Many treatment methods for intra-articular fractures of the proximal interphalangeal (PIP) joint are described in the literature without a consensus on the most effective…
Many treatment methods for intra-articular fractures of the proximal interphalangeal (PIP) joint are described in the literature without a consensus on the most effective approach. The purpose of this study was to investigate the methods of treatment of PIP joint fractures being used by trauma surgeons in the Republic of Ireland currently and the timing of referral to therapy.
A cross-sectional descriptive study methodology was used to survey trauma surgeons, occupational therapists and physiotherapists in Ireland. An online platform was used. A total of 21 surveys were returned by surgeons and 37 by therapists. Descriptive statistical analysis was used to present the results.
Buddy strapping was reported as the primary treatment method for stable PIP joint fractures. All levels of fracture severity were reported to be treated using traction constructs, which include static and dynamic fixation and orthoses. Unstable fractures were managed using open reduction with internal fixation by 50 per cent of surgeons. Early timing of referral to therapy is reported by more surgeons than therapists. The majority of therapists indicated that they did not have the resources to see patients at the optimal time.
To the authors’ knowledge, this study provides the first description of the management of PIP joint fractures across the Irish health service. The findings of this study suggest that additional therapy resources are required within the health service executive to facilitate the desired early referral to therapy and to enable service development for this category of hand fractures.
– The purpose of this paper is to focus on the other end of entrepreneurship – the disassembling of enterprises by insolvency professionals.
The purpose of this paper is to focus on the other end of entrepreneurship – the disassembling of enterprises by insolvency professionals.
Drawing on empirical material from major insolvency practitioners (IPs) in Ireland; the paper identifies three different narrative positions – “clinical market operators”, “blame the entrepreneurs” and “professional detachment/disidentification” – that these specialists employed to story their working experiences.
The paper suggests that IPs do not have a fixed narrative schema to narrate their professional identities, as they struggle to reconcile their professional acts with their personal ambitions. These findings point to a disconnection between the political rhetoric on risk taking and the acts perpetrated on entrepreneurs who fail, a central tension in the discourse on entrepreneurship policy.
The paper adds to the current debate on business failure, an area that is typically under-researched and under-theorised in entrepreneurship studies. By offering a response to calls for more multi-perspective research, this paper makes a significant contribution to extant interpretive literature on business failure. While the method of analysing stories is widely accepted in social science research, researchers seeking to replicate this study may produce different results; this is a taken for granted outcome of the method.
The analysis suggests that the current legislative impetus to ameliorate the implications of insolvency, driven by an aspiration to encourage second-chance entrepreneurship, faces resistance from IPs as they attempt to fulfil their professional obligations. In the absence of legislative reform, the impulse, perhaps even process necessity, of IPs to dialogically position themselves against failed entrepreneurs is likely to continue.
The paper's originality and value arise from its unique consideration of other end of entrepreneurship; offering novel insights into the difficulties IPs have in narrating their working lives.