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Indian J Surg. 2013 Dec;75(6):454-61. doi: 10.1007/s12262-012-0536-2. Epub 2012 Jun 10.

Demographic profile of hand injuries in an industrial town of north India: a review of 436 patients.

The Indian journal of surgery

Ashish Gupta, Ashok K Gupta, Sanjeev K Uppal, Rajinder K Mittal, Ramneesh Garg, Niharika Aggarwal

Affiliations

  1. Department of Plastic & Microvascular Surgery, S.P.S. Apollo Hospitals, 236- Civil Street, Ghumar Mandi, Ludhiana, 141001 India.
  2. Department of Plastic Surgery & Burns, Dayanand Medical College & Hospital, Ludhiana, India.
  3. Department of Surgery, S.M.S. College & Hospital, Jaipur, Rajasthan India.

PMID: 24465102 PMCID: PMC3900757 DOI: 10.1007/s12262-012-0536-2

Abstract

There are not many injuries that rival the injured hand in complexity. A better understanding of biologic, behavioral, and socioeconomic risk factors potentially associated with hand injuries can help identify those individuals most at risk and define potential preventative measures to help reduce the incidence. We present a prospective study of 436 consecutive patients of hand and forearm injury treated over a period of 2 years. A serial recording of the demographic profile of the patient along with the type & cause of injury sustained, hand dominance, duration of hospital stay, time lag between injury and admission, type surgery preformed with intra-operative findings and the cost analysis was done. An expected male dominance in economically viable individuals of 21 to 30 years formed 50 % of the patients of which 22.9 % were labourers and students each. The malady was altercation (27.5 %) followed by industrial & road accidents. Post prandial period was most notorious with multiple neuro (27.05 %) vasculo (39.34 %) tendinous (60.66 %) injury common with even simple lacerations. Dominant hand injury was commonest. It is challenging to assess and treat an injured hand. This study defines the demography and the etiology behind the various cases of hand and forearm injury with the detailed trauma profile. The limitation of the study was absence of functional outcome. The necessity of hand trauma registry is a pre-requisite to quantify the burden of hand injuries and formulate a prevention strategy.

Keywords: Demography; Hand dominance; Hand injuries; Incidence; Neuro-vascular injury; Tendon injury

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