title: [The surgeon as a hand patient: the clinical and psychological impact of hand and wrist fractures].
abstract: To gain insight into the management of patients with hand and wrist injuries, a series of clinical and psychological analyses was performed on 9 surgeons, each of whom underwent operative fixation of a hand or wrist fracture. The results of these analyses suggest that the functional outcome after hand surgery was affected by the surgeons' personality, motivation, and ability to accept and adapt to the injury, the nature of the injury, and the importance of the hand to the surgeons' careers. Surgeons are highly motivated and compulsive individuals who consider their career involvement a major source of identity and self-worth. Most returned to their operative duties ahead of the schedule set by their hand surgeons (average, 25 days after surgery), regarded their injuries as a positive challenge, and changed their lifestyles after injury to protect their hands.
authors.affiliation: Hand Surgery Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, WACC 527, Boston, MA 02114, USA.
authors.forename: K R
authors.initials: KR
authors.lastname: Chin
authors.forename: J H
authors.initials: JH
authors.lastname: Lonner
authors.forename: B S
authors.initials: BS
authors.lastname: Jupiter
authors.forename: J B
authors.initials: JB
authors.lastname: Jupiter
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D050723:Fractures, Bone / Q000523:psychology* / Q000601:surgery*; D005858:Germany; D006230:Hand Injuries / Q000523:psychology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010361:Patients / Q000523:psychology*; D010820:Physicians / Q000523:psychology*; D020127:Recovery of Function; D014954:Wrist Injuries / Q000523:psychology* / Q000601:surgery*