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At least 253 records · Page 14Linked to original sources
PubMed1990

[Socio-professional evaluation of 184 patients with hand injuries treated at an emergency microsurgery service].

184 consecutive patients were operated for severe industrial injuries of the hand. Microsurgical techniques were used in 86% of cases, with 41% of replantation (with about 1/3 of failures), and revascularization, and 17% of sutures of median and ulnar nerves. These patients were examined by medical experts from the French National Health Service, independently of their surgeons, in order to determine under which conditions they could resume their professional activities (changes of their working conditions or not, reduction in their wages or not, etc.). Moreover the duration of work interruption, as well as the percentage of professional disabilities, were known for more than 90% of the 115 patients who underwent an official assessment. The average percentage of professional disability was 19%, whereas without specialized surgery it used to be roughly 30 to 40% for the same lesions. The value of microsurgical techniques was obvious when considering the ability of the patients to resume their previous activities, especially as 96% of them were manual workers. Only 12% of the patients did not resume their work (5% were unemployed, and 7% retired or were too disabled to work). 18% were able to return to work, but with modifications of their working conditions or their wages. But, most important, 70% of the patients resumed their previous work with the same pay. On average, they had to stay for ten days in the surgical department and had to stop work for 3 months. This may be due to our great concern with early rehabilitation, aimed at manual work, with early transfer of patients to specialized rehabilitation centers.(ABSTRACT TRUNCATED AT 250 WORDS)

Accidents, Occupational↗
PubMed1997

Treatment of a degloved hand injury by arteriovenous anastomosis: a case report.

It goes without saying that the optimal therapy for reconstruction of degloving injuries is to employ the tissues that were avulsed. However, it is difficult to evaluate the circulation and viability of avulsed tissues, and in the case of conservative treatment it is quite common for the avulsed tissues to become necrotic. This often necessitates a second reconstructive operation. We report a case of degloving injury of the hand. We performed reconstruction by arteriovenous anastomosis of a superficial vein in the avulsed skin flap and a superficial vein of the hand with the radial artery. We were thereby able to arterialize and salvage the avulsed skin flap on the back and palm of the hand, and the results were cosmetically and functionally satisfactory.

Aged↗
PubMed1978

Multiple flap coverage for degloving hand injuries.

A technic incorporating the simultaneous elevation of multiple adjacent thoracoabdominal pedicale flaps, based in opposite directions, has been successfully used on four patients with extensive degloving injuries of the hand. In all cases, the hand was later divided into individual digits. A five-year follow-up of three patients is presented, illustrating functional results good enough to allow the patients to return to work. The special problems of a circumferential wound and digital shortening appear to be better controlled by this technic than by a single long "wrap-around" flap. Various technics of skin coverage are reviewed.

Adult↗
PubMed1989

[Special utilization potentials of the external fixator in severe complex hand injuries].

Complex injuries to the hand may cause considerable problems in the aftertreatment. Two possibilities are described, which may facilitate and optimize the postoperative care of the severely injured hand: 1. In case of an inguinal pedicle flap, the temporary stabilization of the hand against the pelvis by means of external fixation is advocated. 2. After multiple extensor tendon repair, the temporary immobilization of the wrist, leaving the fingers free to move, by means of a small fixateur externe is suggested.

Adolescent↗
PubMed1991

Hand injuries in adults.

The radiologist plays an important role in the evaluation of hand injuries. Although the detection of fractures is important, recognition and delineation of soft tissue damage is equally vital. If only soft tissue injuries exist, plain film findings are often nonspecific. Nevertheless, they can give helpful clues in evaluating ligaments and tendons. It is especially important for the radiologist to be knowledgeable of these soft tissue injuries because, in an emergency room setting, the radiologist may be the physician most familiar with the spectrum of injuries and possible complications.

Adult↗
PubMed1991

[Application of antero-lateral femoral free skin flap in the repair of hand injuries].

From July 1988 to Jan 1990, 7 cases of hand injuries with skin defects have been reconstructed using anterolateral femoral free flaps. Reconstruction was successful. The anterolateral femoral flap was suitable for the skin defect in the dorsum and wrist of the hand. In this paper, advantages and disadvantages, management of variations in flap vascular pedicle, delayed primary transplantation of the free flap were discussed.

Accidents, Occupational↗
PubMed1993

[Use of paraumbilical perforator artery pedicle flap with preserved subdermal vascular network in hand injury].

From October 1990 to September 1991, 11 cases of hand injury (2 cases of infected) had been repaired successfully with paraumbilical perforator artery pedicle axial flap with preserved subdermal vascular network. The largest size of the flap was 20cm x 6. 5-10. 5cm and the smallest one was 6. 5cm x 2. 5cm. All of skin flap survived. Division of the pedicles was performed 5-7 days postoperatively except 2 cases with infected wringer injury, which was done on 9th and 11th day. The pedicle division time and the quality of axial flap with preserved subdermal vascular network are discussed.

Adolescent↗
PubMed1983

Factors affecting return to work after hand injury.

The study of 61 hand-injured subjects suggested that it is more than surgical and technical excellence that facilitates the return-to-work status among the hand-injured wage earners. Financial need, level of activities of daily living, and participation in occupational therapy were found to be directly related to return-to-work status. Additional findings indicated no difference between the rate of return to work for those whose injuries affected their dominant hand over those who had nondominant hand injuries. The amount of medical care needed and whether it was delivered as an outpatient or an inpatient were not associated with the return to work. The hand-injured subjects' relevant medical history, participation in occupational therapy, capacity in activities of daily living, desire and ability to return to work, and financial support were quantified through chart audit and interview. Occupational development was measured by using the Moorhead Occupational Work History.

Accidents, Home↗
PubMed1989

[A rare hand injury].

Simultaneous dislocations of the carpometacarpal joints are relatively rare hand injuries. This is a case report of dislocations of the carpometacarpal joints II-V, combined with Bennett's fracture. The case is discussed in this article with particular reference to the therapeutical aspects.

Adult↗
PubMed1983

Hand injuries and disorders. Principles of management for the family physician.

Hand injuries and disorders constitute a major cause of disability and time lost from work. Viewed as relatively minor, they are often neglected until permanent disability and restriction of function occur. The first physician to evaluate and treat an injured hand often determines the ultimate outcome of the patient's hand function. Skillful diagnosis and appropriate treatment are necessary. Neglected or mistreated injury may result in significant impairment in a person whose livelihood depends on the skillful, integrated function of both hands.

Burns↗