A report published in this month's Irish Medical Journal aims to raise awareness of so-called 'Avocado hand'. 

It relates to the accidental self-inflicted knife injury inflicted while using a sharp knife to cut or peel the fruit.

In recent years, the popularity of the fruit has increased significantly in Ireland, which has led to an increase in avocado-related hand injuries presenting in accident and emergency departments.

Classically, the patients hold the avocado in their non-dominant hand while using a knife to cut or peel the fruit with their dominant hand. 

The mechanism of injury is usually a stabbing injury to the non-dominant hand as the knife slips past the stone, through the soft avocado fruit. 

These stabbing injuries have the potential to cause significant neurovascular, tendinous and/or bone injuries, often requiring exploration under regional or general anesthetic.

A recent article published in The Times of London featured Dr Simon Eccles, Secretary of the British Association of Plastic and Reconstructive Surgery. 

In the report, Dr Eccles said he treats four people a week with avocado-related hand injures.

He has called for safety labels to be put on avocados to warn the public of the potential dangers of mishandling them. 

The authors of the report in the latest edition of the Irish Medical Journal detail a case of a 32-year-old woman who sustained a significant hand injury while preparing an avocado.  

The patient in this case required exploration and repair of a digital nerve under local anesthetic and has since made a full recovery. 

So, how do you cut and de-stone an avocado without causing any serious injury?

Place the fruit on a flat surface and with one hand on top holding the fruit firmly in place, gently make an incision around the stone with a sharp knife and then rotate the two halves apart.

Then, wrap the half with the stone in it in a tea towel and taking the sharp knife, hack into the stone with the knife like an axe.

Hold the avocado tightly and twist the knife in a turning motion and this should release the stone.