AI Summary & Key Takeaways
AI InsightTwenty four (28.9%) of the patients with injuries related to glass punching were under the influence of alcohol during the incidents and injury rates of radial artery, ulnar nerve, median nerve and ulnar artery have been found considerably higher in this group.ConclusionsA thorough artery, nerve and tendon examination of the patients presenting to the ED with hand and wrist injuries needed to be performed, and especially for those under the influence of alcohol in order to prevent functional losses of the underlying structures.
📌 3 Key Takeaways
Abstract
ObjectivesTraumatic hand and wrist injuries are the type of injuries commonly seen in the emergency department (ED). Hand and wrist injuries related to punching windows due to sudden discomposes are frequent in Turkey. The aim of this study was to analyze clinical and demographic specifications of hand and wrist injuries related to glass cuts and their underlying causes.MethodsThe patient files who presented to the Dicle University Hospital ED (Diyarbakır-Turkey) with injuries due to glass cuts have been examined. Demographic data of the patients have been recorded in the standard work form and then were analyzed.ResultsOne hundred and fifty four patients were included in the study. 53.8% of the patients constituted those who punched on the glass during an angry episode. Punching on the glass was more frequently observed in men (n=81, 97.6%), with cuts to the right hand being the most frequent type of resulting injury (n=65, 78.3%). Twenty four (28.9%) of the patients with injuries related to glass punching were under the influence of alcohol during the incidents and injury rates of radial artery, ulnar nerve, median nerve and ulnar artery have been found considerably higher in this group.ConclusionsA thorough artery, nerve and tendon examination of the patients presenting to the ED with hand and wrist injuries needed to be performed, and especially for those under the influence of alcohol in order to prevent functional losses of the underlying structures.
Özet
AmaçTravmatik el ve el bileği yaralanmaları acil serviste yaygın görülen yaralanmalardır. Ani öfkelenmeye bağlı cama yumruk atma ile ilişkili el ve el bileği yaralanmaları ülkemizde sıktır. Bu çalışmanın amacı oluş nedenlerine göre cam kesisi ile ilişkili el ve el bileği yaralanmalı hastalarda klinik ve demografik özellikleri analiz etmektir.Gereç ve YöntemDicle Üniversitesi Tıp Fakültesi Acil Servisi’ne cam kesisine bağlı yaralanma nedeniyle başvuran hastalar çalışmaya dahil edildi. Hastaların demografik verileri standart çalışma formuna kaydedildi. Demografik veriler istatistiksel olarak analiz edildi.BulgularÇalışmaya 154 hasta dahil edildi. Hastaların %53.8’I ani sinirlenmeye bağlı olarak cama yumruk atan hastalardı. Cama yumruk atma erkeklerde daha sık gözlendi (n=81, %97.6), yumruk atan grupta sağ el yaralanması daha sık görüldü (n=65, %78.3). Cama yumruk atma ile ilişkili yaralanmalı 24 hasta (%28.9) alkollüydü ve bu hastalarda radial arter, ulnar sinir, median sinir ve ulnar arter yaralanması anlamlı düzeyde yüksek bulundu.SonuçEl ve el bileği yaralanması nedeniyle acil servise başvuran hastaların damar, sinir ve tendon muayenelerinin dikkatli yapılması, özellikle alkollü hastalarda bu anatomik yapıların yaralanmalarının birlikte olabileceği, sonrasında ciddi fonksiyon kayıplarına yol açmaması için erken dönemde kontrollerinin yapılması sağlanmalıdır.