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Hand and Wrist Injuries Caused by Glass Cuts: Accidental or Due to Sudden Anger?

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Author(s): Servan GÖKHAN | Yusuf Ali ALTUNCI | Murat ORAK | Mehmet ÜSTÜNDAĞ | Özgür SÖĞÜT | Ayhan ÖZHASENEKLER

Journal: Turkish Journal of Emergency Medicine
ISSN 1304-7361

Volume: 11;
Issue: 2;
Start page: 54;
Date: 2011;
Original page

Keywords: Alcohol | glass punching | hand | wrist.

ABSTRACT
Objectives: Traumatic hand and wrist injuries are the type of injuries commonly seen in the emergency department (ED). Hand and wrist injuries related to punching windows due to sudden discomposes are frequent in Turkey. The aim of this study was to analyze clinical and demographic specifications of hand and wrist injuries related to glass cuts and their underlying causes. Methods: The patient files who presented to the Dicle University Hospital ED (Diyarbakır-Turkey) with injuries due to glass cuts have been examined. Demographic data of the patients have been recorded in the standard work form and then were analyzed. Results: One hundred and fifty four patients were included in the study. 53.8% of the patients constituted those who punched on the glass during an angry episode. Punching on the glass was more frequently observed in men (n=81, 97.6%), with cuts to the right hand being the most frequent type of resulting injury (n=65, 78.3%). Twenty four (28.9%) of the patients with injuries related to glass punching were under the influence of alcohol during the incidents and injury rates of radial artery, ulnar nerve, median nerve and ulnar artery have been found considerably higher in this group. Conclusions: A thorough artery, nerve and tendon examination of the patients presenting to the ED with hand and wrist injuries needed to be performed, and especially for those under the influence of alcohol in order to prevent functional losses of the underlying structures.
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