Clinical Intake — Partial traumatic metacarpophalangeal amputation of left hand

A 38-year-old male sustained traumatic loss of digits 2–5 of the left hand at the metacarpophalangeal level following an industrial press injury in November 2025, requiring emergent surgical debridement and partial ray resection at the initial treating facility. Over the subsequent five months he has experienced persistent, significant functional limitations including markedly reduced grip strength and fine motor control, precluding return to his prior occupation. A trial of a body-powered assistive device was completed but deemed inadequate — insufficient grip force and poor dexterity for work-related fine motor tasks prompted prosthetist recommendation for a more advanced solution. Electrodiagnostic evaluation confirmed adequate motor signal from four residual forearm muscle groups with a successful simulator trial; Dr. Ramanathan recommends further evaluation for advanced functional restoration options.