Department of Orthopaedics and Traumatology, Dr Behcet Uz Child Diseases and Surgery Research and Training Hospital, Konak Izmir.
Department of Orthopaedics and Traumatology, Kusadasi State Hospital, Aydin.
J Pediatr Orthop B. 2021 Jul 1;30(4):364-370. doi: 10.1097/BPB.0000000000000802.
The primary aim of this study was to assess the epidemiological evaluation of acute pediatric hand injuries frequently encountered in emergency department units. Its secondary aim was to identify the risk factors associated with such injuries. Out of the 1547 acute hand and forearm injury cases admitted to emergency trauma department between March 2017 and March 2018, the 129 injuries pertaining to children were included in the study. Mechanism, time, etiology, injured structures, anatomical regions, cut structures, and occupational accident status were determined in addition to demographic information. The injuries were evaluated according to circadian rhythm in order to ascertain the hours of intensification. The Modified Hand Injury Severity Score (MHISS) was used to assess injury severity. The mean age of 129 patients was 10.1 years. The most injuries were observed in the groups of patients over 12 years of age (57, 44%), and 0-6 years of age (42, 32%), respectively. Nineteen students participating in vocational internships were injured (14%). Twenty-six cases (20%) in the 12-year-old group involved punching glass, and 34 (26%) cases in the 0-6 age groups involved fingertip crush injuries. Temporal injury intensity was seen to have increased between 12.00 and 19.00 hours. The mean MHISS was 41 (8-120). Injury prevention measures need to be increased, particularly for fingertip injuries. A specific injury severity assessment system is also required for pediatric hand injuries, which are often simpler and easier to treat than adult hand injuries. Additionally, training and increasing awareness are believed to be important steps in preventing pediatric hand injuries.
本研究的主要目的是评估急诊部门常见的急性儿科手部损伤的流行病学评估。其次要目的是确定与这些损伤相关的危险因素。在 2017 年 3 月至 2018 年 3 月期间，1547 例急性手部和前臂损伤患者入住急诊创伤科，其中 129 例儿童损伤患者纳入本研究。确定了机制、时间、病因、损伤结构、解剖区域、切割结构和职业事故状态以及人口统计学信息。根据昼夜节律评估损伤，以确定强化时间。使用改良手部损伤严重程度评分（MHISS）评估损伤严重程度。129 例患者的平均年龄为 10.1 岁。年龄超过 12 岁的患者（57 例，44%）和 0-6 岁的患者（42 例，32%）中损伤最多。19 名参加职业实习的学生受伤（14%）。12 岁组 26 例（20%）为拳击玻璃伤，0-6 岁组 34 例（26%）为指尖挤压伤。12.00 至 19.00 时手部损伤强度增加。平均 MHISS 为 41（8-120）。需要增加伤害预防措施，特别是针对指尖损伤。还需要针对儿科手部损伤制定特定的损伤严重程度评估系统，因为儿科手部损伤通常比成人手部损伤更简单、更容易治疗。此外，培训和提高认识被认为是预防儿科手部损伤的重要步骤。
