uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
DASH and Sollerman test scores after hand injury from powered wood splitters
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Hand Surgery. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Plastic Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Orthopaedics.
2011 (English)In: Journal of Hand Surgery, European Volume, ISSN 1753-1934, Vol. 36E, no 1, 57-61 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2011. Vol. 36E, no 1, 57-61 p.
Keyword [en]
log splitter, screw splitter, wedge splitter, consumer product related injury, occupational injury, agricultural injury, hand injury, child injury
Keyword [sv]
vedklyv, hydraulklyv, skruvklyv, arbetsskada, handskada
National Category
Surgery Surgery Surgery Environmental Health and Occupational Health
Research subject
Plastic Surgery
Identifiers
URN: urn:nbn:se:uu:diva-129395DOI: 10.1177/1753193410381820ISI: 000286694000008OAI: oai:DiVA.org:uu-129395DiVA: diva2:346266
Note
One reference (Lindqvist and Gerdin, 2008) is missing in the reference list.Available from: 2010-08-31 Created: 2010-08-14 Last updated: 2016-04-21Bibliographically approved
In thesis
1. Hand Injury from Powered Wood Splitters
Open this publication in new window or tab >>Hand Injury from Powered Wood Splitters
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The purpose of this study on hand injury from powered wood splitters was to describe injury epidemiology and anatomy, to rate injury severity, to evaluate the outcome after injury and to describe factors of possible importance for the occurrence of injury.

By searching a computerized patient registry, 131 patients injured by wood splitters from 1995 to 2001 were identified. Information was obtained from hospital records and radiographs, a written questionnaire and a structured telephone interview. Injury severity was rated according to the Hand Injury Severity Scoring System (HISS system) and the Injury Severity Score (ISS). Outcome was evaluated with the Disabilities of the Arm, Shoulder and Hand outcome questionnaire (DASH) and, in 26 of the most severely injured patients, with the Sollerman test.

Forty-six percent of the injuries occurred during April or May. Wedge splitters caused 82 % of all injuries and most often injured the index finger, while screw splitters caused 18 % of all injuries and most often injured the metacarpus. Screw splitters caused palmar perforation and thumb avulsion. Sixty-three percent of all patients had an amputation or devascularising injury. The reliability of HISS rating was good. The mean Hand Injury Severity Score (HISS) was 63 which is equivalent to a severe hand injury. The mean ISS was 3.7. Nineteen percent of patients had minor, 31 % had moderate, 23 % had severe and 27 % had major injury according to the HISS system. Children had more severe injuries than adults. There was no significant difference regarding HISS or DASH scores between wedge and screw splitter injuries. The mean DASH score was 15, indicating moderate residual sequelae, but patients without sequelae and patients with grave sequelae were found in all HISS severity grades. There was a weak but significant correlation between the HISS and DASH scores. The mean Sollerman score in the injured hand was 66, indicating significantly impaired hand function. Twenty-nine percent of splitters were home-made. Very few machines had the safety measures required by European Standards. Children were present during splitting in at least 15 % of cases. Not being alone at the machine was one cause of wedge splitter injury. Glove use was one cause of screw splitter injury.

Hand injury from powered wood splitters is a significant problem. Many of the injuries are severe, and cause long term sequels and impairment of hand function. Prevention is essential and should focus on unsafe machines and dangerous patterns of use.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2010. 62 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 595
Keyword
Wood splitter, Wedge splitter, Screw splitter, Consumer product related injury, Agricultural injury, Occupational injury, Hand injury, Child injury, Injury prevention, Vedklyv, Kilklyv, Hydraulklyv, Skruvklyv, Arbetsskada, Handskada, Skada barn, Skadeprevention
National Category
Surgery Surgery Surgery Environmental Health and Occupational Health
Research subject
Plastic Surgery
Identifiers
urn:nbn:se:uu:diva-130154 (URN)978-91-554-7884-1 (ISBN)
Public defence
2010-10-28, Rosénsalen, Akademiska sjukhuset, Uppsala, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2010-10-06 Created: 2010-09-02 Last updated: 2016-04-21Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full text

Authority records BETA

Lindqvist, AronNilsson, Olle

Search in DiVA

By author/editor
Lindqvist, AronNilsson, Olle
By organisation
Hand SurgeryPlastic SurgeryDepartment of Surgical SciencesOrthopaedics
SurgerySurgerySurgeryEnvironmental Health and Occupational Health

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 463 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf