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At least 127 records · Page 7Linked to original sources
PubMed1996

The Hand Injury Severity Scoring System.

A descriptive severity scoring system for injuries to the hand, distal to the carpus, has been designed. Each ray of the hand is assessed separately. Each ray's score is then multiplied by a weighting factor for that ray and added to the scores of the other rays to obtain a total score for the injury. This system has been tested on a series of specimen injuries and compared with the opinion of experienced hand surgeons. A retrospective study of hand injuries has also been conducted, and the Hand Injury Severity Score (HISS) has been found to closely correlate with return to work. Four grades of increasing severity of hand injury have been described. Although this system has been designed as a research tool, it is envisaged that it would be a useful immediate measure of severity and a guide to likely outcome.

Adult↗
PubMed1980

Principles of management of acute hand injuries.

The care of the severely injured hand is a complex, technically demanding specialty. The majority of hand injuries, however, can be well cared for in the emergency ward or operating room by physicians without advanced training by following basic principles of diagnosis and treatment. Hopefully, by adherence to these principles, the morbidity of "minor" hand injuries can be minimized.

Acute Disease↗
PubMed2000

An unusual hand injury caused by powered woodsplitter--split fingers.

We present a case of very unusual injury to the right hand of a 14-year-old boy who had an accident with a powered woodsplitter. The trauma produced a unique hand injury pattern. All fingers except the thumb were split into dorsal and volar sections without any bone fractures, mimicking surgically elevated volar flaps. We achieved satisfactory hand function using simple surgical and conservative management in this unique hand injury case.

Accidents, Occupational↗
PubMed1987

[Hand injuries in Alpine skiing].

In the Innsbruck University Clinic for Traumatology during the years 1978-1985, altogether 17,999 patients received initial treatment for injuries incurred through Alpine skiing. 3240, or 18% of these injuries were trauma to the hand. The most frequently injured area was the thumb, with 1995, or 61.6% of the cases. The most common hand injury in skiing is the socalled "ski thumb", the lesion of the ulnar ligament of the metacarpal-phalangeal joint. Finger injuries accounted for 262 cases, or 8%. The capsule-ligament lesions predominated, especially the palmar capsule lesion of the proximal interphalangeal joint. The most common ligament lesion was the rupture of the radial collateral ligament of the metacarpal-phalangeal joint of the small finger. The metacarpal region was involved in 192 (6%) of the patients. The 4th and 5th metacarpal fractures were often combined with volar dislocation of the caput; the 2nd and 3rd metacarpals showed more often torsion fractures. Luxated fractures were found in all carpal-metacarpal joints. Carpal injuries were the least common, with 2.2%; the bony and ligamentous injuries in this region were, however, more serious. 40 scaphoid fractures were found, along with fractures of the triquetrum, trapezium, hamatum, and pisiform, as well as luxations and luxated carpus fractures. The injuries of the wrist are worthy of more attention. They include lesions of the distal radial-ulnar joint and distal radius fractures, and made up 22.2% of all hand injuries. More emphasis should be placed on diagnostic, therapeutic, and prophylactic measures for these injuries.

Athletic Injuries↗
PubMed2003

Heterotopic replantation in mutilating hand injury.

To achieve optimal hand function in the reconstruction of a mutilated hand is quite a challenge, and every salvage procedure should be tried, especially for amputated parts that cannot be replanted to their original anatomic sites. Five patients who sustained work-related mutilating hand injuries and who underwent digital heterotopic replantation are reported. Two patients had irreparably crushed, amputated thumbs. One patient (patient 1) received heterotopic replantation of the ring finger to the thumb's position; the other patient (patient 2) received heterotopic replantation of the middle finger to the thumb. Three additional patients received digital heterotopic replantation to enhance hand function. Patient 3 underwent heterotopic replantation of the middle finger to the index finger's position. Patient 4 underwent transplantation of the middle finger to the index finger's position, the ring finger to the middle finger's position, and the little finger to the ring finger's position. In patient 5, the ring finger was transplanted to the index finger's position. In all patients, satisfactory results were achieved in hand function and wound healing. In these patients, the restoration of a functional thumb was the first priority, followed by establishing at least two opposable fingers at the sites where metacarpophalangeal joints were functional.

Adolescent↗
PubMed2003

Soft tissue coverage in devastating hand injuries.

Plastic surgical therapy of mutilating hand injuries represents a multifaceted task to the hand surgeon, where considerations about indication, timing, and structure of the soft tissue coverage play a major role in reconstruction. The concept of early primary reconstruction (including emergency procedures) and fast rehabilitation not only demands thoughtful tissue preparation but also mastering of a bandwidth of plastic surgical techniques. Systematic algorithms based on the reconstructive ladder help in decision making in the complexity of soft tissue coverage but have to be adjusted to the individual case profile. General considerations and strategic planning are explained and illustrated by three clinical cases.

Adult↗
PubMed1989

Acute hand injuries. Emergency room management.

Emergency treatment of acute hand injuries are responsible for over 10% of all visits to emergency facilities in the United States. Recognition, accurate diagnosis, and institution of prompt treatment of the injury whether a simple fingertip or a more complex tendon laceration is vital in order to offer these patients the best chance for maximum functional recovery.

Adult↗
PubMed2005

[Hand injury in polytrauma].

BACKGROUND: The aim of this study was to evaluate forearm and hand injuries in multitrauma patients and to compare this group of patients to the overall multitrauma population. PATIENTS AND METHODS: Out of a prospectively gathered polytrauma data base a retrospective analysis, including demographics, injury severity, injury pattern and treatment of forearm and hand injuries was performed. RESULTS: Out of 386 patients (G) that had been entered in our polytrauma data base, 26 had forearm and hand injuries (H). The mean age of group (H) was 36.4 years (G: 40.3 years, p = 0.220), the mean ISS of this population was 28,3 (G: 34.5, p = 0.003). Mostly fractures of the radius (50.0%), the metacarpus (53.8%) and the carpus (50.0%) were diagnosed. Surgical interventions of hand- and forearm injuries were done in 15 cases within 24 hours, 4 patients were treated after 24 hours. CONCLUSION: Multiple trauma patients with hand- and forearm injuries showed a statistically significant decreased injury severity and were younger compared to the overall multitrauma population.

Abbreviated Injury Scale↗
PubMed1997

Recent changes in the pattern of hand injuries in Hong Kong: a regional hospital survey.

Adult inpatients with injuries to the hand admitted to the Department of Orthopaedics and Traumatology of the Prince of Wales Hospital, Hong Kong, from June 1992 to May 1993 were surveyed (n=533). The causes of injury, mechanisms involved, and the nature of injuries were recorded. The injuries were further graded according to four different scales. It was found that 65% of the injuries were sustained at work, 15% in domestic environments, 7.6% during sports or recreational activities, and 6.5% in traffic accidents. Injuries caused by heavy machinery amounted to 26.7% and the electric saw was the second most common cause of injury accounting for 9.4% of injuries. Crush injuries occurred in 37.8%. The incidence of hand injury is estimated to be 600 per 100,000 population annually. The pattern of hand injuries bears some similarities and differences to published series. A comparison with data obtained in Hong Kong in the 1970s shows that major changes have occurred. We need continual surveillance of hand injury patterns.

Journal Article↗