Management of Gunshot Wounds to the Hand: A Literature Review

Türker, Tolga; Capdarest–Arest, Nicole

doi:10.1016/j.jhsa.2013.02.011

Cited by 32 publications

(30 citation statements)

References 33 publications

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“…Our data on age and gender is in further agreement with the existing literature, 9,22,23 with the majority of patients being younger (48% between age 19 and 29) and male (91%). Younger patients may be more likely to sustain injuries due to inexperience in handling firearms, behavioral factors, or improper transport of weapons.…”

Section: Discussionsupporting

confidence: 92%

Epidemiology of orthopaedic fractures due to firearms

Congiusta

Oettinger

Merchant

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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The majority of firearm injuries involve the extremities and have concomitant orthopaedic injuries. National data on the epidemiology of wounds caused by firearms may better inform physicians and identify areas of public health intervention. We conducted an analysis of a national database to describe the epidemiology of orthopaedic firearm injuries in the United States. The Nationwide Inpatient Sample 2001e2013 database was queried for adult patients with fractures excluding those of the skull using injury billing codes. Characterization of injury was determined using External Cause of Injury billing codes. Sociodemographic and geographic variables were reported. Chi square and multinomial logistic regression analyses were performed to identify predictors of type of firearm implicated in injury. 334,212 firearm injuries were reported in the database and about half had concomitant orthopaedic fractures. Most patients were between the ages 19 and 29, were African American, and were male. The most frequent circumstance of injury was assault/homicide, the most common firearm used was a handgun, and the most common fracture site was the femur. Patients without insurance and patients of lower income were most commonly afflicted. Knowing this distribution of the burden of this class of injury provides the opportunity to identify and intervene on behalf of at-risk populations, potentially reducing injuries by promoting firearm safety to these groups and advocating sensible practices to reduce inequitable outcomes caused by these injuries.

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Section: Discussionsupporting

confidence: 92%

Epidemiology of orthopaedic fractures due to firearms

Congiusta

Oettinger

Merchant

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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show abstract

“…There have been previous reports of treating these injuries with closed reduction and percutaneous pinning, open reduction and internal fixation, intramedullary fixation, and external fixation. 1,3,[5][6][7]12,13,17,18 Furthermore, primary or secondary bone grafting has become an important adjunct in these fractures due to the common finding of bone loss. 4,9,14,15 In the past, these injuries were frequently treated with multiple operative debridements, intravenous antibiotics, and close monitoring prior to fixation to ensure the viability of the soft tissue envelope.…”

Section: Introductionmentioning

confidence: 99%

“…13 However, there has been a recent shift toward early definitive fixation, minimizing the usage of antibiotics, and early bone grafting. [1][2][3][4]6,7,9,[12][13][14][15]17,18 Finally, successful recovery from complex ballistic fractures requires an early and regimented therapy program, which is often difficult to obtain in this population.…”

Section: Introductionmentioning

confidence: 99%

Current Trends in the Management of Ballistic Fractures of the Hand and Wrist: Experiences of a High-Volume Level I Trauma Center

Ghareeb

Daly

Liao

et al. 2017

Hand (New York, N,Y.)

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The majority of patients in this report underwent early operative intervention with percutaneous fixation. Antibiotics were administered in almost all cases and can usually be discontinued within 24 hours after surgery. It is important to consider concomitant nerve, vascular, or tendon injuries requiring repair. We recommend early treatment of these injuries with debridement and stabilization. Due to lack of follow-up and patient noncompliance, early definitive treatment with primary bone grafting should be considered.

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“…studijos metu pastebėta, kad kulkos energija yra labiau koncentruota į tam tikrą nedidelį ploto vienetą. Kulkai pataikius į kaulą, jo fragmentai gali sukelti ir antrinį sužeidimą [21]. Dėl to ir mūsų tyrime buvo stebimi sudėtingi daugiafragmentiniai kaulų pažeidimai.…”

Section: Diskusijaunclassified

Sprogdintiniai Ir Šautiniai Plaštakos Ir Riešo Sužalojimai: 6 Metų Analizė

Kievišas¹,

Paškevičius²,

Braziulis³

2021

Health Sciences

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Sprogdintiniai ir šautiniai riešo ir plaštakos sužalojimai Lietuvoje mažai analizuota tema, nors ji ypač aktuali, nes sutrikus ar visiškai netekus plaštakos funkcijos, labia suprastėja žmogaus gyvenimo kokybė ir darbingumas. Šalyje sprogdintiniai plaštakos sužalojimai pasitaiko ženkliai dažniau, nei šautiniai. Pagrindinė sprogdintinių sužalojimų priežastis – neatsargus ir neatsakingas pirotechnikos gaminių naudojimas. Straipsnyje apžvelgiami 6 metų Lietuvos ir Lietuvos sveikatos mokslų universiteto ligoninės Kauno klinikose (LSMUL KK) gydytų pacientų, patyrusių sprogdintines ir šautines plaštakos traumas, statistiniai duomenys, aptariami sužalojimo masto dėsningumai.

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Management of Gunshot Wounds to the Hand: A Literature Review

Cited by 32 publications

References 33 publications

Epidemiology of orthopaedic fractures due to firearms

Epidemiology of orthopaedic fractures due to firearms

Current Trends in the Management of Ballistic Fractures of the Hand and Wrist: Experiences of a High-Volume Level I Trauma Center

Sprogdintiniai Ir Šautiniai Plaštakos Ir Riešo Sužalojimai: 6 Metų Analizė

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