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Hand-arm vibration and outcomes of surgery for Dupuytren's contracture.
Stirling, P H C; Ng, N; Jenkins, P J; Clement, N D; Duckworth, A D; McEachan, J E.
Afiliación
  • Stirling PHC; Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, UK.
  • Ng N; Fife Virtual Hand Clinic, UK.
  • Jenkins PJ; Fife Virtual Hand Clinic, UK.
  • Clement ND; Glasgow Royal Infirmary, Glasgow G4 0SF, UK.
  • Duckworth AD; Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, UK.
  • McEachan JE; Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, UK.
Occup Med (Lond) ; 71(4-5): 219-222, 2021 08 20.
Article en En | MEDLINE | ID: mdl-34104973
BACKGROUND: Dupuytren's contracture was recently designated a prescribed occupational disease when it occurs in patients with previous hand-arm vibration (HAV) exposure. AIMS: The aims of this study were to describe the impact of self-reported HAV exposure on upper limb function and satisfaction following surgery for Dupuytren's contracture. METHODS: Paired pre- and postoperative Quick version of Disabilities of the Arm, Shoulder and Hand (QuickDASH) and patient satisfaction questionnaires were prospectively collected from all patients undergoing surgery for Dupuytren's contracture over a 6-year period. Patients self-reported HAV exposure duration. RESULTS: Results were available for 425 hands (65%) at mean 13 months postoperatively. There were 111 patients (26%) that reported HAV exposure. The prevalence of HAV exposure was significantly greater in male compared with female patients (32% versus 4%; P < 0.001). A statistically significant difference in preoperative (difference 7.47; 95% confidence interval 4.78-10.17; P < 0.001) and postoperative QuickDASH score (difference 6.78; 95% confidence interval 2.69-10.88; P < 0.001) was observed between the two groups, but difference in QuickDASH improvement was not significantly different (difference 1.76; 95% confidence interval -1.58 to 5.10; P > 0.05). No significant difference in satisfaction rate or return to work was observed between the two groups. CONCLUSIONS: Previous HAV exposure influenced the pre and postoperative function in patients undergoing surgery for Dupuytren's contracture, but had no effect on satisfaction or return to work. Further prospective research will be required to determine whether the introduction of a compensatory framework will have a more profound effect on the functional outcomes of surgery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Contractura de Dupuytren Tipo de estudio: Risk_factors_studies Límite: Female / Humans / Male Idioma: En Revista: Occup Med (Lond) Asunto de la revista: MEDICINA OCUPACIONAL Año: 2021 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Contractura de Dupuytren Tipo de estudio: Risk_factors_studies Límite: Female / Humans / Male Idioma: En Revista: Occup Med (Lond) Asunto de la revista: MEDICINA OCUPACIONAL Año: 2021 Tipo del documento: Article Pais de publicación: Reino Unido