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At least 1,405 records · Page 78Linked to original sources
PubMed1982

Fractures of the hand associated with riding the mechanical bull.

Presented are the cases of four patients who sustained similar dominant hand injuries while riding a mechanical bull apparatus. The injuries included fractures of the second metacarpals as well as of the index finger phalanges. The mechanism of injury in each case occurred not from striking or catching the injured hand on the bull or by falling off the apparatus, but secondary to the extreme torque forces applied to the extremity during the severe gyrations.

Adult↗
PubMed2003

Replantation in the mutilated hand.

With the evolution of surgical techniques and scientific technology, replantation has become more refined, establishing specific indications for replantation, rituals for preparation, efficient techniques to ultimately minimize ischemia times, improved survival rates, guidelines for postoperative care, strategies for treating complications, and goals for outcomes. Patient satisfaction hinges on their level of expectation as defined and explained in the preoperative discussion and informed consent. Studies have demonstrated patients can be expected to achieve 50% function and 50% sensation of the replanted part. Initially all that was amputated was replanted, as surgeons adopted the philosophy of George C. Ross (1843-1892): "Any fool can cut off an arm or leg but it takes a surgeon to save one." Forty years after the first replant (1962-2002), however, we recognize the ultimate goal: not merely to preserve all living tissue through nonselective replantation, but rather to preserve one's quality of life by improving their function and appearance. This objective to care for the patient with the intent to optimize function and appearance is important not only to the replantation of amputations but to all mutilated hand injuries.

Amputation, Traumatic↗
PubMed1991

[Surgery of the hand].

Hand surgery has developed into a specialist field. In Norway, hand surgery is still performed by surgeons without specialist training, with an unacceptably high incidence of poor outcome as a result. The article consists in a review of the commonest hand injuries and their treatment.

Amputation, Traumatic↗
PubMed1995

Two immediate synchronous free flap transfers in a severe traumatic mid-hand defect: a case report.

A 66-year-old patient sustained a severe right hand injury resulting in a thumb pulp defect and unreplantable amputation of the index, long, and ring fingers at the metacarpophalangeal joint with joint exposure. There was also an 8 cm defect of the radial digital nerve of the little finger. Immediate one-stage total reconstruction of all of the defects was accomplished by a free groin flap and a free glabrous skin flap from the foot. Opposable function of the hand was thus preserved.

Aged↗
PubMed1986

Return to work following hand burns.

Time to return to work following hand burns was studied in 70 patients in relation to several variables: 1. total body surface area (TBSA) burned; 2. hand burned; 3. grafting; 4. patient age; 5. occupational category. Return to work data were also compared by meta-analysis to data in prior reports on return to work in nonburn hand injuries. Patients were evaluated during their hospital stay on all independent variables, and at 8 months following discharge as to the date of return to work. Of the 70 patients selected for the study, 52 (74%) had returned to work at the 8-month assessment. The best predictor of time to return to work was TBSA burned, followed by "grafting" and "hand burned." No significant differences or predictors were found for patient age, occupational category, or between nonburn hand trauma patients in prior reports. Conclusions are drawn concerning the usefulness of these results in terms of case management and economic impact in hand-burn injuries.

Adolescent↗
PubMed1989

High-pressure injection injuries of the hand. A review.

High-pressure injection injuries to the hand are associated with severe morbidity if treated improperly. Injuries typically occur in the nondominant hand of patients using industrial equipment in the workplace. Tissue damage is produced by the delivery of both kinetic energy and foreign substances into the hand. The initial clinical course can be deceptively benign and lead to delay in instituting therapy. Early conservative management dramatically increases the likelihood that the injured part will eventually require amputation. Thorough examination for functional and structural impairment is mandated. Aggressive and definitive operative debridement is then undertaken. Postoperatively, a physical program of early mobilization is warranted to prevent fibrosis and the formation of contractures. Although the institution of prophylactic antibiotics is warranted the use of corticosteroids in the management of these injuries remains controversial.

Accidents, Occupational↗
PubMed1992

Closed tendon injuries of the hand and wrist in the athlete.

Evaluation and treatment of closed tendon injuries in the athlete is usually fairly straightforward if seen in the acute stages. These usually respond well in most cases to nonoperative treatment; a small percentage require initial operative treatment, however. In most cases, continued participation in sports is possible during treatment as long as protective splinting is allowed.

Athletic Injuries↗
PubMed1998

Sequential transfer of free flap to two defects.

This case report describes the use of a single lateral arm flap sequentially transferred to two defects in a bilateral hand injury. We believe this is a novel approach in reconstructing defects in bilateral hands when a staged reconstruction is planned.

Adult↗
PubMed1989

The biomechanics of prehension.

Occupational therapists who work with people who have physical dysfunctions are often involved in the treatment of hand injuries or disabilities. This article describes some of the mechanical principles that affect hand function, including kinematics, kinetics (force and torque), friction, stress, and strain. Practical occupational therapy examples are used to explain these principles.

Biomechanical Phenomena↗
PubMed1998

Applause for Sydney Hospital Unit.

With hand injuries representing a significant proportion of occupational trauma, nurses at Sydney Hospital's Hand Unit were given the green light for their education program.

Accidents, Occupational↗
PubMed2003

Repair of avulsion injury of the whole hand with single-stage transfer of five combined tissues: case report.

The authors present a 32-year-old man with an entire left hand avulsion injury. This was repaired in one stage with five free-tissue transfers, a combination of a left hallux wrap-around flap for thumb reconstruction, bilateral second toes for middle and ring finger reconstruction, and bilateral femoral anterolateral flaps for coverage of the injured hand at the palmar and dorsal aspects. All the transfers survived uneventfully. Due to enlargement of the flaps and narrowness of the first web space, three further surgical procedures were subsequently carried out. Over a 2-year follow-up, a satisfactory appearance of the reconstructed hand and functional restoration were obtained.

Accidents, Occupational↗
PubMed1984

Injury to the hand with metallic mercury.

Two cases of a rare injury to the hand with metallic mercury are presented. The toxic effects of this mercurial form are described and early surgical removal by suction tube is recommended.

Adult↗