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At least 1,279 records · Page 71Linked to original sources
PubMed1979

Case report: treatment of catbite injuries of the hand.

Catbite or scratch injuries frequently contain mixed organisms, and penicillin or erythromycin alone may not give adequate coverage, as shown in the cases described. Incision and drainage should not be neglected or deferred when a deep infectious process is present or bones, joints, or tendon sheaths are involved. Finally, a catbite injury is a deep penetration injury with potentially virulent organisms that require close followup and awareness of potential problems.

Adult↗
PubMed1990

Prevention and treatment of ligamentous sports injuries to the hand.

Sports-related injuries to the intricate small joints of the hand are quite frequent. The majority of such injuries result in joint contusions, partial tears or ligament sprains which do not jeopardise the basic stability of the joint and readily respond to a short course of protective splinting with rapid recovery of motion, strength and function. In fact, many patients never seek medical attention unless persisting pain, chronic swelling or restriction of motion persuade them to do so. Partial tears or sprains need to be distinguished from more serious injuries that cause profound ligamentous and capsular disruption resulting in dislocations, articular incongruency, joint instability or fracture-dislocations. While simple dislocations are readily reducible and generally stable, a complex dislocation by definition implies irreducibility by closed means. This category of complex joint injury requires prompt diagnosis, as optimal management warrants active surgical intervention to achieve a stable and congruous reduction. Following surgical repairs the injured joint is immobilised for a variable length of time, determined by the type, extent and the nature of the specific injury, prior to initiating remobilisation efforts. A supervised and well-executed rehabilitation programme should encompass all the various modalities of physical therapy that are effective in increasing mobility, correcting deformity and restoring strength and function to the injured hand. The ultimate goal of treatment is to enable the athlete to resume sports, unimpaired with the same skill, dexterity and competitive edge as before.

Athletic Injuries↗
PubMed2005

[Crush injuries of the hand.].

BACKGROUND: To carry out a pilot study on the epidemiology of the crush injuries of the hand in our country and to obtain valuable data that will be used for construction of a protective program in the future. METHODS: 124 patients with crush hand injuries were observed retrospectively based on medical records in terms of age, sex, field of work, parts of body affected by the injury, mechanism and underlying causes of the injury RESULTS: Most of the patients were in 0-18 year- age group and inserting the hand into the working machine was the leading cause of injuries. Eighty seven male (70,16% ) and 37 (29,84 %) female patients were included in the study. Most of the patients (44,1%) were working in wood industry at the time of the accident. Interestingly only one hand of all patients were injured. Most commonly injured finger was the middle finger. Most commonly encountered pathology was the tendon laceration in injured fingers. CONCLUSION: Most of the cases were due to lack of attention and education and could be prevented by simple precautions and by wide-spread work education programs leading to a marked decrease in health expenses and loss of man power.

Adolescent↗
PubMed1985

[Abrasion injury: combined burn injury of the hand].

In an abrasion injury loss of tissue is combined with a marginal burn. The wounds should be primarily excised and adequately covered with a soft tissue flap. There may arise difficulties in evaluating the heat injury to the bone. The debridement of the bone should be completed by an early second-look operation to prevent delayed healing due to the wound infection.

Adult↗
PubMed1998

A 10-year review of high-pressure injection injuries to the hand.

High-pressure injection injuries to the hand are uncommon, but often result in poor outcome or even amputation. We report a review of the 28 cases treated surgically in our department over the last 10 years and have examined the factors leading to increased morbidity. The severity of these injuries was related to the nature of the injected material, involvement of the tendon sheath and proximal spread of the injected substance. All cases in which the digit was noted to be poorly perfused from the outset resulted in amputation. We conclude that early amputation should be considered in cases in which the affected digit is initially cool or poorly perfused.

Accidents, Occupational↗
PubMed1992

Severe electric injuries of the hand and forearm.

Electrical injuries of the upper limb produce major destruction of tissue mainly affecting the forearm, since the hand is usually the site of entry of current. Limb salvage, if it is to be successful, requires the rapid institution of a number of surgical procedures. Vein grafting to restore blood supply is frequently required and just as frequently requires skin flap cover following adequate debridement. The most commonly used flap is the groin flap. Despite the progression of necrosis beneath the flap for a period of up to three weeks, healing is usually successful and it is usually possible to avoid amputation. Several surgical procedures are required as a rule. The initial surgery is followed, in order, by nerve graft, tendon transfer and skin transfer following the use of tissue expanders. Results long term, with regard to function and appearance, were judged good.

Adolescent↗
PubMed1981

Injection injuries of the hand.

This type of injury is usually the result of an occupational accident, drug abuse, or is iatrogenic in origin. Identification of the injected material, point of entry, and the existence of neurovascular compromise or infection are essential to proper management. Prompt surgical treatment is important. Early motion exercises help minimize joint stiffness and do not seriously delay wound closure.

Accidents, Occupational↗
PubMed1992

Graded work exposure to promote work return after severe hand trauma: a replicated study.

Fifty-one patients with posttraumatic stress disorder after work-related hand injuries were placed on a graded work exposure program to facilitate return to work. These patients consisted of an initial group of 25 patients and a replication group of 26 patients. The program returned 92% of the initial group and 88% of the replicated group to work with their previous employers. At 6-month follow-up, 88% of the initial group and 80.1% of the replication group were still working full-time at the jobs to which they had returned. All of the patients not working with their previous employer at follow-up had appraisal/projected flash-backs, which have previously been associated with a 90% failure to return to work. This intervention was successful with 73% of the patients experiencing such flashbacks. In conclusion, graded work exposure was an effective treatment to promote return to work for patients experiencing significant psychological symptomatology after severe hand injury.

Accidents, Occupational↗
PubMed1989

Microsurgical restoration of distal digital function.

Advances in microsurgery have produced multiple options for microsurgical restoration of distal digital function. However, because of the complexity of most mutilating hand injuries, these possibilities can be readily overlooked. A surgical awareness of these options for "like" tissue transplantation is now necessary for complete mutilating hand injury care. These "minor" aesthetic and functional microsurgical procedures can be major factors in overall patient acceptance and utilization of the reconstructed hands.

Finger Injuries↗
PubMed1976

Resurfacing problems in the hand.

Some of the many acceptable methods of achieving primary skin cover of optimal quality under varying conditions in hand injuries have been briefly described. The overriding principles of hand coverage following injury remain: to achieve, by the simplest methods appropriate to the circumstances, the replacement of lost tissue similar or nearly similar in quality to that lost and to accomplish this with as little morbidity and as little donor area scar as possible, and as expeditiously as is consonant with the best results.

Amputation, Surgical↗
PubMed1994

[Evaluation of locoregional anesthesia in an emergency-traumatology operating room].

Surgical activities concerning traumatic emergencies have been evaluated during 3.5 months. There has been 371 cases. Most of them concerned hand injuries (48%); others concerned limbs, and 5 multiple injuries, one spinal fracture and 30 various injuries. Loco-regional anesthesia has been preferred in 63% of all cases; 80% of all hand injuries, 100% of all femoral neck fractures. The success rate--no addition of morphinics--has been evaluated at 85%, with use of sedatives in 28%.

Adolescent↗
PubMed1998

[Late outcome of severed extensor tendons in the area of the hand and fingers].

In the care and further treatment of patients with hand injuries, a necessary requirement of the hand surgeon is that he be able to cope with the interlocking factors that are no longer influential, for example, the type and extent of the trauma or the age of the patient; the influential factors are a thought-out care plan, atraumatic action with regard to optimal restoration of the hand. This also showed a retrospective analysis of results and post-examination from flexor tendon injuries in the hand of 298 patients, who were surgically cared for from 1984 to 1994 at the surgical clinic of the University of Jena. Of the 298 patients 119 patients with 198 flexor tendon injuries (165 fingers and 33 thumbs) were followed up. For objective assessment of the treatment results, the assessment scheme Buck-Gramcko was used.

Adolescent↗
PubMed1995

[Hand and wrist injuries. A study of 50.272 injuries].

This study reports the causes, characteristics and treatment of injuries to the hand and wrist presented to five accident and emergency departments in a two-year survey of 13% of the Danish population. The rate of injury to the hand or wrist was 28.6% of all injuries, or 3545 per 100,000 inhabitants per year. Thirty-four percent of the accidents were domestic, 35% were leisure accidents, 26% were occupational and 5% were traffic accidents. Only 2% of the patients were admitted to hospital for further treatment or observation and 13% were referred to a hospital as out-patients. The most frequent causes for admission were fractures (42%), tendon lesions (29%) and wounds (12%).

Accidents↗
PubMed1989

Analysis of hurling and camogie injuries.

In 1984, 4500 people with sport injuries attended the Cork Regional Hospital. Of these, 817 were injured in the national game of hurling and camogie. Hand injuries were the most frequent occurring in approximately one third of injured players (33 per cent) and of these, just half had a closed metacarpal fracture. Facial injuries were the second most frequent category (28 per cent). Almost one third of these were nasal fractures, while forehead and eyebrow lacerations, fractured zygoma, loss of teeth are also common. Sport eye injuries referred to the Eye, Ear and Throat Hospital in Cork during the same period amounted to 107, of which 26 occurred in hurling. It is believed that a properly designed protective head gear would largely eliminate such facial and eye injuries.

Adult↗
PubMed1998

A regional audit of hand and wrist injuries. A study of 4873 injuries.

This study reports the characteristics, causes and disposal of isolated injuries to the hand and wrist presenting to six accident and emergency departments over a period of 4 months. The rate of isolated injury to the hand or wrist was 6.6%. The male: female ratio was 2.2: 1, with the mean age for injury being 26.4 years in men and 29.2 years in women. The modal age group for injury was 21-25 years in men and 11-15 years in women. The right and left hand were injured almost equally. The dominant hand was more commonly injured although this was influenced by the cause of injury: 16.3% were caused by a fall; 15% by sport; and 7% were work/machinery related. 13.3% were referred to specialities for further treatment.

Adolescent↗
PubMed1992

[Diagnosis and treatment of ligament injury of the thumb base joint. Results within the scope of follow-up].

Distortions and ruptures of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb represent 6% of hand injuries in alpine skiing and 8% in ski-skating. 155 patients who had been treated for ligamentous rupture (88), for osseous rupture with dislocation of the fragment (42) and for osseous rupture without any dislocation (25) wer reviewed: in 106 patients with conservative treatment 64 had stable joints and 42 showed a ligamentous instability. After surgical treatment in 49 patients 44 had ligamentous stability; 5 joints (10%) showed a radial instability. Summarizing the results we found instability after conservative treatment in 40%, but only in 10% of surgically treated patients. Recommendations for the treatment of this frequent hand injury are given.

Follow-Up Studies↗
PubMed1992

Work-related injuries of the hand: data from an occupational injury/illness surveillance system.

Administrative and clinical data from a network of occupational medicine clinics were combined to evaluate the utility of these data in the surveillance of non-fatal occupational injuries. Incident cases of work-related hand injuries were characterized to evaluate that process. In 1988, hand and finger injuries were found to be among the most common (n = 4,120) of all occupational injuries recorded in the system. Hand/finger injuries accounted for 30.0 percent of all episodes of work-related injuries treated, with the incidence of these decreasing with increasing company size. Hand injuries were found to be potentially severe with nearly 20 percent resulting from a crushing motion and nearly 10 percent being fractures or amputations. Hands being caught in machines or struck by metal items or hand tools accounted for 36.2 percent of the injuries. A surveillance system based upon ambulatory care data can be a feasible method for identifying priority areas for the prevention of work-related injuries.

Data Collection↗