Behandlungsstandards_eng – Leuchtturmprojekt Hand

Guidelines

Recommendations for the medical treatment (diagnostics, acute treatment, procedure and rehabilitative treatment) of selected injuries and diseases of the hand were devised together with the cooperating clinics. In addition, the appropriate time point for ICF-based assessments were defined for each of these injuries or diseases.

Traumatic amputation
Treatment standards are available for traumatic amputation(s) of one or more fingers with residual limb care. Replantation, the care of septic residual limbs and treatment using flap plasty or films were not taken into account.
Flexor tendon injury
Standards were developed for the treatment of flexor tendon injuries with vascular and/or nerve involvement. Secondary flexor tendon injuries as well as those with complications or revascularisation were excluded.
Finger fracture
Treatment standards were devised for the treatment of fractures of the proximal, intermediate and distal phalanges as well as tuft fractures of the tripartite finger.
Arthrosis of the carpometacarpal joint (rhizarthrosis)
The treatment standards cover a stage II to stage III athrosis.
Dupuytren’s contracture
Standards were developed for the treatment of Dupuytren’s contracture.
Complex regional pain syndrome (CRPS)
Treatment standards were devised for the acute treatment of CRPS as well as for rehabilitative treatment in the inflammatory or dystrophic phase.

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