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Mirzaie, Maryam, Parsa, Ali, Salehi, Maryam, Hallaj Moghadam, Mohammad, Dahmardehei, Mostafa, Mirzaie, Neda. (1393). Epidemiology of Hand Injuries in Children Presenting to an Orthopedic Trauma Center in Southeast of Iran. , 2(3), 225-231. doi: 10.22038/abjs.2014.3394
Maryam Mirzaie; Ali Parsa; Maryam Salehi; Mohammad Hallaj Moghadam; Mostafa Dahmardehei; Neda Mirzaie. "Epidemiology of Hand Injuries in Children Presenting to an Orthopedic Trauma Center in Southeast of Iran". , 2, 3, 1393, 225-231. doi: 10.22038/abjs.2014.3394
Mirzaie, Maryam, Parsa, Ali, Salehi, Maryam, Hallaj Moghadam, Mohammad, Dahmardehei, Mostafa, Mirzaie, Neda. (1393). 'Epidemiology of Hand Injuries in Children Presenting to an Orthopedic Trauma Center in Southeast of Iran', , 2(3), pp. 225-231. doi: 10.22038/abjs.2014.3394
Mirzaie, Maryam, Parsa, Ali, Salehi, Maryam, Hallaj Moghadam, Mohammad, Dahmardehei, Mostafa, Mirzaie, Neda. Epidemiology of Hand Injuries in Children Presenting to an Orthopedic Trauma Center in Southeast of Iran. , 1393; 2(3): 225-231. doi: 10.22038/abjs.2014.3394

Epidemiology of Hand Injuries in Children Presenting to an Orthopedic Trauma Center in Southeast of Iran

The Archives of Bone and Joint Surgery
مقاله 20، دوره 2، شماره 3، آذر 2014، صفحه 225-231    اصل مقاله (578.65 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2014.3394
نویسندگان
Maryam Mirzaie1؛ Ali Parsa2؛ Maryam Salehi* 1؛ Mohammad Hallaj Moghadam2؛ Mostafa Dahmardehei3؛ Neda Mirzaie4
1Department of Community Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
3Department of Plastic Surgery, Zahedan University of Medical Sciences, Zahedan, Iran
4Department of Art and Architecture,Mashhad Branch,Islamic Azad University,Mashhad,Iran
چکیده
Background:
 Hand injuries are among the most common childhood injuries. No study has been performed regarding the epidemiology of hand injuries in the pediatric population of Iran. This study aimed to examine the epidemiology of hand injuries among children in southeast of Iran.  
Methods:
 This cross-sectional study was performed via census sampling on patients, aged 16 years or less, with a final diagnosis of hand injury. Patients presenting to the orthopedic department of Khatam-al-Anbia General Hospitalof Zahedan, Iran, were selected from March 2012 to December 2013. Data were analyzed  trospectively, using a chart review.
Results:
 Two-hundred patients (136 males and 64 females with the mean age of 13±2.8 years) with 205 hand injuries were included in this study. As the results indicated, door-related injuries were the most common type (25%), accounting for 24% and 28% of injuries in male and female patients, respectively (P=0.016). Most injuries occurred at home (64%) and the lowest number was reported at school(22%) (P=0.012). Compared to boys, girls were more likely to be injured at home (78% vs. 57%) (P=0.13). In addition, the dominant hand was mostly injured by doors (28%). The most common type of injury was laceration(81%) and the least common type was finger amputation (7%); also, children with finger amputation were significantly younger than those with other types of hand injuries (P<0.001).Thumb alone (20%) and index and middle fingers together with anequal percentage (3.5%) were the most commonly injured digits. Also, the mean hospitalization cost was 297± 38 dollars.
Conclusions:
 Most hand injuries occurred at home and were door-related; they were also more frequentamong younger children. Prospective studies in order to identify specific protective door devices could potentially decrease the frequency of these injures.
کلیدواژه‌ها
Childhood؛ Epidemiology؛ Hand injury
مراجع
Liu EH, Alqahtani S, Alsaaran RN, Ho ES, Zuker RM, Borschel GH. A prospective study of pediatric hand fractures and review of the literature. Pediatr Emerg Care. 2014;30(5):299-304.

    • Worlock PH, Stower MJ. The incidence and pattern of hand fractures in children. J Hand Surg Br. 1986;11(2):198-200.

    • Kubus M, Andrzejewska E, Kuzanski W. Fingertip injuries in children treated in Department of Pediatric Surgery and Oncology in the years 2008-2010. Ortop Traumatol Rehabil. 2011;13(6):547-54.

    • Khorasani-Zavareh D, Mohammadi R, Khankeh HR, Laflamme L, Bikmoradi A, Haglund BJ. The requirements and challenges in preventing of road traffic injury in Iran. A qualitative study. BMC public health. 2009;9:486.

    • Chew EM, Chong AK. Hand fractures in children: epidemiology and misdiagnosis in a tertiary referral hospital. J Hand Surg Am. 2012;37(8):1684-8.

    • Rosberg HE, Dahlin LB. Epidemiology of hand injuries in a middle-sized city in southern Sweden: a retrospective comparison of 1989 and 1997. Scand J Plast Reconstr Surg Hand Surg. 2004;38(6):347-55.

    • Claudet I, Toubal K, Carnet C, Rekhroukh H, Zelmat B, Debuisson C, et al. When doors slam, fingers jam!. Arch Pediatr. 2007;14(8):958-63.

    • Almquist EE. Hand injuries in children. Pediatr Clin North Am. 1986;33(6):1511-22.

    • Landin LA. Fracture patterns in children. Analysis of 8,682 fractures with special reference to incidence, etiology and secular changes in a Swedish urban population 1950-1979. Acta Orthop Scand Suppl. 1983;202(54):1-109.

    • Hastings H, 2nd, Simmons BP. Hand fractures in children. A statistical analysis. Clin Orthop Relat Res. 1984(188):120-30.

    • Frazier WH, Miller M, Fox RS, Brand D, Finseth F. Hand injuries: incidence and epidemiology in an emergency service. Jacep. 1978;7(7):265-8.

    • Rouhani A, Mohajerzadeh S. An Epidemiological and Etiological Report on Lower Extremity Amputation in Northwest of Iran. Arch Bone Jt Surg. 2013;1(2):103-6.

    • Iconomou TG, Zuker RM, Michelow BJ. Management of major penetrating glass injuries to the upper extremities in children and adolescents. Microsurgery. 1993;14(2):91-6.

    • Ross DJ, Smith ME, Angarita G. Hand injury in the accident and emergency service. Arch Emerg Med. 1985;2(3):155-60.

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