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At least 217 records · Page 12Linked to original sources
PubMed2003

Temporal factors and the prevalence of transient exposures at the time of an occupational traumatic hand injury.

Temporal factors and the prevalence of exposure to transient risk factors for occupational traumatic hand injury were analyzed among 1166 subjects participating in a case-crossover study. Temporal factors included time of injury and elapsed time to injury since the start of the work shift. Transient exposures included work equipment, work practice, and worker-related factors. The highest frequency of injury was observed from 08:00 am to 12:00 pm (54.6%), with a peak from 10:00 to 11:00 am (14.9%). The median time into the work shift for injury was 3.5 hours. Subjects injured 2 to 3 hours into their work shift most often reported using a machine, tool, or work material that performed differently than usual (23.9%). These results suggest that acute hand injuries occur earlier in the workday and safety programs should place increased vigilance on these times.

Accidents, Occupational↗
PubMed2005

The management of hand injuries caused by sea urchin spines.

Injuries to the hand by sea urchin spines are not commonly seen in the United Kingdom. There are many varieties of sea urchins (Echinoidea) throughout the world. They have a spherical calcium carbonate exoskeleton covered with spines. Certain varieties may be venomous, in particular the flower urchin (Toxopneustes pileolus) found in the Indo-Pacific oceans. Injury may also be caused by the urchin spines or pedicellaria (delicate seizing organs equipped with jaws). A small number of hand injuries associated with sea urchin spines have been reported in the literature.

Adult↗
PubMed2006

Hand injury costs.

Injuries of the hand are common accounting for around a fifth of all emergencies presenting to emergency departments of most hospitals. Their treatment costs. Those that require more reconstruction, theatre time, stay in hospital and after care cost more. In the UK, over 100 million pounds is being spent per year in treating these injuries. However indirect expense to the patients and the consequences of permanent disability are seldom considered. This review discusses the direct and indirect costs of hand injury, the ability of countries to pay these costs and suggests some ways of minimising these costs.

Accidents, Occupational↗
PubMed1995

Office evaluation and treatment of finger and hand injuries in children.

Injury is our children's greatest health problem, and pediatricians will frequently see finger and hand injuries in the office and emergency room. Many of these will be fingertip crush injuries, which are quite common in toddlers and are often undertreated. Pediatric finger and wrist fractures and sprains generally do well but require proper diagnosis and treatment. Innocent-looking wounds from glass lacerations may disguise extensive damage to underlying nerves, arteries, and tendons. Advances in microsurgery allow replantation of distal amputations even in young children and infants, although often not without complications. Thermal injuries and animal bites require early and aggressive treatment. As with many pediatric hand injuries, these injuries should be preventable, and the adverse consequences can be minimized with appropriate diagnosis and management.

Child↗
PubMed1990

Hand injuries in competition climbers.

All 67 of the competitors at the first British Open climbing competition were examined for signs of previous or present hand injury. The most important clinical findings were that 26 per cent of the climbers had signs of previous injury to the A2 pulley of the ring finger, and that fixed flexion deformity of the proximal interphalangeal joints of the fingers was present in 24 per cent.

Adult↗
PubMed1992

Alcohol-related hand injuries: an unnecessary social and economic cost.

Severe hand injuries constitute the largest number of acute referrals to this plastic surgery unit, the admission of these patients often displacing routine admissions due to bed shortages, thus increasing waiting list time. This study showed that a high percentage of these injuries were alcohol-related and were therefore preventable. The economic cost to the unit is discussed.

Adult↗
PubMed1985

Causes and consequences of hand injury.

Studies were carried out in Edinburgh to determine the nature, causes and economic consequences of hand injuries requiring more than one visit to hospital. Information on 236 out-patients was collected during a period of six weeks and on 122 in-patients during a period of six months. In both studies, follow-up was by postal questionnaire six weeks after injury. More serious injuries requiring admission to hospital occurred at home (39%) than at work (27%), and of injuries treated on an out-patient basis, the highest proportion (30%) happened at sport. As a result, demands on hospital services were highest in the later part of the day and evening. The main causes of injury were falls at home, at work, in the street or through violence, and only a few were caused by industrial machinery. Two-thirds of the patients were employed, and the mean time off work was three weeks for out-patients and seven weeks for in-patients. Although Edinburgh may not be typical of other cities in the United Kingdom, the studies suggest that even so-called 'trivial' hand injuries make considerable demands on hospital services, with related costs to the individual, the employer and the nation.

Adolescent↗
PubMed1980

[Particularities of physical treatment after hand injuries in childhood (author's transl)].

Physiotherapy treatment of hand injuries is reported, which can be used also on the bandage hand, to avoid contractures. The treatmet must be continued 1-2 years post-operatively. Flexural contractions must be avoid following surgery on tendons or joints. Splints are advocated to help in the management. Considerable patience is required when treating children. Splints should be static or dynamic and should be made individually from orthoplast.

Child↗
PubMed1995

[Complex hand injuries].

Most problems in the treatment of complex hand injuries result from not clearly recognizing which structures are destroyed or preserved preoperatively. The plan for treatment depends on priorities. Beginning with reduction and osteosynthesis and after suture of tendons, restoring blood supply is most important. Nerve reconstruction is best done soon. But if suture without tension is impossible, secondary nerve grafting is to be preferred. Skin closure is to be done soon if possible. Otherwise we need skin grafts, local or free flaps.

Adult↗
PubMedDate not supplied

Adaptation to hand injury: an evolving experience.

OBJECTIVES: Objectives of this study were to examine similarities and differences in physical recovery and psychosocial adaptation, engagement in occupations and relationships, perceived outcomes and expectations, and adaptive issues and strategies of 5 participants from an ongoing longitudinal study of adaptation to hand injury. METHODS: Participants were tracked for 12 months using quantitative measures of physical recovery and psychosocial adaptation, and qualitative adaptation interviews focused on the impact of an injury experience in clients' daily lives. A computerized graphic format documented changes over time in key quantitative and qualitative indicators in individual Adaptation Trajectories. RESULTS: Findings included the importance of motivating occupations and relationships, changes over time in expectations for the future, and differences between independent and interdependent adaptive strategies following hand injury. DISCUSSION: Connections between the International Classification of Functioning and Disability domains of body systems, activity capabilities, and social participation were examined. Findings support the value of individualized, occupation-based therapy that addresses the mind and spirit as well as physical recovery in occupational therapy practice with hand injury clients.

Adaptation, Physiological↗
PubMed1994

[The personality characteristics of patients with hand injuries].

One month after hand and finger trauma which ran without anatomical defects, personality investigations of 240 relevant patients registered more profound neurotization in females and subjects over 30 years, greater unbalance of personal traits in males and subjects with occupational traumas. Active individual and group pathogenetic therapy, successive approach to treatment in various departments of the rehabilitation center resulted in the reduction of conflict readiness and in positive trends in female nervous status.

Accidents, Home↗
PubMed1994

Handedness and hand injuries.

Data are reported from a study of 1,003 patients attending with hand injuries at an Accident and Emergency Department. Among both left- and right-handers, injuries to the right hand were more common than to the left hand, except for accidents to right-handers at work. For this group there were more injuries to the left hand. Male and female patients differ in the frequency with which they present for medical attention but show similar types of injury.

Accidents↗
PubMedDate not supplied

Use of antibiotics after complex open hand injury.

A prospective study undertaken to examine bacterial contamination at presentation, frequency and type of antibiotic prescribed, and outcome, in 50 patients presenting with hand injuries of varying severity, is reported. Results of a national survey of trends in antibiotic prescribing for similar wounds in plastic surgery units are also recorded. Preoperative swabs cultured normal flora or no growth. Forty-eight patients received antibiotics with little consistency in the agent used, route of administration, or length of treatment. Clinical wound infection occurred in three crush injuries. No significant difference in the numbers of surgeons using antibiotics for clean and crushed injuries of all types was demonstrated. The state of the wound, rather than the tissue damaged, seemed to dictate antibiotic use. In dirty wounds, however, damage to deep structures appeared to be an indication for antibiotics--significantly fewer respondents treated dirty injuries of the skin alone. The authors believe that antibiotic use in open hand injury is of no proven benefit, and that this aspect of hand surgery requires further investigation.

Adolescent↗
PubMedDate not supplied

Posttraumatic stress disorder and traumatic hand injuries: a neuro-occupational view.

Using the clinical phenomenon of posttraumatic stress disorder related to traumatic hand injuries, this article conceptually explores the theoretical construct of neuro-occupation on the basis of these conditions. Neuro-occupation is an evolving concept that combines knowledge and understanding of occupation with knowledge and understanding of how the human brain functions in environmental context; thus, the concept is important to the core of occupational therapy practice. The first section of the article introduces the concept of neuro-occupation; the second provides an overview of posttraumatic stress disorder and traumatic hand injury. To help therapists better understand behavior seen in clinical settings, the third section presents key neuro-occupational processes pertaining to posttraumatic stress disorder, using clinical application examples. Finally, a query about the value of neuro-occupation as a developing theoretical construct is put forth.

Adaptation, Physiological↗
PubMed1994

Miniature plates and screws in acute complex hand injury.

Thirty-six patients with 72 metacarpal and phalangeal fractures with associated injuries to the neurovascular bundle, tendon, soft tissue, or bone following acute complex hand injury were treated with miniature plates and screws and reconstruction of the disrupted and missing structures. The results were judged according to the criteria of the American Society for Surgery of the Hand. The overall results were good in 46.3%, fair in 32.2%, and poor in 21.5%. Although traditional wiring techniques are certainly useful in complex hand injuries, internal osteosynthesis with miniature plates and screws has definite indications in cases requiring stable and rigid internal fixation.

Adult↗