Accuracy of virtual assessment in hand trauma

Abstract Introduction The Queen Victoria Hospital (QVH) was designated a cancer and trauma hub during the COVID-19 pandemic. With this, a new virtual hand trauma clinic was set up. We assess accuracy of assessment within this virtual set-up with comparison to pre COVID-19 face-to-face assessment. Method Two weeks of clinic sessions during and pre lockdown were analysed. Initial assessment was compared with the patient's operation note. Results In the pre COVID-19 two-week period 129 face-to-face appointments were analysed. Of 99 patients that required surgery 77 (78%) had an accurate assessment. 6 were overestimated, 12 were underestimated. 189 patients were seen over two weeks during lockdown via telephone or video call. Accuracy of assessment increased with seniority of the clinician. Of 126 patients that required an operation 109 (87%) had an accurate assessment; all structures injured were correctly predicted. 12 were overestimated, 5 had their injury underestimated. Conclusions The new virtual clinic allowed patients to be remotely assessed during lockdown, reducing footfall and unnecessary journeys. We found that virtual clinic assessments are accurate, and no patient underwent an unnecessary procedure. Using a telephone call plus photo gave similar accuracy as a video call. Virtual assessment was more accurate than face-to-face assessment.

Download Full-text

Hand Trauma Pitfalls: A Retrospective Study of Fight Bites

European Journal of Trauma and Emergency Surgery ◽

10.1007/s00068-007-6183-9 ◽

2007 ◽

Vol 34 (2) ◽

pp. 135-140 ◽

Cited By ~ 7

Author(s):

Patrick KY Goon ◽

Matti Mahmoud ◽

Vaikunthan Rajaratnam

Keyword(s):

Retrospective Study ◽

Hand Trauma

Download Full-text

Practical Notes in Hand Trauma

In Clinical Practice - Hand Trauma in Clinical Practice ◽

10.1007/978-3-030-10844-1_3 ◽

2019 ◽

pp. 37-56

Author(s):

Zak Vinnicombe

Keyword(s):

Hand Trauma

Download Full-text

Early Experience with Hand Continuous Passive Motion

Canadian Journal of Plastic Surgery ◽

10.1177/229255039300100105 ◽

1993 ◽

Vol 1 (1) ◽

pp. 19-23

Author(s):

Steve Morris ◽

Amis Freiberg ◽

Leonard Harris

Keyword(s):

Range Of Motion ◽

Clinical Experience ◽

Treatment Modality ◽

Early Experience ◽

Objective Evaluation ◽

Continuous Passive Motion ◽

Hand Trauma ◽

Toronto Western Hospital ◽

Passive Motion

S Morris, a Freiberg, L Harris. Early experience with hand continuous passive motion. Can J Plast Surg 1993; 1 (1): 19-23. Clinical experience with continuous passive motion (CPM) has increased in recent years. However, little information is available in the literature of objective evaluation of the results obtained using this treatment modality. The purpose of this study was to review both the indications for hand CPM at the Toronto Western Hospital. Toronto. Ontario, and the course and the outcome of the patients treated. Between 1984 and 1989 the Mobilimb H1 CPM was used on 43 patients for a mean period of 39±6 days (mean total hours of CPM 741+84 h). Indications for hand CPM included hand trauma, capsulectomy and tenolysis and other hand conditions. Mean follow-up was 32+3 months. Overall, hand CPM was well tolerated and highly effective in relieving hand pain and increasing active and passive range of motion. Compliance was excellent.

Download Full-text