Aspects of Traumatic Wrist Ligament Injuries


Year

Nature of the lesion

Closed fractures

Open fractures

Unspecified fractures

Dislocations

Sprains

Dislocations and nonspecific sprains

Total fractures, dislocations, and sprains

Other injuries

General total

2006

293

11

1,142

102

2,340

1,420

5,308

5,672

10,980

2007

262

6

 687

115

1,814

910

3,794

4,536

8,330

Total

555

17

1,829

217

4,154

2,330

9,102

10,208

19,310





4 Wrist Trauma and Disability


About a fourth of wrist work trauma does not cause time off work and activity cessation, irrespective of the nature of the lesion.

The proportion is greater for sprains (34.73%) than for fractures (20.32 %).


5 Proportion and Total Time of Temporary Disability


The total time of temporary disability TTD following a work accident involving the wrist is greater in sprains (55.3 % of TTD for ligament lesions and 32.5 % for fractures – 2006 and 2007 together). One out of two fractures will lead to permanent disability (47.1 %), whereas this is true for less than 10 % of ligament lesions (9.94 %) (Table 2).


Table 2
Distribution of wrist lesions in accidents at the work place according to the outcome of the accident – 2006 and 2007



















































































Outcome

Nature of the lesion

Closed fractures

Open fractures

Unspecified fractures

Dislocations

Sprains

Nonspecific dislocations and sprains

Total fractures, dislocations, and sprains

Other injuries

General total

No outcome

126

2

360

71

1,416

840

2,815

4,416

7,231

Temporary disability

176

1

604

126

2,339

1,243

4,489

5,214

9,703

Permanent disability

253

14

865

20

399

247

1,798

576

2,374

Mortality

0

0

0

0

0

0

0

2

2

Total

555

17

1,829

217

4,154

2,330

9,102

10,208

19,310

TTD is greater for fractures or ligament lesions than other wrist lesions. Among patients with wrist fractures and sprains, 71.41 % return to work within a month from the injury, while 89.19 % patients with other wrist lesions return to work within the month.

TTD seems shorter for sprains than for fractures. 81.5 % of wrist sprain patients return to work within a month from the injury, while only 33.9% fracture patients do so. Similarly, 16 % sprain patients return to work within 6 months, while 50 % fracture patients do so.

The proportion of ‘long duration TTD’ (>6 months) is significantly greater for fractures and sprains than for other lesions. 3.76% patients with bone and joint wrist lesion (fracture or ligament lesion) will have TTD greater than 6 months. This proportion falls to 1.58 % for patients with other wrist lesions.

The percentage of long duration TTD accidents (6 months to 1 year) is significantly greater for wrist fractures (4.8 %) than for ligament lesions (1.0 %) and other wrist lesions (0.62 %).

The percentage of work accidents with very long TTD (>1 year) is tiny for fractures (0.37 %) and ligament lesions (<0.10 %) (Table 3).


Table 3
Distribution of wrist lesions in accidents at the workplace according to the duration of temporary disability – 2006 and 2007






























































































Duration of temporary disability

Nature of the lesion

Closed fractures

Open fractures

Unspecified fractures

Dislocations

Sprains

Nonspecific dislocations and sprains

Total fractures, dislocations, and sprains

Other injuries

General total

0 days

172

4

536

73

1,470

880

3,135

4,494

7,629

1–3 days

1

0

16

14

396

165

592

1,213

1,805

4–30 days

59

1

248

86

1,537

842

2,773

3,396

6,169

1–6 months

294

11

905

36

630

384

2,260

944

3,204

6 months–1 year

17

1

98

2

55

25

198

63

261

More than 1 year

1

0

8

0

4

0

13

9

22

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May 13, 2017 | Posted by in ORTHOPEDIC | Comments Off on Aspects of Traumatic Wrist Ligament Injuries

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