Akutne ozljede tetiva i ligamenata šake i ručnog zgloba

master's thesis

• Title (english): Acute injuries of the tendons and ligaments of the hand and wrist
• Author: Lovro Mikulić
• Mentor: Anto Dujmović (mentor)
• Committee member: Davor Mijatović (predsjednik povjerenstva)
• Committee member: Anko Antabak (član povjerenstva)
• Committee member: Anto Dujmović (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Surgery); Zagreb
• Defense date and country: 2024-07-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Ozljede šake i ručnog zgloba su česte te se mogu javiti prilikom svakodnevnih aktivnosti, posla ili bavljenja sportom. Anatomska kompleksnost šake podrazumijeva veliki broj ozljeda koje mogu nastati na ovom području te iz tog razloga i široku diferencijalnu dijagnozu koja dolazi u obzir. Neke od njih su ozljede ekstenzornih i fleksornih tetiva, uganuće ručnog zgloba i rupture ligamenata. U otkrivanju je pojedinih ozljeda bitno napraviti kvalitetan fizikalni pregled te je često dodatna dijagnostika u vidu slikovne dijagnostike nepotrebna. Različite su tehnike i pristupi liječenja, od jednostavnog konzervativnog što uključuje mirovanje, imobilizaciju i analgeziju do složenih popravaka i rekonstrukcija s korištenjem presadaka. Ono što igra veliku ulogu u samom ishodu jest iskustvo operatera. Na kraju je važna dobra rehabilitacija i edukacija pacijenta čime se povećava njihovo zadovoljstvo i smanjuju komplikacije. Pravilna dijagnostika, liječenje i rehabilitacija krucijalni su za pacijenta jer sama ozljeda može znatno ograničiti osobu i značajno smanjiti kvalitetu života.
Kako su ove ozljede česte predstavljaju veliki trošak i teret za zdravstveni sustav, a odabirom adekvatnog liječenja ne samo da doprinosimo dobrobiti pojedinca nego i cijelog društva. Budući da su ishodi nekih tipova liječenja češće povezani s komplikacijama to ukazuje na to da su potrebna dodatna istraživanja te da postoji prostor za napredak.

Abstract (english)

Hand and wrist injuries are common and can occur during daily activities, work, or sports. The anatomical complexity of the hand involves a wide range of potential injuries in this area, resulting in a broad differential diagnosis. Some of the injuries include extensor and flexor tendon injuries, wrist sprains, and ligament ruptures. Accurate identification of specific lesions requires a thorough physical examination, often making additional diagnostic imaging unnecessary. Treatment approaches vary, ranging from simple conservative methods—such as rest, immobilization, and analgesia—to complex repairs and reconstructions using grafts. The experience of the surgeon significantly impacts the outcome. Ultimately, effective rehabilitation and patient education are crucial, as they enhance patient satisfaction and reduce complications. Proper diagnosis, treatment, and rehabilitation are vital for the patient, as the injury can greatly limit an individual's capabilities and significantly reduce their quality of life.
Given the frequency of these injuries, they pose a substantial cost and burden on the healthcare system. By selecting appropriate treatments, we not only contribute to the well-being of individuals but also benefit society. The outcomes of certain types of treatments are more often associated with complications, indicating a need for further research and room for improvement.

• Keywords: ozljede šake; ozljede ručnog zgloba; ozljede tetiva; dislokacije zglobova
• Keywords (english): hand injures; wrist injuries; tendon injuries; joint dislocations
• Language: croatian
• URN:NBN: urn:nbn:hr:105:650339
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-07-02 12:55:21