DESCRIPTIVE STUDY OF HAND INJURY ATTENDED AT TERTIARY CARE HOSPITAL WITH SPECIAL REFERENCE TO ASSESS SEVERITY OF HAND INJURY WITH HISS SCORE

Abstract

Background: We conducted this study to establish the predictability of HISS system to hand strength in patients with traumatic hand injury.

Methods: This retrospective study was conducted on 30 hospitalized patients for surgery in in Jaipur due to traumatic hand injury. All of them received rehabilitation occupational therapy in the same trauma center with established protocols and were supervised by the same group of therapists within one month after surgery. Passive/active range of motion exercise, hand grip strength training, proprioception/functional training were included in this standardized protocol.

Results: The mean age of patients was 41.36±13.69 Yrs. Among them, 23 patients were male and 7 patients were female.  63.33% were dominant hand injured. The mean value of total HISS score is 53.21 ± 36.35. A positive correlation exists between the differences of the strength of two hands, and the severity shown by HISS system.

Conclusion: In conclusion, initial anatomical injury severity assessed by HISS system may predict hand strength in traumatic hand injured patients after an adequate recovery period. Poor hand strength could be expected with initial high total HISS score.

Keywords: HISS, Hand injury, Palmer pinch.