Functional outcome of high-pressure injection injuries of the hand
Autor: | Frank D. Burke, Loizos Christodoulou, Sarah Woodbridge, Erman Y Melikyan |
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Rok vydání: | 2001 |
Předmět: |
Adult
medicine.medical_specialty Time Factors Poison control Industrial Oils Outcome (game theory) Occupational safety and health Amputation Surgical Injections Occupational Therapy Patient Education as Topic Predictive Value of Tests Injury prevention Paint Pressure Medicine Humans Hand Strength business.industry Human factors and ergonomics Hand Injuries Water Recovery of Function Middle Aged Prognosis Numerical digit Radiography medicine.anatomical_structure Treatment Outcome Patient Satisfaction High pressure Physical therapy Upper limb business Follow-Up Studies |
Zdroj: | The Journal of trauma. 50(4) |
ISSN: | 0022-5282 |
Popis: | BACKGROUND: High-pressure injection (HPI) injury of the hand is a serious injury that can be potentially devastating. There have been a number of publications on the results of its treatment, but we are not aware of a report on the functional outcome of these hands. METHODS: We assessed the functional outcome of 15 patients with HPI injuries. All patients were treated operatively, with a mean delay of 11.7 hours. The patients were examined by a doctor and an occupational therapist using a work simulator. RESULTS: Our study revealed a significant reduction of static and dynamic muscle testing parameters compared with the uninjured hand. Six patients lost a digit and four patients had to change their occupation after the injury. CONCLUSION: Deterioration of hand function is a predictable outcome of HPI injury. This information should be shared with the patient at the outset so as to avoid subsequent disappointment. |
Databáze: | OpenAIRE |
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