A Regional Audit of Hand and Wrist Injuries

Hill, C.; Riaz, Muhammad; Mozzam, A.; Brennen, M. D.

doi:10.1016/s0266-7681(98)80174-5

Cited by 122 publications

(86 citation statements)

References 11 publications

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“…Our study was in contrast to the study by Niemines et al' [7] which showed 70 % of adult hand injuries occurring at home, 28 % at work, and 3 % in road accidents, which in our study was 13.6 % at home, 26.2 % at work, 27.1 % assault, and 13.9 % road accidents.…”

Section: Discussioncontrasting

confidence: 99%

“…Hand injuries demonstrated a peak in the age group of 21-35 years influenced primarily by industrial accidents and altercations. In our study, the number of hand injury cases in 1-5 years age group was 6.8 % of all cases, which is high when compared to 4.2 % in a study done in North Ireland [7]. The incidence of young Swedish children with hand injuries referred for treatment is 27/10,000 children/year.…”

Section: Discussioncontrasting

confidence: 51%

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Demographic Profile of Hand Injuries in an Industrial Town of North India: A Review of 436 Patients

Gupta

Uppal

et al. 2012

Indian J Surg

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There are not many injuries that rival the injured hand in complexity. A better understanding of biologic, behavioral, and socioeconomic risk factors potentially associated with hand injuries can help identify those individuals most at risk and define potential preventative measures to help reduce the incidence. We present a prospective study of 436 consecutive patients of hand and forearm injury treated over a period of 2 years. A serial recording of the demographic profile of the patient along with the type & cause of injury sustained, hand dominance, duration of hospital stay, time lag between injury and admission, type surgery preformed with intra-operative findings and the cost analysis was done. An expected male dominance in economically viable individuals of 21 to 30 years formed 50 % of the patients of which 22.9 % were labourers and students each. The malady was altercation (27.5 %) followed by industrial & road accidents. Post prandial period was most notorious with multiple neuro (27.05 %) vasculo (39.34 %) tendinous (60.66 %) injury common with even simple lacerations. Dominant hand injury was commonest. It is challenging to assess and treat an injured hand. This study defines the demography and the etiology behind the various cases of hand and forearm injury with the detailed trauma profile. The limitation of the study was absence of functional outcome. The necessity of hand trauma registry is a pre-requisite to quantify the burden of hand injuries and formulate a prevention strategy.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 51%

Demographic Profile of Hand Injuries in an Industrial Town of North India: A Review of 436 Patients

Gupta

Uppal

et al. 2012

Indian J Surg

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“…Physiotherapy must be systematic and constantly supervised by the hand surgeon with application of multi modality approach. From the industry point of view adequate breaks, recreation facilities, counseling team should be provided [15]. On occurrence of injury appropriate first aid, transport, emotional support, adequate rehabilitation and compensation go a long way in gaining confidence of workers.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and Sequelae of Workplace Hand Injuries at a Tertiary Trauma Care Centre

Prasad¹,

Bhamidi²,

Rajeswaran³

et al. 2014

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Aims & Objectives: To study the epidemiology of workplace hand injuries, to understand relation between mode of injury and prognosis, to investigate into the possible contributing factors and to study the Socio-economic impact. Design of Study: For the prospective study there were 2 sources of data: 1) Proforma which was filled by the hand surgeon and 2) A questionnaire that was filled up by safety officer. For the retrospective study case, sheets were retrieved from the Medical Records section and a telephonic or personal interview was carried out by a single interviewer. Setting: Department of Plastic and Reconstructive Surgery, Parvathy Hospital, Chennai, India. Patients: A total of 419 industrial injury patients treated from January 2008 to January 2013 were included in the study. Further follow-up regarding return to work and residual disability continues. Main Outcome Measures: Personal details (Age, Gender, Handedness, Work experience, Income). Type of injury, mode of injury, day and time of injury, treatment given, disability and number of working days lost were measured. Results: Those workers who were experienced less than 6 months had more workplace injuries and the commonest contributing factor was co-workers carelessness followed by long working hours and faulty machinery. Maximum injuries occurred on Monday and morning shift. Conclusions: Constant supervision of trainees for 2 years, shorter working hours with regular breaks, regular health checkups for personnel, regular servicing of machines can prevent occurrence of hand injuries. Corrective surgery within 6 hours, systematic and protocol based physiotherapy and rehabilitation can reduce the economic loss and disability arising out of work place injuries.

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“…[8,[12][13][14] The dominant hand was seen to be the most injured. In our study, right hand injuries occured more commonly.…”

Section: Discussionmentioning

confidence: 99%

Glass Related Hand and Wrist Injury: Accidental or Sudden Anger

Gökhan¹,

Altuncı

Orak

et al. 2011

Tr J Emerg Med

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ÖZET Amaç Travmatik el ve el bileği yaralanmaları acil serviste yaygın görülen yaralanmalardır. Ani öfkelenmeye bağlı cama yumruk atma ile iliş-kili el ve el bileği yaralanmaları ülkemizde sıktır. Bu çalışmanın amacı oluş nedenlerine göre cam kesisi ile ilişkili el ve el bileği yaralanmalı hastalarda klinik ve demografik özellikleri analiz etmektir. Gereç ve Yöntem SUMMARY ObjectivesTraumatic hand and wrist injuries are the type of injuries commonly seen in the emergency department (ED). Hand and wrist injuries related to punching windows due to sudden discomposes are frequent in Turkey. The aim of this study was to analyze clinical and demographic specifications of hand and wrist injuries related to glass cuts and their underlying causes. MethodsThe patient files who presented to the Dicle University Hospital ED (Diyarbakır-Turkey) with injuries due to glass cuts have been examined. Demographic data of the patients have been recorded in the standard work form and then were analyzed. ResultsOne hundred and fifty four patients were included in the study. 53.8% of the patients constituted those who punched on the glass during an angry episode. Punching on the glass was more frequently observed in men (n=81, 97.6%), with cuts to the right hand being the most frequent type of resulting injury (n=65, 78.3%). Twenty four (28.9%) of the patients with injuries related to glass punching were under the influence of alcohol during the incidents and injury rates of radial artery, ulnar nerve, median nerve and ulnar artery have been found considerably higher in this group. ConclusionsA thorough artery, nerve and tendon examination of the patients presenting to the ED with hand and wrist injuries needed to be performed, and especially for those under the influence of alcohol in order to prevent functional losses of the underlying structures.

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A Regional Audit of Hand and Wrist Injuries

Cited by 122 publications

References 11 publications

Demographic Profile of Hand Injuries in an Industrial Town of North India: A Review of 436 Patients

Demographic Profile of Hand Injuries in an Industrial Town of North India: A Review of 436 Patients

Epidemiology and Sequelae of Workplace Hand Injuries at a Tertiary Trauma Care Centre

Glass Related Hand and Wrist Injury: Accidental or Sudden Anger

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