Understanding and Addressing Psychiatric Comorbidities and Upper-Extremity Trauma: Surgeons in a Multidisciplinary Care Model

J Hand Surg Am. 2021 Apr;46(4):328-334. doi: 10.1016/j.jhsa.2021.01.005. Epub 2021 Feb 23.

Abstract

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.

Keywords: Depression; hand; orthopedics; psychiatry; trauma.

Publication types

  • Review

MeSH terms

  • Amputation, Surgical
  • Arm Injuries* / epidemiology
  • Arm Injuries* / surgery
  • Extremities
  • Fractures, Bone* / epidemiology
  • Fractures, Bone* / surgery
  • Humans
  • Surgeons*