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At least 379 records · Page 21Linked to original sources
PubMed1990

[Hand injuries caused by snake bites. Apropos of 9 cases treated in a West African regional hospital].

The author reports 9 cases of snake bite hand injuries in a regional hospital in the ivory coast. This study presents a number of particular points: patients often consult quite late; the precarious hygiene induces microbia contamination; patients often have a very poor conception of their body schema, which sometimes creates problems of understanding during reeducation. Treatment consists of emergency debridement under antibiotic cover of Iselin's "emergency with delayed surgery". The good blood supply of the hand allows satisfactory functional results.

Adolescent↗
PubMed1999

Emergency department evaluation and treatment of hand injuries.

This article focuses on disorders of the hand most commonly presented to the practitioner in an emergency setting. An initial review of functional anatomy is followed by discussions of the clinical findings and treatment of fractures, tendon injuries, infections, nailbed injuries, high-pressure injection injuries, and nerve injuries. The information presented in this article provides a basis for proper evaluation, diagnosis, and treatment of hand injuries.

Emergency Service, Hospital↗
PubMed1998

Tissue preservation in hand injury: the first step to toe-to-hand transplantation.

The recommendations outlined in this editorial for the initial management of nonreplantable amputation injuries emphasize tissue preservation. This facilitates future toe-to-hand transplantation in terms of reconstructive options, functional and aesthetic outcomes in the hand, and donor-site morbidity in the foot. It is hoped that surgeons involved in the emergency surgical care of such cases will find these guidelines useful. Although tissue conservation is the main goal at this stage of treatment, this should not be at the expense of tissue viability. If in doubt about management issues, advice should be sought from the reconstructive microsurgery unit.

Finger Injuries↗
PubMedDate not supplied

Pediatric hand injuries due to home exercycles.

The clinical presentation and management of 19 children who sustained injuries by stationary exercise bicycles were reviewed retrospectively. These injuries represented 32 traumatized digits with a minimum of 2-year follow-up. The index and long fingers were most commonly involved. Wheel-spoke injuries typically produced repairable nerve and tendon lacerations, and full functional recovery in these cases was common. The chain/sprocket injury involved a crushing mechanism and frequently produced severe injury including amputations that were not salvageable. Stationary exercise bicycles represented a predictable source of severe hand injury in children between the ages of 18 months and 5 years. Adult supervision was not reliable in preventing contact between an operating exercycle and a child's hand. We recommend that children not be allowed access to any stationary exercycle machinery, whether it is in use or not. Safety design considerations should focus on not only shielding the wheel spokes, but also (and perhaps even more important) on enclosing the entire chain axis and gear interface. In addition to these design considerations, public education will be critical in reducing the incidence of injury.

Accidents, Home↗
PubMed2007

Impairment and disability after severe hand injuries with multiple phalangeal fractures.

PURPOSE: Upper-extremity impairment evaluation is performed mostly by using guidelines provided by the American Medical Association (AMA). Recently, subjective disability tests, such as the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire, have been developed that appreciate the limitations patients experience in everyday life. In this study, the correlation between impairment and disability was assessed after treatment for severe hand injuries with multiple phalangeal fractures, with adjustment for comorbidity and follow-up duration. METHODS: The functional recovery of patients suffering severe hand trauma was evaluated using AMA impairment rating tests and DASH disability questionnaire scores. RESULTS: Seventy-eight patients with 228 phalangeal fractures were available for testing, with a mean follow-up period of 7.5 years. No statistically significant correlation existed between the AMA impairment ratings for the hand and the DASH module scores. There were weak correlations between the AMA impairment ratings for the arm and total body and the DASH module function scores. CONCLUSIONS: The lack of a strong correlation emphasizes the clear distinction between impairment and disability. The inclusion of disability outcome measures in the evaluation of hand trauma regimens might help to expand the clinician's view to more individualized, activity-of-daily-living-oriented, treatment regimens.

Activities of Daily Living↗
PubMed1985

A micro computer hand injury recording system.

A system is described which allows an accident department doctor, who has no specific knowledge of computer operation, to record standardised demographic and clinical details of patients with hand injuries. An educational element is present which suggests possible diagnoses following specific injuries and most of the recording is carried out using a light pen, thus obviating the need for any keyboard skills. The information obtained is stored on 'floppy' discs (each disc can hold details of up to five hundred patients) allowing straightforward storage, retrieval and analysis of information by either micro or main frame computer.

Computers↗
PubMed1984

Common hand injuries in sport.

Trauma to the hand in sport can injure soft tissues or bone and joints (or both). Soft tissue injuries generally are more serious because their diagnosis may be delayed and the results of late treatment are less rewarding. Common examples of each type of injury are discussed in this article.

Athletic Injuries↗
PubMed1997

[Analysis of hand injuries sustained at work in patients treated as outpatients].

Fifty-six patients (45 males and 11 females) aged 19-65 (mean 37.3) were treated on outpatient basis between 1990 and 1994 because of hand injuries sustained at work. An analysis included age and profession of the patient, type of injury, sick leave time, and functional result of treatment. Clinical assessment at follow-up (range 6 months to 5 years) revealed poor results and the authors conclude, that surgical treatment should be used more often.

Absenteeism↗
PubMed2005

The role of antibiotic prophylaxis in clean incised hand injuries: a prospective randomized placebo controlled double blind trial.

A prospective, randomized, double blind, placebo controlled trial was designed to investigate the effect of prophylactic flucloxacillin on the infection rate in clean incised hand injuries, which included trauma to skin, tendon and nerve in adults. Using strict exclusion criteria, a total of 170 patients were recruited into one of three trial groups; Group A - intravenous flucloxacillin on induction followed by an oral placebo; Group B - intravenous flucloxacillin on induction followed by an oral flucloxacillin course or Group C - oral placebo. Thirteen of the patients were subsequently withdrawn, leaving 92% available to complete the trial. Infection was diagnosed using clinical criteria. The infection rates in the three groups were Group A - 13%, Group B - 4% and Group C - 15%. Strictly, the results demonstrate no statistically significant difference in the infection rates between the groups.

Adolescent↗
PubMed1987

Work capacity evaluation for occupational hand injuries.

According to Matheson the current definition of work capacity evaluation is that it is "a process of measuring and developing an individual's capacity to dependably sustain performance in response to broadly defined work demands." This article will give a broad overview of the work capacity evaluation as it relates to hand injuries. Included in the discussion will be the history and philosophy of work capacity evaluation, as well as the application of the evaluation process to hand-injured patients.

Accidents, Occupational↗
PubMed1980

Management of acute hand injuries.

A systematic evaluation of the hand, looking for functional or structural damage to each of its six tissue components, is the first step in managing the acute hand problem. We review the diagnostic and therapeutic decisions that are necessary to start treatment, and especially to avoid the pitfalls and oversights that may lead to complications and continuing disability.

Amputation, Traumatic↗