22. Pattern of Hand Injuries in Accidents and Emergency Department of a Tertiary Care Hospital in Karachi
Mehtab Ahmed1, Mirza Shehab Afzal Beg1, Syed Sheeraz ur Rahman2 and Urooj Zafar3
Objective: To analyze the pattern of hand injuries in terms of age, occupation, mechanism, type of injury and structures involved in patients with hand injuries visiting Liaquat National Hospital, Karachi. Study Design: Descriptive case series.
Place and Duration of Study: This study was conducted at the Accidents and Emergency Department, Liaquat National Hospital, Karachi from Jan 2015 to June 2015.
Materials and Methods: The records of 2367 patients reported for hand injuries were analyzed. Collected data were categorized on the basis of normal handedness, Gender, age, place of injury, mechanism of trauma, types of injuries and its association with different mechanisms. The results were statistically anal zed using mean, frequency and ranges.
Results: Hand injuries constitute total 6% of hospital emergency visits with 75% (n=1775) male patients. Right hand dominance (91%) was seen but there was no significant difference in the involvement of right and left hand in injury. Young population (Age 16-35) was found most frequently suffered from hand trauma. Laborer and mechanical workers are the most affected personnel (30.7%) followed by ffice workers and students 27.3% and 23.9%, respectively. RTA and home were among the most common places f injury. Sharp cut and RTA were the main mechanisms of injury followed by machine/ crush injuries with fracture as the most common type of injury.
Conclusion: Young male population is at significant risk of hand trauma. Road traffic accident, industry and home are most common places. Proper understanding of mechan sm of injuries and timely referral to hand specialist are key steps in appropriate management.
Key Words: Hand injuries, pattern, incidence, mecha sm
Citation of articles: Ahmed M, Beg MSA, Rahman SS, Zafar U. Pattern of Hand Injuries in Accidents and Emergency Department of a Tertiary Care H spital in Karachi. Med Forum 2017;28(8):83-86.