Lindqvist A, Hjalmarsson M, Nilsson O
Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
J Hand Surg Eur Vol. 2011 Jan;36(1):57-61. doi: 10.1177/1753193410381820. Epub 2010 Aug 13.
The purpose of the study was to describe the outcome after hand injury from powered wood splitters, and to investigate the relation between injury severity and outcome. Injury severity was rated according to the Hand Injury Severity Scoring System (HISS system) and the Injury Severity Score method. The patients were evaluated with the Disabilities of the Arm Shoulder and Hand outcome questionnaire (DASH), and 26 of the most severely injured patients were evaluated with the Sollerman test. The mean DASH score was moderately elevated at 15, indicating that many of these patients have sequelae. A statistically significant correlation between HISS and DASH scores was found, implying that initial injury severity is of importance for outcome. The mean Sollerman score in the injured hand was 66, which amounts to a significantly impaired hand function.
本研究的目的是描述动力劈木机造成手部损伤后的结果,并调查损伤严重程度与结果之间的关系。损伤严重程度根据手部损伤严重程度评分系统(HISS系统)和损伤严重程度评分方法进行评定。采用上肢、肩部和手部功能障碍结果问卷(DASH)对患者进行评估,对26例受伤最严重的患者采用索勒曼测试进行评估。DASH评分的平均值中度升高至15分,表明这些患者中有许多人有后遗症。发现HISS评分与DASH评分之间存在统计学上的显著相关性,这意味着初始损伤严重程度对结果很重要。受伤手部的索勒曼评分平均值为66分,这表明手部功能严重受损。