Retrospective analysis of hand injuries in El Demerdash hospital in two years period 2016 / 2017
Mohammed Adel Gomaa Zeid Awadallah;
Abstract
Studies in the emergency room showed that hand injuries are among the most frequent injuries that occur to the body. They constitute between 6.6%- 28.6% of all injuries and 28% of injuries to the musculoskeletal system. Professionally active young workmen up to age 40 years comprise the main group involved. They range from simple lacerations or finger sprains to mutilating injuries or amputations. Managing emergent hand conditions encompasses correctly identifying and treating such injuries, which can be difficult at times due to subtle presentations. Evaluation of hand injuries needs specialized training and practice. Hence, this study would help in building statistical data regarding hand injuries.
The pathophysiology of soft tissue injuries of the hand is diverse. The most common mechanisms of injury are blunt trauma, followed by laceration, avulsion, ring avulsion, and burns. Besides skin and superficial tissues, muscles, ligaments, and tendons of the hand are vulnerable to injury, as are the nerves and blood vessels that supply these structures. Regarding etiology of hand injuries; major four causes: Machinery injury (25.2%) were the most common causes of injuries, followed by road traffic accident (14.5%), physical assault by sharp objects, and Playground injury.
Fingertip injuries are the most common hand injuries; they involve any structure distal to the DIP. These injuries are very common, occurring most frequently in young males as a crush. Acute traumatic tendon injuries of the hand and wrist are commonly encountered in the emergency department; there was an incidence rate of 33.2%. Highest incidence of injury occurred at 20-29 years of age. The majority of cases involved a single tendon, with extensor tendon injuries occurring more frequently than flexor tendons. Typically, extensor tendon injuries involved zone three of the index finger, while flexor tendons involved zone two of the index finger. Work-related injuries accounted for 24.9% of acute traumatic tendon injuries. the most common groups work-related injuries occurred in construction and extraction occupations (44.2%), food preparation and serving related occupations (14.4%), and transportation and material moving occupations (12.5%). Soft tissue injuries of the hand predominate these statistics and are responsible for up to 82% of all hand injuries evaluated in the Emergency Department.
Fractures of the phalanges and metacarpals are among the most common fractures of the skeletal system and account for 10 percent of all fractures. Along with fractures of the carpal bones, they represent a substantial portion of upper extremity fractures. The distal phalanx is the most commonly fractured bone in the hand, followed by the metacarpals. Metacarpal fractures are seen more often in adults, whereas phalangeal fractures are more common in children. Approximately 20 percent of metacarpal and phalangeal fractures are intra-articular. Ligamentous injuries vary from simple sprains to complete rupture,
The pathophysiology of soft tissue injuries of the hand is diverse. The most common mechanisms of injury are blunt trauma, followed by laceration, avulsion, ring avulsion, and burns. Besides skin and superficial tissues, muscles, ligaments, and tendons of the hand are vulnerable to injury, as are the nerves and blood vessels that supply these structures. Regarding etiology of hand injuries; major four causes: Machinery injury (25.2%) were the most common causes of injuries, followed by road traffic accident (14.5%), physical assault by sharp objects, and Playground injury.
Fingertip injuries are the most common hand injuries; they involve any structure distal to the DIP. These injuries are very common, occurring most frequently in young males as a crush. Acute traumatic tendon injuries of the hand and wrist are commonly encountered in the emergency department; there was an incidence rate of 33.2%. Highest incidence of injury occurred at 20-29 years of age. The majority of cases involved a single tendon, with extensor tendon injuries occurring more frequently than flexor tendons. Typically, extensor tendon injuries involved zone three of the index finger, while flexor tendons involved zone two of the index finger. Work-related injuries accounted for 24.9% of acute traumatic tendon injuries. the most common groups work-related injuries occurred in construction and extraction occupations (44.2%), food preparation and serving related occupations (14.4%), and transportation and material moving occupations (12.5%). Soft tissue injuries of the hand predominate these statistics and are responsible for up to 82% of all hand injuries evaluated in the Emergency Department.
Fractures of the phalanges and metacarpals are among the most common fractures of the skeletal system and account for 10 percent of all fractures. Along with fractures of the carpal bones, they represent a substantial portion of upper extremity fractures. The distal phalanx is the most commonly fractured bone in the hand, followed by the metacarpals. Metacarpal fractures are seen more often in adults, whereas phalangeal fractures are more common in children. Approximately 20 percent of metacarpal and phalangeal fractures are intra-articular. Ligamentous injuries vary from simple sprains to complete rupture,
Other data
| Title | Retrospective analysis of hand injuries in El Demerdash hospital in two years period 2016 / 2017 | Other Titles | الدراسة الإستعادية لتحليل إصابات اليد في مستشفى الدمرداش خلال الفتره 2016 - 2017 | Authors | Mohammed Adel Gomaa Zeid Awadallah | Issue Date | 2017 |
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