Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Hand Injuries”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 199 records · Page 11Linked to original sources
PubMedDate not supplied

Tendinous cutaneous dorsal hand injuries. One-stage reconstruction.

The reconstruction of complex cutaneous tendinous dorsal hand injuries represents a problem that is not easy to solve. The transferral in a single surgical stage, with a single flap, of skin, tendons, and nerves, all completely vascularized, is probably the ideal solution. Between 1988 and 1999 the one-stage reconstruction method was used in 13 patients. A cutaneous tendinous dorsalis pedis free flap was used in 7 cases, and a cutaneous tendinous radial forearm island flap with an inverted flow was used in 6. The dorsalis pedis flap allows for the inclusion of 4 tendons that are completely vascularized (extensor digitorum communis), while the radial flap allows us to completely insert a single tendon (palmaris brevis) and two vascularized tendinous strips taken from the flexor carpi radialis and from the brachioradialis. All of the flaps transferred survived perfectly with good functional recovery. One-stage reconstruction that is "completely vascularized" allows us to reduce the amount of time spent in hospital, the number of operations, and above all it provides cosmetic and functional results that are close to normal. The dorsalis pedis flap is indicated in cases of cutaneous tendinous dorsal hand injuries that require the simultaneous reconstruction of three or four extensor tendons. On the other hand, the radial flap may be used in situations where it is necessary to reconstruct only 1 or 2 tendons.

Adolescent↗
PubMed2000

[Integrated rehabilitation of patients with hand injuries--a model of cooperation between acute and rehabilitation clinics].

Close cooperation between acute and rehabilitation clinics are an exception even today. Although operative reconstruction may have been successful, hand injuries will have poor functional results if rehabilitation is insufficient. With the establishment of multi-disciplinary intensive rehabilitation of patients with complex hand injuries under inpatient conditions, a close cooperation of the Clinic of Plastic and Hand Surgery, Klinikum Wuppertal, and the Orthopaedic Clinic, Rhein-Sieg-Klinik Nümbrecht, was created. A good functional outcome of the injured hands with a low percentage of remaining invalidity and an early return to work of the affected patients are the dominant aims of this rehabilitation model. When the initial and reconstructive treatment is finished in the Clinic of Plastic and Hand Surgery, inpatient rehabilitation by an experienced rehabilitation team starts immediately. Clinical control of all patients with complex hand injuries is performed in a weekly consultation hour by the hand surgeons and the rehabilitation team. Weekly reports guarantee close and timely documentation of the clinical course. After the end of inpatient rehabilitation, patients return to work, take part in vocational rehabilitation or, if necessary, continue with ambulant treatment organized and controlled by the acute clinic.

Employment↗
PubMed1999

[Occupational hand injuries. A population-based description of the incidence and referral to casualty departments].

The overall incidence of self-reported occupational hand injuries in a Danish population was estimated to 4.7%, with the highest incidence among the youngest, men and employees in the production and building industries. The life-time risk were 93% for men and 73% for women. Age and gender were found to be independent risk factors for the occupational hand injuries. The proportion treated in the casualty department was 0.28, for injuries with disability and time off work the proportions were 0.46 and 0.69 respectively. No age, gender or occupation specific selection for attending the hospital was found. Prevention-trials against hand injuries should therefore have a high priority, and it is recommended that hospital data files are used increasingly in future prevention programs.

Accidents, Occupational↗
PubMed2006

Frozen-food-related hand injuries.

Attempting to separate frozen food with a knife can result in serious injury to the hand. This injury is prevalent and is a common reason for referral to hand surgeons. Ten cases were reviewed over a 3-month period; the causative frozen food varied widely. Seven of the 10 patients required surgical exploration, and of these 7 patients, 3 were found to have significant injury. The injuries varied from digital nerve injuries to damaged flexor tendons. The other 4 patients were all found to have only soft tissue damage.

Adolescent↗
PubMed1994

The incidence of hospital-treated occupational hand injuries.

Previous studies have shown that young men have the highest frequency of occupational hand injuries. This study investigated their incidence and severity in relation to age and sex. For occupational hand injuries in general the estimated incidence rate was 17.1 per 1,000 person years. The incidence was found to be higher among men than women in all age groups below 60 years. The incidence for minor injuries declines with increasing age, but the rates for significant injuries are independent of age. The higher incidence rate for minor injuries among young patients could be real, but it could also be partly due to selection bias, if older patients with minor injuries consult the hospital for treatment less frequently.

Accidents, Occupational↗
PubMed2003

Hand injuries in young children.

Four hundred and fifty five young children (0-6 years old) were treated for hand injuries between 1996 and 2000. Boys (61%) were injured more often and a higher number of injuries occurred during May and September. Fingertip injuries were the most common injuries (37%), and were often caused by jamming in doors at home. Fractures were caused by falls and punches and tendon/nerve injuries by sharp objects. The incidence of hand injuries increased from 20.4/10,000/year in 1996 to 45.3/10,000/year in 2000. Only 4% of the children had complex injuries but these placed a high demand on resources. The incidence of injuries was not higher amongst children from immigrant families.

Age Distribution↗
PubMed1993

Soft tissue reconstruction. Coverage of hand injuries.

The complexity of the hand necessitates careful assessment of an injury. Wound coverage requires careful appraisal of the tissue available for coverage and consideration of its functional and cosmetic aspects. The simplest yet most appropriate flap should be chosen. Local flaps can cover many wounds. Larger wounds may require significant debridement, which should be performed early using the pseudotumor technique. Free flap coverage is then indicated and should be completed within 3 days of injury if no extenuating circumstances exist.

Finger Injuries↗
PubMed1992

Free vascularized joint transfers in acute complex hand injuries: case reports.

The loss of function of the metacarpophalangeal joint is a significant disability. Simultaneous reconstruction of the soft tissue, extensor mechanism, joint, and flexor tendon in a complex hand injury is difficult and challenging. Free vascularized autogenous toe joint transplantation is a useful technique that provides not only joint replacement but also the soft tissue, extensor mechanism, and flexor tendon in more severe complex hand injuries. Two patients underwent immediate, free vascularized metatarsophalangeal joint transfer of the second toe to replace the long and ring finger metacarpophalangeal joint in acute complex hand injuries. The follow-up results at 16 months and 8 months postoperatively are presented.

Acute Disease↗
PubMed2003

[The economic impact of hand injury].

Basing on 170 cases treated at the II Surgery Department of the Medical Faculty of Kraków University, the authors have tried to assess the direct and indirect costs of treatment of hand injuries. The rates negotiated between the Małopolska NHS Provides and the University Hospital were analyzed in order to assess direct treatment costs of hand injuries. Indirect cost assessment was based on analysis of insurance costs sustained by insurance providers. The analysis showed that over 96% of total treatment costs are indirect expenses related to compensation, work absence and disability pensions. The costs could probably be extensively reduced if hand injuries were referred directly to specialized surgery units.

Adolescent↗
PubMed1993

Common sports hand injuries. An overview of aetiology, management and prevention.

Injuries to the hand are among the most common in all of sports. Appropriate care should include prompt diagnosis and treatment. Dislocations of the digits should be reduced promptly, particularly the carpometacarpal joint of the thumb. Volar dislocations of the proximal interphalangeal joint need to be splinted in full extension, and the more common dorsal dislocations in slight flexion. Collateral ligament injuries of the fingers respond well to initial immobilisation followed by early motion. Although ligament injuries to the thumb metacarpophalangeal joint may be treated closed, they generally respond better to operative management. This is true particularly for those occurring on the ulnar side which are at risk for soft tissue interposition. Metacarpal shaft fractures can usually be treated closed with acceptance of more significant deformity in the ulnar 2 shafts. Open reduction is reserved for multiple shaft fractures and deformity in the second and third metacarpals. Near-perfect alignment should be the goal in extra-articular fractures of the phalanges as well as fractures involving the articular surface. Closed tendon injuries occurring on the extensor side, i.e. mallet finger, may be treated with prolonged splinting if a congruous reduction can be achieved with closed reduction. Flexor side avulsions occurring most commonly in the ring finger also require prompt attention with the level of retraction of the tendon dictating the need for the immediacy of repair. Although often not initially debilitating, lack of recognition of hand injuries and improper treatment can lead to debilitating sequelae. Therefore, early recognition and diagnosis can easily avoid many of the pitfalls of care resulting in a less than optimal outcome.

Athletic Injuries↗
PubMed1994

The use of island and free flaps in crush avulsion and degloving hand injuries.

Reconstructive options for early microsurgical tissue and island flap transfer are discussed in 23 patients with extensive avulsion and degloving injuries of the hands and fingers. The patients were divided into three groups (1) degloving thumb injuries; (2) crush avulsions with or without degloving of the palm and fingers; (3) complete degloving injuries of the hand and distal forearm. There were 11 free and 12 island flap transfers. There was partial loss in two flaps with satisfactory esthetic and functional results in these patients. The advantages and indications for the use of distally based radial forearm flap for degloving thumb injuries and pedicled ulnar forearm flap for avulsion of the distal part of the hand are discussed. The use of free transfer of greater omentum in the cases of extensive degloving of the hand is shown.

Accidents, Occupational↗