Analysis of Pediatric Hand Injuries Presenting at A Public Sector Tertiary Care Hospital In Karachi, Pakistan

Erum Naz; Faisal Akhlaq Ali Khan; Bushra Zulfiqar; Rabeeaa Farrukh; Saba Kiran; Saira Ahmed Chhotani

doi:10.51253/pafmj.v76iSUPPL-7.11062

Authors

Erum Naz Department of Plastic Surgery, Ruth Pfau Civil Hospital, Karachi Pakistan
Faisal Akhlaq Ali Khan Department of Plastic Surgery, Ruth Pfau Civil Hospital, Karachi Pakistan
Bushra Zulfiqar Department of Plastic Surgery, Ruth Pfau Civil Hospital, Karachi Pakistan
Rabeeaa Farrukh Department of Plastic Surgery, Ruth Pfau Civil Hospital, Karachi Pakistan
Saba Kiran Department of Plastic Surgery, Ruth Pfau Civil Hospital, Karachi Pakistan
Saira Ahmed Chhotani Department of Plastic Surgery, Ruth Pfau Civil Hospital, Karachi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76iSUPPL-7.11062

Keywords:

Children, Hand Injury, Hand trauma, Plastic reconstruction, Toddlers

Abstract

Objective: To evaluate the pattern of pediatric hand injuries presenting at a public sector tertiary care hospital in Karachi.

Study Design: Cross-sectional study

Place and Duration of Study: Department of Plastic Surgery, Ruth Pfau Civil Hospital, Karachi Pakistan from Mar to Aug 2022.

Methodology: Children of age 1 to 17 years of either gender, presenting to emergency room within 24 hours of hand injury were enlisted into this study. Patients with poly-trauma and those whose parents did not give consent for participation were not invited to be the study part. Patient’s age, gender, residence, injured hand, zone and sites and mode of injury was recorded in the pre-designed structured proforma.

Results: Four hundred and thirty four (n=434) patients were enrolled into the study with median age of 6 (IQR=2-10) years. Majority of children were males 253 (58.3%), had injury in single zone 385 (87.8%). Sixty-eight (15.8%) patients had more than single injury site. The most frequent injury mode was door injury 126 (29%) followed by machine injury 109 (25.1%) injury from sharp object 78 (18%), road traffic accidents 57 (13.1%), fall 31 (7.1%), blunt trauma 25 (5.8%) and gunshot 8 (1.8%). Only skin laceration injury was present in nearly quarter of the hand injuries 120 (27.6%) whereas fractures 141 (32.5%) and tendon injury 147 (33.9%) was present in about one-third of the total cases.

Conclusion: The present study analyzed that children of age groups 1-10 years are commonly affected with hand injuries. All of the causes of hand inju....

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References

1. Sozbilen MC, Dastan AE, Gunay H, Kucuk L. One-year prospective analysis of hand and forearm injuries in children. J Pediatr Orthop B 2021;30(4):364-370.

https://doi.org/10.1097/bpb.0000000000000802

2. Jeon BJ, Lee JI, Roh SY, Kim JS, Lee DC, Lee KJ. Analysis of 344 Hand Injuries in a Pediatric Population. Arch Plast Surg 2016;43(1):71-76.

https://doi.org/10.5999/aps.2016.43.1.71

3. Wahba G, Cheung K. Pediatric hand injuries: Practical approach for primary care physicians. Can Fam Physician 2018;64(11):803-810.

4. Loewenstein SN, Adkinson JM. Pediatric Fingertip Injuries. Hand Clin 2021;37(1):107-116.

https://doi.org/10.1016/j.hcl.2020.09.009

5. Williams AA, Lochner HV. Pediatric hand and wrist injuries. Curr Rev Musculoskelet Med 2013;6(1):18-25.

https://doi.org/10.1007/s12178-012-9146-7

6. Tsai YJ, Carvajal CF, Flores NM, Lin TS, Yang JC, Chiang YC, et al. Reconstruction of pediatric hand injuries caused by automatic cup-sealing machines in Taiwan. J Int Med Res 2019;47(11):5855-5866.

https://doi.org/10.1177/0300060519874540

7. George A, Alexander R, Manju C. Management of nail bed injuries associated with fingertip injuries. Indian J Orthop 2017;51:709–713.

https://doi.org/10.4103/ortho.ijortho_231_16

8. Capstick R, Giele H. Interventions for treating fingertip entrapment injuries in children. Cochrane Database Syst Rev 2014 30;(4)CD009808.

https://doi.org/10.1002/14651858.cd009808.pub2

9. Venkatesh A, Khajuria A, Greig A. Management of Pediatric Distal Fingertip Injuries: A Systematic Literature Review. Plast Reconstr Surg Glob Open 2020;8(1):e2595.

https://doi.org/10.1097/gox.0000000000002595

10. Ijekeye F. A 4 year review of hand injury in children: experience from Benin City. Ann Biomed Sci 2018;17(2):31-36.

11. Samantaray SA, Oommen J, Thamunni CV, Kalathingal K, Koyappathody HM, Shet SM, et al. Fingertip injury epidemiology: an Indian perspective. J Plast Surg Hand Surg 2022;56(4):224-228.

https://doi.org/10.1080/2000656x.2021.1962332

12. Belie O, Mofikoya BO, Ugburo AO. Clinical profile and management of pediatric hand injuries in Lagos, South-west Nigeria-A retrospective study. J Clin Sci 2021;18(1):14.

https://doi.org/10.4103/jcls.jcls_24_20

13. Đerić D, Marjanović Z, Đorđević I, Budić I. Characteristics of hand injuries in children and prevention. J Assoc Prevent Paediatr Serbia 2022;8(1-2):90-96.

14. Akşam B, Akşam E, Ceran C, Demirseren ME. An emerging etiological factor for hand injuries in the pediatric population: public exercise equipment. Acta Orthop Traumatol Turc 2016;50(2):153-156.

15. Sozbilen MC, Dastan AE, Gunay H, Kucuk L. One-year prospective analysis of hand and forearm injuries in children. J Pediatr Orthop B 2021;30(4):364-370.

https://doi.org/10.1097/bpb.0000000000000802

16. Sung KP, Lee SH. Pediatric Hand Trauma: An Analysis of 3,432 Pediatric Hand Trauma Cases Over 15 Years. J Trauma Injury 2021;34(4):257-262.

https://doi.org/10.20408/jti.2021.0037

17. Lopes RC, Carvalho M, Ling TP, Balacó I, Cardoso P, Tarquini O, et al. Operative Pediatric Hand Trauma. Global Pediatr Health 2022;9:1-5.

https://doi.org/10.1177/2333794X221132462

18. Jones S, Tyson S, Young M, Gittins M, Davis N. Patterns of moderate and severe injury in children after the introduction of major trauma networks. Arch Dis Child 2019;104(4):366-371.https://doi.org/10.1136/archdischild-2018-315636