Telich-Tarriba Jose E, Velazquez Enrique, Theurel-Cuevas Alberto, Shinji-Perez Kenji, Anaya-Ayala Javier E, Jimenez-Murat Yusef, Cardenas-Mejia Alexander
Ann Plast Surg. 2018 Jan;80(1):23-26. doi: 10.1097/SAP.0000000000001182.
Acute upper extremity injuries remain one of the most common consultations in the emergency departments for plastic surgery services. These injuries can affect a person's quality of life and negatively affect work-related or social interactions if not properly managed. We aim to evaluate our experience and management in a specialized referral center in Mexico City.
A retrospective review was performed. All patients with hand trauma managed by our service from July 2010 to June 2015 were included; their demographic characteristics were described as well as the most common patterns of injury, management, and outcome.
A total of 4751 patients with injuries in the upper extremities were included, 77% were males with a mean age of presentation of 26.9 ± 17.9 years; the age group most commonly affected was between 16 to 30 years (39%); 54% of the cases affected the right hand. Lacerative wounds were the most common mechanism of injury (60.7%), followed by blunt trauma (28.7%). Management was surgical in 87% of the cases.
Upper extremity trauma encompasses a wide range of clinical presentations, from simple lacerations to catastrophic injuries that require extensive or multiple reconstructive procedures. The clear understanding of the trauma mechanisms and how they are related with certain patterns of injury might maximize awareness and guide a surgeon's management effectively.
急性上肢损伤仍是整形外科急诊最常见的会诊疾病之一。如果处理不当，这些损伤会影响患者的生活质量，并对工作或社交互动产生负面影响。我们旨在评估我们在墨西哥城一家专业转诊中心的经验和处理方法。
进行回顾性研究。纳入2010年7月至2015年6月期间由我们科室处理的所有手部创伤患者；描述了他们的人口统计学特征以及最常见的损伤类型、处理方法和结果。
共纳入4751例上肢损伤患者，其中77%为男性，平均就诊年龄为26.9±17.9岁；最常受影响的年龄组为16至30岁（39%）；54%的病例累及右手。撕裂伤是最常见的损伤机制（60.7%），其次是钝器伤（28.7%）。87%的病例采用手术治疗。
上肢创伤涵盖了广泛的临床表现，从简单的撕裂伤到需要广泛或多次重建手术的灾难性损伤。清楚了解创伤机制以及它们与某些损伤类型的关系，可能会提高认识并有效地指导外科医生的处理。
