Incidence of Acute Trauma on Hand and Wrist: A Retrospective Study

Junqueira, Giovanna Damm Raphael; Lima, André Luiz Machado; Boni, Robison; Almeida, Joelmar César de; Ribeiro, Rafael Souza; Figueiredo, Leandro Azevedo de

doi:10.1590/1413-785220172506169618

Cited by 7 publications

(5 citation statements)

References 8 publications

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“…In our hospital, the department of plastic surgery witnessed a sudden increase in finger/hand injuries due to mixer grinder during the nationwide lockdown. [5,6] Case records of all upper limb injuries including hand injuries in the lockdown period from March 25, 2020, to May 17, 2020, a period of 54 days were examined. There were a total of 32 cases of hand injuries due to mixer grinder, 7 cases of self-inflicted and intended wounds on upper limb, 4 door closing injuries of the hand, 2 cases of scald burns to hand, and 2 cases of upper limb injuries sustained accidentally at home.…”

Section: Methodsmentioning

confidence: 99%

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Change in spectrum of hand injuries during COVID-19 lockdown period: Increase in mixer grinder and domestic violence related injuries in lieu of trauma sustained in outdoor activities

Gupta

2020

IJMS

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Objectives: There has been a rapid increase in respiratory infections due to COVID-19, caused by SARS-CoV-2, a novel coronavirus, which is believed to have originated from Wuhan in China. The disease has taken a form of pandemic and is now present in all countries across the globe with nearly 5.4 million infections and 344,000 fatalities till date. In late March, the Indian government initiated a lockdown, which confined nearly 1.3 billion people, around one-sixth of humanity to home, in an effort to decrease the community transmission of COVID-19 disease and flatten the curve so that Indian health care is able to deal with a manageable number of cases. This lockdown, which started on March 25, 2020, has now been extended to May 17, 2020, a duration of 54 days, with further planned extension to May 31. During this lockdown, the authors noted an increase in the number of mixer grinder injuries and a change in the demography of suicidal attempts due to frustration resulting in injuries to upper limb. The authors have studied this phenomenon and compared the data with cases from previous year. Material and Methods: The case records of all patients coming to the emergency department and department of plastic surgery in the period of March 25, 2020, to May 17, 2020 (54 days), with injuries of upper limb were analyzed and data compared with data from 2019. The demography and mode of injuries were studied. Results: There was an unusual increase in hand injuries due to mixer grinder in kitchen, 32 cases in 54 days (17.78/month) compared to 28 cases in 12 months in 2019 (2.34/month) with P < 0.001. There was also an increase in number of intended self-inflicted injuries in upper limb, as a result of psychological effects of rage and frustration with spouse due to long periods of confinement at home (3.89/month during lockdown period compared to 0.58 during 2019, P < 0.005) with change in demography compared to previous year. There was a decrease in upper limb injuries due to road traffic accidents, industrial accidents, assaults, sports, school, and work-related injuries, during the lockdown period, and this was along the expected lines. Conclusion: The period of lockdown initiated in India, to slow the community transmission of COVID-19 caused long periods of confinement together at home for families and forced the young adults to carry out some unaccustomed work, which resulted in a spike in mixer grinder injuries of hand. It also led to some rage and frustration, especially with spouses with a spike in suicidal attempt upper limb injuries.

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Section: Methodsmentioning

confidence: 99%

“…In our hospital, the department of plastic surgery witnessed a sudden increase in finger/hand injuries due to mixer grinder during the nationwide lockdown. [ 5 , 6 ]…”

Section: Methodsmentioning

confidence: 99%

Change in spectrum of hand injuries during COVID-19 lockdown period: Increase in mixer grinder and domestic violence related injuries in lieu of trauma sustained in outdoor activities

Gupta

2020

IJMS

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“…According to epidemiology studies, about 21.44 percent of triage referrals consist of individuals with hand and wrist injuries [2]. Moreover, damages can result from accidents or other special conditions.…”

Section: Introductionmentioning

confidence: 99%

One DOF passive Glove for Thumb rehabilitation

et al. 2022

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Nowadays, with increasing the injuries to the hand, specially fingers, because of saving in time and money, wearable robots are so practical to use in order to rehabilitate the injured part of the body. This exoskeleton is designed to rehabilitate the thumb to do the opposition movement, which is one degree of freedom (DOF) and a passive type with the cable mechanism. These cables are placed by two drums, one on the thumb and the other on the tip of the assistive finger, and have a cable adjusting screw that can be adjusted for fingers of different lengths. To choose the assistive finger from 4 intact fingers, the two perspectives of the cable length changes and finger forces are compared. Finally, with the help of these comparisons, the middle finger was selected as the assistive finger. Furthermore, by safety factor of 36.78, the cable traction forces do not harm the fingers' joins. The most angle difference between thumb and middle is at the 140 degrees angle, at the third joint, the performance of the thumb is better, due to the least angle difference.

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“…The hand is the segment most exposed to trauma, and it corresponds to a significant portion of the demand for emergency services: ∼ 20% of the number of visits in general. 1 2 3 4 This number of injuries is due to constant exposure to work, home or leisure environments. Therefore, we find a predominance of hand trauma in all age and population groups.…”

Section: Introductionmentioning

confidence: 99%

“…A mão é o segmento mais exposto ao trauma, e corresponde a parcela expressiva da procura nos serviços de emergência: cerca de 20% do número de atendimentos em geral. 1 2 3 4 Esse número de lesões se deve à constante exposição aos ambientes de trabalho, doméstico, ou de lazer. Nesse sentido, há predominância de traumas na mão em todas as faixas etárias e grupos populacionais.…”

Section: Introductionunclassified