1. Hand Injury Prevention & Recent advances in Fracture Treatment

2. INDUSTRIAL INJURIES The ever increasing mechanisation,
electrification, chemicalisation and
sophistication have made industrial jobs more and more complex and intricate.
This has led to increased dangers to human life in industries through accidents and injuries.

3. Hand Injuries Impact
We use our hand constantly. A disabling hand injury can have a dramatic effect on your quality of life.
A hand injury can impact not only your ability to perform your job, but daily routines as well.
A hand injury can occur in a second, but the social, financial and emotional effects can last a lifetime.

4. Hand Injury Statistics
Hand injuries represent nearly a third of all reported workplace accidents.
Approximately 75% of industrial injuries that cause partial disability involve the hands
Over 16 million individuals seek emergency care each year for hand injuries.

5. Human Hand
The human body is an engineering marvel. Our hands consist of 27 bones, ligaments, muscles, tendons, nerves, blood vessels, skin and nails. Working in union, they provide strength and dexterity which enables us to perform routine tasks and accomplish precision movements.

6. Hand is an invaluable tool for a human
The hand lets us grasp,
– hold,
– manipulate,
– throw
– but also recognize,
– signal,
– defend..
Human hands are unique and one of our greatest assets.
Without your hands it would be extremely difficult to do routine simple tasks, such as opening doors, using a fork, or tying your shoes.
Your hands make you a skilled, valuable worker

7. Hand Injuries Hand injuries are difficult to repair because
of the complexity of the hand.
• After a hand injury, the hand may not
function as it did before the injury due to
loss of:
– Motion
– Dexterity
– Grip

8. Hand Injuries Most common occupational hand injuries
Cuts ( from machinery, power tools, utility knives)
Crush injuries ( from machinery, objects and
equipment falling)
Punctures ( from power tools, equipment)
Fractures ( from equipment and machinery)
Carpal tunnel syndrome ( from equipment vibration &
repetitive tasks)
Burns (from heat or chemical contact)

9. Because of their tremendous versatility, hands are exposed and susceptible to many types of injuries. These include strains and sprains from excessive force, excessive repetitive motion, awkward posture, contact with surface conditions, skin irritation from contact and exposure to hazardous or irritating substances; burns from contact or exposure to electricity, chemicals and hot substances, punctures from tools and other sharp objects, lacerations, cuts ranging from minor to major if tendons or nerves are severed, fractures, broken bones from being crushed or falling and amputations, resulting in a loss of part or all of the hand

11. Hand Injuries Hand injuries can be associated with
working with machinery or equipment
The materials being used or the job
process might be hazardous
Hand tools or powered hand tools may
be faulty or improperly used
Primary cause of hand injuries is equipment not performing as expected

12. Hand Injuries Most common causes of hand injuries are: – Carelessness
– Lack of awareness
– Boredom
– Disregard for safety procedures
– Distractions

13. Lines of Defense Awareness of Hazards and Prevention Measures
Personal Protective Equipment (PPE)
Good Hygiene and First Aid

14. TO AVOID HAND INJURIES
Know the hazards and dangers in the job to be done
Be aware of pinch points
Be aware of hot areas
Be aware of rotating or moving surfaces

15. TO AVOID HAND INJURIES
Automated machinery may be controlled by remote control, or delayed timing devices that cause the machine to start automatically
Loose clothing and jewelry may be caught up in moving machinery
Never remove machine safeguards or operate
machinery with safeguards removed

16. Be familiar with the types of tasks you perform and the substances your may be exposed to. Gloves can provide protection against sharp objects, electrical burns, hot objects, chemical exposure and environmental elements.
Different types of gloves provide different types of protection. It is important you know the purpose and limitations of the glove you use.

20. When properly selected and utilized, gloves can help reduce hand injuries. The wrong glove selection and use can also pose a hazard. The wrong size glove can cause extra stress on the hands. The wrong type can provide a false sense of protection, and used in the wrong situation, can create a safety hazard.

21. FIRST AID
Cuts : Apply direct pressure to large or bleeding cuts and lift your hand up above your shoulder – clean small cuts using warm soapy water and then apply a sterile bandage.
Amputations: Apply pressure immediately to the injured area – keep the amputated part in a plastic bag and place it in icy water but not in direct contact with ice.
Broken bones: Keep control of the situation and seek medical assistance.

22. FIRST AID Sprains: Apply cold compresses to reduce pain and swelling.
Chemical burns: Rinse with running water for at least 15 minutes.
Heat burns: Soak minor burns in cold water, then apply a sterile bandage – burns that are carbonized or blistered require medical attention.

27. Assessment of the Injured Hand
Intactness v amputation
Movement v stiffness
Power v weakness
Sensation v numbness
Comfort v pain

28. Unsalvageable !

29. Soft Tissue Injuries

30. To Salvage or Not ?

31. To Salvage or Not ? is it worth keeping ? return to work finance
adequate blood supply
stable skeleton
good skin cover
outcome

35. Local Advancement
Flap

36. K - Wire & JESS Fixation

37. Hand shaft fractures
AO Compact hand set blade plate

38. Intraarticular fractures
Similar principles to large joint fractures

39. Carpal Tunnel Syndrome

40. Recent Advances for Fracture Management

45. Bone Marrow
Injections

46. Thank You