Highlights
- •Hand wounds are very common and represent a major public health issue
- •The digits represent 71% of wounds with the Index finger accounting for 1/5th of all injuries
- •Palmar zones are the most affected but dorsal wounds have a higher association with injury to underlying structures
- •Areas with more than 50% of lesions are palmar zone 5 and dorsal zones 1, 3, 5, 6, and 7.
- •Dorsal wounds overlying joints had more lesions with zone 3 presenting a rate of 68%
Abstract
Introduction
Methods
Results
Conclusion
Keywords
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- Etat des lieux des urgences de la main en France. Livre blanc.Fédération des Services d'Urgences de la main, 2018
- Epidemiology and socio-economic aspects of hand injuries.Rev Prat. 2013; 63: 1229-1232
- Incidence estimates of hand and upper extremity injuries in Italy.Ann Ist Super Sanit. 2015; 51https://doi.org/10.4415/ANN_15_04_10
- The Epidemiology of Hand Injuries in the Netherlands and Denmark.Eur J Epidemiol. 2003; 19: 323-327https://doi.org/10.1023/B:EJEP.0000024662.32024.e3
- Hand problems in an accident and emergency department.J Hand Surg Br Eur Vol. 1985; 10: 297-299https://doi.org/10.1016/S0266-7681(85)80047-4
- Injuries to the Hand and Wrist. A Study of 50,272 Injuries.J Hand Surg. 1993; 18: 642-644https://doi.org/10.1016/0266-7681(93)90024-A
- Huit jours d'urgences mains.Chir Main. 2003; 22: 225-232https://doi.org/10.1016/S1297-3203(03)00065-9
- The Rate of Upper-Extremity Deep-Structure Injuries Through Small Penetrating Lacerations.Ann Plast Surg. 2005; 55: 146-148https://doi.org/10.1097/01.sap.0000168884.88016.e1
- Hand Lacerations: An audit of clinical examination.J Hand Surg. 1998; 23: 482-484https://doi.org/10.1016/S0266-7681(98)80127-7
- The diagnostic accuracy of clinical examination in hand lacerations.Int J Surg. 2007; 5: 105-108https://doi.org/10.1016/j.ijsu.2006.06.002
- Subclinical injuries in lacerations to the forearm and hand.Br J Surg. 2005; 79: 765-767https://doi.org/10.1002/bjs.1800790816
- Hand injury without any deficit: Is systematic surgical exploration justified?.Hand Surg Rehabil. 2019; 38: 20-23https://doi.org/10.1016/j.hansur.2018.08.002
- Missed tendon injuries.Emerg Med J. 1991; 8: 87-91https://doi.org/10.1136/emj.8.2.87
- Primary repair of flexor tendons.J Bone Joint Surg Am. 1960; 42-A: 647-657
- Flexor Tendon Injuries.J Am Acad Orthop Surg. 2018; 26: e26-e35https://doi.org/10.5435/JAAOS-D-16-00316
- Improving Results of Flexor Tendon Repair and Rehabilitation.Plast Reconstr Surg. 2014; 134 (913e–925e)https://doi.org/10.1097/PRS.0000000000000749
- Tink.Prehension. Funct. Mov. Dev. Life Span. Elsevier, 2012: 309-334https://doi.org/10.1016/B978-1-4160-4978-4.00014-4
- Hand injury costs.Injury. 2006; 37: 1071-1077https://doi.org/10.1016/j.injury.2006.07.023
- Traumatic lesions to the tendon of the hand.EuroMediterranean Biomed J. 2012; : 65-71https://doi.org/10.3269/1970-5492.2012.7.14
- A Regional Audit of Hand and Wrist Injuries: A study of 4873 injuries.J Hand Surg. 1998; 23: 196-200https://doi.org/10.1016/S0266-7681(98)80174-5
- Acute traumatic occupational hand injuries: type, location, and severity.J Occup Environ Med. 2002; 44: 345-351https://doi.org/10.1097/00043764-200204000-00015
- Persistent Medical Problems and Permanent Impairment Five Years after Occupational Injury.Scand J Soc Med. 1995; 23: 121-128https://doi.org/10.1177/140349489502300207
- Median, Ulnar, and Combined Median-Ulnar Nerve Injuries: Functional Outcome and Return to Productivity.J Trauma Inj Infect Crit Care. 2001; 51: 687-692https://doi.org/10.1097/00005373-200110000-00011
- Practical Management of Common Skin Injuries, Lacerations, Wounds, Trigger Fingers, and Burns.J Am Board Fam Med. 2020; 33: 799-808https://doi.org/10.3122/jabfm.2020.05.200017
Carpentier F, Ficarelli A, Jehle E, Joye F, Lebrin P, Lestavel P, et al. Prise en charge des plaies aux urgences - 12ème conférence de consensus de la SFMU 2005:47.
- Auquit-Auckbur I. Surgical exploration of hand wounds in the emergency room: Preliminary study of 80 personal injury claims.Orthop Traumatol Surg Res. 2016; 102: 1009-1012https://doi.org/10.1016/j.otsr.2016.09.018
- Penetrating Wounds of the Upper Extremity - Prevalence and Etiology.Rev Bras Ortop. 2019; 54: 134-139https://doi.org/10.1016/j.rbo.2017.12.017
- Time to surgery for open hand injuries and the risk of surgical site infection: a prospective multicentre cohort study.J Hand Surg Eur Vol. 2020; 45: 622-628https://doi.org/10.1177/1753193420905205
- Nerve injuries to the volar aspect of the hand: A comparison of the reliability of the Weber static test versus the gauze test.Injury. 2017; 48: 2582-2585https://doi.org/10.1016/j.injury.2017.09.006
- Causes and consequences of hand injuries.Am J Surg. 2006; 192: 52-57https://doi.org/10.1016/j.amjsurg.2005.10.055
- Open extensor tendon injuries: an epidemiologic study.Hand Surg Int J Devoted Hand Up Limb Surg Relat Res J Asia-Pac Fed Soc Surg Hand. 2012; 17: 37-42https://doi.org/10.1142/S0218810412500062
- Report of the Committee on Tendon Injuries.J Hand Surg. 1983; 8: 794-798https://doi.org/10.1016/S0363-5023(83)80275-5
- Results of primary extensor tendon repair of the hand with respect to the zone of injury.Arch Trauma Res. 2012; 1: 131-134https://doi.org/10.5812/atr.7859
- Simultaneous laceration of the median and ulnar nerves with flexor tendons at the wrist.J Hand Surg. 1990; 15: 990-995https://doi.org/10.1016/0363-5023(90)90030-u
- Flexor Zone 5 Cut Injuries.Emergency Management and Outcome. 2014; 24: 4
- Plaie tendinonerveuse à la face antérieure du poignet: Combined nerve and flexor tendon laceration at the volar aspect of the wrist.in: Alnot J-Y Chammas M Lésions Traumatiques Nerfs Périphériques. Elsevier Masson, Paris2007: 78-92https://doi.org/10.1016/B978-2-84299-846-2.50009-6
- Analysis of Self-Inflicted Lacerations to the Wrist: A Multi-Disciplinary Approach to Treating.J Hand Surg Asian-Pac Vol. 2020; 25: 47-53https://doi.org/10.1142/S242483552050006X
- Hand trauma: A prospective observational study reporting diagnostic concordance in emergency hand trauma which supports centralised service improvements.J Plast Reconstr Aesthet Surg. 2016; 69: 1397-1402https://doi.org/10.1016/j.bjps.2016.06.030
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