Hand function following single ray amputation
| Autor: | Dale R. Wheeler, Peter G. Goldschmidt, Amy Barrett, Clayton A. Peimer |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Amputation Surgical Grip strength Disability Evaluation Postoperative Complications Amputation Traumatic Hand strength Finger Injuries medicine Reaction Time Humans Orthopedics and Sports Medicine Range of Motion Articular Retrospective Studies Rehabilitation Hand Strength business.industry Retrospective cohort study Rehabilitation Vocational Middle Aged Magnetic Resonance Imaging Surgery medicine.anatomical_structure Amputation Motor Skills Orthopedic surgery Upper limb Female Range of motion business |
| Zdroj: | The Journal of hand surgery. 24(6) |
| ISSN: | 0363-5023 |
| Popis: | We retrospectively studied primary and reconstructive single ray resection at 16 to 150 months after surgery (median, 41 months) in 25 patients (18 males) whose average age was 28 years. Cases were reviewed 16 to 154 months after surgery (median, 41 months). The injuries involved 14 dominant and 11 nondominant hands. Twelve patients had primary ray resection (< or =2 weeks after injury) and 13 had secondary/reconstructive amputation of 18 border and 7 central digits. Examinations and functional testing by Minnesota rate of manipulation and timed grooved pegboard tests were done and x-rays were reviewed. The majority of patients were subjectively satisfied with the appearance and function of the hand. Patients lost an average of 13 weeks of work (range, 2-24 weeks); those with primary resection were out of work 9 weeks (range, 2-17 weeks) and patients who had secondary resection lost a total of 16 weeks of work (range, 7-24 weeks). Twenty-one of the 25 patients returned to their preinjury occupation. Evaluation of nonwork plus settled workers' compensation cases versus nonsettled compensation/litigation cases showed that there were statistically significant differences in grip strength, key pinch, oppositional pinch, and Minnesota rate of manipulation test results. Primary ray removal limits the total costs associated with injury and disability; unsettled compensation/litigation issues produce statistically disparate and otherwise physically inexplicable differences. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|