Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

CASE SERIES OF WORK-RELATED HAND INJURIES (WRHIS) ASSESSED USING MODIFIED HAND INJURY SEVERITY SCORE (MHISS)

Author

Alhusuny A, Rampal L, Arumugam M

Institution

Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia

Abstract

Objectives: There is no cases series reports published on severity assessment of Work-Related Hand Injuries (WRHIs) by using of Modified Hand Injury Severity Score (MHISS). This paper attempts to report five cases of Work-Related Hand Injuries (WRHIs) that will illustrate the assessment of hand injuries by using of Modified Hand Injury Severity Score (MHISS)

Methods: MHISS was used to determine the severity of hand injury though evaluating the four hand components i.e. Integument, Skeletal, Motor and Neurovascular bundles (ISMN) and quantify injuries to hand, wrist and forearm. The overall MHISS is the total of the scores for each ISMN component. The MHISS score is grouped into four categories: (MHISS<20 = minor, MHISS 21–50= moderate, MHISS 51–100= severe and MHISS 101and more = major).

Results: Five cases of different severity were assessed by using of MHISS. The overall scores of the five cases were: 8 scored as minor severity; 72 and 80 scored as severe severity; 156 and 880 scored as major severity.

Conclusion: Assessment of WRHI Severity by using of MHISS scoring system is more Objective instead of depending on injury’s clinical finding which is more subjective.