Rolling belt injuries in children

J Hand Surg Br. 1994 Oct;19(5):601-3. doi: 10.1016/0266-7681(94)90124-4.


The rolling belts on agricultural machinery attract children who unconsciously grab them. The injuries produced include friction burns, injuries to flexor tendons, digital nerves and arteries, skin in zone 2 and fractures. Subtotal or total amputation may occur. We present the results of such injuries to 44 fingers in 16 children aged 1 to 9. The functional results are not satisfactory. In order to grade the results we have devised a classification to this injury. The survival rate for all fingers was 71%, but in the fingers with circulatory problems the survival rate was 50%. On functional assessment seven patients had a good result, seven moderate, and two fair.

Publication types

  • Clinical Trial

MeSH terms

  • Accidents*
  • Agriculture / instrumentation*
  • Amputation Stumps*
  • Amputation, Traumatic / etiology
  • Amputation, Traumatic / physiopathology
  • Amputation, Traumatic / surgery*
  • Child
  • Child, Preschool
  • Female
  • Finger Injuries / etiology
  • Finger Injuries / physiopathology
  • Finger Injuries / surgery*
  • Fingers / blood supply
  • Fingers / surgery
  • Humans
  • Infant
  • Male
  • Regional Blood Flow
  • Replantation*
  • Skin Transplantation
  • Treatment Outcome