Department of Surgery, Federal Teaching Hospital, Ido-Ekiti; Department of Surgery, Afe Babalola University, Ado-Ekiti, Nigeria.
Department of Surgery, Federal Teaching Hospital, Ido-Ekiti, Nigeria.
Ann Afr Med. 2022 Jul-Sep;21(3):237-243. doi: 10.4103/aam.aam_113_20.
Civilian blast injuries are common during celebrations and festivities. In the intervening times, civilian nonterrorist blast events are rare. The aim of this report is to highlight the increasing occurrence of blast injuries to the dominant right hand of hunters and the ensuing crippling consequences.
A review of incidental blast injuries to the hand among hunters was conducted. The case files, clinical photographs, and radiographs of consecutive cases of blast injuries presenting to our unit over 3½ years were studied.
Six patients had incidental blast injuries to the hand within the period. All the patients were males and hunters by profession. The age range was 30-49 years. The dominant right hand was involved in all the six cases with high-energy soft tissue and bony injuries. Five patients had staged soft tissue coverage while the sixth patient, after initial resuscitation, discharged against medical advice due to economic constraints. Multiple joint stiffness and significant disability occurred in all the affected hands. None of the patients represented for secondary procedures.
Incidental blast injuries to the hands of local hunters are lifestyle threatening. The dominant right hand is invariably involved with attendant crippling socioeconomic consequences. Meticulous clinical care and methodical operative intervention are primal to hand salvage.
在庆祝和节日活动期间，平民爆炸伤很常见。在此期间，平民非恐怖主义爆炸事件很少见。本报告的目的是强调猎手中右手为主的爆炸伤发生率不断增加，以及随之而来的致残后果。
对猎手中手部意外爆炸伤进行了回顾。研究了我们单位在 3 年半的时间内连续发生的手部意外爆炸伤的病例档案、临床照片和 X 光片。
在此期间，有 6 名患者手部发生意外爆炸伤。所有患者均为男性，职业为猎人。年龄在 30-49 岁之间。所有 6 例均为右手为主，手部有高能软组织和骨损伤。5 例患者进行了分期软组织覆盖，而第 6 例患者由于经济限制，在初始复苏后，未遵医嘱出院。所有受累手部均出现多个关节僵硬和显著残疾。没有患者进行二次手术。
当地猎人手部意外爆炸伤对生活方式构成威胁。右手为主，手部致残的社会经济后果严重。细致的临床护理和系统的手术干预是手部挽救的首要条件。
