Clinical Outcomes of Explosion Injuries to the Hand

Annals of Plastic Surgery
Elizabeth A KingKagan Ozer

Abstract

The purpose of this study is to report clinical outcomes in a cohort of 12 patients with explosion injuries to the hand. Twelve male patients with a mean age of 42.4 years (SD, 7.2) were examined at a mean of 54 months after sustaining explosion injuries to the hand. All patients underwent primary reconstruction and early soft tissue coverage within 72 hours after their injuries. Total active range of motion and moving 2-point discrimination in each digit were recorded along with hand injury severity score (HISS), disability of the arm, shoulder, and hand (DASH) score, and American Medical Association (AMA) impairment ratings. For digits saved, the average total active motion at final follow-up was 215 degrees (SD, 66.5). Twenty-two digits had 6-mm 2-point discrimination, and 17 digits had 8- to 10-mm 2-point discrimination. Eight of the 12 patients had secondary procedures. We found a strong correlation between initial HISS and DASH scores at final follow-up. There was also a strong correlation between AMA impairment rating and DASH scores. Early reconstruction provides protective sensation and preserves some function after explosion injuries. Preoperative HISS correlates with the long-term functional outcome as measured by DA...Continue Reading

References

Jun 1, 1996·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·D A Campbell, S P Kay
Dec 1, 1996·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·P HahnU Lanz
Sep 23, 2000·Journal of Orthopaedic Trauma·R S MooreD J Bozentka
Jul 10, 2003·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·A B Mink van der MolenS E R Hovius
Jan 1, 1962·The Journal of Trauma·H E KLEINERT, D J WILLIAMS
Jul 5, 2006·Pediatrics·Rachel J WitsamanGary A Smith
Jan 16, 2007·The Journal of Hand Surgery·Frederik J T van OosteromSteven E R Hovius
Jul 8, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Vinita PuriManish Deshpande
Sep 10, 2008·Hand : Official Journal of the American Association for Hand Surgery·Ron HazaniDarrell Brooks
Jan 30, 2013·Injury·Joseph BakhachSaad Dibo
Mar 16, 2013·Journal of Emergencies, Trauma, and Shock·Souvik AdhikariJayanta Kumar Saha
Mar 29, 2014·Chirurgie de la main·A-S MatheronP A Liverneaux
Apr 29, 2014·The Journal of Surgical Research·Joseph K CannerEric B Schneider
Jul 23, 2014·Injury·Justin Xavier MooreRussell L Griffin
Dec 3, 2014·The Journal of Hand Surgery·James M Saucedo, Nicholas B Vedder
Mar 28, 2017·The Journal of Hand Surgery·Brinkley K SandvallJeffrey B Friedrich

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