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

J Hand Surg Am · Apr 2021 · Review

McQuillan TJ, Franco JR, Sorg EM, Baller E, Quijije N, Rozental TD

Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, MA

Hand & Upper Extremity Orthopaedic Trauma

SUMMARY — THE REDUCTIONThis review outlines how psychiatric comorbidities intersect with self-inflicted wrist injuries, upper-extremity fractures, and burns, proposing a multidisciplinary care model for hand surgeons managing these patients.
Abstract, as published

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.

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