scholarly journals EP.FRI.148 Profile and management of Hand injuries in a tertiary institute

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Vishal Mago
Keyword(s):  
Plastic Surgery ◽  
Hand Injury ◽  
Hand Injuries ◽  
Mechanism Of Injury ◽  
Tertiary Institution ◽  
Night Time ◽  
Demographic Profile ◽  
Right Hand

Abstract Aims To outline the demographic profile and outcome of hand injuries in a tertiary institution Methods This study was done over a period of 4 years in a tertiary institution in patients presenting with open hand injuries and management protocols will be discussed based on presentation in emergency and opd of burn and plastic surgery. Results Majority of patients were labourers or skilled artisans who sustained injury during operation of machines and right hand was predominantly affected. Maximum injuries occurred in night time. Traumatic amputations were commonly seen along with involvement of thumb in some patients. Various reconstructive options will be discussed based on the involvement of hand injury. Conclusion Proper knowledge of mechanism of injury can guide in the management of patients. Exposure to machines and hazard prevention should be taught in factory establishments or threshers for reducing this menace.

scholarly journals Demographic Profile of Hand Injuries in North India: A Tertiary Care Hospital Experience.

2021 ◽  
Vol 5 (1) ◽  
pp. 759-763
Author(s):  
Sandesh Bharat Singh ◽  
Harsha Vardhan ◽  
Sameer Halageri ◽  
Arun K Singh ◽  
Vijay Kumar ◽  
...  
Keyword(s):  
Nerve Repair ◽  
Tertiary Care ◽  
National Level ◽  
Middle Finger ◽  
Hand Injury ◽  
Hand Injuries ◽  
North India ◽  
Care Hospital ◽  
Demographic Profile ◽  
Socioeconomic Risk

Introduction: Hand injuries are the most complex injuries when compared to other bodily injuries. A better understanding of the biological, behavioral, and socioeconomic risk factors that are associated with hand injuries is therefore needed. This data can help identify individuals at risk and define preventive measures to help reduce the incidence. Material and Methods: We present a study of 350 consecutive patients of hand injury treated between 2017- 2018. The demographic profile of the patient along with the type & cause of the injury sustained, hand dominance, type of procedure, and requirement of hospital administration was extracted from hospital records. Results: 159 (45.5%) of the patients were in the age group of fewer than 20 years. Out of the 350 patients, 288 (82%) were male. 302 (86%) patients were right-handed. The most common mode of injury was machine injury in 205 (59%) patients. 181 (52%) patients had crush injury, 107 (31%) had the sharp cut injury, and 32 (9%) had blast injury. 94 (27%) patients needed hospital admission for management. 119 ( 34%) patients had the injury to the thumb, 89 (25%) had injury to the middle finger. Primary suturing was done in 116 (33%) patients, tendon and nerve repair in 209 (60%), and 177 (51%) patients respectively. Conclusions: The study describes the demography and etiology of the cases of hand injury. The study has a limitation of having absence of assessment of functional outcome. There is a necessity of hand trauma registry to quantify the burden of hand injuries and formulate a prevention strategy at the national level.

scholarly journals Treatment of Type 1 Complex Regional Pain Syndrome in 14 Years Old Child

2014 ◽  
Vol 21 (4) ◽  
pp. 79-82
Author(s):  
V. N Merkulov ◽  
A. I Dorokhin ◽  
A. I Krupatkin ◽  
M. V Merkulov ◽  
M. A Avakova
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Pain Syndrome ◽  
Hand Injury ◽  
Psychological Status ◽  
Interventional Treatment ◽  
Bolus Administration ◽  
Right Hand ◽  
Foot Injury ◽  
The Right

Case report on 14 years old girl with type 1 complex regional pain syndrome (CRPS) is presented. At first admission in 5.5 months after right hand injury and development of type 1 CRPS, paravasal sympathectomy on the right upper extremity was performed. Complete elimination of pain syndrome and restoration of the extremity function was achieved. Five and a half months after discharge the left foot and in 3 weeks later the right hand were injured. In both cases injuries were accompanied by pronounced CRPS clinical picture. At second admission in 6 weeks after foot injury interventional treatment with placement of catheters next to nerve trunks and bolus administration of antibiotics was performed for 1 week and enabled to achieve remission of the disease. It was noted that not only hypersymphaticotony but also psychological status of a patient were important for the disease development.

scholarly journals Retrospective study describing the mode of hand injuries in Eastern Nepal

2017 ◽  
Vol 13 (2) ◽  
pp. 125-133
Author(s):  
Suraj Bajracharya ◽  
P Kumar ◽  
B P Shrestha
Keyword(s):  
Retrospective Study ◽  
Retrospective Review ◽  
Bone Fractures ◽  
Tertiary Hospital ◽  
Metacarpal Bone ◽  
Clinical Aspect ◽  
Hand Injuries ◽  
Mechanism Of Injury ◽  
Common Causes ◽  
Record Section

Background: This retrospective review was performed to identify the incidence, causes, and details of hand injuries in patients presenting to a tertiary hospital in Eastern Nepal.Objective: To identify the incidence, causes, and details of hand injuries in patients.Method: Records of all patients who had sustained hand injuries for last 5 years were collected from the medical record section. Altogether 832 injuries of hand in 484 patients were reported in this review. These patients were reviewed for age at the time of injury, gender, location of the incident, mechanism of injury, and fracture specifies.Result: 414 (85.5%) males with mean age of 28.79 ± 12.81 and in female with 30.43 ±17.13 yrs were found. Machinery injuries (25.2%) were the most common causes of injuries followed by RTA (14.5%). Metacarpal bone fractures (34.6%) were the commonest injury of the hand. Most of the patients were treated with open reduction and fixation with K wires.Conclusion: The study reveals the aetio-epidemiological and clinical aspect of hand injuries with its alarming burden in Nepal.Health Renaissance 2015;13(2): 125-133

Hand injuries from tools in domestic and leisure settings: relative incidence and patterns of initial management

2011 ◽  
Vol 36 (5) ◽  
pp. 408-412 ◽  
Author(s):  
S. T. B. Williams ◽  
D. Power
Keyword(s):  
Hand Injury ◽  
Hand Injuries ◽  
Initial Management ◽  
Emergency Hospital ◽  
Hospital Specialist ◽  
Specialist Referral ◽  
Power Tools ◽  
The Uk ◽  
Circular Saws ◽  
Missed Diagnoses

A search of the UK Department of Trade and Industry’s Home and Leisure Accident database found 16,003 emergency hospital attendances in 2000–2002 following accidents with tools. The hand was the site of injury in 9535 cases (60%). The tool most commonly involved was a Stanley knife, causing as many hand injuries (21%) as all power tools combined. The power tools most frequently causing hand injury were circular saws (28% of power tool injuries), hedge trimmers (21%) and electric drills (17%). Compared to injuries from manual tools, power tool hand injuries were more than twice as likely to be referred to specialists and three times more likely to be admitted to hospital. Specialist referral/admission most commonly occurred following hand injury from mowers (51% admitted/referred), routers (50%) and circular saws (48%). The rate for manual blade injuries was 14%. Missed diagnoses following manual blade injuries may stem from comparatively low rates of specialist assessment.

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

2010 ◽  
Vol 35 (5) ◽  
pp. 409-416 ◽  
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.

The Psychological Impact of Severe Hand Injury

2008 ◽  
Vol 33 (3) ◽  
pp. 358-362 ◽  
Author(s):  
M. GROB ◽  
N. A. PAPADOPULOS ◽  
A. ZIMMERMANN ◽  
E. BIEMER ◽  
L. KOVACS
Keyword(s):  
Psychological Impact ◽  
Surgical Techniques ◽  
Treatment Strategies ◽  
Psychological Trauma ◽  
Positive Outcome ◽  
Hand Injury ◽  
Hand Injuries ◽  
Residual Functional ◽  
Constant State ◽  
Adaptation Processes

The final outcome of severe hand injuries is not solely determined by the residual functional impairment, but is also a function of non-functional criteria, including the sequelae of the accompanying psychological trauma. This paper reviews the literature with respect to the psychological impact of severe hand injuries, including the special impact of amputations, adaptation processes, adaptation stages, prognostic criteria and aesthetic issues influencing the final individual outcome, including present recommendations for promoting a positive outcome. Motivated and psychologically stable people are reported to do well irrespective of the severity of a hand injury. In patients who find it difficult to cope mentally, successful treatment strategies have been proposed. Their implementation is in a constant state of evolution and includes not only improved surgical techniques and advanced pharmacological pain management but also early psychotherapeutic input and involvement of patients in decision making for treatment.

scholarly journals Hand trauma in English domestic professional county cricket

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.

scholarly journals Resurfacing of hand injury with groin flap: an analysis of thirty four cases

2014 ◽  
Vol 43 (1) ◽  
pp. 21-25
Author(s):  
Jagodish Chandra Ghosh ◽  
Samaresh Chandra Hazra ◽  
Sudhangsu Kumar Singha ◽  
Md Faroque Reza Aolad
Keyword(s):  
Free Flap ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Hand Injury ◽  
Hand Injuries ◽  
Joint Movement ◽  
Groin Flap ◽  
Flap Loss ◽  
Free Flap Transfer

Hand injuries are prevalent among the young adult and middle aged active people specially who are engaged with machinery works. Hand performs the unique and essential mechanical function and for fulfillment of this function it is imperative to provide good soft tissue coverage with sensibility. Skin grafting causes wound contraction and result in gliding of tendon directly under skin and is also unable to provide sensibility. Though cutting and slicing injury can be closed directly, crushing, degloving and avulsion injury needs coverage with a flap. Free flap require highly skilled microvascular anastomoting technique and needs expertise. Pedicle flap are suitable for this purpose where facilities for free flap transfer are not available. This prospective observational study which was done in National Institute of Traumatology and Orthopadic Rehabilitation during the period from January 2000 to december 2001 involving thirty four patients with a age range of 15-50 yrs who sustained hand injury from machinery injury, road traffic accident and electric burn.The patients were followed up at 4th (week), 6th (week), 8th (week), 16th and 20th week. Majority of patient are male. 58.82% of patient had suffered from machinery injury and 23.52% of patient had suffered from road traffic accident. During resurfacing of hand injuries, 58.82% of patient needed a flap length between 15 to 17 cm and rest of the patient (41.16%) requires flap length below 15 cm.Among all patients, 70.6% required 7 cm to 10 cm wide flap and rest of the patient between 5 cm to 7 cm. About 86% of patients had no loss of flap, 10.71% had marginal distal flap loss, 3.57% patient had distal flap loss up to 5% and no patient had distal flap loss >5%. Functional out come in terms of Eating, drinking, dressing,washing, writing were satisfactory in all cases except only one patient who developed stiffness of hand which was 3.58% of total patient. Functional outcome were evaluated in terms of eating, drinking, dressing, washing, writing and other purposeful movement; and also in terms of joint movement, power grip and pinching. All patient regained full range of movement except one patient who had deficit of finger movement. In conclusion groin flap can be a better choice for resurfacing the hand injury with acceptable results. This study recommends the use of groin flap as routine choice for resurfacing larger hand injuries. DOI: http://dx.doi.org/10.3329/bmj.v43i1.21372 Bangladesh Med J. 2014 January; 43 (1): 21-25

Hand Injuries in the Textile Industry

1985 ◽  
Vol 10 (3) ◽  
pp. 293-296
Author(s):  
S. M. MYLES ◽  
A. H. N. ROBERTS
Keyword(s):  
Plastic Surgery ◽  
Initial Treatment ◽  
Textile Industry ◽  
Acute Treatment ◽  
Hand Injuries ◽  
Early Mobilisation ◽  
Early Referral ◽  
Skin Replacement ◽  
Wool Industry

This paper is a review of the hand injuries occurring in the Yorkshire Wool Industry and referred to the Regional Plastic Surgery Unit for skin replacement, or other treatment, during the years 1965–1984. A total of forty-one cases has been seen, and although the number employed in the industry has fallen about fivefold, the injuries referred yearly have remained approximately constant. An analysis of the types of injury has been made and the improvement in the results is shown with changes in the method of acute treatment. The case for early referral, active initial treatment and early mobilisation is very obvious from the results.

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