State of disability due to upper extremity traumas in Ukraine in 2017
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.
Full Text:PDF (Українська)
Deikalo V. The organization of medical rehabilitation for patients with hand injures in the regional region of the Republic of Belarus: manual for doctors, 2007. Vitebsk Medical university publishing office, Vitebsk. 104 p. Russian.
Khomyakov V. Disability due to extensors of phingers and wrist in Ukraine. Coliection of scientific works of staff member of P. L. Shupyk NMAPE 2016;25:383–388. Ukrainian.
Kılıç S, Adıyaman S, Sezer F, Cantürk G. Upper Extremity Injuries Due to Work Accidents in Work Accident Disability Assessments: Three Case Reports. The Bulletin of Legal Medicine. 29 Apr. 2017; 22(1):72-5. Available from: http: //www.adlitipbulteni.com/index.php/atb/article/view/961. doi: 10.17986/blm.2017127145.
Abramov V, Kanyuka Ye, Nekhanevich O. The analysis of injuries’ structure in patients with old trauma of the distal part of the upper extremity. Messenger of the problems of biology and medicine 2014;3(2):101-105. Russian.
Gaiko G, Strafun S, Kurinnyi I. The causes and the structure of disability due to upper extremity traumas. The materials of scientific and practical conferention named The treatment of upper extremity traumas and their consequences, Kyiv, May 17-18 2007:15-16. Ukrainian.
Valeev M, Faizov A, Chistichenko S. The surgical treatment of the patients with defects and scar deformities of hand. Medical science and education of Ural 2008;9(6):112-114. Russian.
Brown KR, Jean-Claude J, Seabrock GR, Cambria RA. Determinates of functional disability after complex upper extremity trauma. Annals of Vascular Surgery 2001;15(1):43–48. doi: 10.1007/s100160010016.
Manord JD, Garrard CL, Kline DG, Sternbergh III WC, Money SR. Management of severe proximal vascular and neural injury of the upper extremity. Journal of vascular surgery 1998;27(1):43–49. doi 10.1016/S0741-5214(98)70290-3.
Lipovetz T, Cherkasova A. Social and hygienic features of disability and actual issues of rehabilitation in cases of hand injuries in the Tyumen region. Medical and social problems of disability 2011;2:102–104. Russian.
Khomyakov V. Аnalysis of disability caused by injuries of the upper extremities in Ukraine during 2011. Orthopaedics, traumatology and prosthetics 2013;1:94–97. Russian.
Davidson J. A comparison of upper limb amputees and patiens with upper limb injuries using a Disability of arm, shoulder and hand (DASH). Disabil Rehabil 2004;5;26(14–15):917–923. PMID: 15497922.
Sabapaty SR. Treatment of mutilating hand injurues: An international perspective. Hand Clinics 2016;32(4):435–602. doi.org/10.1016/S0749-0712(16)30091-9.
Mayland E, Hay-Smith E, Treharne G. Recovery-related anxiety and disability following upper limb injury: the importance of context. Disabil Rehabil 2015;37(19):1753-1759. doi.org/10.3109/09638288.2014.976719.
The main indicators of disability and the activity of medical and social expert commissions of Ukraine in 2017: Analytical and informative directory. Under the editorship Chernyak S. 2018 Dnipro: Accent PP. 182 p. Ukrainian.
Copyright (c) 2018 TRAUMA
This work is licensed under a Creative Commons Attribution 4.0 International License.
© Publishing House Zaslavsky, 1997-2018