An accessory muscle as the possible cause of ulnar nerve compression proximal to the cubital canal: a case report
An accessory muscle as the possible cause of ulnar nerve compression proximal to the cubital canal: a case report
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副肌可能是肘管近端尺神经受压的原因：病例报告
DOI：
10.1177/17531934211022162
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
G. Bourke
中科院分区：
文献类型：
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作者：
H. Wright;Miriam Fahmy;G. Bourke
麻醉剂，无论是在手术室还是在诊所。10名患者（7%）需要在全身麻醉下进行手术，几乎所有这些损伤都是肌腱或神经撕裂。手部受伤会给患者带来显着的发病率和残疾。这不成比例地影响了年轻的工作人口。此外，还有医疗保健相关的费用，每次手部受伤的费用从140英镑到5300英镑不等（NHS改进和NHS英格兰，2020年）。我们发现，近三分之一的手部受伤是可以预防的。这突出表明，需要制定战略，以减少这些伤害。预防可包括教育、立法和技术方法，单独或结合使用。伤害预防的科克伦综述提供了框架。例如，关于农业伤害预防的综述（Rautiainen等人，2008年）使用“三个E的安全”：工程或技术的变化，如工具设计的设备;教育和行为的变化，如培训计划，公共安全海报和警告标签;和执法或立法的变化，如政府的机械监管。类似的综合预防方法可适用于门窗伤害和食物准备。在COVID-19大流行导致人们自我隔离和封锁的背景下，这项研究以及预防策略的必要性变得更加重要，这导致人们在家中花费更多时间，而这些时间会发生许多可预防的伤害。在这种情况下，最近的英国手外科学会（BSSH）（2020）媒体宣传活动，以提高人们对可预防的手损伤的认识，是一种必要和及时的教育干预。为了确保行为改变持续下去，需要不断地宣传，同时制定和评价多方面的干预措施。需要进一步研究可预防的手部受伤的频率、原因和影响，以支持这些干预措施和健康促进活动，并监测其影响。这项试点研究提供的数据表明，一个更大的国家研究是必要的和可行的，其双重目标是制定一个明确的定义术语可预防的手损伤，并提供一个大型数据集，以促进行为改变和告知政策和实践。
anaesthetic, either in the operating theatre or in the clinic. Ten patients (7%) required surgical procedures under general anaesthetic, almost all of these injuries were tendon or nerve lacerations. Hand injuries cause notable morbidity and disability to patients. This disproportionately impacts the younger, working population. Furthermore, there are healthcare associated costs, with the cost of each hand injury to the National Health Service ranging from £140 to £5300 (NHS Improvement and NHS England, 2020). We found that nearly one-third of hand injuries were preventable. This highlights the need to develop strategies to reduce these injuries. Prevention could include educational, legislative and technological approaches, either singularly or in combination. The Cochrane Reviews of injury prevention provide frameworks. For example, the review on injury prevention in agriculture (Rautiainen et al., 2008) uses ‘Three E’s of Safety’: engineering or technology changes to the equipment used, such as tool design; education and behaviour changes, such as training programmes, public safety posters and warning labels; and enforcement or legislative changes, such as government regulation of machinery. A similarly combined prevention approach could be applied to door and window injuries and for food preparation. This research, and the need for prevention strategies, became even more relevant in the context of the self-isolation and lockdown related to the COVID-19 pandemic, which caused individuals to spend more time at home where many preventable injuries occur. In this context, the recent British Society for Surgery of the Hand (BSSH) (2020) media campaign to raise awareness of preventable hand injuries is an educational intervention that is both necessary and timely. To ensure that behaviour change is sustained, there is a need for ongoing messaging, together with the development and evaluation of multi-faceted interventions. Further research on the frequency, causes and impact of preventable hand injuries is needed to underpin these interventions and health promotion activities and monitor their impacts. This pilot study provides data showing that a larger national study is necessary and feasible with the dual aims of developing a sharp definition of the term preventable hand injury and providing a large dataset to facilitate behavioural change and inform policy and practice.