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Posted By John C
Is a fracture to a metacarpal in the hand considered a "major injury" under RIDDOR 95 or is this bone considered to be part of the finger?
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Posted By Peter MacDonald
Interesting one. Not sure but can I add that the answer "just report in anyway" should not be allowed.
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Posted By John C
"The metacarpals make up the "knuckles" of the hand. The base lies proximal and the head lies distal".
From the web link: Not sure that answers the question to the certaintly I would like. Am I missing something more?
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Posted By Paul Leadbetter
Surely only the phalanges are parts of the fingers; therefore, a fractured metacarpal is reportable.
Paul
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Posted By John C
This below statement is from Wikipedia:
"The third metacarpal bone (metacarpal bone of the middle finger) is a little smaller than the second".
This makes a specific reference to the bone being part of the finger.
http://en.wikipedia.org/wiki/Third_metacarpal_bone
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Posted By Paul Leadbetter
But, according to the online medical dictionary, a metacarpal is 'one of the five bones to each digit in the hand. Metacarpals articulate with the carpal bones in the wrist and the phalanges (finger bone)'.
Paul
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Posted By Robert Tailby
Remember that if it leads to 3 days inability to do the person's normal job, its reportable anyway.
My own view is that it is probably not a major injury.
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Posted By Pete48
It's a long while since I did any human physiology but I can remember that it would not be correct to call the metacarpal a finger bone.
The phalanges bones are the ones commonly called fingers. (comes from the Greek, about soldiers marching in columns or rows, remember the "let your fingers do the walking adverts"?)
3 bones for each finger and two for the thumb.
The metacarpals sit between the phalanges and carpal bones(the twist and rotate ones in what most of us would call the wrist.
Now, quite what the HSE meant when they wrote the guidance excluding fingers from major injury reports for RIDDOR?
I suspect this a major injury by their definitions. Makes an interesting ask of their helpline don't you think?
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Posted By Merlin
The reason for my reply and link is that last year we too had a young man with a broken Metacarpal hand injury when I rang this in they told me and pointed me to this page
It was not classified as a Major Injury under RIDDOR but if he has more the three days off work then report it in
Company doctor also said part of the finger but in the hand not in the finger as you look at the hand if that make sense he also said in some people the injury can affect their work, so time off work may be needed to recover
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Posted By safety medic
No, it's not part of the finger.
Just in the same way the toe is not part of the foot.
The hand is made up of the metacarpals and carpal bones. Fractures of the hand are reportable. Consider if you broke all 5 metacarpals. Still call them fingers?? Think not.
Report regardless of 3 days off or not.
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Posted By J Knight
My partner's a physio and in her anatomy texts the metacarpals are not prt of the fingers, they are part of the hand, they are not the knuckles as such, the articulation with the finger bone (phalanges) forms the knuckle. In the same way the metarsal bones form the body of the foot, and a fractured arch of the foot would be reportable. In fact if you define the metacarpals as a part of the fingers then there are no bones of the hand (see http://images.encarta.ms...s/illus/ilt/T051169A.gif) as the carpals are the articulated part of the wrist. RIDDOR excludes fingers and toes, not hands and feet, and I would report this,
John
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Posted By AlB
Yep - they are not part of the fingers and thus is reportable.
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Posted By Ghaam
Actually it depends on which which one. The 1st Metacaple is part of the thumb not part of the hand like the other 4 and schedule 1 does say other than fingers thumbs and toes.
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Posted By John C
This particular enquiry is not related to the 1st metacarpal, but that is an interesting point.
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Posted By Ali
Only the fingers / toes are specifically exempt from Riddor i.e the phalanges, so the answer is yes, the metacarpus (and carpus) are reportable - major injury, so better get on the phone !
Ali
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Posted By John C
I have contacted the HSE and received this response:
Thank you for your enquiry regarding reporting under RIDDOR.
A fracture to a metacarpal bone is considered a major injury and considered
to be part of the hand.
For further information or to make a report you may wish to contact the
Incident Contact Centre (ICC)
· By phone: 0845 300 99 23 (local rate)
· Online: HSE RIDDOR - Report online
· By email: riddor@natbrit.com
· By Post: Incident Contact Centre, Caerphilly Business Park,
Caerphilly CF83 3GG.
I hope this helps, but if you require further assistance, please do not
hesitate to contact this address again or telephone HSE Infoline on 08453
450055.
Yours sincerely
Matthew
HSE Infoline
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