Skip to main content
Erschienen in: European Journal of Plastic Surgery 2/2016

01.04.2016 | Original Paper

Retrospective analysis of acute hand injuries in an academic tertiary hospital that need plastic surgeon consultation

verfasst von: Ugur Kocer, Kadri Ozer, Adile Dikmen, Hande Akdeniz, Umut Suadiye, Melike Oruc, Gurcan Aslan

Erschienen in: European Journal of Plastic Surgery | Ausgabe 2/2016

Einloggen, um Zugang zu erhalten

Abstract

Background

Hand surgery covers a major area of plastic surgery practice. To our knowledge, there is no publication directly investigating the characteristics of hand injuries that plastic surgery consultation was requested, which could be an essential information to guide the plastic surgery education programs. This study determined the features of the hand injuries presented to the plastic surgery department during a year from an academic trauma hospital in Turkey.

Methods

Epidemiological information of the patients with hand injuries who were admitted to the emergency department of an academic tertiary hospital and needed plastic surgery consultation was evaluated. Patients were analyzed retrospectively in terms of gender, distribution of age, occupation, mechanism of injury, cause of injury, injured soft tissue structures, and duration of hospitalization.

Results

One thousand and forty-three (83.7 %) of the 1246 patients included in the study were male and 203 (16.3 %) were female. The mean age of patients was 32. The most common injured structure were the tendons with a rate of 41.2 %. The tendons were followed by fractures, tissue defects, nail injuries, nerve injuries, and vascular injuries with a rate of 18.8, 16.6, 10, 8.3, and 5.3 %, respectively. The most frequent mechanism of injury was crush type (38.6 %) followed by blunt cut (26.9 %), sharp cut (25.9 %), combined (4.8 %), and avulsion injuries (3.8 %). 7.8 % of the patients with hand injuries had amputations.

Conclusions

Despite the limitations, our study can reflect emergency hand injuries that a plastic surgeon may be faced within a tertiary care center. By our work, a plastic surgeon will be aware of demographic features of a patient with a hand injury presented by the emergency department.
Level of Evidence: Level IV, risk/prognostic.
Literatur
2.
Zurück zum Zitat Larsen CF, Mulder S, Johansen AM, Stam C (2004) The epidemiology of hand injuries in the Netherlands and Denmark. Eur J Epidemiol 19:323–327 Larsen CF, Mulder S, Johansen AM, Stam C (2004) The epidemiology of hand injuries in the Netherlands and Denmark. Eur J Epidemiol 19:323–327
3.
Zurück zum Zitat De Putter CE, Selles RW, Polinder S et al (2012) Economic impact of hand and wrist injuries: health-care costs and productivity costs in a population-based study. J Bone Jt Surg 94, e56. doi:10.2106/JBJS.K.00561 CrossRef De Putter CE, Selles RW, Polinder S et al (2012) Economic impact of hand and wrist injuries: health-care costs and productivity costs in a population-based study. J Bone Jt Surg 94, e56. doi:10.​2106/​JBJS.​K.​00561 CrossRef
4.
Zurück zum Zitat Chang J (2013) Plastic surgery contributions to hand surgery. In: Neligan PC (ed) Plast. Surg. Vol. Six, 3rd edn. Elsevier Inc., pp xiii–xiix Chang J (2013) Plastic surgery contributions to hand surgery. In: Neligan PC (ed) Plast. Surg. Vol. Six, 3rd edn. Elsevier Inc., pp xiii–xiix
5.
Zurück zum Zitat Kessler C, Kutka BM, Badillo C (2012) Consultation in the emergency department: a qualitative analysis and review. J Emerg Med 42:704–711CrossRefPubMed Kessler C, Kutka BM, Badillo C (2012) Consultation in the emergency department: a qualitative analysis and review. J Emerg Med 42:704–711CrossRefPubMed
6.
Zurück zum Zitat Topkara A, Serinken M, Uyanık E et al (2014) Retrospective analysis of patients whose plastic surgery consultations requested were in a University Hospital emergency room. J Acad Emerg Med 13:18–21CrossRef Topkara A, Serinken M, Uyanık E et al (2014) Retrospective analysis of patients whose plastic surgery consultations requested were in a University Hospital emergency room. J Acad Emerg Med 13:18–21CrossRef
7.
Zurück zum Zitat Sebastin SJ, Chung KC (2014) Replantation strategies of the hand and upper extremity. In: Thorne CH, Chung KC, Gosalin AK, Gurtner GC, Mehrara BJ, Rubin JP, Spear SL (eds) Grabb and Smith’s Plastic Surgery, 7th edn. Lippincott Williams & Wilkins, Philadelphia, pp 839–853 Sebastin SJ, Chung KC (2014) Replantation strategies of the hand and upper extremity. In: Thorne CH, Chung KC, Gosalin AK, Gurtner GC, Mehrara BJ, Rubin JP, Spear SL (eds) Grabb and Smith’s Plastic Surgery, 7th edn. Lippincott Williams & Wilkins, Philadelphia, pp 839–853
8.
Zurück zum Zitat De Jong JP, Nguyen JT, Sonnema AJM et al (2014) The incidence of acute traumatic tendon injuries in the hand and wrist: a 10-year population-based study. Clin Orthop Surg 6:196–202CrossRefPubMedPubMedCentral De Jong JP, Nguyen JT, Sonnema AJM et al (2014) The incidence of acute traumatic tendon injuries in the hand and wrist: a 10-year population-based study. Clin Orthop Surg 6:196–202CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Panagopoulou P, Antonopoulos CN, Dessypris N et al (2013) Epidemiological patterns and preventability of traumatic hand amputations among adults in Greece. Injury 44:475–480CrossRefPubMed Panagopoulou P, Antonopoulos CN, Dessypris N et al (2013) Epidemiological patterns and preventability of traumatic hand amputations among adults in Greece. Injury 44:475–480CrossRefPubMed
10.
Zurück zum Zitat Brobäck LG, Ekdahl PH, Aschan GW, Grenabo JK (1978) Clinical and socio-economical aspects of hand injuries. Acta Chir Scand 144:455–461PubMed Brobäck LG, Ekdahl PH, Aschan GW, Grenabo JK (1978) Clinical and socio-economical aspects of hand injuries. Acta Chir Scand 144:455–461PubMed
11.
Zurück zum Zitat Davas Aksan A, Durusoy R, Ada S et al (2010) Epidemiology of injuries treated at a hand and microsurgery hospital. Acta Orthop Traumatol Turc 44:352–360CrossRefPubMed Davas Aksan A, Durusoy R, Ada S et al (2010) Epidemiology of injuries treated at a hand and microsurgery hospital. Acta Orthop Traumatol Turc 44:352–360CrossRefPubMed
12.
Zurück zum Zitat Yilmaz F (2009) Occupational health and safety in developing countries and Turkey in globalization process. Int J Hum Sci 6:45–72 Yilmaz F (2009) Occupational health and safety in developing countries and Turkey in globalization process. Int J Hum Sci 6:45–72
13.
Zurück zum Zitat Slapper G, Tombs S (1999) Corporate Crime (Longman Criminology Series), 1st edn. Pearson Education Canada, Harlow, pp 54–57 Slapper G, Tombs S (1999) Corporate Crime (Longman Criminology Series), 1st edn. Pearson Education Canada, Harlow, pp 54–57
14.
Zurück zum Zitat Garg R, Cheung JPY, Fung BKK, Ip WY (2012) Epidemiology of occupational hand injury in Hong Kong. Hong Kong Med J 18:131–136PubMed Garg R, Cheung JPY, Fung BKK, Ip WY (2012) Epidemiology of occupational hand injury in Hong Kong. Hong Kong Med J 18:131–136PubMed
15.
Zurück zum Zitat Unlü RE, Abacı Ünlü E, Orbay H et al (2005) Crush injuries of the hand. Ulus Travma Acil Cerrahi Derg 11:324–328PubMed Unlü RE, Abacı Ünlü E, Orbay H et al (2005) Crush injuries of the hand. Ulus Travma Acil Cerrahi Derg 11:324–328PubMed
16.
Zurück zum Zitat Tuncali D, Yavuz N, Terzioglu A, Aslan G (2005) The rate of upper-extremity deep-structure injuries through small penetrating lacerations. Ann Plast Surg 55:146–148CrossRefPubMed Tuncali D, Yavuz N, Terzioglu A, Aslan G (2005) The rate of upper-extremity deep-structure injuries through small penetrating lacerations. Ann Plast Surg 55:146–148CrossRefPubMed
Metadaten
Titel
Retrospective analysis of acute hand injuries in an academic tertiary hospital that need plastic surgeon consultation
verfasst von
Ugur Kocer
Kadri Ozer
Adile Dikmen
Hande Akdeniz
Umut Suadiye
Melike Oruc
Gurcan Aslan
Publikationsdatum
01.04.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Plastic Surgery / Ausgabe 2/2016
Print ISSN: 0930-343X
Elektronische ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-015-1149-3

Weitere Artikel der Ausgabe 2/2016

European Journal of Plastic Surgery 2/2016 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

CME: 2 Punkte

Prof. Dr. med. Gregor Antoniadis Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

CME: 2 Punkte

Dr. med. Benjamin Meyknecht, PD Dr. med. Oliver Pieske Das Webinar S2e-Leitlinie „Distale Radiusfraktur“ beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

CME: 2 Punkte

Dr. med. Mihailo Andric
Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.