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PubMed1987

Vocational rehabilitation with the industrially injured worker.

The field of vocational rehabilitation has broadened beyond the traditional federal-state model into the private sector primarily through funding by the insurance industry via workers' compensation coverage. Most disabilities encountered by private vocational rehabilitationists are musculoskeletal injuries resulting from traumatic industrial accidents rather than congenital disabilities most often seen by the state's Department of Vocational Rehabilitation. In many cases reduction in physical tolerances, extremity use, and/or chronic pain results in the industrially injured worker not being released by the attending physician for return to work in the previous occupation. To be effective, private vocational rehabilitationists working with the industrially injured worker must have a working knowledge of residual tolerances associated with various disabilities, as well as knowledge of legal parameters of the vocational workers' compensation law for each state worked in. In addition, the ability to communicate effectively with attending physicians, attorneys, claims examiners, occupational and physical therapists, and rehabilitation nurses is concomitant with successful positive movement in the vocational rehabilitation process. As with federal and state vocational rehabilitation counselors, the ability to assess transferability of past work skills and current aptitudes is paramount in determining transferability of work skills to alternate occupations. Finally, growing networking between rehabilitation nurses, therapists, physicians, and vocational rehabilitationists is needed to improve the injured worker's ability to maximize his or her physical tolerances in viewing return to work in a position as close as possible to that performed at the time of injury.

Accidents, Occupational↗
PubMed1996

False aneurysm presenting as delayed posterior interosseus nerve palsy.

False aneurysms commonly present with a delay in symptoms of 3-6 weeks after the initial injury. These lesions may present as an enlarging nonpulsatile and painless mass causing neurologic symptoms. A review of the literature showed only 26 false aneurysms reported in the past 25 years with compression of the brachial plexus, median nerve, ulnar nerve, radial nerve, and sciatic nerves. This case is the first reported of compression of the posterior interosseus nerve by a false aneurysm and is also unusual in presenting 8 weeks after the initial injury.

Adult↗
PubMed1988

Indoor cricket injuries.

The records of injuries that were sustained while playing indoor cricket were collected and reviewed. The most common injuries involved fingers and eyes and 50% of patients who were reviewed had had time off work. Some recommendations are made to reduce the injury rate.

Adult↗
PubMed2003

A study on the prevalence of upper extremity repetitive strain injuries among the handloom weavers of West Bengal.

Handloom is one of the oldest cottage industries in India, particularly in West Bengal, where a considerable number of rural people are engaged in weaving. Purposes of the present investigation were to clarify the prevalence of repetitive strain injuries in upper extremities among the handloom weavers and to identify the risk factors leading to its development. Fifty male handloom weavers were randomly selected from the population. A questionnaire (Kourinka et al., 1987) method including Borg scale assessment of pain, checklist analyses of the work, and time-motion studies for analyzing the repetitiveness/non-repetitiveness of the job were implemented. The time-motion analyses demonstrated that weaving occupied over 50% of the work cycle time for majority of subjects, and thus could be regarded as a repetitive activity. Statistical analyses revealed a highly significant correlation between the intensity of pain feeling and the repetitiveness on one hand, and the year of experience as a weaver on the other. By contrast, no significant relationship was observed between chronological ages of weavers and the pain intensity. These results suggested that highly repetitive works engaged for a long time could increase the intensity of the pain felt and would lead to repetitive strain injuries.

Adult↗
PubMed1984

External fixation in wartime limb surgery.

During the Lebanon War, 1982, limb stability was achieved by the use of external fixation in 45 severe limb injuries. The indications, advantages, techniques and results are reviewed. At follow-up after 1 year there were no cases of chronic bone infection. Two limbs had to be amputated for vascular insufficiency. The skillful, judicious use of external fixation in the treatment of war injuries is an important technical advance in the treatment of severe limb injuries.

Arm Injuries↗
PubMed1995

Gunshot wounds to the upper extremity. Evaluation and management of vascular injuries.

Gunshot wounds to the upper extremity are uncommonly life threatening but are associated with a high incidence of significant long-term disability. The identification of vascular injuries is dependent on careful clinical examination and the liberal use of arteriography. Standard techniques of vascular repair should be followed for arterial reconstruction. The rate of successful vascular repair is in excess of 90%, but long-term function is limited by a high incidence of associated nerve injury.

Arm↗
PubMed1993

Acute vascular injuries of the upper extremity.

Heightened awareness of the pathologic conditions resulting in acute vascular trauma will govern the success of management. A thorough examination with appropriate vascular studies followed by meticulous surgical intervention and a carefully monitored postoperative course avoids the associated complications of these challenging injuries.

Acute Disease↗