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At least 613 records · Page 34Linked to original sources
PubMedDate not supplied

Recognition of factitial hand injuries.

Facitial injuries with various presentations occur with some frequency to the hand because it is a body part that is easily accessible. Methods used to produce wounds included insertion of porcupine quills, application of constrictive rubber bands, mascara injections and excoriation of healing wounds. It is important to recognize the factitial origin in order to avoid needless repetitive surgery and permanent hand disability. No specific pattern of psychopathology was found in our cases. The patients' attitude toward their lesions was one of bland unconcern and stoicism. The patients were resistant to psychiatric referral and persisted in seeking medical responsibility for cure. Successful management requires early suspicion and prompt recognition as well as establishment of non-accusatory relationship with the primary physician. Confrontation should be avoided if possible. Even if reinforced with collaborative evidence, such confrontation will have limited effect on the patient's subsequent behavior.

Adolescent↗
PubMedDate not supplied

Management of hand injuries in a professional football team. Review of 15 years of experience with one team.

Thirty-eight players from one professional football team suffered 46 major hand and wrist injuries during a 15-year period. Twenty-one of the injuries occurred in offensive players and 25 occurred in defensive players. The injuries included fractures, dislocations, fracture dislocations, and soft tissue injuries of the phalanges, metacarpals, carpals (particularly the navicular), and distal radius/ulna, including intra-articular injuries. Twelve surgical procedures were performed. Open reduction, internal fixation, and Lightcast immobilization devices (3M Company, Atlanta, Georgia) allowed the players to return to active participation with a minimum loss of practice time and virtually no loss of Sunday game availability. Early aggressive surgery for intra-articular and certain metacarpal fractures is the correct course of treatment, according to our analysis, in order to achieve the best possible functional results.

Athletic Injuries↗
PubMed1985

Psychological aspects of hand injuries. Their treatment and rehabilitation.

Psychological factors related to the treatment and rehabilitation of hand-injured patients were identified by interviewing of thirty patients under treatment. Findings were compared with those reported in the literature. Concern for inactivity, desire to return to work, and effort toward recovery were identified as significantly common factors; pain and fear of disfigurement were not. Patients perceived themselves as making the greatest effort toward recovery but not that this was the most important factor in the recovery process. Responsibility varied significantly among the early, middle, and final phases of treatment. The results of the investigation were discussed in relation to hand-rehabilitation and implications for counselling and occupational therapy.

Adaptation, Psychological↗