The Rate of Upper-Extremity Deep-Structure Injuries Through Small Penetrating Lacerations

Tuncali, Dogan; Yavuz, Nurten; Terzioğlu, Ahmet; Aslan, Gürcan

doi:10.1097/01.sap.0000168884.88016.e1

Cited by 60 publications

(45 citation statements)

References 12 publications

(14 reference statements)

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“…Neuro-vasculo-tendinous injury combined was present in 27.86 % of the patients out of which 25 % were complete revascularizations and replantations. Although missed tendon injuries have received an ample interest in the literature, with reported incidences up to 20 %, there is little information about missed nerve and vascular injuries [25]. Further, it is very interesting that Angermann and Lohmann, in a retrospective evaluation of 50,272 hand injuries, have not reported even a single vascular injury.…”

Section: Discussionmentioning

confidence: 99%

Demographic Profile of Hand Injuries in an Industrial Town of North India: A Review of 436 Patients

Gupta

Uppal

et al. 2012

Indian J Surg

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There are not many injuries that rival the injured hand in complexity. A better understanding of biologic, behavioral, and socioeconomic risk factors potentially associated with hand injuries can help identify those individuals most at risk and define potential preventative measures to help reduce the incidence. We present a prospective study of 436 consecutive patients of hand and forearm injury treated over a period of 2 years. A serial recording of the demographic profile of the patient along with the type & cause of injury sustained, hand dominance, duration of hospital stay, time lag between injury and admission, type surgery preformed with intra-operative findings and the cost analysis was done. An expected male dominance in economically viable individuals of 21 to 30 years formed 50 % of the patients of which 22.9 % were labourers and students each. The malady was altercation (27.5 %) followed by industrial & road accidents. Post prandial period was most notorious with multiple neuro (27.05 %) vasculo (39.34 %) tendinous (60.66 %) injury common with even simple lacerations. Dominant hand injury was commonest. It is challenging to assess and treat an injured hand. This study defines the demography and the etiology behind the various cases of hand and forearm injury with the detailed trauma profile. The limitation of the study was absence of functional outcome. The necessity of hand trauma registry is a pre-requisite to quantify the burden of hand injuries and formulate a prevention strategy.

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Section: Discussionmentioning

confidence: 99%

Demographic Profile of Hand Injuries in an Industrial Town of North India: A Review of 436 Patients

Gupta

Uppal

et al. 2012

Indian J Surg

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“…With penetrating trauma the tendons of the hand or wrist are frequently injured. In an evaluation of laceration injuries to the hand, Tuncali et al2) found that 54.8% of patients with a small laceration experienced concomitant tendon injury, and 92.5% of patients with a deep injury through a small laceration experienced concomitant tendon injury. These studies and others suggest that traumatic tendon injuries play a major role in hand trauma 3,4,5,6,7)…”

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confidence: 99%

The Incidence of Acute Traumatic Tendon Injuries in the Hand and Wrist: A 10-Year Population-based Study

et al. 2014

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BackgroundAcute traumatic tendon injuries of the hand and wrist are commonly encountered in the emergency department. Despite the frequency, few studies have examined the true incidence of acute traumatic tendon injuries in the hand and wrist or compared the incidences of both extensor and flexor tendon injuries.MethodsWe performed a retrospective population-based cohort study of all acute traumatic tendon injuries of the hand and wrist in a mixed urban and rural Midwest county in the United States between 2001-2010. A regional epidemiologic database and medical codes were used to identify index cases. Epidemiologic information including occupation, year of injury, mechanism of injury and the injured tendon and zone were recorded.ResultsDuring the 10-year study period there was an incidence rate of 33.2 injuries per 100,000 person-years. There was a decreasing rate of injury during the study period. Highest incidence of injury occurred at 20-29 years of age. There was significant association between injury rate and age, and males had a higher incidence than females. The majority of cases involved a single tendon, with extensor tendon injuries occurring more frequently than flexor tendons. Typically, extensor tendon injuries involved zone three of the index finger, while flexor tendons involved zone two of the index finger. Work-related injuries accounted for 24.9% of acute traumatic tendon injuries. The occupations of work-related injuries were assigned to major groups defined by the 2010 Standard Occupational Classification structure. After assigning these patients' occupations to respective major groups, the most common groups work-related injuries occurred in construction and extraction occupations (44.2%), food preparation and serving related occupations (14.4%), and transportation and material moving occupations (12.5%).ConclusionsEpidemiology data enhances our knowledge of injury patterns and may play a role in the prevention and treatment of future injuries, with an end result of reducing lost work time and economic burden.

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“…Therefore, the tendons of the extensor muscles are more frequently injured than the tendons of flexor muscles (10). At origin and insertion of muscles, multiple variations are common.…”

Section: Discussionmentioning

confidence: 99%

Anatomic Variations of the Hand Extensor Muscle Tendons

2017

GMJ

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Variations of muscles on the dorsal aspect of the forearm are seen very common. These variations can be symptomatic but generally they are diagnosed incidentally. On the posterior compartment of forearm, extensor carpi radialis brevis related to abduction of the wrist and extensor digitorum related to extension of the wrist and fingers. This case report showed rare variations of extensor carpi radialis brevis and extensor digitorum muscles. During routine dissections of the extensor compartment of the forearm for anatomy education, it was observed that extensor carpi radialis brevis muscle had an accessory head which attached to dorsum and proximal phalanx of the index finger. Besides, it was found that extensor digitorum muscle divided into three tendons distally. When we followed these tendons, it was observed that tendon of index finger was absent and other three tendons went to middle, ring and little fingers. Accessory muscles located on the extensor compartment of the forearm are seen common. They can be reason of the symptoms of the nerve entrapment. Besides, these unusual muscles may confuse radiologists, surgeons and anatomists. In order to prevent diagnostic errors and avoid surgical complications, these anatomical variations should be well-known.

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The Rate of Upper-Extremity Deep-Structure Injuries Through Small Penetrating Lacerations

Cited by 60 publications

References 12 publications

Demographic Profile of Hand Injuries in an Industrial Town of North India: A Review of 436 Patients

Demographic Profile of Hand Injuries in an Industrial Town of North India: A Review of 436 Patients

The Incidence of Acute Traumatic Tendon Injuries in the Hand and Wrist: A 10-Year Population-based Study

Anatomic Variations of the Hand Extensor Muscle Tendons

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