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PubMedDate not supplied

The prevalence of occupational injuries among hand therapists in Australia and New Zealand.

Little research has been dedicated to the prevalence of occupational injury among hand therapists (occupational therapists and physiotherapists). This study investigates the prevalence of occupational injuries and pain in hand therapists in Australia and New Zealand. Another aim of the study was to identify risk factors and prevention strategies. A questionnaire was distributed to 155 therapists in Australia and New Zealand. One hundred and ten questionnaires were returned and analyzed. Results indicated a significant prevalence of primarily hand and upper limb injuries in hand therapists. There were 148 injuries discussed by 73 participants. Of these, 75% were described as work-related injuries. Forty percent of participants described two or more current injuries or pain sites. The most commonly reported occupational injury or pain was around the metacarpophalangeal or carpometacarpal thumb joint. Analysis of data showed no characteristics of participants that particularly put them at risk. There was no statistically significant difference in the incidence of injury in relation to hours of work, handedness, time since graduation, age, or sex. Participants identified possible causes of occupational injury and pain and prevention strategies. Further studies need to assess correlation between anthropometric measures and the prevalence of occupational injury. Studies also need to investigate specific prevention strategies.

Adult↗
PubMed1993

Patterns of hand fractures and dislocations in a district general hospital.

In a retrospective survey of patients with fractures and dislocations attending the Accident department of a District General hospital, comparison was made between patients with fractures and dislocations in the hand and fractures and dislocations of other sites. Patients with hand injuries accounted for 28% of the total patients seen. They were more likely than other fracture patients to be male and between the ages of 10 and 40 years. Almost a quarter of hand injuries attended on Monday. Leisure activities outside the home formed the commonest aetiological factor. Only 66% of patients with hand injuries attended the Accident department within 24 hours of injury. The little finger was the commonest site of injury. This survey emphasizes the differences between hand injuries and injuries of other sites, identifies the risk factors for hand injuries and has implications for the management of hand injuries in a District General Hospital.

Adolescent↗
PubMed1994

[Emergency services for the hand: a necessity].

Every year in France there are 500,000 hand injuries; the number of injuries has remained constant over the last ten years and constitutes one-third of all work-related accidents. At the emergency department for hand surgery from Nancy University Hospital the treatment of hand injuries is the third part of the global activity. There have been significant advancements in the field of hand surgery in the last twenty years due to development of microsurgical techniques which make it possible to revascularize tissue that otherwise would die. Surgeons who treat hand injuries usually have been trained in the fields of orthopedics, traumatology, plastic surgery, and microsurgery. The improved results--attributable to new techniques and early treatment--pointed to the need for organizing emergency services for hand injuries that would operate on a 24-hour basis. In 1979, a group of French surgeons founded the Federation of Emergency Treatment of Hand Injuries that today represents 27 centers in France and 19 others in countries of the European Community. These emergency wards work in conjunction with other centers dealing with emergency service, e.g., the Fire Department, Ambulance service, Industrial Medicine, etc... Over a period of 15 years, the benefits reaped from treating these injuries as true emergencies (less than 6 hours ischemia) based on the principle of Immediate Repair with Early Mobilization (IREM) are both functional and social in nature: in 90% of cases, the patient resumes professional and economic activity and the rate of partial disability is 30% lower than that observed in cases treated in non-specialized centers. Given these results that are acknowledged by all who work in emergency service in general, we think that emergency wards for hand injuries should be an integral part of the overall plan coordinating emergency services in France.

Emergency Medical Services↗
PubMed1986

Sprains and joint injuries in the hand.

Several specific injuries are discussed in detail, including acute collateral ligament injury, ulnar collateral ligament injuries of the thumb MP joint, volar plate injuries, volar PIP joint dislocations, pseudoboutonniere deformity, and dorsal MP joint dislocations.

Chronic Disease↗
PubMed1992

Rehabilitative management of injuries to the hand.

Athletic participation after injury may resume when cleared by a physician familiar with hand injuries. It is the role of the athletic trainer or therapist to implement appropriate rehabilitative measures and apply a protective device to lessen the chance of re-injury or delayed healing. The trainer must also educate coaches, athletes, and parents that hand and finger injuries are not inconsequential. Without proper diagnosis and treatment, there may be future pain, disability, and deformity.

Hand Injuries↗
PubMed2005

Injury risk in professional boxing.

OBJECTIVE: Although a popular endeavor, boxing has fallen under increased scrutiny because of its association with traumatic brain injury. However, few studies have investigated the overall epidemiology of boxing injuries from representative samples, and no study has ever documented the incidence of injuries in female boxers. This study is a review of professional boxing data from the state of Nevada from September 2001 through March 2003. MATERIALS AND METHODS: Medical and outcome data for all professional boxing matches occurring in Nevada between September 2001 and March 2003 (n = 524 matches) were analyzed on the basis of a pair-matched, case-control design. Cases were boxers who received an injury during the boxing matches. Boxers who were not injured served as control subjects. Both conditional and unconditional logistic regression models were used to assess risk factors for injury. RESULTS: The overall incidence rate of injury was 17.1 per 100 boxer-matches, or 3.4 per 100 boxer-rounds. Facial laceration accounted for 51% of all injuries, followed by hand injury (17%), eye injury (14%), and nose injury (5%). Male boxers were significantly more likely than female boxers to receive injuries (3.6 versus 1.2 per 100 boxer-rounds, P = 0.01). Male boxing matches also ended in knockouts and technical knockouts more often than did female matches (P < 0.001). The risk of injury for those who lost the matches was nearly twice the risk for the winners. Those who lost by knockout had double the risk of injury compared with those who lost by other means. Neither age nor weight was significantly associated with the risk of injury. CONCLUSIONS: The injury rate in professional boxing matches is high, particularly among male boxers. Superficial facial lacerations are the most common injury reported. Male boxers have a higher rate of knockout and technical knockouts than female boxers. Further research is necessary to determine the outcomes of injury, particularly the long-term neurologic outcome differences between sexes.

Adult↗
PubMed1996

Temporoparietal sandwich technique in acute avulsion injury of the hand.

In degloving injuries of the hand, rehabilitation can be delayed due to poor wound healing and partial flap necrosis, if the avulsed tissue is sutured back primarily. By sandwiching a temoroparietal fascial flap between the avulsed flap and the tendons, rehabilitation can be started immediately, even if flap necrosis is present.

Accidents, Occupational↗
PubMed2004

[Treatment of blast injuries of the hand].

INTRODUCTION: Blast injuries of the hand result from the manipulation of handmade explosives, the blast causes most damage in the first web. Our purpose is to propose a classification of these injuries so as to lead to a therapeutic strategy. METHOD: We report a series of nine blast injuries of the hand in eight patients of average age 24 years. The aetiologie was handmade explosive manufacture (five cases) and the manipulation of munitions (four cases). Five hands presented an amputation of the thumb together with the index and in three of them, the long finger was involved as well. Only one thumb was revascularised successfully. Four thumbs were reconstructed, two by toe transfer, and two by "index bank". DISCUSSION: We observed four different stages: Stage 1: Isolated musculo-cutaneous injury. An intermetacarpal pin avoids first web contracture. Skin coverage is achieved by a pedicled local flap or a skin graft. Stage 2: Osteo-articular injuries of the thumb and second ray but sparing the trapezo-metacarpal joint. The thumb reconstruction is often based upon rinciple. Stage 3: Characterised by a destructive injury of the trapezo-metacarpal joint. Stage 4: Amputation or devascularization of the thumb. Extensive vascular injuries neccessitate a bypass from a healthy zone. The amputations, which are mostly proximal, require a preliminary osteocutaneous reconstruction of the first metacarpal before any toe transfer. Finger translocations are made difficult because of the high rate of serious injuries of the index and palm.

Adult↗
PubMed1984

The radial forearm flap in the management of soft tissue injuries of the hand.

Soft tissue injuries of the hand frequently require flap cover either to preserve structures damaged at the time of injury or to facilitate later reconstruction. Techniques such as the groin flap, the abdominal flap and the cross arm flap require staged procedures and until now, surgeons have had to resort to the more complicated microsurgical techniques required in free flap transfer to obtain soft tissue cover in a single-stage. The radial forearm flap makes local tissue readily available and offers a simple and effective one-stage method of soft tissue reconstruction. Surgery is confined to a single limb permitting early mobilisation and rehabilitation. The vascular anatomy of the radial forearm flap will be described and three cases presented to illustrate this technique in the management of differing soft tissue injuries of the hand.

Adolescent↗
PubMed1986

Low velocity hand-gun injuries of the maxillofacial region.

In contrast to the number of reports in the literature describing high velocity injuries of the maxillo-facial region, there are relatively few which deal with civilian type gunshot injuries. The purpose of this study was to undertake a retrospective analysis of 40 cases of low-velocity hand-gun injuries of the maxillo-facial region. The majority of cases were due to assault followed by accidental shootings and failed suicide attempts. Injuries ranged from mild soft tissue damage without fractures to severe, comminuted fractures of the facial bones. In some cases, soft tissue damage was severe. Rarely were injuries life threatening. Entrance wounds were characteristically small and well circumscribed. In 60 per cent of cases the bullet did not exist and was retained within the tissues. The floor of the mouth and tongue were the soft tissues most commonly injured. Other structures injured were major blood vessels, nerves and the eye. Mandibular fractures occurred in 58 per cent of cases, followed in frequency by maxillary complex fractures. Twenty per cent of fractures simultaneously involved bones of the upper, middle and lower-thirds of the facial skeleton. The above injuries are discussed and a classification of low-velocity hand-gun injuries of the maxillo-facial region is proposed.

Adolescent↗
PubMed2003

The Chicago School of Hand Surgery.

The Chicago School of Hand Surgery played a pivotal role in the genesis of the specialty of hand surgery in the United States and abroad. Drs. Alan Kanavel, Sumner Koch, Michael Mason, and Harvey Allen were among the first "modern" surgeons to carefully and systematically assess the care and treatment of hand injuries and hand pathology. This article highlights the lives and contributions of the founders of the Chicago School of Hand Surgery.

Chicago↗
PubMed2002

Management of early complications of the electrical injury and repair of the injured hands.

OBJECTIVE: To explore the management of early complications and repair of hand injuries in electrically injured patients. METHODS: Forty-five patients with electrical injuries admitted during 1995 and 2001 were analyzed retrospectively in terms of the incidences of early complications and the deformity of the injured hands repaired using different approaches. RESULTS: In the order of incidence, the complications arising in the early stages after electrical injuries included electric shock, hypovolemic shock, cardiac dysfunction, hemorrhage of the digestive tract, pulmonary infection, massive bleeding of the wound and renal dysfunction. The incidence of deformity of the hands was 79%. CONCLUSION: Proper management of early complications and repair of the injured hands are of great importance in cases of electrical surgery.

Adolescent↗