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ORIGINAL ARTICLE
Year : 2019  |  Volume : 17  |  Issue : 4  |  Page : 98-102

A retrospective study on the clinical profile of patients with open hand injury presenting to the emergency department of a tertiary care center in South India


Department of Emergency Medicine, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
Dr. Darpanarayan Hazra
Department of Emergency Medicine, Christian Medical College, Vellore - 632 004, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/cmi.cmi_38_19

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Background: The human hand is a vital part of our day-to-day activities. Most of the time, our body movements do not cause problems, but it is not surprising that symptoms develop from everyday wear and tear, overuse, or an injury. To reduce this risk, even the smallest hand injuries require proper medical care. Materials and Methods: We conducted a retrospective observational study of all trauma patients with open hand injuries presenting to our emergency department (ED). Details of the incident, injuries, management, and outcome were noted. Results: During the study period of 8 months, we received a total number of 4414 trauma patients to our ED, among which 291 (7%) had hand or upper extremity injuries. Most of these patients had crush injury (33.7%) or cut injuries (27.4%) that are mostly work related. Most of the injuries happened in the active age groups ranging from 0 to 30 years of age where cut injury and crush injury (13%) were the most common, Road traffic accidnets account for (26.3%), whereas cracker burst injuries were the cause in (8.9%). The index finger (17%) is the most commonly injured finger, followed by the thumb (16%). Fractures and amputations of the fingers and hands were seen in (24.7%) and (22.1%), respectively. Other injuries included lacerations (15.3%) and tendon injury (14.2%). Most patients (93%) were taken up for emergency procedures such as wound wash, debridement, suturing, or nailing of the fractures in the ED. Approximately half (48%) of the total patients were admitted in ward and had to undergo major surgical intervention. The rest were either discharged (45%) stable or discharged against medical advice (7%) after the primary care. Conclusions: This study showed the pattern of hand injuries in the children, the young, and the elderly. Public awareness and education, along with needed legislative enforcement for the betterment and well-being of the mass, is needed to prevent the catastrophe since these injuries are prevalent in the productive age groups.


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