A prospective study of 924 digital fractures of the hand

Ip, Wan‐Yim; Ng, Ka Hei; Chow, S. P.

doi:10.1016/0020-1383(95)00222-7

Cited by 62 publications

(43 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Such tools are in demand in South Africa as muscle, bone and peripheral nerves are among the most prominent structures injured and/or affected in hand conditions. Twenty-one articles 19,20,[22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] reporting 11 tools were identified. The tools were framed within the ICF (see Table1).…”

mentioning

confidence: 99%

Occupational therapy hand assessment practices: Cause for concern?

Klerk

Buchanan

Pretorius

2015

S. Afr. j. occup. ther

View full text Add to dashboard Cite

Introduction: Assessment is critical for measuring improvement, or lack thereof, and demonstrating the outcome of intervention. In response to the lack of research in this area, this study aimed to determine the assessment practices of occupational therapists working with clients with hand conditions. Methods: A quantitative cross sectional survey design was used. A convenience sample of occupational therapists was recruited from five provinces. Respondents completed a questionnaire developed for the study that comprised demographic information, assessments used, frequency of use and factors influencing assessment choice. Data were analysed with Statistica version 11. Results: Eighty-one respondents (n=114) completed questionnaires representing a 71% response rate. Goniometry (84.0%), manual muscle testing (76.5%) and testing for flexor tendon function (76.3%) were used most frequently. The most common reasons for not using assessments were lack of availability and unfamiliarity. Conclusion: It is of concern that the assessment practices of participants in this study focussed primarily on the assessment of body function and structure with few therapists using activity and participation measures. This could seriously limit the evidence needed to verify the outcomes achieved through occupational therapy intervention in the treatment of hand conditions.evidence of the interventions provided 5 . If therapists do not assess, they will not be able to produce evidence of the effects of the interventions offered which poses a threat to funding of services. This claim is supported in the Western Cape Department of Health Healthcare 2030 plan 6 that states that there will be an increased move towards outcome based intervention with priority being given to interventions aimed at desirable outcomes. At the time of conducting this study, no research to determine the assessment practices of occupational therapists working with hand conditions within South Africa had been published. Assessment practices are understood to encompass the type of assessment used, the frequency of use and the reasons for non-use within a particular area of practice. This study therefore set out to provide an updated account of these practices by South African occupational therapists working with clients with hand conditions. LITERATURE REVIEWA client-centred approach should be applied in assessment to obtain a "careful understanding" of the individual before starting occupational therapy intervention 7:253 . This type of approach is more likely to ensure that the client is engaged in the occupational therapy process which will encourage greater client cooperation 8 . In a client-centred approach, the client and therapist work together to establish the occupational performance problems and to set goals for the required intervention. Assessment has to take place for this to be possible. Standardised assessment provides quantitative information, useful for tracking the client's progress and demonstrating the outcome of therapy 44United Kingdom the au...

show abstract

mentioning

confidence: 99%

Occupational therapy hand assessment practices: Cause for concern?

Klerk

Buchanan

Pretorius

2015

S. Afr. j. occup. ther

View full text Add to dashboard Cite

show abstract

“…According to data from the 1998 National Hospital Ambulatory Medical Care Survey, metacarpal fractures make up 18 % of all forearm and/or hand fractures occurring in the USA [1]. A prospective study of 1,129 patients with hand fractures found that 12.2 % of all hand fractures involved a metacarpal bone [4]. Another study from Amsterdam retrospectively examined all emergency visits in 1996, finding that 19 % of all fracture visits included hand fractures, with 33 % of these being fractures of metacarpal bones [4].…”

Section: Introductionmentioning

confidence: 99%

“…A prospective study of 1,129 patients with hand fractures found that 12.2 % of all hand fractures involved a metacarpal bone [4]. Another study from Amsterdam retrospectively examined all emergency visits in 1996, finding that 19 % of all fracture visits included hand fractures, with 33 % of these being fractures of metacarpal bones [4]. De Jonge et al performed a retrospective analysis of 3,858 metacarpal fractures seen over a 23-year period in a Netherlands-based institution, finding that men aged 10-29 had the highest incidence of metacarpal fractures (2.5 %) [2].…”

Section: Introductionmentioning

confidence: 99%

Incidence of Metacarpal Fractures in the US Population

Nakashian

Pointer

Owens

et al. 2012

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Background There are scarce data regarding the epidemiology of metacarpal fractures within the US population. The purpose of this study is to report the epidemiology of metacarpal fractures in the USA using the National Electronic Injury Surveillance System Database (NEISS). Methods The NEISS database represents a national probability sample of approximately 100 hospitals in the USA and its territories. The database was queried for metacarpal fractures during the time period [2002][2003][2004][2005][2006]. US census data were used to calculate incidence rate (IR) for various demographic criteria. Results A total of 4,718 metacarpal fractures were identified, representing approximately 160,790 metacarpal fractures. The calculated IR was 13.6 (95 % CI, 13.6-13.67) per 100,000 person-years. The highest IR occurred in the 10-19 age group (IR 38.8; 95 % CI, 38.6-38.9) followed by those 20-29 years of age (IR 28.4; 95 % CI, 28.3-28.5). Metacarpal fractures were found more commonly in males (IR 23; 95 % CI, 22.9-23.1) than females (IR 4.5; 95 % CI, 4.5-4.5), with an incidence rate ratio of 5.08. The most common mechanisms of injury were contact with a wall or door, and falls. The most common setting was in the home, followed by recreational locations. Conclusions The estimated incidence of metacarpal fractures presenting for acute hospital care in the USA is 13.6 per 100,000 person-years. Males in the second and third decades of life sustain this injury most commonly. Metacarpal fractures occur frequently in the home or recreational setting, with contact force as the primary mechanism of injury.

show abstract

“…Erfreulicherweise konnten wir alle Patienten in unsere Nachuntersuchung inklusive Telefonbefragung einschließen und verzeichneten somit keine Ausfälle. Gründe für schlechte Resultate, unabhängig vom gewählten therapeutischen Verfahren, sind Begleitverletzungen (wie konkomitante Nerven-, Gefäß-oder Sehnenverletzungen, welche in unserem Kollektiv aber ausgeschlossen worden sind), off ene Verletzungen oder Trümmerfrakturen [ 9 ] . Intraartikuläre Frakturausläufer (in dieser Arbeit ausgeschlossen) sind eine zusätzli-che Variable für ein schlechtes Ergebnis [ 10 , 11 ] .…”

Section: Postoperative Behandlung Und Nachkontrollenunclassified

Ergebnisse osteosynthetisch versorgter Grundphalanxfrakturen der Finger

Egloff

Sproedt

Jandali

2012

Handchir Mikrochir plast Chir

View full text Add to dashboard Cite

The aim of the study was to retrospectively present and analyse the functional results of surgically treated extraarticular fractures of the proximal phalanx.From 1/2005-4/2008 we operated on 49 patients with 52 closed, extraarticular fractures of the proximal phalanx of the long fingers with either pins, screws or plates. 30 patients were male, 19 were female, the mean age was 35 years. Open fractures, fractures of the thumb and those with injuries to neurovascular structures or tendons were excluded. Postoperative physiotherapy was started on day 1 after surgery. Postoperative finger function and complications were analysed based on the total active motion (TAM) regarding the Belsky score and the classification of Page and Stern. In addition, patients were contacted by phone in 4/2009 to verify the subjective functional results at the end of the observation period.Three different operative procedures were employed: internal fixation by Kirschner wires (n=25), and open fixation by screws (n=8) or plates (n=19). The entire treatment period amounted to 12 (4-28) weeks, the observation time was 33 (11-50) months. Two patients, both after plate osteosynthesis, had to be reoperated because of functional deficits due to adhesions. In both a tenolysis and removal of the plate was performed. The functional result was excellent in 20 of 25 patients treated by Kirschner wires, in seven of the eight in the screw-fixation group and in 13 of the 19 patients treated by plate ostheosynthesis (TAM > 240°); the result was judged fair in 1 after plate osteosynthesis (TAM 215°). The remaining 11 patients showed a good outcome with a TAM between 220° and 239°. These favourable results remained subjectively stable at the end of the observation period, when all patients could be contacted by phone.Osteosynthesis by kirschner wires, screws and plates for closed extraarticular fractures of the proximal phalanx of the long fingers gives good to excellent results with few complications.

show abstract

A prospective study of 924 digital fractures of the hand

Cited by 62 publications

References 7 publications

Occupational therapy hand assessment practices: Cause for concern?

Occupational therapy hand assessment practices: Cause for concern?

Incidence of Metacarpal Fractures in the US Population

Ergebnisse osteosynthetisch versorgter Grundphalanxfrakturen der Finger

Contact Info

Product

Resources

About