Harvard Combined Orthopaedics Residency Program, Boston, MA.
Harvard Medical School, Boston, MA.
J Hand Surg Am. 2021 Apr;46(4):328-334. doi: 10.1016/j.jhsa.2021.01.005. Epub 2021 Feb 23.
Psychiatric disorders are a common cause of disability and represent an important risk factor for upper-extremity trauma. The review provides an overview of psychiatric illnesses as both contributors and sequelae of 4 major injury patterns: self-inflicted wrist lacerations, self-amputation, upper-extremity fractures, and burns. The authors develop a multidisciplinary model for upper-extremity surgeons to care for patients with psychiatric disorders, with an overview of capacity assessment, optimal psychiatric comanagement, and collaboration with allied health professionals.
精神障碍是导致残疾的常见原因,也是上肢创伤的重要危险因素。本综述概述了精神疾病既是四种主要损伤类型(自我造成的手腕割裂伤、自我截肢、上肢骨折和烧伤)的促成因素,也是其后果。作者为上肢外科医生制定了一个多学科模型,以照顾患有精神障碍的患者,包括能力评估、最佳精神共病管理以及与相关健康专业人员的合作。