Speaker Credentials
MS-II
College
College of Allopathic Medicine
Medical Specialty
Orthopedics
Format
Poster
Start Date
November 2024
End Date
November 2024
Track
3
Abstract
Crush Injuries: A Review and Case Series Daniel Gonzales-Portillo1, Maria Fe Reyes1, Josef Maselli1, Gary Schwartz1 1Nova Southeastern University Dr. Kiran C Patel College of Allopathic Medicine, Fort Lauderdale, USA Objective: The goal was to discern patterns between different presentations of crush injuries to the hand and what treatment decisions lead to improved functional outcomes and increased patient satisfaction. Background: The compressive force from crush injuries in this small region of the body causes extremely variable damage to tissues, complicating treatment due to difficulty in staging and precise identification of structures capable of recovery. The timeline and mechanism of injury leads to many sequelae that must be closely monitored to prevent complications and worsen prognosis. Methods: To find patterns we reviewed the literature on crush injuries, focusing on presentation variability, treatment used, and the associated outcomes. We searched across PUBMED, Google Scholar, and NIH without a time constraint. Relevant articles were screened through their abstracts and content. Afterwards, these findings were applied to 2 cases that we have as examples. Results: To enhance functional recovery, a focus on early debridement, close monitoring of compartment syndrome, and early involvement of occupational therapy are associated with better outcomes. Utilization of free flap anastomoses are associated with improved outcomes in tissue healing after injury. Patient satisfaction is tied to preservation of basic functions such as grasping. Conclusions: Crush injuries to the hand respond better to a proactive, stepwise approach that emphasizes basic hand function. Grants: This study was not funded.
Included in
Crush Injuries: A Review and Case Series
Crush Injuries: A Review and Case Series Daniel Gonzales-Portillo1, Maria Fe Reyes1, Josef Maselli1, Gary Schwartz1 1Nova Southeastern University Dr. Kiran C Patel College of Allopathic Medicine, Fort Lauderdale, USA Objective: The goal was to discern patterns between different presentations of crush injuries to the hand and what treatment decisions lead to improved functional outcomes and increased patient satisfaction. Background: The compressive force from crush injuries in this small region of the body causes extremely variable damage to tissues, complicating treatment due to difficulty in staging and precise identification of structures capable of recovery. The timeline and mechanism of injury leads to many sequelae that must be closely monitored to prevent complications and worsen prognosis. Methods: To find patterns we reviewed the literature on crush injuries, focusing on presentation variability, treatment used, and the associated outcomes. We searched across PUBMED, Google Scholar, and NIH without a time constraint. Relevant articles were screened through their abstracts and content. Afterwards, these findings were applied to 2 cases that we have as examples. Results: To enhance functional recovery, a focus on early debridement, close monitoring of compartment syndrome, and early involvement of occupational therapy are associated with better outcomes. Utilization of free flap anastomoses are associated with improved outcomes in tissue healing after injury. Patient satisfaction is tied to preservation of basic functions such as grasping. Conclusions: Crush injuries to the hand respond better to a proactive, stepwise approach that emphasizes basic hand function. Grants: This study was not funded.