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Biomedical subjects

O Skov

Publications and source records attributed to O Skov.

15 recordsLinked to original sources

[Occupational hand injuries. A population-based description of the incidence and referral to casualty departments].

The overall incidence of self-reported occupational hand injuries in a Danish population was estimated to 4.7%, with the highest incidence among the youngest, men and employees in the production and building industries. The life-time risk were 93% for men and 73% for women. Age and gender were found to be independent risk factors for the occupational hand injuries. The proportion treated in the casualty department was 0.28, for injuries with disability and time off work the proportions were 0.46 and 0.69 respectively. No age, gender or occupation specific selection for attending the hospital was found. Prevention-trials against hand injuries should therefore have a high priority, and it is recommended that hospital data files are used increasingly in future prevention programs.

Accidents, Occupational↗

[Is the number of injuries following deliberate violence increasing?].

The purpose was to estimate the annual incidence of hospital-treated injuries related to violence in the city of Odense in the period of 1988 to 1996. The overall incidence was estimated to 0.57 (1996) per 100 persons per year, with the highest incidence among men between 15 to 25 years. The lifetime cumulative incidence proportion was estimated to 45% for men and 21% for women. During the period 1988-1996 the overall annual incidence showed a slight decrease.

Adolescent↗

Time off work after occupational hand injuries.

This study analysed the impact of several factors on the start and duration of time off work among 802 patients with occupational hand injuries, in order to identify prognostic indicators. The study showed that external factors such as work and social condition seemed to have less influence on time off work than expected, whereas advice from doctors, flashbacks and impairment symptoms were important determinants.

Attitude to Health↗

Early motion of the ankle after operative treatment of a rupture of the Achilles tendon. A prospective, randomized clinical and radiographic study.

BACKGROUND: Different regimens of early motion of the ankle after operative treatment of a ruptured Achilles tendon have been suggested since the late 1980s. However, as far as we know, no controlled studies comparing these regimens with conventional immobilization in a cast have been reported. METHODS: In a prospective study, seventy-one patients who had an acute rupture of the Achilles tendon were randomized to either conventional postoperative management with a cast for eight weeks or early restricted motion of the ankle in a below-the-knee brace for six weeks. The brace was modified with an elastic band on the posterior surface, in a manner similar to the principle of Kleinert traction. Metal markers were placed in the tendon, and the separation between them was measured on serial radiographs during the first twelve weeks postoperatively. The patients were assessed clinically when the cast or brace was removed, at twelve weeks postoperatively, and at a median of sixteen months postoperatively. RESULTS: The separation between the markers at twelve weeks postoperatively was nearly identical in the two groups, with a median separation of 11.5 millimeters (range, zero to thirty-three millimeters) in the patients managed with early motion of the ankle and nine millimeters (range, one to forty-one millimeters) in the patients managed with a cast. The separation was primarily correlated with the initial tautness of the repair (r[S] = 0.45). No patient had excessive lengthening of the tendon. The patients managed with early motion had a smaller initial loss in the range of motion, and they returned to work and sports activities sooner than those managed with a cast. Furthermore, there were fewer visible adhesions between the repaired tendon and the skin in the patients managed with early motion, and these patients were subjectively more satisfied with the overall result. The patients in both groups recovered a median of 89 percent of strength of plantar flexion compared with that of the noninjured limb, as measured with an isometric strain-gauge at 15 degrees of dorsiflexion. The heel-rise index was similar for both groups: 0.88 for the patients managed with early motion and 0.89 for those managed with a cast. CONCLUSIONS: Early restricted motion appears to shorten the time needed for rehabilitation. There were no complications related to early motion in these patients. However, early unloaded exercises did not prevent muscle atrophy.

Achilles Tendon↗

[Trade-specific occurrence of occupational hand injuries].

The purpose of the investigation was to estimate the trade-specific incidence of occupational hand injuries, to estimate the trade-specific cumulative incidence proportion and to investigate whether age, gender and trade each were independent risk-indicators for occupational hand injuries. In a retrospective design, 823 patients with occupational hand injuries treated at Odense University Hospital were included in the investigation. The population at risk was 96,512 persons engaged in active employment within the municipality of Odense. The overall incidence of occupational hand injuries was estimated to 1.7 percent and 0.3 percent for significant injuries. The incidences in the production- and building industries were significantly higher than the incidence in the service industries. Gender and occupation were both found to be independent risk-indicators for occupational hand injuries, age only for the minor injuries. Occupational hand injuries seem to be so common, that prevention-trials should continuously be intensified. The target-groups should firstly be employees in the production industries, however prevention-trials directed against specific age- and gender behaviour patterns should also be considered.

Accidents, Occupational↗

[Scaphoid fractures. Fracture types and localization].

The incidence, localization, and type of scaphoid fractures found in a well-defined population is described. Fractures of the carpal scaphoid (n = 442) of which 19 (5%) were nonunions were identified during an eight-year period. Among inhabitants living in the Odense Municipality (population at risk 170,648 in 1983 to 174,948 in 1989) 222 males and 51 females who sustained scaphoid fractures during a seven-year period were used for computation of incidence. During the survey, there was an average annual incidence of scaphoid fracture of eight per 100,000 females, and 38 per 100,000 males. The average annual incidence per 100,000 inhabitants of carpal scaphoid fractures according to the location was proximal two, middle 15, and distal six. Average annual incidence per 100,000 inhabitants of carpal scaphoid fractures according to type was transverse seven, horizontal oblique nine, vertical oblique one, avulsion/fracture of the tuberosity five, and not stated one.

Adolescent↗

The incidence of hospital-treated occupational hand injuries.

Previous studies have shown that young men have the highest frequency of occupational hand injuries. This study investigated their incidence and severity in relation to age and sex. For occupational hand injuries in general the estimated incidence rate was 17.1 per 1,000 person years. The incidence was found to be higher among men than women in all age groups below 60 years. The incidence for minor injuries declines with increasing age, but the rates for significant injuries are independent of age. The higher incidence rate for minor injuries among young patients could be real, but it could also be partly due to selection bias, if older patients with minor injuries consult the hospital for treatment less frequently.

Accidents, Occupational↗

Fracture of the carpal scaphoid: frequency and distribution in a well-defined population.

The incidence, location, and type of scaphoid fractures found in a well-defined population is described. Fractures of the carpal scaphoid (n = 442) were identified during an eight-year period, of which 19 (5%) were nonunions. At the initial radiographic examination the fractures were visible on PA views in 70% of the cases (true lateral 10%, scaphoid view neutral 77%, scaphoid view ulnar deviated 73%, and scaphoid view with the X-ray tube tilted 30 degrees distally 71%). Among inhabitants living in the Odense Municipality (population at risk 170648 in 1983 to 174948 in 1989) 222 males and 51 females (age range 9-87 year) sustaining scaphoid fractures during a seven-year were period used for computation of incidences. During the survey, there was an average annual incidence of scaphoid fracture of 8 per 100000 females, and 38 per 100000 males. All patients (except a 9-year-old male) were aged 10 years or over. In the age-group 10-14 years there was an average annual incidence of 3 per 100000 females, and 39 per 100000 males. Average annual incidence per 100000 inhabitants of carpal scaphoid fractures according to the location was proximal 6, middle 15, and distal (fractures of the tuberosity included) 2. Average annual incidence per 100000 inhabitants of carpal scaphoid fractures according to type was transverse 7, horizontal oblique 9, vertical oblique 1, avulsion/fracture of the tuberosity 5, and not stated 1.

Adolescent↗

Epidemiology of scaphoid fractures in Odense, Denmark.

During a 7-year period, 273 scaphoid fractures were diagnosed in the approximately 175,000 residents of the municipality of Odense. The average annual incidence of scaphoid fracture was 8 per 100,000 women and 38 per 100,000 men, predominantly in young persons. The cause of injury was a fall in 69 percent and a blow in 28 percent.

Adolescent↗

[Brisement forcé after knee replacement].

An important goal for rehabilitation after knee replacement is achievement of good capacity of flexion so that the patient can cope with his everyday needs. If this fails, brisement forcé may be undertaken; the knee joint being moved thoroughly with the patient in general anaesthesia. The results of brisement forcé in 32 knees showed that brisement forcé had an immediate good effect on the patients' ability to flex the joints but that the benefit was short-lived and possible positive effect on the final mobility appears to be less certain. Complaints of pain prior to manipulation and audible rupture of adhesions and tenacious resistance during manipulation were deleterious prognostic signs for good mobility in the final result.

Aged↗

[Injuries on inflated trampolines].

The pattern of injury sustained on inflated trampolines is described. The mechanism of trauma is the unstable substrate so that sprains in the lower limbs are the commonest type of injury. Prophylactic advice is given.

Adolescent↗

[Prehospital treatment. The Odense ambulance project. A prospective study].

No legislation exists about ambulance services in Denmark. The present Danish prehospital treatment is undertaken by Falcks Redningskorps A/S and the municipal fire services. During a period of 12 months (1.2.1988-31.1.1989) a prospective investigation was carried out in Odense concerning the effect of medical support to the ambulance service, partly in the form of a medically staffed ambulance, partly in the form of an arrangement in which an independent doctor's car (rendez-vous arrangement) was sent together with the nearest ambulance. In addition, the heart ambulance model as recommended by the Danish National Board of Health was also tested. Experience from abroad and recent Danish trial arrangements demonstrate the positive effect of extended professional prehospital treatment. The authors consider, therefore, that an ambulance law is required as this would ensure better and more uniform prehospital treatment in Denmark. Planning of the future prehospital treatment of acute and injured patients including the extent of the training, equipment and treatment must be established on the basis of a healtheconomical assessment of the Danish arrangements.

Ambulances↗

Trigger thumbs in children: a follow-up study of 37 children below 15 years of age.

37 patients who had been operated upon for trigger thumb, all below 15 years of age, have been reviewed. 75% of the affected thumbs were on the dominant hand and 25% have bow-stringing of 1-2 mm. without any complaints. All had good results. Unlike other authors, we found that operation done after the third year of age gave full correction of the flexion contracture.

Child↗