Firecracker injuries to the hand

Mackenzie, Duncan N.; Green, Jennifer A.; Viglione, Wayne

doi:10.5694/j.1326-5377.2001.tb143245.x

Cited by 20 publications

(7 citation statements)

References 9 publications

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“…In reviewing the literature, we have observed a trend toward increased reporting of severe firework hand injuries and believe that this may be due to a combination of improved awareness and diagnosis, 11 as well as greater access by members of the public to fireworks of increasing power. 12 Previously, MacKenzie et al described a predisposition to radial-side soft tissue injuries of the thenar eminence and first web space loss 13 while Hahn et al suggested further bony involvement of either the thenar or hypothenar rays while sparing those located centrally. 14 Philipson and Southern then described propagation of the blast proximally, which resulted in acute carpal tunnel syndrome, median nerve contusion, and devitalization of forearm muscles.…”

Section: Type Iii-carpometacarpal Joint Dislocations + Axial Carpal Dmentioning

confidence: 99%

Patterns of Complex Carpal Injuries in the Hand from Fireworks

Shamrock

Chen

et al. 2018

J Hand Microsurg

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To describe the various patterns of complex carpal and metacarpal fracture dislocations observed in a consecutive series of firework injuries and the operative management performed. We performed a retrospective study of seven consecutive patients (six males; mean age = 22 ± 13, range, 8-39 years) who presented to a level I trauma center with firework injuries to the hand between July 2014 and January 2016. All injuries were sustained while a lighted firework was held in the hand. The mean length of hospital stay was 13.9 ± 13.8 (range, 4-46) days with an average of 3 ± 2.6 (range, 1-7) surgeries required for both bony and soft tissue reconstruction. Three patterns of injury were seen: type I-no carpal involvement; type II-carpometacarpal joint (CMCJ) dislocations and isolated carpal dislocations; type III-CMCJ dislocations with axial carpal dissociation. One patient had a type I injury, three had a type II injury, and three had a type III injury. Of patients with a type III injury, two of the three had simultaneous axial-radial and axial-ulnar involvement as well as a midcarpal dissociation with divergent dissociation of the carpus and metacarpals. The severity of carpal injuries resulting from fireworks is highly variable but is likely to follow predictable patterns due to the position of the hand and the location of the firework prior to explosion. Surgical reconstruction can be challenging, but adequate outcomes with a functional hand can be achieved through a systematic approach. Therapeutic level IV.

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Section: Type Iii-carpometacarpal Joint Dislocations + Axial Carpal Dmentioning

confidence: 99%

Patterns of Complex Carpal Injuries in the Hand from Fireworks

Shamrock

Chen

et al. 2018

J Hand Microsurg

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“…Most of these injuries are to fingers and are the result of a diverse array of causes including fireworks, slammed doors, exercise bicycles, farm equipment, and shop class. [4][5][6]9,11,12,22,24,25,27,28 Replantation and revascularization can be successful in this patient population compared with adults as described in several case series. 1,3,7,26,30,35 The incidence, temporal trends, and patient characteristics of upper extremity traumatic amputations in children are largely unknown.…”

Section: Introductionmentioning

confidence: 99%

Trends in Pediatric Traumatic Upper Extremity Amputations

Vakhshori

Mayfield

Alluri

et al. 2018

Hand (New York, N,Y.)

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“…Indeed, serious hand injuries have been reported in association with the explosion of hand-held crackers that were purchased in the ACT and brought into NSW for use. 4 Disappointingly, the data used here also contained only very limited information on the place that injuries occurred, and the activity that victims were engaged in at the time of injury. Although the ICD-10-AM coding system theoretically enables capture of this information in the external cause code for injuries, it is only rarely recorded.…”

Section: Discussionmentioning

confidence: 99%

“…Important strategies for reduction of firework injuries include national harmonisation of regulations regarding sale and use of fireworks, active enforcement of these regulations, and increasing community awareness of the degree of risk associated with illegal fireworks. 3,4 Improved recording of firework injuries in hospital data, including information regarding the type of firework involved, and the circumstances of the injury, could provide a stronger information base on which to build and monitor prevention strategies in NSW.…”

Section: Discussionmentioning

confidence: 99%