Traumatic hand injury management and outcomes: A case report
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 ini...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
AOSIS
2022-04-01
|
| Series: | South African Family Practice |
| Subjects: | |
| Online Access: | https://safpj.co.za/index.php/safpj/article/view/5479 |
| _version_ | 1818200613038587904 |
|---|---|
| author | Monique M. Keller Pieter W. Jordaan |
| author_facet | Monique M. Keller Pieter W. Jordaan |
| author_sort | Monique M. Keller |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-12T02:40:26Z |
| format | Article |
| id | doaj.art-e0d9d2d3024d41c497fec80b7f3c6a07 |
| institution | Directory Open Access Journal |
| issn | 2078-6190 2078-6204 |
| language | English |
| last_indexed | 2024-12-12T02:40:26Z |
| publishDate | 2022-04-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Family Practice |
| spelling | doaj.art-e0d9d2d3024d41c497fec80b7f3c6a072022-12-22T00:41:11ZengAOSISSouth African Family Practice2078-61902078-62042022-04-01641e1e410.4102/safp.v64i1.54794222Traumatic hand injury management and outcomes: A case reportMonique M. Keller0Pieter W. Jordaan1Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgGarden Route Hand Unit, Private Practice, GeorgeAcute 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.https://safpj.co.za/index.php/safpj/article/view/5479hand injuriessurgeonhandoccupational therapycovid-19 |
| spellingShingle | Monique M. Keller Pieter W. Jordaan Traumatic hand injury management and outcomes: A case report South African Family Practice hand injuries surgeon hand occupational therapy covid-19 |
| title | Traumatic hand injury management and outcomes: A case report |
| title_full | Traumatic hand injury management and outcomes: A case report |
| title_fullStr | Traumatic hand injury management and outcomes: A case report |
| title_full_unstemmed | Traumatic hand injury management and outcomes: A case report |
| title_short | Traumatic hand injury management and outcomes: A case report |
| title_sort | traumatic hand injury management and outcomes a case report |
| topic | hand injuries surgeon hand occupational therapy covid-19 |
| url | https://safpj.co.za/index.php/safpj/article/view/5479 |
| work_keys_str_mv | AT moniquemkeller traumatichandinjurymanagementandoutcomesacasereport AT pieterwjordaan traumatichandinjurymanagementandoutcomesacasereport |