Epidemiology and Sequelae of Workplace Hand Injuries at a Tertiary Trauma Care Centre


Aims & Objectives: To study the epidemiology of workplace hand injuries, to understand relation between mode of injury and prognosis, to investigate into the possible contributing factors and to study the Socio-economic impact. Design of Study: For the prospective study there were 2 sources of data: 1) Proforma which was filled by the hand surgeon and 2) A questionnaire that was filled up by safety officer. For the retrospective study case, sheets were retrieved from the Medical Records section and a telephonic or personal interview was carried out by a single interviewer. Setting: Department of Plastic and Reconstructive Surgery, Parvathy Hospital, Chennai, India. Patients: A total of 419 industrial injury patients treated from January 2008 to January 2013 were included in the study. Further follow-up regarding return to work and residual disability continues. Main Outcome Measures: Personal details (Age, Gender, Handedness, Work experience, Income). Type of injury, mode of injury, day and time of injury, treatment given, disability and number of working days lost were measured. Results: Those workers who were experienced less than 6 months had more workplace injuries and the commonest contributing factor was co-workers carelessness followed by long working hours and faulty machinery. Maximum injuries occurred on Monday and morning shift. Conclusions: Constant supervision of trainees for 2 years, shorter working hours with regular breaks, regular health checkups for personnel, regular servicing of machines can prevent occurrence of hand injuries. Corrective surgery within 6 hours, systematic and protocol based physiotherapy and rehabilitation can reduce the economic loss and disability arising out of work place injuries.

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Prasad, R. , Bhamidi, A. , Rajeswaran, A. , Muthukumar, S. , Kothandaraman, P. and Sivaraj, M. (2014) Epidemiology and Sequelae of Workplace Hand Injuries at a Tertiary Trauma Care Centre. Surgical Science, 5, 150-158. doi: 10.4236/ss.2014.54027.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Larsen, C.F., Mulder, S., Johansen, A.M.T. and Stam C. (2004) The Epidermiology of Hand Injuries in the Netherlands and Denmark. European Journal of Epidemiology, 19, 323-327.
[2] Aksan, A.D., Ada, R.D.S., Kayalar, M., AKSU, F. and Bal, E. (2010) Epidermiology of Injuries Treated at Hand & Microsurgery Hospital. Acta Orthopaedica et Traumatologica Turcica, 44, 352-360.
[3] National Burden of Disease and Cost Effectiveness Study Final Report on Burden of Disease (Book in Turkish). RSHMB, Ankara.
[4] Garg, R., Chung, J. P.Y., Fung, B.K.K. and Ip, W.Y. (2012) Epidermiology of Occupational Hand Injuries in Hongkong. Hong Kong Medical Journal, 18, 131-136.
[5] Serinken, M., Karcioglu, O. and Sener, S. (2008) Occupational Hand Injuries Treated at a Tertiary Care Facility in Western Turkey. Industrial Health, 46, 239-246
[6] Mo, F., Choi, B.C.K., Clottey, C., LeBrun, B. and Robbins, G. (2002) Charecteristics and Risk Factors for Accident Injury in Canada from 1986 to 19996: An Analysis of the Canadian Accident Injury Reporting and Evaluation (CAIRE) Database. Injury Control and Safety Promotion, 9, 73-81
[7] Chau, N., Bhattacherjee, A., Kunar, B.M. and Group, L. (2009) Relationship between Job, Lifestyle, Age and Occupational Injuries. Occupational Medicine, 59,114-119.
[8] Grimsmo-Powney, H., Haris, E.C., Reading, I. and Cogyon, D. (2010) Occupational Health Needs of Commercial Fisherman in Southwest England. Occupational Medicine, 60, 49-53.
[9] Sarock, G.S., Lambordi, D.A., Hauser, R., Eisen, E.A., Herrick, R.F. and Mittleman, M.A. (2004) A Case-Crossover Study of Transient Risk Factor for Occupational Hand Injuries. Occupational and Environmental Medicine, 61, 305-311. http://dx.doi.org/10.1136/oem.2002.004028
[10] Porac, C. (1993) Hand Preference and the Incidence of Accidental Unilateral Hand Injury. Neuropsychologia, 31, 355-362. http://dx.doi.org/10.1016/0028-3932(93)90159-W
[11] Skalkidou, A., Petridou, E., Dessypris, N., Karanikas, E., Pistevos, G. and Trichopoulos, D. (1999) Risk of Upper Limb Injury in Left Handed Children: A Study in Greece. Injury Prevention, 5, 68-71. http://dx.doi.org/10.1136/ip.5.1.68
[12] Chow, C.Y., Lee, H., Lau, J. and Yu, I.T. (2007) Transient Risk Factor for Acute Traumatic hand Injuries: A Case-Crossover Study in Hongkong. Occupational and Environmental Medicine, 64, 47-52. http://dx.doi.org/10.1136/oem.2006.028589
[13] Ihekire, O., Salawu, S.A. and Opadele, T. (2010) International Surgery: Causes of Hand Injuries in a Developing Country. Canadian Journal of Surgery, 53, 161-166.
[14] Grunert, B.k., Hargarten, S.W., Matioub, H.S., Sanger, J.R., Hanel, D.P. and Yousif, N.J. (1992) Predictive Value of Psychological Screening in Acute Hand Injuries. The Journal of Hand Surgery, 17, 196-199. http://dx.doi.org/10.1016/0363-5023(92)90389-7
[15] Hill, C., Riaz, M., Mozzam, A. and Brennen, M.D. (1998) A Regional Audit of Hand and Wrist Injuries. A Study of 4873 Injuries. Journal of Hand Surgery, 23, 169-200. http://dx.doi.org/10.1016/S0266-7681(98)80174-5

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