Profile of patients with traumatic injuries of the upper limb treated in a tertiary hospital
DOI:
https://doi.org/10.5935/0104-7795.20130003Keywords:
Hand Injuries, Forearm Injuries, Arm Injuries, Rehabilitation Centers, Health ProfileAbstract
The incidence of traumatic injuries of the upper limbs in a tertiary hospital has a wide variety. This is why the creation of a unified database becomes important-to know the patients’ profile. Objective: This study sought to determine the profile of patients with traumatic injuries of the upper limbs, treated by Physical Therapy in Rehabilitation Center of the Clinics Hospital of Ribeirão Preto. Method: Two hundred and twenty-three patient records were evaluated (58 women and 116 men). They had an average age of 34.54 (± 19.05) years and were referred by the orthopedic clinic of this hospital. Results: Of the cases studied, wrist and hand injuries had the highest incidence (60.99%), followed by injuries of the shoulder (20.63%), elbow (12.55%), arm (3.59%) and forearm (2.24%). In injuries of wrist and hand, the trauma mechanism with the highest percentage was the motorcycle accident, associated with multiple handbone fractures. Falling down, motorcycle accidents, and falling off a ladder were the mechanisms of injury correlated with proximal humerus fractures, shoulder dislocations, and broken scapulas, respectively. Conclusion: The incidence of injury, trauma mechanism, and characteristics of the population was verified and further improvements in protocols for specific disorders and prevention can be made.
Downloads
References
Kapandji AL. Fisiologia articular: esquemas comentados de mecânica humana. 5 ed. Rio de Janeiro: Médica Panamericana; 2000.
Amadio PC. Outcome assessment in hand surgery and hand therapy: an update. J Hand Ther. 2001;14(2):63-7. DOI: http://dx.doi.org/10.1016/S0894-1130(01)80035-1
Bonita R. Epidemiologia básica. Sao Paulo: Santos; 2010.
Novaes HMD, Tanaka OY. A epidemiologia na avaliaçao dos serviços de saúde: a discussao da qualidade. Saúde Soc. 1995;4(1-2):11-3. DOI: http://dx.doi.org/10.1590/S0104-12901995000100023
Goldbaum M. Epidemiologia e serviços de saúde. Cad Saúde Públ Rio de Janeiro. 1996;12(Supl 2):95-98.
Fonseca MCR, Mazzer N, Barbieri CH, Eluiv VMC. Traumas da mao: estudo retrospectivo. Rev Bras Ortop. 2006;41(5):181-6.
Santos UP, Wünsch Filho V, Carmo JC, Settini MM, Urquiza SD, Henriques CMP. Sistema de vigilância epidemiológica para acidentes do trabalho: experiência na Zona Norte do município de Sao Paulo (Brasil). Rev Saúde Pública. 1990;24(4):286-93.
Harms PL. Injury patterns of motorcyclists involved in accidents. Crowthome: Transport and Road Research Laboratory; 1981. [TRRL - Suplementary Report, 651].
Haddad JP, Echave V, Brown RA, Scott HJ, Thompson AG. Motorcycle accidents: a review of 77 patients treated in a three-month period. J Trauma. 1976;16(7):550-7. DOI: http://dx.doi.org/10.1097/00005373-197607000-00006
Angermann P, Lohmann M. Injuries to the hand and wrist. A study of 50,272 injuries. J Hand Surg Br. 1993;18(5):642-4.
Smith ME, Auchincloss JM, Ali MS. Causes and consequences of hand injury. J Hand Surg Br. 1985;10(3):288-92. DOI: http://dx.doi.org/10.1016/S0266-7681(85)80045-0
Debieux P, Chertman C, Mansur NSB, Dobashi E, Fernandes HJA. Lesoes do aparelho locomotor nos acidentes com motocicleta. Acta Ortop Bras. 2010;18(6):353-6. DOI: http://dx.doi.org/10.1590/S1413-78522010000600010
Goldman CF. Análise de acidentes de trabalho ocorridos na atividade da indústria metalúrgica e metal-mecânica no Estado do Rio Grande do Sul em 1996 e 1997: breve interligaçao sobre o trabalho do soldador [dissertaçao]. Porto Alegre: Universidade Federal do Rio Grande do Sul; 2002.
Barbieri CH, Mazer N, Trejo RA. Lesoes dos tendoes flexores dos dedos em adultos. Rev Bras Ortop.1994:29(8):586-90.
Leite NM, Belloti JC, Faloppa F, Angelini LC, Fernandes CH, Reis FB, et al. Fratura de rádio distal em adulto. Sao Paulo: Associaçao Médica Brasileira; 2007.
Kristiansen B, Christensen SW. Plate fixation of proximal humeral fractures. Acta Orthop Scand. 1986;57(4):320-3. DOI: http://dx.doi.org/10.3109/17453678608994401
Koizumi MS. Padrao das lesoes nas vítimas de acidentes de motocicleta. Rev Saúde Publ. 1992;26(5):306-15.
Barbieri CH, Mazzer N, Mendonça FH, Damasceno LHF. Fraturas da escápula. Rev Bras Ortop. 2001;36(7):245-54.
Chick G, Court C, Nordin JY. Complex fractures of the proximal end of the radius and ulna in adults: a new classification. Rev Chir Orthop Reparatrice Appar Mot. 2001;87(8):765-72.
Checchia SL, Miyazaki AN, Fregoneze M, Santos PD, Silva LA, Nakandakari EY, et al. Avaliaçao dos resultados do tratamento cirúrgico das fraturas-luxaçoes da extremidade proximal do antebraço no adulto. Rev Bras Ortop. 2007;42(9):297-305. DOI: http://dx.doi.org/10.1590/S0102-36162007000900005
Kotzias Neto A, Belangero WD. Fratura supracondiliana do úmero na criança. Sao Paulo: Associaçao Médica Brasileira; 2007.
Benegas E, Amódio DT, Correia LFM, Malavolta EA, Ramadan LB, Ferreira Neto AA, et al. Estudo comparativo prospectivo e randomizado entre o tratamento cirúrgico das fraturas diafisárias do úmero com placa em ponte e haste intramedular bloqueada (análise preliminar). Acta Ortop Bras. 2007;15(2):87-92. DOI: http://dx.doi.org/10.1590/S1413-78522007000200006
egede T, Kulkarni R. Forearm fractures in emergency medicine [text on the Internet]. New York: Medscape, c2012 [cited 2013 Jan 6]. Available from: http://emedicine.medscape.com/article/824949-overview
Downloads
Published
Issue
Section
License
Copyright (c) 2013 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
