Glass Related Hand and Wrist Injury: Accidental or Sudden Anger

Abstract

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 Yöntem Dicle 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.

Demographic, Anatomical, and Clinical Features of Patients With Glass-Punching Injuries

“…This may be attributed to the large number of university students in our study. damaging the wrist area in particular as the fist is being withdrawn (9). From that perspective, our results are valuable in terms of showing anatomical zones affected by glass-punching injuries.…”

“…The hand that patients employ to strike these objects is normally the dominant hand used in normal life (9,17,18). Studies have reported that glass-punching often occurs in the home or in public places, and that the incidence increases on special occasions, such as match finals, weekends, New Year's, or birthdays (2,9).…”

“…The hand that patients employ to strike these objects is normally the dominant hand used in normal life (9,17,18). Studies have reported that glass-punching often occurs in the home or in public places, and that the incidence increases on special occasions, such as match finals, weekends, New Year's, or birthdays (2,9). In addition, acts of violence and associated injuries are known to increase in line with changes in weather conditions, and particularly during hot weather and during the night (19)(20)(21).…”

“…Levels of self-harm, which range between 4% and 14% in the general population, are higher among individuals with psychiatric disease (31,32). In addition, the right hand is frequently involved in hand injuries resulting from self-harming, and patients are often single males aged 20-30 (2,3,9,17,25). In our study, use of the right hand and alcohol consumption were correlated with extensor zone-4…”

“…Injuries occurring after glass-punching may consist of simple soft tissue injury, or diffuse muscle, tendon, blood vessel, nerve or bone injury (2). Although the damage occurring in such injuries is not generally lifethreatening, resulting disabilities may involve prolonged and expensive therapeutic processes (2,8,9). Understanding the general characteristics of injuries resulting from glass-punching and the factors underlying injury, and the ability to predict the anatomical, clinical, and functional outcomes of such injuries are therefore of great importance.…”