DESCRIPTIVE STUDY OF HAND INJURY ATTENDED AT TERTIARY CARE HOSPITAL WITH SPECIAL REFERENCE TO ASSESS SEVERITY OF HAND INJURY WITH HISS SCORE

Background: We conducted this study to establish the predictability of HISS system to hand strength in patients with traumatic hand injury. Methods: This retrospective study was conducted on 30 hospitalized patients for surgery in in Jaipur due to traumatic hand injury. All of them received rehabilitation occupational therapy in the same trauma center with established protocols and were supervised by the same group of therapists within one month after surgery. Passive/active range of motion exercise, hand grip strength training, proprioception/functional training were included in this standardized protocol. Results: The mean age of patients was 41.36±13.69 Yrs. Among them, 23 patients were male and 7 patients were female. 63.33% were dominant hand injured. The mean value of total HISS score is 53.21 ± 36.35. A positive correlation exists between the differences of the strength of two hands, and the severity shown by HISS system. Conclusion: In conclusion, initial anatomical injury severity assessed by HISS system may predict hand strength in traumatic hand injured patients after an adequate recovery period. Poor hand strength could be expected with initial high total HISS score. Keywords: HISS, Hand injury, Palmer pinch.

Prognostic factors for return to work and resumption of other daily activities after traumatic hand injury

The purpose of this study was to investigate prognostic factors for the time off work, the time to resumption of activities of daily living and hobbies, and duration of complaints in patients with a traumatic hand or wrist injury. In a 10-month longitudinal prospective cohort study, 383 patients were included and interviewed in person every 2 to 3 months. Several sociodemographic, psychological and work-related prognostic factors were investigated. For the time off work, job type, diagnosis, complication, blaming someone else for the trauma and gender were all found to be individual prognostic factors in Cox regression. For the time to resumption of activities of daily living and hobbies, and duration of complaints, gender, diagnosis, treatment and complications were found to be prognostic factors in univariate analysis. Age was solely correlated with resumption of activities of daily living and the duration of complaints. Considering these prognostic factors can help predict a patient’s recovery more accurately. Level of evidence: II