Hand Fracture

2020 ◽  
Author(s):  
Keyword(s):  
Hand Fracture

Hand fracture management

2003 ◽  
Vol 16 (2) ◽  
pp. 79-80 ◽  
Author(s):  
Maureen Hardy ◽  
Eric Wegener
Keyword(s):  
Fracture Management ◽  
Hand Fracture

scholarly journals EP.WE.105Hand trauma during COVID pandemic: a tertiary trauma centre experience

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Amir Ghareib ◽  
Sylwia Oniska ◽  
Laura Karran ◽  
Jamil Moledina
Keyword(s):  
High Volume ◽  
Trauma Centre ◽  
Active Movement ◽  
Trauma Patients ◽  
University Hospitals ◽  
Hand Fractures ◽  
Good Movement ◽  
Hand Fracture ◽  
June July

Abstract Introduction St. George’s University Hospitals NHS Foundation Trust is a tertiary trauma centre. We receive a high volume of hand referrals from all over the south West London region. Closed hand fractures represent a significant number of our referrals. COVID-19 has put more burden in all health service endangering poor management of these trauma patients. Aim To assess management of close hand trauma patients during COVID pandemic. Methods Retrospective evaluation of closed hand fracture referrals during June, July, and August 2020. Clinical documentations, operative details and follow up visit notes have been reviewed. Results 106 patients have been included. 47 patients treated surgically with 81% of them were in need for metalwork insertion. Most of operations were done within 8 days. Number of hospital visits was variable with a mean of six days for adult and two days for children. Patient who was in need for hand therapy have been seen within the first 8 days of their surgery. At three months follow up, only three cases had infection. Only one case had osteomyelitis and the other two case had infected metalwork. Most of the patents reported good movement in ASSH Total Active Movement of Hand score (TAM) at the end of the three months. Conclusion Despite COVID 19 pandemic our service managed to achieve acceptable results in dealing with these cases. Yet, securing a reasonable number of operating sessions and clinic appointments remains a challenge.

scholarly journals Derivation and Internal Validation of a Prediction Model for Pediatric Hand Fracture Triage

2021 ◽  
Vol 9 (4) ◽  
pp. e3543
Author(s):  
Rebecca L. Hartley ◽  
Frankie O.G. Fraulin ◽  
A. Robertson Harrop ◽  
Peter Faris ◽  
James Wick ◽  
...  
Keyword(s):  
Prediction Model ◽  
Internal Validation ◽  
Hand Fracture

Hand fracture management course

BMJ ◽  
2010 ◽  
pp. c3972
Author(s):  
Tarek Boutefnouchet
Keyword(s):  
Fracture Management ◽  
Hand Fracture

Hand Fracture Treatment

2019 ◽  
pp. 360-368
Author(s):  
Matthew Cavo ◽  
Warren C. Hammert
Keyword(s):  
Fracture Treatment ◽  
Hand Fracture

Effects of Microstructures on the Mechanical Properties of Dilute Al-Si Alloys

2007 ◽  
Vol 345-346 ◽  
pp. 821-824
Author(s):  
Keiyu Nakagawa ◽  
Teruto Kanadani
Keyword(s):  
Fatigue Strength ◽  
Grain Boundary ◽  
Grain Boundaries ◽  
Aging Time ◽  
Fracture Elongation ◽  
Micro Cracks ◽  
Hand Fracture ◽  
Stress Cycles ◽  
Effects Of Aging ◽  
The Relationship

In this paper, we investigated effects of aging at 473K on the relationship between microstructure in the vicinity of the grain boundaries and fatigue strength for Al-1.2%Si alloy. Results obtained show the following features. (1) As aging time, tA increase, the tensile strength (σB) and 0.2% proof stress (σ0.2) increase slowly, but gradually decrease after reaching a maximum at around 18 ks. On the other hand, fracture elongation shows an opposite trend, suggesting that at aging times above 18ks, over aging occurs. (2) The fatigue strength lowers with increasing aging time, however, when the aging time is more than 18 ks at 473K, the fatigue strength remains almost the same. (3) When the aging time is more than 6 ks, grain boundary precipitates with a size greater than several 10s of nm are observed. (4) When the aging time is 18 ks, an accumulation of dislocations are observed at the grain boundaries and in the vicinity of grain boundary precipitates, and dislocations increase with the number of stress cycles. (5) When the aging time is more than 6 ks, the fatigue fracture surface is mainly intergranular. These results suggest that reduction of fatigue strength results from propagation of micro-cracks which are initiated at the large precipitates on the grain boundaries.

Complete Abolition of Opioid Prescribing in an Upper Extremity Surgical Practice

Hand ◽  
2020 ◽  
pp. 155894472096671
Author(s):  
Mark Henry
Keyword(s):  
Soft Tissue ◽  
Upper Extremity ◽  
Pain Control ◽  
Case Series ◽  
Similar Efficacy ◽  
Wound Management ◽  
Elbow Fracture ◽  
Level Of Evidence ◽  
Hand Fracture ◽  
Fracture Bone

Background Prescription opioids threaten potential addiction, diversion, and death. Nonopioid regimens have demonstrated similar efficacy for select upper extremity postoperative patients. Methods After adopting a practice policy completely abolishing opioid prescriptions, data were collected on all consecutive surgical cases for the next 6 months, without exclusion. There were 800 cases, 61% male and 39% female, with a mean age of 45. Seventy patients (9%) reported already using prescription medications employed in multimodality regimens; no instruction was given to alter consumption. Patients were divided into 5 groups based on the type of surgery: elective soft tissue (24%), trauma wound management (19%), soft tissue structural repairs (9%), hand fracture/bone procedures (34%), and wrist to elbow fracture/bone procedures (14%). Each group was compared directly to each other group with a 2-tailed t-test, P < .05. Results Patients reported achieving pain control without the need for further medication assistance by a mean of postoperative day 2.7. Times to pain control by group were as follows: 1.5, 3.1, 2.7, 2.9, and 3.6 days respectively. Mean postoperative daily pain scores (using a 10-point visual analog scale) for days 1 to 5 were as follows: 2.8, 2.1, 1.5, 1.0, and 0.6, respectively, with a sum of 8.0. During the 6-month tracking period, the practice only received 4 calls from patients with questions about pain control (0.5% of cases). Conclusions Patients achieved good immediate pain control without opioids and reported rapidly declining pain levels over the next several days to the point of no longer requiring medication. Type of Study/Level of Evidence Prospective cohort case series, therapeutic; Level IV.

Yorkshire Hand Fracture and Small Joint Injury Workshop

2014 ◽  
Vol 73 (4) ◽  
pp. 364 ◽  
Author(s):  
Laurence Johann Glancz
Keyword(s):  
Joint Injury ◽  
Small Joint ◽  
Hand Fracture

A simple technique to repair a hand fracture in a captive Siamang

2016 ◽  
Vol 45 (6) ◽  
pp. 324-326 ◽  
Author(s):  
Sara Piga ◽  
Francesco Negro ◽  
Stefano Meda ◽  
Andrea Bertuglia
Keyword(s):  
Simple Technique ◽  
Hand Fracture

scholarly journals Acute hand injury splinting – the good, the bad and the ugly

2018 ◽  
Vol 100 (2) ◽  
pp. 92-96
Author(s):  
T Richards ◽  
R Clement ◽  
I Russell ◽  
D Newington
Keyword(s):  
Hand Surgery ◽  
Hand Injury ◽  
Initial Assessment ◽  
Frontline Staff ◽  
Initial Management ◽  
Junior Staff ◽  
Hand Fractures ◽  
Hand Fracture ◽  
The Uk ◽  
Annual Treatment Cost

Injuries to the hand comprise 20% of all emergency department attendances, with an estimated annual treatment cost of over £100 million in the UK. The initial assessment and management of hand injuries is usually undertaken by junior staff, many of whom have little or no training or experience in splinting hand fractures. In the Department of Orthopaedic Hand Surgery, Morriston Hospital, we regularly observe patients presenting to the specialist hand fracture clinics having had initial management that shows no appreciation for the treatment objectives or the safe positions for splinting. This article aims to provide guidance for frontline staff on the management of hand fractures, with particular emphasis on the appropriate nonoperative care to avoid any unnecessary morbidity.

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