Presentation on theme: "INDUSTRIAL INJURIES TO THE FOOT AND ANKLE Michael J. Shereff, M.D."— Presentation transcript:
INDUSTRIAL INJURIES TO THE FOOT AND ANKLE Michael J. Shereff, M.D.
INCIDENCE Bureau of Labor Statistics US Department of Labor 12 million work – related injuries occur each year = 20% of all injuries sustained in the United States. 7.2 million involve the musculoskeletal system. .
INCIDENCE Foot and Ankle injuries = 9.9% of all injuries. Most common age = 25 to 30years Males:Females = 2-3:1 Most common in technical,sales,and administrative support positions.
ANKLE Service jobs = 25% Manufacturing = 17% Retail = 17% Construction = 13%
FOOT Manufacturing = 25% Service & Retail = 18% Construction = 15%
TOES Decreasing Order of Frequency: Manufacturing Construction Retail Service
Construction Industry 83% Foot and Ankle injuries occur in men. Mean age = 34years. More frequent in summer.
Construction Industry Rate of return to work = 1.5 times higher for men than for women. Rate of return to work = 20% less for each 10 year increase in age.
ETIOLOGY Ontario Construction Industry Puncture wounds=6.3% Fractures=19.6% Sprains=34.3%
Most Common Mechanism of Injury Contact with an object Falls Exposure to a harmful force – vehicles & machinery.
Mechanism of Injury Work – related injuries to the foot and ankle due to repetitive trauma are VERY UNCOMMON.
IMPACT Median number of days missed from work = 5.
IMPACT National Safety Council (U.S.) 600 million dollars paid in compensation for work related injuries to the foot and ankle.
NATIONAL ACADEMY OF SOCIAL INSURANCE Total costs to employers for Workers Compensation have increased. Costs per covered employee has declined.
DECREASED COST PER EMPLOYEE Increased workplace safety. Medical care cost reforms. Return to work programs = good cost containment. Reduction of length of disability. Tightening of eligibility for benefits.