Hand Therapist Led Follow-up for Paediatric Hand Trauma – a Retrospective Study of 139 Closed Hand Injuries
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2017, Vol 19, Issue 6
Abstract
Background. Most hand injuries in children can be managed non-operatively and are associated with excellent outcomes. Whilst the majority of our patients are discharged to the care of hand therapists, there is no literature to support this protocol. Our aim was to ensure this is safe and effective practice. Material and methods. We conducted a retrospective analysis of all patients referred to our paediatric hand trauma clinic for closed injuries over a four month period between December 2014 and March 2015. Data related to demographics, injury pattern and clinical outcomes was recorded and analysed. A telephone interview with a patient satisfaction questionnaire was attempted with all patients discharged to the care of hand therapists. Results. 139 patients were seen in the study period, including 90 males and 49 females. Phalangeal fractures (39%), volar plate injuries (19%) and metacarpal fractures (16%) were the commonest causes of hand trauma. The majority of patients (88%) were managed non-operatively. 97 patients were discharged to hand therapy follow-up and we managed to contact 51 patients (53%). Fifty-one patients (100%) completed a patient satisfaction questionnaire. 100% of the parents were happy with the care, 96% were not disappointed they did not see a doctor and 96% denied any complications. Conclusion. 1. The majority of paediatric hand injuries can be managed non-operatively with excellent outcomes. 2. Hand therapy led follow-up is appropriate for a selected group of paediatric hand injuries. This study proves that it is safe and effective for the majority of closed hand trauma, as illustrated by low complication rates. 3. Hand therapist led follow up for paediatric hand injuries is associated with high patient satisfaction.<br/><br/>
Authors and Affiliations
Agata Marta Plonczak, Gordon J. McArthur, Nicola Goldsmith, Maxim Horwitz
Keywords
Related Articles
- EP ID EP254360
- DOI 10.5604/01.3001.0010.8044
- Views 75
- Downloads 0
Botulinum toxin type A in the treatment of spasticity in cerebral palsy: theoretical and practical foundations of effective therapy
Spasticity is one of the constituent elements of upper motor neuron syndrome. For now, it is also the only symptom which is pharmacologically treatable. The pathophysiology of spasticity is very complex, and many aspects...
A Study on the Effects of General Fatigue on Head and Neck Proprioception in Healthy Young Adults
Background. Fatigue is one of the factors causing disturbance in proprioception which can be manifested in two ways: general and local. Due to the important role of cervical proprioception on body stability and posture,...
Evaluation of bone mineral density and bone metabolism in children with multiple bone fractures
Background. The aim of the study was to carry out a comprehensive analysis of determinants of multiple bone fractures in children with regard to densitometric indices and markers of bone metabolism.Material and methods....
Powtarzalność i odtwarzalność wyników oceny rezonansu magnetycznego kręgosłupa lędźwiowego u kandydatów na pilotów samolotów
StreszczenieWstęp. Rozwój diagnostyki obrazowej ułatwia ocenę anatomii kręgosłupa, natomiast nie ma pełnej zgodności pomiędzy stwierdzanymi w badaniach obrazowych zmianami morfologicznymi i patologicznymi kręgosłupa, a o...
Analiza skuteczności terapeutycznej wybranych typów kolagenu w profilaktyce i leczeniu choroby zwyrodnieniowej stawów
Ubytek kolagenu jest zjawiskiem naturalnym w procesie starzenia organizmu, jak również potęgowanym w przypadku różnych chorób – w tym choroby zwyrodnieniowej stawów (ChZS).W ciągu ostatnich kilkunastu lat przeprowad...