What is the incidence of musculoskeletal complaints in the elbow, shoulder, and neck after hand and forearm injuries?
Filed under Reviews
Winiarski, L. M., Livoni, J. D., Madsen, P. V., Rathleff, M. S., & Larsen, P. (2021). Concurrent musculoskeletal complaints in elbows, shoulders, and necks after common hand and forearm injuries or conditions: A cross-sectional study among 600 patients. Journal of hand therapy: official journal of the American Society of Hand Therapists, 34(4), 543–548. https://doi.org/10.1016/j.jht.2020.05.002
The Skinny:
The authors looked to determine what the incidence of shoulder elbow and neck pain after sustaining a typical hand and forearm injury. Isolated hand injuries account for 20-29% of hand and forearm injuries in emergency rooms and orthopedic departments. Oftentimes pain associated in the upper quadrant beyond the injury is neglected and ignored. The authors hoped to bring awareness to these concurrent musculoskeletal issues.
In the Weeds:
The authors used a cross-sectional study. The study used patients that were referred to the shoulder elbow hand therapy department for an isolated hand or forearm injury. The patients were asked two basic questions.
1.) do you currently have pain and/or stiffness in the elbow, shoulder, or neck?
If yes then,
2.) did the symptoms develop before or after their hand and forearm injury?
If the patient answered yes to question 1 and stated the symptoms developed after the hand or forearm injury they were included in the study.
Bringing it Home:
The study took place for 15 months and a total of 600 patients met the eligibility requirements. The average age of patients was 49.1 years with the largest diagnostic group being distal radius and ulna fractures, ligament lesions in fingers (16%), finger fractures (14%). The common areas of concurrent pain were the shoulder (62%), elbow (49%), and the neck (32%”). Thirty-eight percent of patient reports multiple areas of musculoskeletal or stiffness in two or three regions of the upper quadrant and neck.
Rating 4/5.
The study brings attention to the continued need to address the entire upper quadrant when a patient sustains a hand, wrist, or forearm injury. In the future, it would be helpful to publish outcomes after addressing the musculoskeletal impairments to help justify the need for occupational and physical therapy services to prevent long-term pathologies.
2 Comments
Leave a Comment
More To Read
THUMB ABDUCTION IN PATIENTS WITH CMC ARTHRITIS? HOW DO YOU MEASURE?
Article Review THUMB ABDUCTION IN PATIENTS WITH CMC ARTHRITIS? HOW DO YOU MEASURE? Corey McGee PhD, OTR/L, CHT , Virginia O’Brien OTD, OTR/L, CHT , Jennifer Skye MS, OTR/L, CHT , Katherine Wall MOT, OTR/L , Thumb Carpometacarpal Palmar and CMC Radial Abduction in Adults with Thumb Carpometacarpal Joint Pain: Inter-rater Reliability and Precision of…
Splinting Options for Stiff Finger Joints
Following an injury to the proximal interphalangeal joint, there is often a loss of range of motion, typically in both the flexion and extension planes. Therefore, we have compiled a list of helpful splinting options for stiff finger joints. To Improve PIP Joint Flexion Flexion Wrap with Elastic Tape (Coban): This is a very easy…
A Hand Therapist’s Role in Nutrition Education for Wound Healing
By Brittany Day Role of nutrition in wound healing Nutrition plays an important function in the biological factors that contribute to normal wound healing (wound care nutrition). Patients without nutrient dense diets may experience diminished cell production, collagen synthesis, and wound contraction. There is sparse scientific evidence that explores the exact science behind nutrition and…
The 4 Stages of Simple Wound Care in Hand Therapy
Wound care is messy. It can be intimidating and scary. With so many variations of wounds (for example, white skin around wound) and so many products out there it is hard to know what to use, when to use it, and how to use it. If you go to a wound care conference, you’ll spend most…
Sign-up to Get Updates Straight to Your Inbox!
Sign up with us and we will send you regular blog posts on everything hand therapy, notices every time we upload new videos and tutorials, along with handout, protocols, and other useful information.
Thank you for this article. Trying to justify therapy beyond the specific joint a patient is brought in for can be frustrating. We need more research like this.
Great, good article.
At times patients are not necessarily believed and areas of discomfort are neglected. We forget there is fascia, and dermatomes that connect all structures, and will affect above or below the injured site.