Singh Pritish, Kumar Ashok, Shekhawat Vishal
Department of Orthopedics, Lok Nayak Hospital & Maulana Azad Medical College, Delhi, India.
Department of Orthopedics, Maharaja Agarsen Medical College, Agroha, India.
Chin J Traumatol. 2017 Apr;20(2):90-93. doi: 10.1016/j.cjtee.2016.03.009. Epub 2017 Mar 9.
Scarf is a long loose piece of cloth worn around the neck and shoulder. Despite cultural association of this apparel, it is part of numerous injury episodes of varying enormity. Entanglement of loose scarf in spoke wheels of bike, tricycle, belt driven machines like sugarcane juice machine, thresher, grinding machines, etc is observed both in social and industrial milieu. This study aims to investigate the scarf-related injuries at a major trauma center in northern India.
From June 2013 to May 2015, a hospital-based prospective observational study was done in patients who presented to a level 1 trauma center in northern India with the mode of injury involving scarf around the neck. Demographic profile, mode of trauma, contributing factors, injury pattern, and the early management as well as early complications were recorded.
There were 76 injuries directly related from scarf with the mean age of patients being 32.4 years. The most common primary factor involved was rotating wheel of motorbike/tricycle (46.1%), followed by belt driven machines (28.9%). The spectrum of injuries was diverse, including minor abrasions or lacerations (53.9%), large lacerations (15.8%), fractures and spine trauma (18.4%), mangled extremity and amputations (7.9%) and death (3.9%). More severe injury patterns were noted with belt driven machines.
Scarf-related injuries constitute a sizable proportion of trauma, with varying degrees of severity. Devastating consequences in significant proportion of cases dictate the call for a prevention plan comprising both educational and legislative measures. Urgent preventive measures targeting scarf-related injuries will help reduce mortality and morbidity.
围巾是一种围在脖子和肩膀上的长而宽松的布。尽管这种服饰有文化关联，但它却是众多不同严重程度损伤事件的一部分。在社会和工业环境中，都能观察到宽松的围巾缠在自行车、三轮车、甘蔗榨汁机、脱粒机、研磨机等皮带驱动机器的辐条轮上的情况。本研究旨在调查印度北部一家主要创伤中心与围巾相关的损伤情况。
2013年6月至2015年5月，对印度北部一家一级创伤中心收治的、损伤方式涉及颈部围巾的患者进行了一项基于医院的前瞻性观察研究。记录了患者的人口统计学资料、创伤方式、促成因素、损伤模式、早期处理以及早期并发症。
有76例损伤直接与围巾有关，患者的平均年龄为32.4岁。涉及的最常见主要因素是摩托车/三轮车的旋转轮（46.1%），其次是皮带驱动机器（28.9%）。损伤范围多样，包括轻度擦伤或撕裂伤（53.9%）、大面积撕裂伤（15.8%）、骨折和脊柱创伤（18.4%）、肢体毁损和截肢（7.9%）以及死亡（3.9%）。皮带驱动机器导致的损伤模式更为严重。
与围巾相关的损伤在创伤中占相当大的比例，严重程度各不相同。相当一部分病例会产生灾难性后果，这就需要制定一项包括教育和立法措施的预防计划。针对与围巾相关损伤的紧急预防措施将有助于降低死亡率和发病率。
