• Title/Summary/Keyword: Hand injury

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Related Factors of Exercise Injury from Hospital Patients (일부지역 병원 환자조사를 통한 운동상해 관련요인 연구)

  • Kim, Nam-Jin
    • Korean Journal of Health Education and Promotion
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    • v.23 no.3
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    • pp.135-147
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    • 2006
  • Objective: This study was performed to identify the related factors of exercise injury throughout the actual cases among patients. Method: The subjects of the study consisted of 304 patients(209 male and 95 female) over 20's in seoul and kyonggi area, and data collected by using questionnaires were analyzed with SPSS/WIN 11.0 program. To prove the relative factors of exercise injury from hospital patients Results: 1) It was found that the general degree of exercise injury showed significant difference regarding gender, age and education level. In other words, if it was male, young and high school graduate, the portion of exercise injury for the person was higher than others. On the other hand, the duration of medical treatment for the patient, who is male, old and college graduate took longer than the others. 2) It demonstrated that the lower extremity was most intensively damaged due to the exercise injury, especially, knees and ankles had the most portion of exercise injury and a sprain was the most common form of exercise injury for these body parts. 3) The degree of exercise injury regarding of exercise maintains significant difference with the frequency of exercise. In fact, the more exercise was done by a person such as 3 to 4 days a week, the less duration of medical treatment for the person was taken. 4) It also showed that there was significant difference between the habit of exercise and the degree of exercise injury. In other words, a person had better exercise habit, it took the person less duration of medical treatment. As well, if someone had better warming up, he or she had lower degree of exercise injury after all. Conclusion: Consequently, according to the data, the research suggested that the male needed more carefulness than the female in exercise. Old age people needed to be more careful of getting sprain of knee and ankle in particular. As well, it concluded that people needed not only enough warming up before doing exercise but also positive habit of exercise in order to minimize the exercise injury.

The Effect of the Chest Physiotherapy in Brain Injury Patients (뇌손상 환자에게 적용한 흉부물리요법의 비교연구)

  • Hong, Hae-Sook;Choi, Young-Jin
    • Journal of Korean Biological Nursing Science
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    • v.6 no.2
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    • pp.19-30
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    • 2004
  • The purpose of this study was to compare chest percussion with chest vibration in brain injury patients. 30 patients in SICU of one general hospital in T city were randomely divided by 3 groups and the arterial oxygen tension(PaO2) and the retained secretion were measured. The chest vibration was done among the first group, the chest vibration by hand after the chest percussion was done among the second group and the mechanical chest vibration after the chest percussion was done among the third group. The data was analyzed using SPSS 7.0(5% significance) and the results are below. 1) It was adopted the hypothesis that the amount of retained secretion of endotracheal suction after stopping the actions among the first, second and the third groups is different from each other.(F=41.62, p=0.00) 2) It was rejected the hypothesis that the arterial oxygen tension(PaO2)s are different from each other among the first, second and third group.(F=1.22, p=0.31) The amount of the retained secretion after chest percussion, chest vibration by hand or mechanical chest vibration was significantly different from each other. Therefore, chest physiotherapy could be regarded as the effective nursing intervention for the unconscieus patients who have the inappropriate airway cleaness and it was more effective to be together than to be alone.

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Traumatic Brachial Plexus Injury: Preoperative Evaluation and Treatment Principles (상완 신경총 손상에서의 수술 전 평가와 치료 계획)

  • Yoo, Jae-Sung;Park, Sung-Bae;Kim, Jong-Phil
    • Archives of Hand and Microsurgery
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    • v.22 no.3
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    • pp.137-146
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    • 2017
  • Brachial plexus injury is regarded as one of the most devastating injuries of the upper extremity. Accurate diagnosis is important to obtain the successful results. Basic preoperative evaluation includes simple radiography, cervical myelography. Magnetic resonance imaging, angiography, electrophysiologic studies and intraoperative studies. Furthermore, proper timing of surgery, surgical indication, plan and sufficient understanding of patients about the prognosis are the key for the satisfactory outcomes. This article provides an overview of the evaluation, diagnosis, intraoperative monitoring, and proper surgical planning for the treatment of posttraumatic brachial plexus injuries.

Relations of Visual Perception and Hand Dexterity using Computer Keyboard (컴퓨터 타자속도에서 시지각 및 손 민첩성의 상관성)

  • Roh, Hyo-Lyun;Kang, Shin-Wook
    • Journal of Korean Clinical Health Science
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    • v.2 no.4
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    • pp.209-215
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    • 2014
  • Purpose. The purpose of this study was to determine the relationship between typing speed required dexterity of hand and visual perception. Method. We studied 50 people who were not experience of hand injury in K university. Typing speed, hand dexterity and visual perception were measured using purdue pegboard test, MVPT-3 and 'Cheongsando' in Hancom typing program. Results analysis was used Pearson correlation coefficient of the SPSS 10.0. Result. In this study, the typing speed showed a positive correlation with the figure ground, but there was no correlation visual closure and visual discrimination. Conclusion. Typing speed was correlated with hand dexterity and figure ground. Therefore, utilizing a computer keyboard at treatment can be expected to enhance hand function and visual perception.

A Case Report of Child with Brachial Plexus Palsy Due to Birth Injury (분만손상으로 인한 상완신경총마비 환아의 치험 1례)

  • Yu, Sun Ae
    • The Journal of Pediatrics of Korean Medicine
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    • v.28 no.1
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    • pp.24-31
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    • 2014
  • Objectives The purpose of this study is to know the effect of acupuncture on brachial plexus palsy due to birth injury. Methods We decided to treat one week of Vojta therapy and occupational therapy, but other were combined, and then add three weeks of acupuncture treatment as well. Results Right clavicle fracture at birth brachial plexus injury due to decreased locomotion of the right upper extremity, muscle weakness in children aged 7 months to Vojta therapy, occupational therapy and acupuncture, when performed in conjunction mobility increase of the shoulder joint, elbow support improvement, recovery of motor function of the hand grip, etc. to obtain a significant motor function recovery improvement. Conclusion Acupuncture was a good treatment of choice for the better shoulder, joint and hands movements.

Surgical Management of Cardiac Tamponade (심장압전의 외과적 치료)

  • 장재현
    • Journal of Chest Surgery
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    • v.25 no.1
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    • pp.66-72
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    • 1992
  • From March 1986 to March 1991, 29 patients were operated due to cardiac tamponade at the Department of Thoracic and Cardiovascular Surgery, Masan Koryo General Hospital. Among them, 19cases were traumatic origin and 10 were Non traumatic origin. A] Traumatic cardiac tamponade Out of 19 cases, 12 cases were resulted from penetrating injury and 7 cases from trauma. Average time interval from arrival to operation was 91 minutes[15min.~8.5hr.] in penetrating injury group. On the other hand, average time of in cases of blunt trauma was more than 3hours because of the difficulties in diagnosis. Four deaths occured in 19 cases [mortality rate: 21.1%] 3 in blunt trauma group[42.9%] and 1 in penetrating group[8.3%]. In view of our experience, the prognosis was closely correlated with injury mode, initial vital sign and mental status. There was no close correlation between prognosis and cardiac injury site. B] Non traumatic cardiac tamponade The etiologies were malignancy[4], non-spesific pericarditis[3], tuberculosis[1], pyogenic[1] and cardiomyopathy[1]. All of the cases in which performed tube pericardiostomy were the cases that showed no response to conservative treatment and repeat per-icardiocentesis. There was one posoperative death.

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Immediate Fasciotomy for Acute Thermal Contact Burn Combined with Compression Injury of the Right Forearm and Hand: A Case Report (우측 전완부와 수부에 화상과 압궤손상을 입은 환자에서 즉시 근막절제술: 증례보고)

  • Jung, Sung Won;Lee, Seungje;Yoo, Kyung-Tak
    • Journal of the Korean Burn Society
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    • v.23 no.1
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    • pp.13-19
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    • 2020
  • Treatment of compartment syndrome is early decompressive fasciotomy to prevent dreadful sequelae of ischemic necrosis of muscles and nerves. We experienced one patient of impending or early compartment syndrome of right forearm and hand caused by a hot compress machine. We did immediate fasciotomy on forearm and late flap coverage with skin graft in this patient with good results.

Severity of grinder injuries and related factors compared with other high-rotation cutting tool injuries: a multicenter retrospective study from 2011 to 2018

  • Juni Song;Yang Bin Jeon;Jae Ho Jang;Jin Seong Cho;Jae Yeon Choi;Woo Sung Choi
    • Journal of Trauma and Injury
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    • v.36 no.1
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    • pp.32-38
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    • 2023
  • Purpose: This study aimed to identify the characteristics of patients injured by high-rotation cutting tools and the factors related to the severity of their injuries. Methods: Adult patients (≥18 years), who presented to the emergency department (ED) after a high-rotation cutting tool injury and who were registered in the Korean Emergency Department-based Injury In-Depth Surveillance (2011-2018) database, were included. Patients' demographic characteristics, injury-related factors, and Injury Severity Scores were collected. All included cases were categorized into two groups according to the tool that caused the injury: grinder versus nongrinder. The characteristics of the two groups were compared, and the factors associated with the severity of injuries were investigated. Results: Among 8,697 ED visits, 4,603 patients had been using a grinder and 4,094 had been using a nongrinder tool. The most frequently injured body part while using a grinder was the hand (46.4%), followed by the head (23.0%). While using a nongrinder tool, the most frequently injured body part was also the hand (64.0%), followed by the lower leg (11.4%). The odds of a severe injury were affected by patient age (odds ratio [OR], 1.024; 95% confidence interval [CI], 1.020-1.028) and using a grinder (OR, 2.073; 95% CI, 1.877-2.290). The odds of a severe injury using a grinder were higher in arm injuries (OR, 1.60; 95% CI, 1.40-1.83) and multiple-part injuries (OR, 1.998; 95% CI, 1.639-2.437). The odds of a severe injury using a grinder were lower for head injuries (OR, 0.481; 95% CI, 0.297-0.781). Conclusions: Injuries from grinders were more likely to affect the head and neck than nongrinder injuries, despite the lower severity. The current lack of regulations on grinders in occupational safety and health standards warrants relevant legislation and the development of applicable safety equipment.

The impact of major league baseball on the incidence of operative hand and facial trauma at a level 1 trauma center

  • Ricci, Joseph A.;Vargas, Christina R.;Ho, Olivia A.;Lin, Samuel J.;Lee, Bernard T.
    • Archives of Plastic Surgery
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    • v.46 no.3
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    • pp.198-203
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    • 2019
  • Background Professional affiliation between medical centers and professional sports teams can be mutually beneficial in the provision of healthcare and marketing strategy. Anecdotal evidence suggests a link between trauma volume and sporting events; however, there is limited data. This study aims to characterize the incidence of operative hand and facial trauma during professional baseball home games. Methods A retrospective review of surgical cases for traumatic hand or facial injuries at a level 1 center between 1999 and 2012 was performed. Demographic information including date of injury, admission status, and operative repair were collected. Patients were grouped based on whether their trauma occurred on the date of a home game. Results Operative hand and facial trauma occurred at a rate of 33.4 injuries per 100 days with home games, compared to 22.2 injuries per 100 days (incidence rate ratios, 1.50; 95% confidence interval, 1.34-1.69). When home games were played, patients were more likely to present as a result of motorcycle accidents (3.1% vs. 1.5%; P=0.04) or bicycle accidents (5.0% vs. 2.6%; P=0.01). Other mechanisms of trauma were not statistically different. There was an increase incidence of injuries during home games in August; weekly variability showed an increased incidence during the weekends. Conclusions There was an increased rate of operative hand and facial injuries on dates with professional home games. The incidence of injuries during home games was higher in the late summer and on the weekends. Further analysis may allow improved resource allocation and strategies for injury prevention and treatment.

Surgical Outcomes in Patients with Simultaneous Traumatic Brain and Torso Injuries in a Single Regional Trauma Center over a 5-Year Period

  • Yun, Jung-Ho
    • Journal of Trauma and Injury
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    • v.34 no.4
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    • pp.270-278
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    • 2021
  • Purpose: The purpose of the study is to analyze the results of surgical treatment of patients with brain and torso injury for 5 years in a single regional trauma center. Methods: We analyzed multiple trauma patients who underwent brain surgery and torso surgery for chest or abdominal injury simultaneously or sequentially among all 14,175 trauma patients who visited Dankook University Hospital Regional Trauma Center from January 2015 to December 2019. Results: A total of 25 patients underwent brain surgery and chest or abdominal surgery, with an average age of 55.4 years, 17 men and eight women. As a result of surgical treatment, there were 14 patients who underwent the surgery on the same day (resuscitative surgery), of which five patients underwent surgery simultaneously, four patients underwent brain surgery first, and one patient underwent chest surgery first, four patients underwent abdominal surgery first. Among the 25 treated patients, the 10 patients died, which the cause of death was five severe brain injuries and four hemorrhagic shocks. Conclusions: In multiple damaged patients require both torso surgery and head surgery, poor prognosis was associated with low initial Glasgow Coma Scale and high Injury Severity Score. On the other hand, patients had good prognosis when blood pressure was maintained and operation for traumatic brain injury was performed first. At the same time, patients who had operation on head and torso simultaneously had extremely low survival rates. This may be associated with secondary brain injury due to low perfusion pressure or continuous hypotension and the traumatic coagulopathy caused by massive bleeding.