RESUMO
Injuries of the hand and wrist are common in baseball. Because of the unique motions and loads encountered in this sport, physicians treating baseball players may encounter hand and wrist injuries ranging from common to rare. An understanding of these baseball-related injuries must include their pathoanatomy, diagnosis, and treatment options. This knowledge is critical for the general orthopaedic surgeon treating baseball players to allow for timely and appropriate treatment. This article reviews the pathophysiology, diagnosis, and treatment of baseball-related hand and wrist injuries, with a target audience of general orthopeadic surgeons.
Assuntos
Traumatismos em Atletas , Beisebol , Traumatismos do Punho , Traumatismos em Atletas/diagnóstico , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/terapia , Mãos , Humanos , Punho , Traumatismos do Punho/diagnóstico , Traumatismos do Punho/etiologia , Traumatismos do Punho/terapia , Articulação do PunhoRESUMO
Introdução: Os distúrbios osteomusculares relacionados ao trabalho são responsáveis por uma parcela significativa das causas de queda de rendimento do trabalhador. Objetivo: O objetivo neste trabalho foi avaliar os indicadores de qualidade de vida, capacidade funcional e alterações osteomusculares em camareiras de hotéis da orla marítima do município de Maceió, Alagoas. Métodos: Este estudo descritivo do tipo transversal e quantitativo foi realizado com 36 camareiras, por meio da aplicação de três questionários validados no Brasil. Resultados: Verificou-se que a maioria delas apresentou uma qualidade de vida relativamente boa. Referente às alterações osteomusculares, constataram-se predomínio de lesões em punho, mãos, dedos e na região lombar, além disso, observou-se que quanto maior a idade e o tempo de exercício na profissão menor a capacidade funcional. Conclusão: Sugere-se a implementação de medidas preventivas de doenças relacionadas ao trabalho e promotoras de melhor condição de saúde para as camareiras.
Introduction: The work-related musculoskeletal disorders are responsible for a significant portion of the causes of falling income of the worker. Objective: The aim in this study was to evaluate the indicators of quality of life, functional capacity and musculoskeletal changes in hotel maids of the seacost in the city of Maceió, State Alagoas. Methods: This cross-sectional descriptive and quantitative study was conducted with 36 hotel maids of the seacost of Maceió, reaching the objective through the application of three validated questionnaires in Brazil. Results: It was found that most of the hotel maids had a relatively good quality of life, with a predominance of lesions in the wrist, hands, fingers and lower back, moreover, it was observed that the greater age and duration of exercise as hotel maid, minor the functional capacity. Conclusion: It was suggested the implementation of preventive measures of work-related diseases and promote better health condition for the hotel maids.
Assuntos
Humanos , Feminino , Adulto , Indicadores de Qualidade de Vida , Desempenho Físico Funcional , Doenças Profissionais , Traumatismos do Punho/etiologia , Brasil , Epidemiologia Descritiva , Estudos Transversais , Traumatismos da Mão/etiologia , Promoção da Saúde , Região Lombossacral/lesõesRESUMO
A case of a fracture of the scaphoid carpiano in a girl of 12 years. It was dealt with immobilization with plaster without including the thumb during 6 weeks. Literature is reviewed.
Assuntos
Osso Escafoide/lesões , Traumatismos do Punho/terapia , Moldes Cirúrgicos , Criança , Feminino , Humanos , Imobilização , Estresse Mecânico , Traumatismos do Punho/etiologiaRESUMO
In order to analyze the frequency, injury rate and cause of on site accidents to the hands of workers on the east coast of lake of Maracaibo in Zulia State, data was obtained from the accident reports registered with the Venezuelan Institute of Social Security. An occupational hand injury was defined as a traumatic injury to the hands, fingers or wrists that occurred while the employee was at work; that resulted from a single exposure to a hazardous agent. The following variables were analyzed: age, severity, economic activity, material agent, mechanic cause, type of injury, type of accident and unsafe action. The frequency rate was used to analyze the annual accident rate. During the period under study 2.456 injuries to the hand were registered, representing 36% of the total injuries reported; 95% were light injuries, 5% incapacitating and two cases resulted in the death of the worker. 72% of the injuries were located in the fingers, 22% in the hands and 6% in the wrists. The greatest frequency of injuries were found in the economic activity in mines and quarries with a rate of 123.1 per thousand. The age group most affected was of 20-29 years (42%), Wounds or contusions and crushings were the injuries most commonly reported, in 39% and 36% of the cases respectively. The main type of injuries were caused by run over, running into or blow from objects. The principal agents causing injuries were materials, substances and radiations in 45% of the cases. It is concluded that the hand injury rate is very high in the exploitation of mines and quarries and represents the main cause of worker's disability.
Assuntos
Acidentes de Trabalho/estatística & dados numéricos , Traumatismos da Mão/epidemiologia , Mineração , Adulto , Indústria Química , Comércio , Feminino , Traumatismos dos Dedos/epidemiologia , Traumatismos dos Dedos/etiologia , Fraturas Ósseas/epidemiologia , Fraturas Ósseas/etiologia , Traumatismos da Mão/etiologia , Humanos , Indústrias , Masculino , Pessoa de Meia-Idade , Saúde Ocupacional , Meios de Transporte , Venezuela/epidemiologia , Traumatismos do Punho/epidemiologia , Traumatismos do Punho/etiologiaRESUMO
Bilateral transscapholunate dislocations were treated with immediate open reduction and internal fixation. Eighteen months after injury the patient was asymptomatic.
Assuntos
Ossos do Carpo/lesões , Luxações Articulares/diagnóstico por imagem , Osso Semilunar/lesões , Traumatismos do Punho/diagnóstico por imagem , Acidentes por Quedas , Adulto , Humanos , Luxações Articulares/etiologia , Luxações Articulares/cirurgia , Masculino , Radiografia , Traumatismos do Punho/etiologia , Traumatismos do Punho/cirurgiaRESUMO
The treatment of a young man with chronic symptomatic gross subluxation of the distal radio-ulnar joint of the right wrist secondary to traumatic disruption of the triangular fibrocartilage complex (TFCC) is described. At operation, a strip of tensor fascia lata was used to stabilize the distal radio-ulnar joint. Complete relief of pain and restoration of normal function was obtained following surgery. The literature on TFCC disorders is also reviewed.