The Economic Impact of Electric Saw Injuries to the Hand

Hoxie, Samuel C.; Capo, Jason; Dennison, David G.; Shin, Alexander Y.

doi:10.1016/j.jhsa.2009.02.002

Cited by 56 publications

(57 citation statements)

References 6 publications

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“…Therefore, when encountering severe hand injuries caused by an electric saw, X-ray work up is indispensable and preparation of bone surgery with adequate equipment is required. In Hoxie's study, 85% (n=114) of injured hands were the non-dominant 3 . Data were collected regardless of the saw type.…”

Section: Discussionmentioning

confidence: 96%

“…In this study, tendon defects accounted for 31.8% of cases with tendon injuries and bone injury cases accounted for 43.8%. The results of hand injuries due to electric saw tend to be more complex because of the primary injury mechanism 3,4 . Thus, the wound margins were irregular and dirty, and the tendons had a tendency to be completely ruptured or defected rather than partially ruptured.…”

Section: Discussionmentioning

confidence: 99%

“…Compared to Bonte's study, our data indicate that bones injuries are likely to be caused by an electric saw. Hoxie et al 3 also reported that bone damage such as comminuted fractures frequently occurs by rotating power-saw blades.…”

Section: Discussionmentioning

confidence: 99%

“…In the United States, almost 100,000 people per year seek medical care for trauma from professional and recreational use of electric tablemounted and hand-held saws 2 . The data available from the Consumer Product Safety Commission's Hazard Screening Report indicate traumas from electric saws are not uncommon 3 . As ripping and tearing are the primary mechanisms of injury generated by electric saws 3,4 , types of injuries due to the tool could differ from other types JOURNAL OF THE KOREAN SOCIETY FOR SURGERY OF THE HAND of injury, such as cutting.…”

Section: Introductionmentioning

confidence: 99%

“…The data available from the Consumer Product Safety Commission's Hazard Screening Report indicate traumas from electric saws are not uncommon 3 . As ripping and tearing are the primary mechanisms of injury generated by electric saws 3,4 , types of injuries due to the tool could differ from other types JOURNAL OF THE KOREAN SOCIETY FOR SURGERY OF THE HAND of injury, such as cutting. Injuries resulting from contact with an electric saw are usually severe 5,6 .…”

Section: Introductionmentioning

confidence: 99%

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Hand Injury Patterns Caused by Different Electric Saws in South Korea

Choi

Kim

et al. 2016

J Korean Soc Surg Hand

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This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/bync/ 3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.Purpose: Electric saw is widely used and patients involved with the tool are increasing. We made efforts to analyze data of saw-related hand injuries. Methods: Electric saw-related hand injuries that required operation were analyzed retrospectively by reviewing medical charts, clinical photographs and Xray films from 2009 through 2013. Additionally, we interviewed patients regarding the type of electric saw involved (hand-held/table-mounted) and how the hand was injured. Results: There were 16 male patients with 19 injured fingers and 22 injured tendons. Due to the damaging mechanism of the electric saw, injuries were severe and complex such as tendon, bone defects, fractures and amputations. 4 fingers had open fractures. Separately, 4 were amputated. Non-dominant hands were injured more by hand-held saw, while, dominant hands were damaged more by table-mounted saw. The thumb and index fingers were injured mostly by electric saw. Probability of dominant and non-dominant hand injury depends on the types of electric saw because of the working position when using this tool. Conclusion: Hand injuries can be classified according to the type of electronic saw used. Complete understanding of a specific trauma mechanism and the resulting injury patterns is important especially for hand surgeons. Surgeons should take into account the type of electric saw when examining patients. However, the most important step to prevent these types of injuries is to provide all workers with appropriate training and precautions before using the electric saw.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Hand Injury Patterns Caused by Different Electric Saws in South Korea

Choi

Kim

et al. 2016

J Korean Soc Surg Hand

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Processed nerve allografts for peripheral nerve reconstruction: A multicenter study of utilization and outcomes in sensory, mixed, and motor nerve reconstructions

Brooks¹,

et al. 2011

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A new pathway to classification of complex hand injuries: a clinical pilot testing using a new method of assessment

Eisenschenk

Stengel

Zach

et al. 2012

Arch Orthop Trauma Surg

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All existing classifications, which are based on the severity of hand injuries, are being referred to facets of variety of hand injuries in general. A clear picture of all consequences of hand injuries would be apparent, if any kind of injury mechanism and occurrence of an injury would be identified and academically captured. Predictions regarding return to the former occupation and rehabilitation time would be possible with further study; 102 patients with different hand injuries were engaged in a pilot project using a specifically designed assessment sheet to achieve this purpose in the framework of a retrospective clinical testing within 1 year. Data were summarized and demonstrated graphically. Each category showed a picture of prior localization of the injury and its morphology. All categories show specific injury patterns. The choice of categories reflects the mechanisms of injury emphasized in literature. Furthermore, the mean DASH equivalents of one category were compared to the mean Hand Injury Severity Scoring (HISS) scores in order to get an initial idea of information on the degree of severity. A first impression of the potential of this assessment sheet has been obtained with regard to the above. With further study, we could evaluate the assessment sheet and try to create a classification of the grade of severity as well as prognostic values like return to the former occupation and rehabilitation time.

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The Economic Impact of Electric Saw Injuries to the Hand

Cited by 56 publications

References 6 publications

Hand Injury Patterns Caused by Different Electric Saws in South Korea

Hand Injury Patterns Caused by Different Electric Saws in South Korea

Processed nerve allografts for peripheral nerve reconstruction: A multicenter study of utilization and outcomes in sensory, mixed, and motor nerve reconstructions

A new pathway to classification of complex hand injuries: a clinical pilot testing using a new method of assessment

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