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Epidemiologic study of hand and upper extremity injuries by power tools

  • Kim, Yong Hun (Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine) ;
  • Choi, Jin-hee (Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine) ;
  • Chung, Yoon Kyu (Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine) ;
  • Kim, Sug Won (Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine) ;
  • Kim, Jiye (Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine)
  • Received : 2018.07.10
  • Accepted : 2018.10.23
  • Published : 2019.01.15

Abstract

Background Hand injuries caused by chain saws, electric saws, and hand grinders range from simple lacerations to tendon injuries, fractures, and even amputations. This study aimed to understand the distribution of various types of hand and upper extremity injuries caused by power tools, in order to help prevent them, by investigating the incidence and cause of power tool injuries treated over a 4-year period at a single institution in Korea. Methods We reviewed the medical records of patients who visited a single institution for power tool-induced injuries from 2011 to 2014. The distribution of sex, age, injured body part, type of injury, and mechanism of injury sustained by patients who received hand and upper extremity injuries from using an engine saw, electric saw, or hand grinder was evaluated. Results Among 594 subjects who were injured by power tools, 261 cases were hand and upper extremity injuries. The average age was 53.2 years. Tendon injury was the most common type of injury. An electric saw was the most common type of power tool used. More injuries occurred in non-occupational settings than in occupational settings. Conclusions In this study, power tool-induced hand and upper extremity injuries were mostly caused by direct contact with electric saw blades. More injuries occurred due to non-occupational use of these tools, but the ratios of amputations and structural injuries were similar in the non-occupational and occupational groups.

Keywords

References

  1. Gaul JS Jr. Identifiable costs and tangible benefits resulting from the treatment of acute injuries of the hand. J Hand Surg Am 1987;12(5 Pt 2):966-70. https://doi.org/10.1016/S0363-5023(87)80266-6
  2. Burke FD, Dias JJ, Lunn PG, et al. Providing care for hand disorders: trauma and elective: the Derby Hand Unit experience (1989-1990). J Hand Surg Br 1991;16:13-8. https://doi.org/10.1016/0266-7681(91)90119-9
  3. Johns AM. Time off work after hand injury. Injury 1981;12: 417-24. https://doi.org/10.1016/0020-1383(81)90015-2
  4. O'Sullivan ME, Colville J. The economic impact of hand injuries. J Hand Surg Br 1993;18:395-8. https://doi.org/10.1016/0266-7681(93)90072-N
  5. Oleske DM, Hahn JJ. Work-related injuries of the hand: data from an occupational injury/illness surveillance system. J Community Health 1992;17:205-19. https://doi.org/10.1007/BF01321653
  6. Centers for Disease Control and Prevention. Work-related injury statistics query system (Work-RISQS) [Internet] Atlanta, GA: CDC [cited 2003 Nov 4]. Available from https://wwwn.cdc.gov/wisards/workrisqs.
  7. Beaton AA, Williams L, Moseley LG. Handedness and hand injuries. J Hand Surg Br 1994;19:158-61.
  8. Angermann P, Lohmann M. Injuries to the hand and wrist: a study of 50,272 injuries. J Hand Surg Br 1993;18:642-4. https://doi.org/10.1016/0266-7681(93)90024-A
  9. Hung LK, Choi KY, Yip K, et al. Recent changes in the pattern of hand injuries in Hong Kong: a regional hospital survey. Hong Kong Med J 1997;3:141-8.
  10. Conn JM, Annest JL, Ryan GW, et al. Non-work-related finger amputations in the United States, 2001-2002. Ann Emerg Med 2005;45:630-5. https://doi.org/10.1016/j.annemergmed.2004.10.012
  11. Marcy N, Rutherford G, Mills A. Hazard screening report: power tools and workshop equipment [Internet]. Bethesda, MD: U.S. Consumer Product Safety Commission; c2003 [cited 2016 Mar 14]. Available from https://www.cpsc.gov/PageFiles/106093/2003h054.pdf.
  12. Justis EJ. A hand surgeon looks at how accidents happen. Fine Woodworking 1982;36:84-7.
  13. Shields BJ, Wilkins JR 3rd, Smith GA. Nonoccupational table saw-related injuries treated in US emergency departments, 1990-2007. J Trauma 2011;71:1902-7. https://doi.org/10.1097/TA.0b013e3181b28ad3
  14. Tan KK, Fishwick NG, Dickson WA, et al. Does training reduce the incidence of industrial hand injuries? J Hand Surg Br 1991;16:323-6. https://doi.org/10.1016/0266-7681(91)90062-S
  15. Ong SG, Fung SC, Chow SP, et al. A study of major factors associated with severe occupational hand injury in Hong Kong island. J Soc Occup Med 1982;32:82-8. https://doi.org/10.1093/occmed/32.1.82
  16. Absoud EM, Harrop SN. Hand injuries at work. J Hand Surg Br 1984;9:211-5. https://doi.org/10.1016/S0266-7681(84)80037-6
  17. Frank M, Lange J, Napp M, et al. Accidental circular saw hand injuries: trauma mechanisms, injury patterns, and accident insurance. Forensic Sci Int 2010;198:74-8. https://doi.org/10.1016/j.forsciint.2010.01.003

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