Upper limb trauma oral core topics

The relevance of the problem of children with upper limb trauma medical rehabilitation is determined by the high frequency elbow joint fractures; the risk of complications development, disabilityc of the patient. A comprehensive medical rehabilitation program assumes a personalized approach and a differentiated prescription of physical factors, depending on the time period of rehabilitation. Early physical rehabilitation is a key link in the complete recovery of the function of a patient’s limb with damage to the elbow joint. The purpose of this work is to analyze literature and summarize the results of our own research to determine the optimal approaches and methods for medical rehabilitation of children with upper limb injury. The medical rehabilitation program includes various methods of kinesiotherapy, robotic mechanotherapy, massage, a wide range of apparatus physiotherapy to improve the trophism of the periarticular tissues, to maintain mobility in joints free from immobilization; gain of the full range of motion in the damaged joint; normalizing tone and strengthening the muscles of the upper limb. Medical rehabilitation of children with elbow joint injury is carried out from the earliest stage, in stationary conditions, during the period of immobilization. The rehabilitation measures continue in outpatient and polyclinic conditions, during the entire period of immobilization (2–4 weeks) and then in the post-immobilization period until the limb function is fully restored. It is necessary to monitor the main indicators of the function of the upper limb during the entire period of rehabilitation to assess the effectiveness of rehabilitation measures, objectify the course of the rehabilitation process and the continuity of rehabilitation programs. Definition of the tasks of medical rehabilitation, differentiated for each stage; the choice of modern, pathogenetically grounded rehabilitation technologies with an assessment of their effectiveness contribute to a significant increase in the effectiveness of comprehensive rehabilitation programs for children with upper limb trauma.

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Operative fixation of distal radius fractures: Radiological outcomes and the role of upper limb trauma lists

International Journal of Surgery ◽

10.1016/j.ijsu.2014.08.043 ◽

2014 ◽

Vol 12 ◽

pp. S62

Author(s):

Maire-Clare Killen ◽

Andrew Berg ◽

Christopher Lodge ◽

Simon Chambers ◽

Cho Ee Ng ◽

...

Keyword(s):

Distal Radius ◽

Upper Limb ◽

Distal Radius Fractures ◽

Radius Fractures ◽

Limb Trauma ◽

Operative Fixation

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Defining clinical decision making in the provision of audio-visual outpatient care for acute upper limb trauma services: A review of practice

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2020.08.104 ◽

2020 ◽

Author(s):

E.J. McMullen ◽

M. Robson ◽

P. Valand ◽

L. Sayed ◽

J. Steele

Keyword(s):

Decision Making ◽

Upper Limb ◽

Outpatient Care ◽

Clinical Decision Making ◽

Clinical Decision ◽

Limb Trauma

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Clinical decision making in the provision of audiovisual care for upper limb trauma: a survey of UK experiences

Hand Therapy ◽

10.1177/1758998320972132 ◽

2020 ◽

pp. 175899832097213

Author(s):

Emily McMullen ◽

Megan Robson ◽

Mark Paul Brewin ◽

Poonam Valand ◽

Leela Sayed ◽

...

Keyword(s):

Decision Making ◽

Upper Limb ◽

Clinical Decision Making ◽

Clinical Decision ◽

Service Planning ◽

Cross Sectional Survey ◽

Visual Technology ◽

Limb Trauma ◽

The Uk ◽

Decision Making Tool

Introduction For many patients, audio-visual appointments have provided a timely and efficient way of seeking advice, assessment and treatment for their hand injuries during the NHS response to COVID-19. This study aimed to explore the experience of hand units across the UK in determining the safe and judicious use of audio-visual outpatient care for the management of acute upper limb trauma. Methods An online cross-sectional survey was sent to the therapy leads of hand units across the UK. Questions focused on the experience of using audio-visual technology in the management of upper limb trauma, and the relevant factors in determining its appropriate use. A deductive mixed methods analysis was used to identify both common themes and capture community experience and characteristics. Results A total of 51 out of 76 hand therapy units completed the survey; a response rate of 67%. Of these, 82% (42/51) reported using audio-visual technology to manage upper limb trauma during the UK COVID-19 lockdown. When determining patient suitability for audio-visual consultations, 73% (37/51) of respondents reported the use of COVID-19 guidelines, but only 35% (18/51) reported the use of a clinical decision-making tool. In agreement with our experience at Salisbury Hospital Foundation Trust, 92% (47/51) had concerns relating to the use of audio-visual care. Conclusion The choice of safely managed remote care or in-person consultation has, to date, largely relied on the discretion of the clinician. A carefully designed clinical decision-making tool for the management of upper limb trauma is needed for use both in clinical practice and in future service planning.

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Low dose ropivacaine 0.75% midhumeral block in the elderly and young adults for upper limb trauma

European Journal of Anaesthesiology ◽

10.1097/00003643-200100001-00269 ◽

2001 ◽

Vol 18 (Supplement 21) ◽

pp. 75-76

Author(s):

X. Paqueron ◽

M. Senechal ◽

G. Boccara ◽

M. Farrugia ◽

B. Riou ◽

...

Keyword(s):

Young Adults ◽

Upper Limb ◽

Low Dose ◽

The Elderly ◽

Limb Trauma

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Therapeutic principles in upper limb trauma

Romanian Medical Journal ◽

10.37897/rmj.2021.3.2 ◽

2021 ◽

Vol 68 (3) ◽

pp. 338-343

Author(s):

Andreea Grosu-Bularda ◽

◽

Florin-Vlad Hodea ◽

Liviu-Petre Cojocaru ◽

Alexandru Stoian ◽

...

Keyword(s):

Upper Limb ◽

High Energy ◽

Normal Function ◽

Good Decision ◽

Upper Limb Function ◽

Therapeutic Principles ◽

Limb Trauma ◽

Experience Good ◽

Thorough Debridement ◽

Active Patients

Upper limb trauma cases vary from simple to high energy impactful injuries, with different etiologies; situations which frequently require unique, demanding and challenging endeavors in order to obtain the most favorable outcome. Experience, good decision-making and knowledge of functional goals are mandatory in order to elaborate a therapeutic plan and execute it accordingly. Although cases differ in nature and prognosis, respecting a set of therapeutic principles whilst dealing with either simple or complex cases, will enhance patient outcome and give the surgeon the confidence to tackle any kind of upper limb trauma. After clearing out vital threat, the emergency surgery represents the first threshold in achieving and restoring normal function and biomechanics, mostly in young and labor active patients, with the mindset to salvage as much tissue as possible, with a thorough debridement and step-by-step approach to different types of tissues. Secondary surgery and reconstructive surgery can be planned timely, with prior discussion with both the therapist and the patient in order to enhance patient’s upper limb function and aesthetic and ensure social reintegration.

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An Arm Elevating Dressing

Journal of Hand Surgery (European Volume) ◽

10.1016/0266-7681_85_90039-7 ◽

1985 ◽

Vol 10 (2) ◽

pp. 273-273

Author(s):

W. A. DICKSON

Keyword(s):

Upper Limb ◽

Essential Aspect ◽

Limb Trauma ◽

Ambulant Patient ◽

Injured Part

An essential aspect of management of upper limb trauma (including burns), infection, and surgery, is elevation to reduce tissue swelling and to rest the injured part. Surgeons dealing with upper limb pathology each have their own method of elevating the arm. I wish to describe a type of arm elevating support which is used primarily for elevation of the upper limb postoperatively, but can be used as a sling in the ambulant patient.

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Planned Upper Limb Trauma: Is it Better?

Bulletin of The Royal College of Surgeons of England ◽

10.1308/147363511x573563 ◽

2011 ◽

Vol 93 (7) ◽

pp. 273-276

Author(s):

Joideep Phadnis ◽

Ramiah Chidambaram

Keyword(s):

Health Service ◽

Upper Limb ◽

Orthopaedic Trauma ◽

Wide Scope ◽

Primary Interest ◽

Orthopaedic Surgeons ◽

Limb Trauma ◽

The Uk ◽

Complex Cases

In the UK, orthopaedic trauma is chiefly managed by consultants whose primary interest is not in trauma. In a survey conducted by McQueen, only 8.3% of British orthopaedic surgeons cited trauma as their primary interest despite 80% of those surveyed being on a regular trauma rota. The wide scope of orthopaedic trauma means that surgeons may encounter difficulty when faced with complex cases unfamiliar to them as part of their elective practice. Moreover, trauma operations are often performed by more junior consultants or unsupervised orthopaedic specialist trainees, which may increase the chance of complications and long-term cost to the health service.

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