and educating the public to prevent such injuries.