title: Workplace accident-related finger-fracture at the Mexican Institute of Social Security. Resolution time, economic impact and sequelae.
abstract: OBJECTIVE
  To identify resolution time and economic impact of occupational finger fracture with permanent disability.
  
  
  METHODS
  A cross-sectional study was conducted in 2004; the main variables were age; sex; disability days and sequelae. The International Classification of Diseases (ICD 10) was used for the study. The analysis included frequency, exceeded disability days and estimation of cost of disabilities, pensions and direct costs. Chi square test was used to identify the differences.
  
  
  RESULTS
  13,410 Fractures occurred nationwide: multiple finger fractures (803); thumb fractures (1982) and other finger fractures (10,625). Days of resolution time were: 70.5 days for multiple finger fractures and 51.1 days for another finger fractures. Permanent disability partial rate of thumb fracture was 5.3/100, 15.8/100 multiple finger fractures and 5.9 fractures of other finger. The estimated cost by temporary disability in the Instituto Mexicano del Seguro Social was on $10,669,000 U.S., while permanent disability costs in cases of settlements and annual pension payments were $758,536 U.S.
  
  
  CONCLUSIONS
  Finger-fracture is a prevalent pathology whichever needs that medical procedures are review, also identify factors that decrease resolution time and establish improve actions that create boundaries on the workers damage health. It must be considered that this condition affects enterprise' productivity and decrease the quality of life from workers.
authors.affiliation: Coordinación de Salud en el Trabajo, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, Mexico. santiago.salinas@imss.gob.mx
authors.forename: Santiago
authors.initials: S
authors.lastname: Salinas-Tovar
authors.forename: Blanca E
authors.initials: BE
authors.lastname: Hernández-Leyva
authors.forename: Irma Araceli
authors.initials: IA
authors.lastname: Marín-Cotoñieto
authors.forename: Rafael
authors.initials: R
authors.lastname: Santos-Celis
authors.forename: Daniel
authors.initials: D
authors.lastname: Luna-Pizarro
authors.forename: Pablo
authors.initials: P
authors.lastname: López-Rojas
mesh_terms: D000062:Accidents, Occupational / Q000191:economics* / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D050278:Finger Phalanges / Q000293:injuries*; D050723:Fractures, Bone / Q000453:epidemiology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008800:Mexico; D008875:Middle Aged; D018582:Sick Leave / Q000706:statistics & numerical data*; D013997:Time Factors