of Hand Injury
upper extremity injuries are frequently dramatic and attended by emotional
factors. Because of this, it is usually best to obtain a history in a deliberate,
orderly way. If possible, after hearing the story, the examiner should
physically demonstrate the scenario of injury back to the patient to confirm
the examiner's understanding of the details, including the position of
the extremity at the time of injury. If an injury involves machinery unfamiliar
to the examiner, it should be described well enough to be visualized, in
simple mechanical terms. Much of the extent of damage can be predicted
before the examination.
what seems to be an obvious situation, clarification is important, and
one should not assume that all problems with the hand developed as a consequence
of a single reported injury.
fingers in a fist or opened straight when the palm was cut?
patient land on their palm with their wrist extended or on the dorsum of
patient able to pull their hand out, or was it trapped, requiring extrication?
to detail from the onset can avoid misguided treatment and false expectations.
Also, in the USA, hand injuries are commonly associated with worker's compensation
and legal proceedings, which may require the surgeon to provide for an
audience minute details of the history years after the fact.
pain start immediately after the event, or later?
numbness begin at the time of injury or later?
hand been injured previously? Recently? A long time ago?
the injury, were there any problem with numbness, weakness or pain? Shoulder
problems? Night time hand numbness?
Hand Injury History