The Hand Injury Severity Scoring System

Campbell, Doug; Kay, Simon

doi:10.1016/s0266-7681(05)80187-1

Cited by 144 publications

(104 citation statements)

References 10 publications

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“…The overall severity of the injury was preoperatively evaluated with the Hand Injury Severity Scoring System (HISS) [5]. The HISS was designed to descriptively score the severity of hand injuries distal to the carpus.…”

Section: Methodsmentioning

confidence: 99%

To What Degree Do Pain-coping Strategies Affect Joint Stiffness and Functional Outcomes in Patients with Hand Fractures?

Roh

Noh

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Patients with hand fractures often have pain, swelling, and stiffness in the joints of the hand, which may lead them to protect their hands, resulting in more stiffness and in delayed recovery. However, the effects of paincoping strategies and catastrophization (the tendency to expect the worst to occur when pain is present, an approach that can be thought of as the opposite of ''coping'') on functional recovery after hand fractures have not been investigated in depth. Questions/purposes Are preoperative catastrophization and anxiety in patients with hand fractures associated with (1) decreased grip strength; (2) decreased range of motion; and (3) increased disability at 3 and 6 months after surgical treatment for a hand fracture? Secondarily, we asked if there are other patient and injury factors that are associated with these outcomes at 3 and 6 months. Methods A total of 93 patients with surgically treated hand fractures were enrolled in this prospective study. Preoperative assessments measured coping strategies evaluated by measuring catastrophic thinking with the Pain Catastrophizing Scale and pain anxiety with the Pain Anxiety Symptom Scale. At 3 and 6 months postoperatively, grip strength, total active range of motion, and disability (Quick Disabilities of the Arm, Shoulder, and Hand score) were assessed. Bivariate and multivariate analyses were performed to identify patient demographic, injury, and coping skills factors that accounted for outcomes of strength, motion, and disability. Results Decreased grip strength was associated with catastrophic thinking (beta = À1.29 [95% confidence interval, À1.67 to À0.89], partial R 2 = 11%, p \ 0.001) and anxiety (beta = À0.83 [À1.16 to À0.50], partial R 2 = 7%, p = 0.007) at 3 months, but by 6 months, only anxiety (beta = À0.74 [À1.04 to À0.44], partial R 2 = 7%, p = 0.010) remained an important factor. Decreased total active range of motion was associated with pain catastrophizing (beta = À0.63 [À0.90 to À0.36], partial R 2 = 6 %, p = 0.024) and anxiety (beta = À0.28 [À0.42 to À0.14], partial R 2 = 3%, p = 0.035) at 3 months but not at 6 months. Similarly, increased disability was associated with pain catastrophizing (beta = 1.09 [1.39-0.79], partial R 2 = 12%, p \ 0.001) and anxiety (beta = 0.93 [1.21-

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Section: Methodsmentioning

confidence: 99%

To What Degree Do Pain-coping Strategies Affect Joint Stiffness and Functional Outcomes in Patients with Hand Fractures?

Roh

Noh

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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show abstract

“…[15] When our study was begun there were very few published studies in which the HISS system had been used. The HISS system divides the hand distal to the carpus into four categories, Integument, Skeletal, Motor and Neural.…”

Section: Hand Injury Severity Scoring Systemmentioning

confidence: 99%

“…Injuries with a HISS below 21 are graded as minor, those from 21 to 50 as moderate, those from 51 to 100 as severe and injuries with a HISS of 101 or more as major. [15] There is a correlation between the HISS and the amount of time off work after hand injuries. [42,59] The HISS is also correlated to the outcome of hand injury as measured with the Purdue pegboard.…”

Section: Hand Injury Severity Scoring Systemmentioning

confidence: 99%

Hand injury from powered wood splitters

Lindqvist

Gerdin

2008

Scandinavian Journal of Plastic and Reconstructive Surgery and

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“…[8,9] The most commonly used scoring system in hand injuries is the Hand Injury Severity Score (HISS), developed by Campbell and Kay in 1996. [10] Other scoring systems in hand injuries are also based on severity of the injury, and the mechanism of the injury is often not considered in these systems. However, the mechanism of injury is significant in determining the type and severity of injury.…”

Section: Resultsmentioning

confidence: 99%

“…The most widely known of these are the mutilating hand classification of Campbell Reid, [19] and the Hand Injury Severity Score (HISS) scoring of Campbell and Kay. [10,20] Campbell Reid [19] in his book on 'mutilated hands', classified these injuries in five groups as: dorsal injuries, palmar injuries, radial hemi-amputation, ulnar hemi-amputation, and distal amputation. This clas- sification is helpful in the determination of treatment strategies.…”

Section: Discussionmentioning

confidence: 99%