Sahin Füsun, Dalgiç Yücel Serap, Yilmaz Figen, Erçalik Cem, Eşit Nalan, Kuran Banu
Department of Physical Therapy and Rehabilitation, Sişli Etfal Training and Research Hospital, Istanbul, Turkey.
Ulus Travma Acil Cerrahi Derg. 2008 Apr;14(2):139-44.
To establish the characteristics of patients in pediatric age who have been referred to hand rehabilitation center since 1998.
The patients were screened retrospectively and those within 0-16 age range were included into the study (178 patients; 126 males [70.8%], 52 females [29.2]; mean age 10.33+/-4.45; range 0 to 16 years). Demographic data, causes and locations of injury and follow-up period (week) were recorded.
Mean duration of application for rehabilitation was 5.4+/-0.7 weeks. Only 99 (55.6%) patients could be followed-up for a period more than 4 weeks (20.8+/-22.2 weeks). Types of injuries were categorized as accidental (n=133; 74.7%), intentional (n=29; 16.3%) and congenital (n=15; 8.4%). Accidents were related to domestic (n=109; 61.2%) and environmental causes (n=53; 29.8%). The most frequent domestic accident was glass injury and fall accident. The regions in order of decreasing frequency were wrists, metacarpal bones, proximal phalanges, forearms, elbows, plexus, mid-phalanges, total hands, shoulders, total arm and bilateral hands. Fourth digit was the most frequently injured digit. The most common types of injuries were as followings: flexor tendon cut (44.5%), nerve cut and arterial injuries, fractures and burn contractures.
Hand injuries occurred mostly in male children, the most frequent type injury was accidental domestic injury of the wrist flexor tendon caused by broken glass fragments and the most frequently injured digit was the 4th and adherence of the patients to the follow-up protocol was unsatisfactory since majority of referrals were out-of-towners.
确定自1998年以来转诊至手部康复中心的儿童患者的特征。
对患者进行回顾性筛查，将年龄在0至16岁之间的患者纳入研究（178例患者；126例男性[70.8%]，52例女性[29.2%]；平均年龄10.33±4.45岁；年龄范围0至16岁）。记录人口统计学数据、损伤原因和部位以及随访期（周）。
康复申请的平均持续时间为5.4±0.7周。只有99例（55.6%）患者能够随访超过4周（20.8±22.2周）。损伤类型分为意外（n=133；74.7%）、故意（n=29；16.3%）和先天性（n=15；8.4%）。意外事故与家庭（n=109；61.2%）和环境原因（n=53；29.8%）有关。最常见的家庭事故是玻璃割伤和跌倒事故。损伤部位按频率递减顺序为手腕、掌骨、近节指骨、前臂、肘部、神经丛、中节指骨、全手、肩部、全臂和双手。第四指是最常受伤的手指。最常见的损伤类型如下：屈肌腱切断（44.5%）、神经切断和动脉损伤、骨折和烧伤挛缩。
手部损伤大多发生在男童中，最常见的损伤类型是玻璃碎片导致的手腕屈肌腱意外家庭损伤，最常受伤的手指是第四指，并且患者对随访方案的依从性不令人满意，因为大多数转诊患者来自外地。
