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Digital nerve injuries: Epidemiology, results, costs, and impact on daily life.

Thorsén, Frida LU ; Rosberg, Hans-Eric; Steen Carlsson, Katarina LU and Dahlin, Lars LU (2012) In Journal of Plastic Surgery and Hand Surgery 46(3-4). p.184-190
Abstract
Epidemiology, results of treatment, impact on activity of daily living (ADL), and costs for treatment of digital nerve injuries have not been considered consistently. Case notes of patients of 0-99 years of age living in Malmö municipality, Sweden, who presented with a digital nerve injury and were referred to the Department of Hand Surgery in 1995-2005 were analysed retrospectively. The incidence was 6.2/100 000 inhabitants and year. Most commonly men (75%; median age 29 years) were injured. Isolated nerve injuries and concomitant tendon injuries were equally common. The direct costs (hospital stay, operation, outpatient visits, visits to a nurse and/or a hand therapist) for a concomitant tendon injury was almost double compared with an... (More)
Epidemiology, results of treatment, impact on activity of daily living (ADL), and costs for treatment of digital nerve injuries have not been considered consistently. Case notes of patients of 0-99 years of age living in Malmö municipality, Sweden, who presented with a digital nerve injury and were referred to the Department of Hand Surgery in 1995-2005 were analysed retrospectively. The incidence was 6.2/100 000 inhabitants and year. Most commonly men (75%; median age 29 years) were injured. Isolated nerve injuries and concomitant tendon injuries were equally common. The direct costs (hospital stay, operation, outpatient visits, visits to a nurse and/or a hand therapist) for a concomitant tendon injury was almost double compared with an isolated digital nerve injury (6136 EUR [range, 744-29 689 EUR] vs 2653 EUR [range, 468-6949 EUR]). More than 50% of the patients who worked were injured at work and 79% lost time from work (median 59 days [range 3-337]). Permanent nerve dysfunction for the individual patient with ADL problems and subjective complaints of fumbleness, cold sensitivity, and pain occur in the patients despite surgery. It is concluded that digital nerve injuries, often considered as a minor injury and that affect young people at productive age, cause costs, and disability. Focus should be directed against prevention of the injury and to improve nerve regeneration from different aspects. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Plastic Surgery and Hand Surgery
volume
46
issue
3-4
pages
184 - 190
publisher
Taylor & Francis
external identifiers
  • wos:000308854000010
  • pmid:22686434
  • scopus:84865446856
ISSN
2000-656X
DOI
10.3109/2000656X.2012.676554
language
English
LU publication?
yes
id
c9ec86fc-e905-4612-86d7-c82c981bdd44 (old id 2859589)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22686434?dopt=Abstract
date added to LUP
2012-07-04 13:12:46
date last changed
2017-09-24 03:12:53
@article{c9ec86fc-e905-4612-86d7-c82c981bdd44,
  abstract     = {Epidemiology, results of treatment, impact on activity of daily living (ADL), and costs for treatment of digital nerve injuries have not been considered consistently. Case notes of patients of 0-99 years of age living in Malmö municipality, Sweden, who presented with a digital nerve injury and were referred to the Department of Hand Surgery in 1995-2005 were analysed retrospectively. The incidence was 6.2/100 000 inhabitants and year. Most commonly men (75%; median age 29 years) were injured. Isolated nerve injuries and concomitant tendon injuries were equally common. The direct costs (hospital stay, operation, outpatient visits, visits to a nurse and/or a hand therapist) for a concomitant tendon injury was almost double compared with an isolated digital nerve injury (6136 EUR [range, 744-29 689 EUR] vs 2653 EUR [range, 468-6949 EUR]). More than 50% of the patients who worked were injured at work and 79% lost time from work (median 59 days [range 3-337]). Permanent nerve dysfunction for the individual patient with ADL problems and subjective complaints of fumbleness, cold sensitivity, and pain occur in the patients despite surgery. It is concluded that digital nerve injuries, often considered as a minor injury and that affect young people at productive age, cause costs, and disability. Focus should be directed against prevention of the injury and to improve nerve regeneration from different aspects.},
  author       = {Thorsén, Frida and Rosberg, Hans-Eric and Steen Carlsson, Katarina and Dahlin, Lars},
  issn         = {2000-656X},
  language     = {eng},
  number       = {3-4},
  pages        = {184--190},
  publisher    = {Taylor & Francis},
  series       = {Journal of Plastic Surgery and Hand Surgery},
  title        = {Digital nerve injuries: Epidemiology, results, costs, and impact on daily life.},
  url          = {http://dx.doi.org/10.3109/2000656X.2012.676554},
  volume       = {46},
  year         = {2012},
}