Työtapaturmaisten olka- ja polvivammojen hoitotoimenpiteet ja -kustannukset sekä hoidon ja sairauslomien kesto vakuutusyhtiön rekisteriaineistoon perustuen

Authors

• Julia Pietilä BioMediTech Institute and Tampere University of Technology
• Johanna Tolonen BioMediTech Institute and Tampere University of Technology
• Elina Helander BioMediTech Institute and Tampere University of Technology

DOI: https://doi.org/10.23996/fjhw.65092

Keywords:

työtapaturma, polvivamma, olkavamma, hoito, leikkaus, kuntoutus, rekisteriaineisto

Abstract

Knee and shoulder injuries are typical for occupational accidents causing significant treatment expenses. This study employed an insurance company’s register considering treatments given for occupational accident injuries in private clinics in years 2010-2015. Treatments, treatment expenses, durations of treatments and sick-leaves were analyzed for 555 (men: 57 %, age: 40.9±11.8 yrs) knee injury diagnoses with ICD-10 code of class S83 and 377 (men: 56 %, age: 42.4±12.1 yrs) shoulder injury diagnoses with ICD-10 code of class S43 or S46. In surgical and rehabilitative treatments, the method of treatment and time-to-surgery were studied.

Of the injuries, 66 % resulted from workplace and 33 % from commuting accidents. The injuries were mostly minor: 84 % needed only doctor appointments as treatment, and 54 % caused at maximum one-week sick-leave. Only 16 % of the injuries required rehabilitation and/or surgical treatment but they caused 61 % of all treatment expenses and 51 % caused over three-month sick-leave. In only 25 % and 33 % of knee and shoulder injuries, respectively, rehabilitation was given before surgical treatment. The times-to-surgeries followed the Finnish guidelines as the recommendation was more than two months. The time-to-surgery in 80 % of the rotator cuff injuries was at maximum four months but only in 5 % of the meniscus injuries was 1-2 weeks as recommended.

Occupational accidents cause only a few serious knee and shoulder injuries but they cause high treatment expenses and long sick-leaves. To avoid extra expenses and days lost, right and early medical diagnosis and optimal treatments together with flexible and case-by-case discretion and practices from the insurance companies are needed.