Management of the injured hand - basic principles of care

Karunadasa, Kolitha P.

doi:10.4038/sljs.v33i1.8123

Cited by 2 publications

(7 citation statements)

References 22 publications

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“…2 Karunadasa identified neurological assessment and two views X-rays, as routine assessments, and fundamental care principles for hand injury management. 4 In this patient’s case, an RDN injury, an undisplaced longitudinal fracture through the distal phalanx and a stabile cortical middle phalanx fracture were missed in the initial assessment. Early nerve repair is essential 4 and a primary nerve repair carried out by a hand surgeon could have improved the sensory outcome, possibly avoiding the need for a nerve graft and decreasing the pain relating to the RDN injury.…”

Section: Discussionmentioning

confidence: 78%

“…The case report patient did not have immediate access to a specialised hand surgeon with delayed recognition and incorrect management leading to long-term consequences for a patient’s quality of life, function and work. 2 , 4 Serious hand injuries with chronic pain correlate with low quality of life, anxiety and depression. 5 …”

Section: Discussionmentioning

confidence: 99%

“…2 Primary wound management determines the patient’s functional outcome following a hand injury. 4 Minimising oedema is imperative to hand injury management achieved through elevation 4 of the affected hand above the heart level. Fractures can easily be missed in the absence of X-rays.…”

Section: Introductionmentioning

confidence: 99%

“…Scar formation and joint stiffness are frequent complications following hand fractures. 4 According to Karunadasa, 4 splinting in the emergency room is helpful to assist in pain management following hand injuries.…”

Section: Introductionmentioning

confidence: 99%

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Traumatic hand injury management and outcomes: A case report

Keller

Jordaan

2022

South African Family Practice

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Acute hand injuries are routinely managed by family medicine and primary care physicians. An appropriate initial assessment and treatment, early referral to a hand surgeon when indicated, and timeous referral to a hand therapist are imperative. A patient case report is presented reporting on the initial and subsequent assessment, treatment and outcomes at 3, 6, 7 and 9 months for a patient who sustained an acute finger injury. Finger range of motion (ROM), sensation, pain, time of wound closure, hand function measured with the standardised disability of the shoulder, arm and hand (DASH) questionnaire were the outcomes used. Pain, crepitus, decreased sensation, decreased ROM right index finger proximal interphalangeal joint (PIPJ) and dense scarring was measured at 9 months. Missed injuries or lack of recognition of injury severity leads to delayed referral to specialist hand surgeons and therapists, which lengthens recovery time and leads to sub-optimal outcomes. This article aims to provide the primary care practitioner with the initial management of a patient who sustained a traumatic hand injury whilst using a power tool.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Traumatic hand injury management and outcomes: A case report

Keller

Jordaan

2022

South African Family Practice

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“…Įvykus traumai, sumažėja ne tik aktyvūs, bet ir pasyvūs judesiai [2]. Rankos traumos gali būti pavieniai sužalojimai arba dauginiai lūžiai [6].…”

Section: įVadasunclassified

Rankos Traumą Patyrusių Asmenų Veiklos Problemų Ir Emocinės Būklės Stebėjimas Namuose Po Reabilitacijos

Gintilienė¹,

Pranskaitytė-Bielevičienė²,

Dūdaitė³

2021

Health Sciences

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Rankų traumos visais laikais buvo ir yra labai aktualios. Rankomis atliekami kasdieniai veiksmai, o traumų metu gali būti sužalojamos funkcijai svarbios struktūros, apribojami rankos judesiai, neigiamai veikiantys kasdienę veiklą, sutrikdomi įvairūs žmogaus gyvenimo aspektai [4]. Dažnai patyrę traumą asmenys užsidaro namuose, o toks socialinis pasyvumas labai paveikia asmens gyvenimą, jo galimybes ir padėtį visuomenėje bei socialinius santykius [3]. Tyrimo metu buvo siekiama atskleisti rankos traumą patyrusių asmenų veiklos problemas bei emocinę būklę namuose po reabilitacijos. Buvo aiškinamasi, kokių problemų kyla rankos traumą patyrusiam asmeniui kasdienėje veikloje, kaip pasikeitė jo darbinė veikla, koks traumos poveikis laisvalaikio veiklai ir kokie emocinės būklės pokyčiai, patyrus traumą. Duomenų rinkimui buvo taikytas stebėjimas pagal darbo autorių sudarytą stebėjimo protokolą ir pusiau struktūruotas interviu su iš anksto parengtais pagrindiniais atviro tipo klausimais. Tyrime dalyvavo informantė, automobilių eismo įvykio metu patyrusi abiejų rankų kaulų dauginius lūžius. Atlikta gautų duomenų turinio analizė, parodžiusi, kad rankos traumą patyrusiems asmenims sunku prisitaikyti prie veiklos problemų, nes jos kelia diskomfortą, trikdo kasdienę veiklą. Daugiausiai problemų kelia apsirengimo, valgymo, savipriežiūros veikla. Rankos trauma sutrikdė informantės darbinę veiklą, nes dėl patirtų sužalojimų ji negalėjo tęsti mokslų ir įgyti norimos profesijos ar užsiimti mėgstama laisvalaikio veikla. Emocinė būklė keitėsi nuolat, bet tyrimo metu informantė buvo susitaikiusi su situacija ir stengėsi būti kuo labiau nepriklausoma nuo kitų.

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Management of the injured hand - basic principles of care

Cited by 2 publications

References 22 publications

Traumatic hand injury management and outcomes: A case report

Traumatic hand injury management and outcomes: A case report

Rankos Traumą Patyrusių Asmenų Veiklos Problemų Ir Emocinės Būklės Stebėjimas Namuose Po Reabilitacijos

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