Handcuff Injuries: Simple Steps to Mitigate Liability

Handcuff neuropathy is an injury due to over tightening of handcuffs that can occur to a subject in police custody. The superficial radial nerve is most often injured due to compression,  which can be severe and permanent. This nerve is most susceptible to injury at the wrist.  Less common, though they still can occur, are medial and ulnar neuropathies. Nerve damage due to handcuffing injuries have resulted in millions of dollars in punitive damages being awarded to defendants. Though it is not an everyday occurrence, Officers should always keep in mind some easy to recall steps when applying handcuffs.

  •  Check For Tightness. Once restraints are applied, check for tightness. You do this by being able to insert a fingertip between the subject’s  wrist and the handcuff. This applies to any type of restraint being used, whether they are chain, hinge, rigid or tri-fold disposable.
  •  Always double lock. This is often the most overlooked part of the handcuff procedure and is a crucial step that cannot be skipped. Activation of the double lock completes the restraint application process. This is important during the transport phase of an arrest.  The double lock prevents the bow from being over tightened and provides protection from handcuffs being shimmed open. 
  • Transport Safety-Once a subject is put into the back seat, if the handcuffs are not double locked, the bow will tighten when they are seated. Care should be taken when placing a person in a position that could cause the restraint to impinge on the wrist in a manner that could cause injury.
  • Monitor the subject Research has found that many people with handcuff neuropathies are intoxicated at the time of arrest.  An intoxicated arrestee warrants extra caution. You may put the handcuffs on them, but due to alcohol induced anesthesia an arrestee may not complain, or even feel any discomfort. Periodic monitoring of the subject’s hands and wrists can avoid nerve or soft tissue damage. Stay vigilant even during the most mundane arrests. 

 Over Tightening of  handcuffs can still occur, especially when the subject is not compliant. This is where having high quality gear comes into play. ASP handcuffs offer a feature of radiused edges. This means there are no sharp edges on the handcuffs. This provides a safer handcuff that is less likely to cause nerve damage.  If an ASP handcuff is applied too tight, it may be loosened by inserting the key, and releasing the lock. The bow will open to a less constrictive position.This feature is known as “Loosen and Lock”.  Then check for tightness and use the key to apply the double lock. It is not necessary to remove the key or to fully undo the handcuff itself. This feature not only is good for the bad guy, but is a major Officer safety element that is worth its weight in gold.

ASP also has an Ultra Plus cuff that has a keyless double lock, which is a push button on the back of the frame that activates the double lock. This handcuff simplifies the restraint process.  Arming yourself with knowledge, high quality gear and ongoing training can keep you and those in your custody safe. 

Visit asp-usa.com for the top Law Enforcement equipment produced.

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