Button-related finger injuries in textile workers: the hidden danger of the industry

Objective: This study aimed to evaluate button-related injuries, which are increasingly common in the textile and apparel manufacturing sector, to contribute to diagnosis and treatment and to raise awareness among employers and workers.

Methods: This retrospective study included 23 patients with button-related injuries. The study evaluated patient demographics, the department they presented to, the level of hand injury, accompanying pathologies (osseous, neurological, vascular, and tendinous injuries), tetanus immunization status, occupational health and safety training status, awareness of workplace physicians, prior awareness of such injuries, history of occupational accidents, and long-term outcomes. Statistical analyses were performed using SPSS v21. Descriptive data were summarized as frequency (%) or mean ± SD, and the Shapiro–Wilk test was used to assess normality.

Results: Among the 23 patients (14 males, 9 females), 16 sustained injuries to the distal phalanx and pulp level, while 7 had injuries at the middle phalanx level. At presentation, 4 patients exhibited hypoesthesia on the a!ected side of the finger, and 9 patients had reduced blood flow. Two patients had accompanying phalanx fractures. No tendinous pathologies were observed in any of the patients. All patients underwent surgical intervention. Seven patients developed nail deformities in the follow-up.

Conclusion: Timely intervention and appropriate treatment after an injury are crucial for limb salvage and functionality. In long-term follow-ups, most patients healed without major complications; however, some the patients developed nail deformities.

Level of Evidence: Level IV, Therapeutic Study.

Cite this article as: Sakçi M!, Karahan M. Button-related finger injuries in textile workers: the hidden danger of the industry. Acta Orthop Traumatol Turc., 2025;59(5):299-304.