Department of Plastic Surgery, Medical Center of Postgraduate Education, Orlowski Memorial Hospital, Czerniakowska 231 Street, 00-416, Warsaw, Poland.
Eur J Trauma Emerg Surg. 2021 Oct;47(5):1607-1612. doi: 10.1007/s00068-020-01312-5. Epub 2020 Feb 5.
Trauma to the hand is common and potentially serious, impairing daily living and general quality of life. Patients are often unable to work for several months, with hand function improving only gradually. Here, we review the epidemiology of hand injuries treated at a tertiary referral hospital in Warsaw, Poland.
In this single-centre, retrospective study, we reviewed medical records of patients presenting to the A&E Unit of the Plastic Surgery Department, Centre of Postgraduate Medical Education in Warsaw, Poland, between January 2001 and December 2005. We assessed a number of patient and injury characteristics, including severity, scored with the Hand Injury Severity Scoring System (HISS), and time off work.
Of 1091 patients with a hand injury, 84% were male and over half were under the age of 40 years. Hand injury commonly resulted in tendon damage (56.1%), especially to finger flexors (79%), and in skin loss (37.8%). Amputations occurred in 24.1% of cases, while fractures (9.6%) and nerve (6.1%) or joint (5.5%) damage were less common. HISS-graded injury severity was moderate in 28.6% of cases, over half of the patients suffered severe (25.5%) or major (26.5%) injuries, and minor injuries were relatively uncommon (19.4%).
Amongst patients admitted to our Department, the most common injuries were tendon damage, skin loss, and amputations. Over half of the patients presented with severe or major injuries and took six months or longer to return to work, suggesting they were likely to face substantial social and economic consequences of their injury.
IV: retrospective series.
手部创伤较为常见且可能较为严重，会影响日常生活和整体生活质量。患者通常需要数月时间无法工作，手部功能仅逐渐恢复。在此，我们回顾了波兰华沙一家三级转诊医院治疗的手部创伤流行病学情况。
在这项单中心回顾性研究中，我们对华沙医学教育中心整形外科学系急诊部的患者病历进行了回顾。研究时间为 2001 年 1 月至 2005 年 12 月。我们评估了患者和损伤的一些特征，包括严重程度，使用手部损伤严重程度评分系统（HISS）进行评分，以及停工时间。
在 1091 例手部损伤患者中，84%为男性，超过一半的患者年龄在 40 岁以下。手部损伤常导致肌腱损伤（56.1%），尤其是手指屈肌腱（79%）和皮肤损伤（37.8%）。在 24.1%的病例中发生了截肢，而骨折（9.6%）、神经（6.1%）或关节（5.5%）损伤则较少见。HISS 分级的损伤严重程度为中度的占 28.6%，超过一半的患者为严重（25.5%）或重大（26.5%）损伤，而轻度损伤相对少见（19.4%）。
在我院就诊的患者中，最常见的损伤是肌腱损伤、皮肤损伤和截肢。超过一半的患者存在严重或重大损伤，需要六个月或更长时间才能恢复工作，这表明他们可能会因受伤而面临巨大的社会和经济后果。
IV：回顾性系列。
