Al-Ali Mohamed A, Hefny Ashraf F, Abu-Zidan Fikri M
Department of Surgery, College of Medicine and Health Sciences, UAE University, Al Ain, Abu Dhabi, United Arab Emirates; Department of Otolaryngology, Al Ain Hospital, Al Ain, Abu Dhabi, United Arab Emirates.
Department of Surgery, College of Medicine and Health Sciences, UAE University, Al Ain, Abu Dhabi, United Arab Emirates; Department of Surgery, Al Ain Hospital, Al Ain, Abu Dhabi, United Arab Emirates.
Injury. 2019 Jan;50(1):210-214. doi: 10.1016/j.injury.2018.11.029. Epub 2018 Nov 16.
Large animal-related human injuries are associated with high morbidity and mortality. There are no studies on biomechanics of the camel-related head, face, and neck (HFN) injuries. We aimed to study the mechanism, anatomical distribution and severity of camel-related HFN injuries.
We analyzed our prospectively collected data of patients who were admitted to Al Ain Hospital with camel-related HFN injury during the period of October 2001 to January 2010.
Seventy-three patients were studied; all were males having a median (range) age of 28 (5-89) years. Camel kick was the most common mechanism of injury (45%) followed by falling from a camel (22%). Facial fractures were significantly more common in patients who were kicked by a camel. Severe head injuries were significantly more in patients who fell from a camel or who had a car collision with a camel. Car collision with a camel was significantly associated with lower cervical spine fractures (p = 0.017) and severe cervical spine injuries (p = 0.004). Two patients died (overall mortality 3%) CONCLUSIONS: Our study provides an insight into the complex biomechanics and severity of camel-related HFN injuries. It is essential to adopt protective measures in our community so as to reduce camel-related HFN injuries.
与大型动物相关的人类损伤具有高发病率和死亡率。目前尚无关于骆驼相关的头部、面部和颈部（HFN）损伤生物力学的研究。我们旨在研究骆驼相关HFN损伤的机制、解剖分布和严重程度。
我们分析了2001年10月至2010年1月期间因骆驼相关HFN损伤入住艾因医院的患者的前瞻性收集数据。
共研究了73例患者；均为男性，年龄中位数（范围）为28（5 - 89）岁。被骆驼踢是最常见的损伤机制（45%），其次是从骆驼上跌落（22%）。面部骨折在被骆驼踢的患者中明显更常见。严重头部损伤在从骆驼上跌落或与骆驼发生汽车碰撞的患者中明显更多。与骆驼发生汽车碰撞与下颈椎骨折（p = 0.017）和严重颈椎损伤（p = 0.004）显著相关。两名患者死亡（总死亡率3%）。结论：我们的研究深入了解了骆驼相关HFN损伤的复杂生物力学和严重程度。在我们的社区采取保护措施以减少骆驼相关HFN损伤至关重要。
