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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