Common hand injuries
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Common Hand Injuries. I.M. Doctor, M.D. My Office My City, State. The information in this presentation was provided to the presenter by the American Academy of Orthopaedic Surgeons and may be modified. Endorsement of this presentation by the AAOS is not implied or inferred. Thank you to

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Common Hand Injuries

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Common hand injuries

Common Hand Injuries

I.M. Doctor, M.D.

My Office

My City, State


I m doctor 2c m d 5cr 5crmy office 5crmy city 2c state

The information in this presentation was provided to the presenter by the American Academy of Orthopaedic Surgeons and may be modified.

Endorsement of this presentation by the AAOS is not implied or inferred.

Thank you to

Leon S. Benson, MD and the American Society for Surgery of the Hand

for his significant contributions to the

content of this presentation.


Common hand injuries1

Common Hand Injuries

  • Orthopaedic Surgeon

  • Types of Hand Injuries

  • Where The Injuries Occur

  • How It Happens

  • How to Prevent Injury

  • Medical Guidelines


What is an orthopaedic surgeon

What is an Orthopaedic Surgeon?

  • Medical doctor or Doctor of Osteopathic Medicine who specializes in treatment and health maintenance of musculoskeletal system (bones, joints, ligaments, muscles, tendons, cartilage and spine)


I m doctor 2c m d 5cr 5crmy office 5crmy city 2c state

What is an orthopaedic surgeon?

  • The expert in treating the musculoskeletal system

  • The expert in maintaining musculoskeletal health


Educating an orthopaedic surgeon

Educating an Orthopaedic Surgeon

  • College

  • Medical School

  • Internship

  • Orthopaedic Residency

  • Fellowship (optional)

  • 2 Years Practice

    TOTAL

4

4

1

4

(1)

2

16 years!


What do orthopaedic surgeons do

What do orthopaedic surgeons do?

  • Diagnose

  • Treat

    • Medication

    • Physical Therapy

    • Exercise

    • Brace

    • Surgery

  • Prevent


Types of common hand injuries

Cuts (lacerations)

Broken bones (fractures)

Pinching injuries (crush)

Punctures

Burns

Types of Common Hand Injuries


Associated problems

Infections

Tendon and ligament damage

Deformity (crooked bones)

Stiffness

Scars

Associated Problems


Where the injuries occur

Where The Injuries Occur

  • Kitchen

  • Garage

  • Doorways

  • Furniture Hinges

  • Drawers and Windows

  • Home Gym

  • Your Pet’s Mouth!


The kitchen

Largest collection of cutting tools and heating equipment

One of the busiest places in the home

“Familiarity breeds contempt”

The Kitchen


The garage

Ladders

Power tools

Lawn mowers

Snow blowers

The Garage


Doorways

Pinching injuries: door jamb or closing edge

Bedroom doors

Garage and outside doors

Car doors–standard and sliding (mini-vans!)

Car trunk and hood doors

Doorways


Furniture hinges

Similar to doorways: pinching and crushing

Folding chairs

Card tables

ANYTHING WITH A HINGE

Furniture Hinges


Drawers and windows

Sliding shut produces crushing injuries

Heavy cabinets drawers and doors are hard to control

Old windows and storm windows tend to suddenly slam down

Drawers and Windows


Home gym

Free weights and bar bells: fingertip crushing injuries

Exercycles and treadmills: severe mangling injuries, especially common in children

Home Gym


Your pets

Cat and dog bites to the hand commonly get infected

Almost all bites come from your own pet – not strays!

Your Pets


Kitchen how it happens

Pitting an avocado

Separating frozen hamburgers or hot dogs

Cutting bagels

Holding hot metal containers without insulation on the handles

Kitchen – How It Happens


Kitchen more

Picking up broken glass

Trying to free a jammed blender

Picking something out of the disposal

Washing and drying knives

Kitchen – More!


Garage how it happens

Ladders: not properly set up = FALLS

Ladders: hinges cause pinching injuries

Power tools: disabling safety features or working too fast

Garage – How It Happens


Garage how it happens1

Lawn mowers: putting hands in harm’s way

Snow blowers: unaware of second fan blade at exhaust port

Garage – How It Happens


Doorways how it happens

Children do not respect door jambs and closing edges

Car doors: start to close door before all fingers are clear

Garage doors: springs can explosively unwind

Doorways – How It Happens


Furniture hinges how it happens

Don’t actually see your own fingertips when holding the furniture

Can cause severe crushing damage to fingers

Children unaware of hinges and can accidentally unfold or fold up chairs and tables

Furniture Hinges – How It Happens


Drawers and windows how it happens

Don’t realize that your fingertips are in the way when you close a heavy drawer

Older windows and storm windows can be difficult to move– and then suddenly give way

Drawers and Windows – How It Happens


Home gym how it happens

Fatigue after repetitive lifting can make heavy weights hard to control

Children see exercycles as toys –injuries occur from entangled fingers

Home Gym – How It Happens


Your pets how it happens

Separating your pet from fighting with another animal – you will be bitten!

Rescuing or extricating your pet when it’s injured – you will be bitten!

Your Pets – How It Happens


The kitchen prevention

Don’t cut towards yourself

Never put your other hand in the path of the knife blade

Don’t use knives at all for certain activities

The Kitchen – Prevention

WRONG WAY!


Kitchen more prevention

Picking up broken glass

Trying to free a jammed blender

Picking something out of the disposal

Washing and drying knives

Kitchen – More Prevention

BE CAREFUL!


Garage prevention

Use a stable, well designed ladder

Set up ladder on a level surface with hinges properly locked in place

Don’t reach or lean while on the ladder

Wear proper shoes!

Garage – Prevention


Garage prevention1

NEVER disable safety features on power tools

NEVER allow children near power tools

NEVER cut towards yourself

NEVER use tools when tired or distracted

ALWAYS wear eye protection

Garage – Prevention


Garage prevention2

Never operate lawn mowers when children might be nearby

Never use your hands to unclog lawn mowers or snow blowers

Garage – Prevention


Doorways prevention

Children will not respect door hinges or door jambs until it’s too late

Never slam doors

Do not allow children to be around doorways unsupervised

Doorways – Prevention


Common hand injuries2

Common Hand Injuries

  • Do repair or manipulate garage door springs

  • Never close a car door or trunk without looking at the hand that’s touching it

Leave it to the professionals!


Furniture hinges prevention

Same rules as doorways

Don’t allow children to play around furniture with hinges

Make sure you can see your fingertips when folding up chairs or tables

Furniture Hinges – Prevention


Drawers and windows prevention

Be prepared for windows to close suddenly

Keep your fingers clear: anticipate that you won’t be able to stop the window from closing all the way

Both hands on the window

Don’t rush!

Drawers and Windows – Prevention


Home gym prevention

Do not use more weight than you can control

Watch your fingertips carefully when handling free weights (and the barbell!)

Home Gym -Prevention


Home gym prevention1

NEVER have children in the same room when using a treadmill or exercycle

Do not allow children access to exercycles or treadmills; they will play with it when you’re not around and get hurt

Home Gym – Prevention


Home gym prevention2

Stop exercising before you get too tired; exhaustion makes it hard to control equipment and more likely you will fall

Understand how to get off a move treadmill and how to turn all your equipment off

Home Gym – Prevention


Your pets prevention

Separating fighting animals: you’ll be bitten!

If you must separate your pet, grab them by the ankles and pull them away

Your Pets – Prevention


Your pets prevention1

If you are bitten, clean the wound with soap and water immediately

Then go to an emergency room to have the wound evaluated, start antibiotics and get a tetanus shot

Your Pets – Prevention


Your pets prevention2

Animal bite wounds should not be stitched closed; allowing the wound to drain helps prevent deep infection

Do not treat the wound by yourself; delay in treatment makes it harder to manage

Your Pets – Prevention


Medical guidelines

If you hurt yourself, seek formal medical attention

Going to the emergency room is probably the best choice

Important detail: seek immediate assessment by a trained medical professional

Medical Guidelines


Medical guidelines1

Bleeding wounds must be cleaned thoroughly

Up-to-date tetanus immunization is required for any open injury

X-rays must be obtained to see if bones are broken

Medical Guidelines


Medical guidelines2

Antibiotics may be appropriate

Some injures require surgery: broken bones or cut tendons or nerves

Early assessment makes subsequent care easier and safer to plan

Medical Guidelines


A final word

Understand where the danger lies

Use the right equipment

Use equipment properly

Keep children away

TAKE YOUR TIME

A Final Word


Resources

Resources

American Academy of Orthopaedic Surgeons

6300 N. River Road

Rosemont, IL 60018

www.orthoinfo.org


Common hand injuries3

Common Hand Injuries

What are your questions and concerns?


Common hand injuries4

Common Hand Injuries

Remember, your orthopaedic surgeon can help get you back in the game!


Common hand injuries5

Common Hand Injuries

Thank you for participating today

Stay safe!

Remember, your orthopaedic surgeon can help if you’re hurt


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