{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T02:27:37Z","timestamp":1771468057485,"version":"3.50.1"},"reference-count":41,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T00:00:00Z","timestamp":1683849600000},"content-version":"unspecified","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Nottingham Orthopaedic Walk NOW award","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,3,22]]},"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To (1) generate detailed, person-centred data about the experience of finger injury and treatment and (2) understand the patients\u2019 perspectives of research involvement with a view to informing better designed future studies in hand injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative study using semistructured interviews and framework analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>19 participants who were part of the Cohort study of Patients\u2019 Outcomes for Finger Fractures and Joint Injuries study in a single secondary care centre in the UK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The results of this study showed that although finger injuries are frequently seen as minor by patients and healthcare professionals, their effects on peoples\u2019 lives are possibly greater than first anticipated. The relative importance of hand functioning means that the experience of treatment and recovery varies and is shaped by an individual\u2019s age, job, lifestyle and hobbies. These factors will also inform an individual\u2019s perspective on and willingness to participate in, hand research. Interviewees showed reluctance to accept randomisation in surgical trials. Interviewees would be more likely to participate in a study testing two variants of the same treatment modality (eg, surgery vs surgery), rather than two different modalities, (eg, surgery vs splint). The Patient-Reported Outcome Measure questionnaires that were used in this study were seen as less relevant by these patients. Pain, hand function and cosmetic appearance were considered important, meaningful outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients with finger injuries need more support from healthcare professionals as they may experience more problems than first anticipated. Good communication by clinicians and empathy can help patients engage with the treatment pathway. Perceptions of an \u2018insignificant\u2019 injury and\/or need for quick functional recovery will influence recruitment to future hand research (both positively and negatively). Accessible information about the functional and clinical consequences of a hand injury will be important in enabling participants to make fully informed decisions about participation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-065185","type":"journal-article","created":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T10:00:18Z","timestamp":1683885618000},"page":"e065185","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["\u2018It\u2019s just a finger isn\u2019t it\u2026\u2019: patients\u2019 perspectives of recovery following finger fractures and participation in surgical trials \u2013 a qualitative interview study"],"prefix":"10.1136","volume":"13","author":[{"given":"Christos","family":"Mousoulis","sequence":"first","affiliation":[{"name":"Centre for Evidence Based Hand Surgery, University of Nottingham, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3742-5646","authenticated-orcid":false,"given":"Alexia","family":"Karantana","sequence":"additional","affiliation":[{"name":"Centre for Evidence Based Hand Surgery, University of Nottingham, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0688-0630","authenticated-orcid":false,"given":"Ryan W","family":"Trickett","sequence":"additional","affiliation":[{"name":"Trauma and Orthopaedics, Cardiff and Vale University Health Board, Cardiff, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7785-7465","authenticated-orcid":false,"given":"Kim S","family":"Thomas","sequence":"additional","affiliation":[{"name":"Centre of Evidence Based Dermatology, University of Nottingham, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Leighton","sequence":"additional","affiliation":[{"name":"Centre of Evidence Based Dermatology, University of Nottingham, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,5,12]]},"reference":[{"key":"2025121605475601000_13.5.e065185.1","doi-asserted-by":"crossref","first-page":"43","DOI":"10.2174\/1874325001206010043","article-title":"Principles of hand fracture management","volume":"6","author":"Haughton","year":"2012","journal-title":"Open Orthop J"},{"key":"2025121605475601000_13.5.e065185.2","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-011-9383-z"},{"key":"2025121605475601000_13.5.e065185.3","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1016\/j.hcl.2013.08.012","article-title":"Complications of hand fractures and their prevention","volume":"29","author":"Markiewitz","year":"2013","journal-title":"Hand Clin"},{"key":"2025121605475601000_13.5.e065185.4","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1177\/1753193419865897","article-title":"Treatment interventions for hand fractures and joint injuries: a scoping review of randomized controlled trials","volume":"45","author":"Mousoulis","year":"2020","journal-title":"J Hand Surg Eur Vol"},{"key":"2025121605475601000_13.5.e065185.5","doi-asserted-by":"crossref","first-page":"850","DOI":"10.5312\/wjo.v6.i11.850","article-title":"Fractures in sport: optimising their management and outcome","volume":"6","author":"Robertson","year":"2015","journal-title":"World J Orthop"},{"key":"2025121605475601000_13.5.e065185.6","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2458-11-249","article-title":"A systematic review of the effect of retention methods in population-based cohort studies","volume":"11","author":"Booker","year":"2011","journal-title":"BMC Public Health"},{"key":"2025121605475601000_13.5.e065185.7","first-page":"202","article-title":"Hands, fingers, thumbs-assessment and management of common hand injuries in general practice","volume":"41","author":"Eddy","year":"2012","journal-title":"Aust Fam Physician"},{"key":"2025121605475601000_13.5.e065185.8","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2013-002889","article-title":"What can qualitative research do for randomised controlled trials? 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