What Factors Are Associated With Disability After Upper Extremity Injuries? A Systematic Review

Jayakumar, Prakash; Overbeek, Celeste L.; Lamb, Sarah E; Williams, Mark A.; Funes, Christopher J.; Gwilym, Stephen; Ring, David; Vranceanu, Ana‐Maria

doi:10.1097/corr.0000000000000427

Cited by 103 publications

(79 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Studies involving nontraumatic upper extremity conditions demonstrate a strong correlation between depression, anxiety, and the magnitude of limitations. 26,33,38,44,53,55 Notably, in this study, the use of antidepressants explained a substantial proportion of the variation in limitations represented by QuickDASH, OES, and EQ-5D-3L at <1 week and QuickDASH and OES at 2-4 weeks.…”

Section: Discussionmentioning

confidence: 52%

Psychosocial factors affecting variation in patient-reported outcomes after elbow fractures

Jayakumar

Teunis

Vranceanu

et al. 2019

Journal of Shoulder and Elbow Surgery

Self Cite

View full text Add to dashboard Cite

To view, print and annotate your content you will need Adobe Reader version 9 (or higher). This program is freely available for a whole series of platforms that include PC, Mac, and UNIX and can be downloaded from http://get.adobe.com/reader/. The exact system requirements are given at the Adobe site:. Note: Please do NOT make direct edits to the PDF using the editing tools as doing so could lead us to overlook your desired changes. Rather, please request corrections by using the tools in the Comment pane to annotate the PDF and call out the changes you are requesting. If you opt to annotate the file with software other than Adobe Reader then please also highlight the appropriate place in the PDF file. PDF ANNOTATIONS Adobe Reader version 9 Adobe Reader version X and XI When you open the PDF file using Adobe Reader, the Commenting tool bar should be displayed automatically; if not, click on 'Tools', select 'Comment & Markup', then click on 'Show Comment & Markup tool bar' (or 'Show Commenting bar' on the Mac). If these options are not available in your Adobe Reader menus then it is possible that your Adobe Acrobat version is lower than 9 or the PDF has not been prepared properly. (Mac) PDF ANNOTATIONS (Adobe Reader version 9) The default for the Commenting tool bar is set to 'off' in version 9. To change this setting select 'Edit | Preferences', then 'Documents' (at left under 'Categories'), then select the option 'Never' for 'PDF/A View Mode'.

show abstract

Section: Discussionmentioning

confidence: 52%

Psychosocial factors affecting variation in patient-reported outcomes after elbow fractures

Jayakumar

Teunis

Vranceanu

et al. 2019

Journal of Shoulder and Elbow Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

“…These conditions are also present among the non-symptomatic population,7 and the correlation between radiographic findings and hip pain and disability is weak 8. Cognitive factors including beliefs about musculoskeletal pain strongly influence pain-related distress and the behavioural responses that drive persistent pain and disability 5 9 10…”

Section: Introductionmentioning

confidence: 99%

‘My hip is damaged’: a qualitative investigation of people seeking care for persistent hip pain

et al. 2020

View full text Add to dashboard Cite

ObjectivesClinicians who use the biopsychosocial approach to manage musculoskeletal pain disorders aim to understand how patients make sense of their symptoms. Treatment includes targeting the negative beliefs and coping responses that can lead to progressive pain and disability. We aimed to explore how people seeking care for persistent hip pain and disability make sense of their symptoms.MethodsCross-sectional qualitative study. People were eligible if they were aged ≥18 years, were consulting an orthopaedic surgeon for persistent hip pain and offered a non-surgical intervention. Data were collected through interviews that explored patients’ beliefs about the identity (diagnosis), causes, consequences, timeline and controllability of their symptoms, their strategies to cope with pain and their experiences in seeking healthcare. Transcribed interview data were analysed thematically using a framework approach.ResultsSixteen people (median age=51, range=33–73 years; median duration hip pain=3 years, range=3 months–20 years) participated. Most participants (10/16) believed their pain was caused by an exercise-related injury. Because of the results of imaging and interactions with healthcare professionals, all participants believed they had damaged hip structures. All described ineffective strategies to manage their pain and multiple failed treatments. For many (7/16), a lack of control over symptoms threatened their physical and mental health.ConclusionsThe way participants with persistent hip pain and disability made sense of their symptoms contributed to them avoiding physical activity, and it impaired their sleep, emotional well-being and physical health.

show abstract

“…This satisfaction may indicate the effect of coping after such severe trauma. [33][34][35][36] The patient-reported upper extremity function and QoL, which in the current study were poorer compared with the general population, indicate the longterm impact on daily functioning of severe upper extremity injuries and stresses the need for good patient counseling and patient expectation management. 37 Pain appeared to be an important factor that negatively affected long-term functional outcomes and QoL.…”

Section: Discussionmentioning

confidence: 59%

Long-Term Quality of Life after Free Flap Upper Extremity Reconstruction for Traumatic Injuries

Bekkum

Jong

Zuidam

et al. 2019

J reconstr Microsurg

View full text Add to dashboard Cite

Background Microsurgical reconstruction of upper extremity injuries is often challenging, and the resulting impact on the quality of life (QoL) may be significant. However, there is a lack of knowledge on long-term patient-reported QoL. Methods In a retrospective long-term follow-up study, all consecutive patients with an upper extremity injury who had undergone a free flap reconstruction were identified and categorized into three groups based on the type of injury. Patient-reported upper extremity function and QoL were assessed using three validated questionnaires: the 36-item Short Form Health Survey (SF-36), the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, and the Michigan Hand Outcomes Questionnaire (MHQ). Results A total of 61 patients were identified, of whom 10% had undergone a free flap reconstruction for soft tissue loss only, 62% for an injury accompanied by a fracture, and 28% for a (sub) total amputation. Twenty-one (44%) patients responded to the questionnaires, with a mean follow-up time of 9.7 ± 6.2 years. Patients, on average, reported poorer SF-36 “physical component score” and “role limitations due to physical health” scores compared with Dutch norms. Also, they reported poorer mean DASH scores compared with the general population, indicating worse upper extremity function. Mean MQH scores were lower for the injured side compared with the noninjured side. Pain correlated negatively with the total scores of DASH, MHQ, and SF-36. Conclusion Free flap upper extremity reconstruction is challenging. At 10 years of follow-up, the injury and its treatment continued to have a significant impact on the upper extremity function and daily QoL, with chronic pain being an important factor negatively affecting these outcomes.

show abstract

What Factors Are Associated With Disability After Upper Extremity Injuries? A Systematic Review

Abstract: Level IV, therapeutic study.

Cited by 103 publications

References 57 publications

Psychosocial factors affecting variation in patient-reported outcomes after elbow fractures

Psychosocial factors affecting variation in patient-reported outcomes after elbow fractures

‘My hip is damaged’: a qualitative investigation of people seeking care for persistent hip pain

Long-Term Quality of Life after Free Flap Upper Extremity Reconstruction for Traumatic Injuries

Contact Info

Product

Resources

About