DOI: https://doi.org/10.22141/1608-1706.4.19.2018.142100

State of disability due to upper extremity traumas in Ukraine in 2017

L.Yu. Naumenko, A.V. Ipatov, T.O. Zub, A.O. Mametyev

Abstract


Background. Traumas of upper extremities play a significant role in the structure of injuries. A complex anatomical structure and strict requirements to the hand function recovery determine the complexity of surgical intervention. The aim of the work was to analyze the data on disability due to upper extremity traumas in Ukraine in 2017. Materials and methods. We carried out the detailed analysis of primary and accumulated disability due to upper­extremity injuries in Ukraine in 2017. The materials of the annual reports of medical and social expert commissions were used. We studied the disability parameters by the segments of the upper extremity and by the type of injured structures. Patients in the study group were divided by sex and age, also the occulational injuries were highlighted separately. We analyzed the distribution of patients by disability groups. Results. We determined that in the structure of primary disability the consequences of injuries of the upper extremity made up 9.6 % of all traumatic injuries. The prevalence of the disabling effects of the upper limb injuries for the primary disability was 0.39 per 10,000 of population and for the accumulated one — 0.77 per 10,000 of population. The male persons of working age are prevalent majority in our study group. We found that 17.9 % of persons were recognized as disabled without a review period while primary examination, and 18.9 % while the second examination by the Disability Determination Services. This category of disabled people has irreversible changes in the anatomy or function of the affected upper limb. The occupational injuries were the cause of disability in 13.7 % persons during the primary examination and in 8.9 % while a second survey by the Disability Determination Services. The ІІІ group of disability prevails. The majority of injuries located in shoulder and shoulder joint; the second review is associated with increased disabling subsequences of injured hand and carpal joint. The disabling results of fractures are presented in 51 % of traumas of shoulder segment, in 41.3 % in forearm and elbow segment and in 25.3 % cases in hand and wrist segment. Conclusions. In the structure of primary disability the consequences of traumas of the upper extremity made up 9.6 % of all injuries. The male persons of working age prevailed and the frequency of the III disability group was higher in our study. Every fifth or sixth person with disabling injury of the upper extremity has irreversible change of anatomy of function. The part of subsequences of soft tissue injuries increased and the part of subsequences of fractures decreased depending on the location — from proximal zones to distal ones.


Keywords


primary and accumulated disability; consequences of the upper extremity trauma; shoulder; forearm; hand

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