Outcome of Hand Trauma: The Hand Injury Severity Scoring System (HISS) and Subsequent Impairment and Disability

This study was designed to evaluate correlations between the hand injury severity scoring system (HISS) and measures of impairment and disability obtained 6 months after a hand injury. A statistically significant positive correlation was found between the severity of the injury (HISS) and residual impairment, as measured with the American Medical Association’s (AMA) “Guides to the evaluation of permanent impairment, 4th edition”. No statistically significant correlation was found between the severity of the injury (HISS) and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, which measures disability from the patient’s perspective. There was however a statistically significant correlation between AMA total body impairment measured and the results of the DASH questionnaire. The results indicate the potential of the HISS for predicting the final impairment after hand injuries.

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Prediction of hand strength by hand injury severity scoring system in hand injured patients

Disability and Rehabilitation ◽

10.3109/09638288.2011.607550 ◽

2011 ◽

Vol 34 (5) ◽

pp. 423-428 ◽

Cited By ~ 4

Author(s):

Delmar C.Y. Lin ◽

Jer-Hao Chang ◽

Shyh-Jou Shieh ◽

Feruth H.J. Tsai ◽

Yungling Leo Lee

Keyword(s):

Scoring System ◽

Injury Severity ◽

Hand Injury ◽

Hand Strength ◽

Severity Scoring ◽

Injured Patients

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The Hand Injury Severity Scoring System

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(05)80187-1 ◽

1996 ◽

Vol 21 (3) ◽

pp. 295-298 ◽

Cited By ~ 91

Author(s):

D. A. Campbell ◽

S. P. J. Kay

Keyword(s):

Retrospective Study ◽

Injury Severity Score ◽

Return To Work ◽

Severity Score ◽

Scoring System ◽

Injury Severity ◽

Hand Injury ◽

Weighting Factor ◽

The Other ◽

Severity Scoring

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.

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The hand injury severity scoring system

Injury ◽

10.1016/0020-1383(96)86847-1 ◽

1996 ◽

Vol 27 (5) ◽

pp. 367 ◽

Cited By ~ 1

Author(s):

D.A. Campbell ◽

S. Kay

Keyword(s):

Scoring System ◽

Injury Severity ◽

Hand Injury ◽

Severity Scoring

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The Hand Injury Severity Scoring System and Workers’ Compensation Cases in Wisconsin, USA

Journal of Hand Surgery (European Volume) ◽

10.1054/jhsb.1998.0179 ◽

1999 ◽

Vol 24 (2) ◽

pp. 184-186 ◽

Cited By ~ 23

Author(s):

A. B. MINK VAN DER MOLEN ◽

H. S. MATLOUB ◽

W. DZWIERZYNSKI ◽

J. R. SANGER

Keyword(s):

Injury Severity Score ◽

Severity Score ◽

Scoring System ◽

Injury Severity ◽

Hand Injury ◽

Original Study ◽

Time Interval ◽

Workers Compensation ◽

Severity Scoring ◽

Further Development

The Hand Injury Severity Score was retrospectively applied to a group of workers’ compensation cases in Wisconsin, USA. A statistically significant correlation was found between the score and the time interval between injury and the end of healing. These results are comparable to the findings in the original study of Campbell and Kay (1996) . We provide some suggestions for further development of this scoring system.

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Assessment of the severity of hand injuries using ‘hand injury severity score’, and its correlation with the functional outcome

Injury ◽

10.1016/s0020-1383(03)00211-0 ◽

2004 ◽

Vol 35 (5) ◽

pp. 511-516 ◽

Cited By ~ 30

Author(s):

P Saxena ◽

L Cutler ◽

L Feldberg

Keyword(s):

Injury Severity Score ◽

Functional Outcome ◽

Severity Score ◽

Injury Severity ◽

Hand Injury ◽

Hand Injuries

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Cut-Off Value for Self-Reported Abnormal Cold Sensitivity and Predictors for Abnormality and Severity in Hand Injuries

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193409354184 ◽

2010 ◽

Vol 35 (5) ◽

pp. 409-416 ◽

Cited By ~ 16

Author(s):

I.K. Carlsson ◽

J.Å. Nilsson ◽

L.B. Dahlin

Keyword(s):

Symptom Severity ◽

Injury Severity ◽

Hand Injury ◽

Hand Injuries ◽

Cold Sensitivity ◽

Cold Intolerance ◽

Normal People ◽

Bone Injury ◽

Multiple Injured ◽

Vas Scores

Our aim was to identify a cut-off value for self-reported, abnormal cold sensitivity and to identify cold sensitivity predictors after hand injuries. The Cold Intolerance Symptom Severity (CISS) questionnaire and a VAS question concerning discomfort on exposure to cold were investigated in 94 normal people and 88 patients. A CISS score>50 was defined as abnormal cold sensitivity. Multiple injured digits, an increased number of injured vessels, complete nerve injury and replantation were variables associated with high VAS scores. Factors linked to both abnormality and worse CISS or VAS scores were: the presence of bone injury; a larger number of repaired vessels; the use of vascular grafts and a high Hand Injury Severity Score (HISS). The causes of abnormality and severity suggest a multifactorial aetiology with bony, vascular and neural components. A cut-off for abnormality is useful for descriptive, comparative and assessment purposes.

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Hand trauma in English domestic professional county cricket

South African Journal of Sports Medicine ◽

10.17159/2078-516x/2021/v33i1a10689 ◽

2021 ◽

Vol 33 (1) ◽

pp. 1-4

Author(s):

Bill Ribbans ◽

Shiraz Chaudhry ◽

Barry Goudriaan

Keyword(s):

Surgical Intervention ◽

Hand Injury ◽

Hand Injuries ◽

Published Data ◽

Hand Trauma ◽

Total Recovery ◽

Elite Level ◽

Injury Treatment ◽

The Impact ◽

Time Away

Background: Hand trauma is a frequent and disabling injury in cricket. However, there is limited published data on its impact on the sport at the elite level. Objectives: This study investigated the incidence and mechanism of hand injuries in professional cricket over a decade and the impact of these injuries upon player availability. Methods: A retrospective hand injury review at Northampton County Cricket Club (NCCC) over 10 years (2009-2018) was performed. All hand injuries had been contemporaneously documented. They were analysed for cause of injury, treatment, and time away from competitive play. Results: There were 45 hand injuries in total. Eleven percent needed surgical intervention. These hand injuries required a total recovery time of 1561 days, and in-season 1416 days were lost from competitive play. The injuries requiring surgery were unavailable for 229 total days during the season. A player had an annual 18% risk of sustaining a hand injury requiring time away from the sport and resulting in a 4% reduction in playing resources during a season. Conclusion: Hand injuries have major implications for player selection during the cricket season and place a potential burden upon the entire squad and the team’s success.

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The favorable donor site in microsurgery: Nerve and vein graft harvest from the dorsum of the foot

Clinical Hemorheology and Microcirculation ◽

10.3233/ch-211135 ◽

2021 ◽

pp. 1-12

Author(s):

Carina Wenzel ◽

Eva Brix ◽

Paul Heidekrueger ◽

Daniel Lonic ◽

Philip Lamby ◽

...

Keyword(s):

Cohort Study ◽

Vein Graft ◽

Retrospective Cohort ◽

Injury Severity ◽

Primary Repair ◽

Donor Site ◽

Hand Injury ◽

Hand Injuries ◽

Vein Grafts ◽

Graft Harvest

BACKGROUND AND OBJECTIVE: In complex hand traumas nerves and vessels are often destructed without the possibility for primary repair. For bridging defects of nerves, veins and arteries grafts are necessary. Commonly nerve and vein grafts from adjacent donor sites as the wrist, forearm or cubital region are harvested. METHODS: This study is a retrospective cohort study. Between 2017 and 2019, 10 patients with complex hand injuries were treated. There were 8 males and 2 females, with an average age of 39 years (range 8–63 years). In all cases grafts were used of the dorsum of the foot for reconstructing of the severed digital nerves and arteries. All donor sites could be closed primarily. RESULTS: In 100%of cases nerves and veins of the dorsum of the foot showed a good size match as well as adequate length for a sufficient repair. The overall Hand Injury Severity Score (HISS) was determined with a median of 86 (range 57 to 286). In the area of the donor site no relevant complications were seen. CONCLUSIONS: In complex hand injuries the dorsum of the foot is a favorable donor site for nerve and vein graft harvest.

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