Öz
Amaç: Çalışmamızın amacı, iş kazası ile acil servise başvuran ve izole el yaralanması olan hastalarda dominant el kullanım dağılımının belirlenmesi ve dominant el kullanımı ile yaralanma lokalizasyonunun ilişkisinin değerlendirilmesidir.
Gereç ve Yöntemler: Tek merkezli prospektif tanımlayıcı çalışmamıza, 01.12.2019 ile 01.06.2020 tarihleri arasında acil servise iş kazası nedeniyle başvuran ve izole el yaralanması tespit edilen 528 hasta dahil edildi.
Bulgular: Yaralanma türlerinin analizi, 369 (%69.9) hastada izole deri kesileri olduğunu, geri kalan hastalarda ise nörovasküler ve tendon yaralanması, kırık veya ampütasyon gibi daha ciddi eşlik eden yaralanmaların olduğunu gösterdi. En sık yaralanma mekanizması alet kullanırken elle kesmeydi (163 vaka, %30.9). Elde en sık etkilenen bölgeler birinci ve ikinci parmaklardı. Sağ hemisfer dominant olan hastalarda dominant hemisfere uygun olmayan elin dominant olarak kullanımı sol hemisfere dominant olan hastalara göre istatistiksel olarak anlamlı oranda yüksek saptandı (38.1% vs 1.7%, p<0.0001).
Sonuç: Sol eli dominat kullanan bireylerde iş kazalarına bağlı izole el yaralanma riski daha yüksek gibi görünmektedir ve el yaralanmasının sağ eli dominant kullanan bireylere göre daha fazla non-dominant elde ortaya çıkmaktadır.
Anahtar Kelimeler
Destekleyen Kurum
None. The authors declared that this study received no financial support
Teşekkür
Değerlendirmeleriniz şimdiden teşekkürler.
Kaynakça
- Mathur N, Sharma KKR. Medico economic implications of industrial hand injuries in India. J Hand Surg. 1988;13(3):325-327.
- Lipscomb HJ, Schoenfisch A, Cameron W. Work-related injuries involving a hand or fingers among union carpenters in Washington State, 1989 to 2008. J Occup Environ Med. 2013;55(7):832-838.
- Taras JS, Behrman MJ, Degnan GG. Left-hand dominance and hand trauma. J Hand Surg Am. 1995;20(6):1043-1046.
- Justis EJ, Moore SV, Lavelle DG. Wood working injuries: an epidemiologic survey of injuries sustained using wood- working machinery and hand tools. J Hand Surg Am.1987;12A:890-895.
- Goldner RD, Stevanovic MV, Nunley JA, Urbaniak JR. Digital replantation at the level of the distal inter phalangeal joint and the distal phalanx. J Hand Surg Am. 1989;14A:214-220.
- Ding Y, Naber M, Gayet S, Van der Stigchel S, Paffen CLE. Assessing the generalizability of eye dominance across binocular rivalry, onset rivalry, and continuous flash suppression. J Vis. 2018;18(6):6.
- Nogier R. La lateralite–Les troubles lescorrections. Nogier R. Introductionpratique a l’auriculo medecine. La photo perception cutanee. 1st Edition, Bruxelles, Haug International, 1993, 64-93.
- Uwaezuoke SN, Eke CB, Nwobi EA. Left-hand dominance in children: Prevalence and maternal stereotypes in a South-east Nigerian city. Laterality. 2015;20(5):530-542.
- Tan U. The distribution of hand preference in normal men and women. Int J Neurosci. 1988;41(1-2):35-55.
- Coren S. Left-handedness and accident-related injury risk. Am J Public Health. 1989;79(8):1040-1041.
- Beaton AA, Williams L, Moseley LG. Handedness and hand injuries. J Hand Surg Br. 1994;19(2):158-161.
- Hill C, Riaz M, Mozzam A, Brennen MD. A regional audit of hand and wrist injuries. A study of 4873 injuries. J Hand Surg Br. 1998;23(2):196-200.
- Davasaksan A , Durusoy R, Bal E, Kayalar M , Ada S, Tanık FA. Risk factors for occupational hand injuries: relationship between agency and finger. Am J Ind Med. 2012;55(5):465-473.
- Liu XX, Huang GX, Huang HQ, Wang SY, Zong Y, Chen WQ. Transient risk factors for acute occupational hand injuries among metal manufacturing workers: A case-crossover study in southern China. Am J Ind Med. 2016;59(10):832-840.
- Grivna M, Eid HO, Abu-Zidan FM. Epidemiology of isolated hand injuries in the United Arab Emirates. World J Orthop 2016;7(9):570-576.
- Garg R, Cheung JPY, Fung BKK, Ip WY. Epidemiology of occupational hand injury in Hong Kong. Hong Kong Med J. 2012;18:131-136.
- Mostafa NS, Sayed AM, Osman AA. Work-related hand injuries treated at a tertiary care hospital. J Egypt Public Health Assoc. 2014;89(2):85-89.
The Relationship Between Isolated Hand Injuries due to Occupational Accidents and Cerebral Lateralization in Patients Presenting to the Emergency Department
Öz
Aim: This study aimed to determine the distribution of hand dominance and to evaluate the relationship between the dominant hand and injury site among patients who presented to emergency service with occupational accident and had isolated hand injury.
Material and Methods: This single-center prospective descriptive study included 528 patients who administered to the emergency department due to work accident and were found to have isolated hand injuries between 01.12.2019-01.06.2020.
Results: 369 (69.9%) patients had isolated skin cuts while the rest of the patients had more severe accompanying injuries such as neurovascular and tendon injury, fracture, or amputation. The most common mechanism of injury was hand cuts while using a tool (163 cases, 30.9%). The most commonly affected regions in hand were the first and second fingers. In patients with right hemisphere dominant, the dominant use of the hand that is not suitable for the dominant hemisphere was found to be statistically significantly higher than in patients with left hemisphere dominant (38.1% vs 1.7%, p<0.0001).
Conclusion: The risk of isolated hand injury due to occupational accidents appears to be greater in left-handed individuals, and hand injury more commonly involves non-dominant hand in left-handed individuals than the right-handed ones.
Anahtar Kelimeler
Dominant hand dominant hemisphere hand injury occupational accidents
Kaynakça
- Mathur N, Sharma KKR. Medico economic implications of industrial hand injuries in India. J Hand Surg. 1988;13(3):325-327.
- Lipscomb HJ, Schoenfisch A, Cameron W. Work-related injuries involving a hand or fingers among union carpenters in Washington State, 1989 to 2008. J Occup Environ Med. 2013;55(7):832-838.
- Taras JS, Behrman MJ, Degnan GG. Left-hand dominance and hand trauma. J Hand Surg Am. 1995;20(6):1043-1046.
- Justis EJ, Moore SV, Lavelle DG. Wood working injuries: an epidemiologic survey of injuries sustained using wood- working machinery and hand tools. J Hand Surg Am.1987;12A:890-895.
- Goldner RD, Stevanovic MV, Nunley JA, Urbaniak JR. Digital replantation at the level of the distal inter phalangeal joint and the distal phalanx. J Hand Surg Am. 1989;14A:214-220.
- Ding Y, Naber M, Gayet S, Van der Stigchel S, Paffen CLE. Assessing the generalizability of eye dominance across binocular rivalry, onset rivalry, and continuous flash suppression. J Vis. 2018;18(6):6.
- Nogier R. La lateralite–Les troubles lescorrections. Nogier R. Introductionpratique a l’auriculo medecine. La photo perception cutanee. 1st Edition, Bruxelles, Haug International, 1993, 64-93.
- Uwaezuoke SN, Eke CB, Nwobi EA. Left-hand dominance in children: Prevalence and maternal stereotypes in a South-east Nigerian city. Laterality. 2015;20(5):530-542.
- Tan U. The distribution of hand preference in normal men and women. Int J Neurosci. 1988;41(1-2):35-55.
- Coren S. Left-handedness and accident-related injury risk. Am J Public Health. 1989;79(8):1040-1041.
- Beaton AA, Williams L, Moseley LG. Handedness and hand injuries. J Hand Surg Br. 1994;19(2):158-161.
- Hill C, Riaz M, Mozzam A, Brennen MD. A regional audit of hand and wrist injuries. A study of 4873 injuries. J Hand Surg Br. 1998;23(2):196-200.
- Davasaksan A , Durusoy R, Bal E, Kayalar M , Ada S, Tanık FA. Risk factors for occupational hand injuries: relationship between agency and finger. Am J Ind Med. 2012;55(5):465-473.
- Liu XX, Huang GX, Huang HQ, Wang SY, Zong Y, Chen WQ. Transient risk factors for acute occupational hand injuries among metal manufacturing workers: A case-crossover study in southern China. Am J Ind Med. 2016;59(10):832-840.
- Grivna M, Eid HO, Abu-Zidan FM. Epidemiology of isolated hand injuries in the United Arab Emirates. World J Orthop 2016;7(9):570-576.
- Garg R, Cheung JPY, Fung BKK, Ip WY. Epidemiology of occupational hand injury in Hong Kong. Hong Kong Med J. 2012;18:131-136.
- Mostafa NS, Sayed AM, Osman AA. Work-related hand injuries treated at a tertiary care hospital. J Egypt Public Health Assoc. 2014;89(2):85-89.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Orijinal Çalışma |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Haziran 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 5 Sayı: 2 |
