Morgan W J, Harrop S N
Br J Ind Med. 1985 Dec;42(12):844-7. doi: 10.1136/oem.42.12.844.
Fifty eight coal miners attended the Royal Gwent Accident and Emergency Department with serious hand injuries over a three year period. The commonest cause of the injuries was falling rock or coal from the pit roof crushing the hand and the commonest type of injury was the crushed, compound fracture of the terminal phalangeal area of the digit, with or without pulp loss. Records of the time off work with the injury were obtained in 52 miners. Only seven (13%) returned to work within one month. Of 40 individual distal phalangeal injuries reviewed after one year, only four (10%) had normal sensation and full movement at the distal joint. Nevertheless, only seven miners (13%) had to alter their initial occupation at the mine and move to lighter duties.
在三年时间里，58名煤矿工人因手部重伤前往皇家格温特事故与急救部就诊。受伤的最常见原因是矿顶掉落的岩石或煤炭砸伤手部，最常见的损伤类型是手指末节指骨区域的挤压复合骨折，伴或不伴有指腹缺失。52名矿工有受伤后的误工记录。只有7人（13%）在一个月内重返工作岗位。在对40例单个远端指骨损伤进行一年后的复查中，只有4人（10%）在远端关节处感觉正常且活动完全正常。然而，只有7名矿工（13%）不得不改变他们在矿井的初始工作，转去从事较轻的工作。
