Med J Aust. 2013 Oct 7;199(7):491-2. doi: 10.5694/mja13.10212.
To conduct a database search, chart and literature review of open extensor tendon and proximal interphalangeal joint injuries incurred while handling mobile garbage bins.
DESIGN, SETTING AND PARTICIPANTS: A review of medical records at a Sydney tertiary referral hospital and a NSW rural Level 2 trauma hospital from 1 January 2006 to 31 December 2010, identified through database searches of appropriate medical record codes and followed by a chart review.
We identified 11 patients with finger injuries from handling mobile garbage bins that necessitated hospital-based treatments. Their average age was 75 years. Eight patients required surgery. Patients typically fell while maintaining their grip on mobile garbage bin handles, causing abrasive injury to the dorsal aspect of the proximal interphalangeal joint.
Older patients are at risk of significant injuries to the dorsal side of their fingers when manoeuvring mobile garbage bins. This risk could be reduced by providing older members of the community with help to move their bins, or by modifying the design of bin handles. We propose a simple modification to the design of bin handles.
对开放性伸肌腱和近指间关节损伤的数据库检索、图表和文献进行回顾，这些损伤是在搬运移动垃圾桶时发生的。
设计、地点和参与者：对 2006 年 1 月 1 日至 2010 年 12 月 31 日期间悉尼三级转诊医院和新南威尔士州农村 2 级创伤医院的病历进行了回顾，方法是通过适当的病历代码数据库搜索进行识别，然后进行图表审查。
我们共确定了 11 名因搬运移动垃圾桶而导致手指受伤的患者，这些患者需要在医院进行治疗。他们的平均年龄为 75 岁。8 名患者需要手术。患者通常在抓握移动垃圾桶把手时摔倒，导致近指间关节背侧擦伤。
当操作移动垃圾桶时，老年患者手指背侧有发生严重损伤的风险。通过为社区中的老年人提供帮助移动垃圾桶的服务，或者通过修改垃圾桶把手的设计，可以降低这种风险。我们提出了一种对垃圾桶把手设计的简单修改。
