scholarly journals Epidemiology of Hand Injuries in a Tertiary Care Center

2018 ◽  
Vol 5 (2) ◽  
pp. 35-39
Author(s):  
Suraj Bajracharya ◽  
S Shrestha
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Metacarpal Bone ◽  
Hand Injuries ◽  
Medical Sciences ◽  
The Common

INTRODUCTION: This retrospective review was performed to identify the incidence, causes, and details of hand injuries in patients presenting to a tertiary hospital of Kathmandu.  MATERIAL & METHODS: Records of all patients who had sustained hand injuries for last 5 years were collected from the Medical Record section. 832 injuries of the hand in 484 patients were reported in this review. These patients were reviewed for a geat the time of injury, gender, location of the incident, mechanism of injury, and fracture specifics.RESULTS: Majority (85.5%) of patients were males with a mean age of 28.79±12.81years and the rest were females with a mean age- of 30.43 ±17.13 yrs. Machinery injuries (25.2%) were the most common cause of injuries followed by road traffic accidents (14.5%). Metacarpal bone fractures (34.6%) were the common estinjuries of the hand. Most of the patients were treated with open reduction and fixation with Kwires.CONCLUSION: The study revealed the aetio-epidemiological and clinical profile of hand injuries, and its burden in eastern Nepal.Journal of Universal College of Medical Sciences, Vol. 5, No. 2, 2017, Page: 35-39

scholarly journals Male genital injuries attending a tertiary hospital in a western region of Nepal: A two-year snapshot.

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 337
Author(s):  
Alok Atreya ◽  
Suman Baral ◽  
Ritesh G Menezes ◽  
Samata Nepal
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Medical College ◽  
Medical Issues ◽  
Clinical Scenarios ◽  
Male Genital ◽  
Genital Injuries

Background: Male genital injuries are urological emergencies which if not promptly treated with correct therapeutic intervention may lead to chances of loss of fertility due to infections and anatomical disruption of normalcy. This study highlights the clinical scenarios, etiology and outcome of male genital injury cases that were managed at a tertiary care center in Nepal. Such injuries are not frequently encountered as lack of reporting by patients means cases are rare. The present study is the first from Nepal which depicts a comprehensive report on male genital injuries.   Methods: A retrospective analysis of discharge summaries was carried out and the cases of male genital injuries were reviewed during June 2020. All the treated cases during the two-year period from April 2018 to April 2020 at Lumbini Medical College, Nepal were included in the study.  Results: There were eight cases of genital trauma admitted and treated during the study period. All the patients were males and age ranged from six to 71 years with a mean age of 33 ± 21.45 years. Fall injury and road traffic accidents (RTA) were observed to be the primary cause in the majority of cases.  Conclusion: Superficial injuries to the penis and scrotum do not require surgical exploration and could be managed conservatively. However, deeper and complicated injuries, testicular preservation, the functionality of the part and cosmetic issues are taken into consideration which might require a multi-disciplinary approach. Apart from the medical issues pertaining to genital injuries, there are legal and psychological aspects of such events too which should not be ignored.

scholarly journals Male genital injuries treated at a tertiary hospital in the western region of Nepal: A two-year snapshot.

F1000Research ◽  
2022 ◽  
Vol 10 ◽  
pp. 337
Author(s):  
Alok Atreya ◽  
Suman Baral ◽  
Ritesh G Menezes ◽  
Samata Nepal
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Medical College ◽  
Medical Issues ◽  
Clinical Scenarios ◽  
Male Genital ◽  
Genital Injuries

Background: Male genital injuries are urological emergencies which if not promptly treated with correct therapeutic intervention may lead to loss of fertility due to infections and anatomical disruption of normalcy. This study highlights the clinical scenarios, etiology and outcome of male genital injury cases that were managed at a tertiary care center in Nepal. Such injuries are not frequently encountered as patients are hesitant to report such injuries. The present study is the first from Nepal which depicts a comprehensive report on male genital injuries.   Methods: A retrospective analysis of discharge summaries of the cases of male genital injuries was reviewed during June 2020. All the treated cases during the two-year period from April 2018 to April 2020 at Lumbini Medical College, Nepal were included in the study.  Results: There were eight cases of genital trauma admitted and treated during the study period. All the patients were males and age ranged from six to 71 years with a mean age of 33 ± 21.45 years. Fall injury and road traffic accidents (RTA) were observed to be the primary cause in the majority of cases.  Conclusion: Superficial injuries to the penis and scrotum do not require surgical exploration and could be managed conservatively. However, deeper and complicated injuries, testicular preservation, the functionality of the part and cosmetic issues are taken into consideration which might require a multi-disciplinary approach. Apart from the medical issues pertaining to genital injuries, there are legal and psychological aspects of such events too which should not be ignored.

scholarly journals Retrospective study describing the mode of hand injuries in Eastern Nepal

2017 ◽  
Vol 13 (2) ◽  
pp. 125-133
Author(s):  
Suraj Bajracharya ◽  
P Kumar ◽  
B P Shrestha
Keyword(s):  
Retrospective Study ◽  
Retrospective Review ◽  
Bone Fractures ◽  
Tertiary Hospital ◽  
Metacarpal Bone ◽  
Clinical Aspect ◽  
Hand Injuries ◽  
Mechanism Of Injury ◽  
Common Causes ◽  
Record Section

Background: This retrospective review was performed to identify the incidence, causes, and details of hand injuries in patients presenting to a tertiary hospital in Eastern Nepal.Objective: To identify the incidence, causes, and details of hand injuries in patients.Method: Records of all patients who had sustained hand injuries for last 5 years were collected from the medical record section. Altogether 832 injuries of hand in 484 patients were reported in this review. These patients were reviewed for age at the time of injury, gender, location of the incident, mechanism of injury, and fracture specifies.Result: 414 (85.5%) males with mean age of 28.79 ± 12.81 and in female with 30.43 ±17.13 yrs were found. Machinery injuries (25.2%) were the most common causes of injuries followed by RTA (14.5%). Metacarpal bone fractures (34.6%) were the commonest injury of the hand. Most of the patients were treated with open reduction and fixation with K wires.Conclusion: The study reveals the aetio-epidemiological and clinical aspect of hand injuries with its alarming burden in Nepal.Health Renaissance 2015;13(2): 125-133

scholarly journals A descriptive study of cranio-cerebral injuries admitted in tertiary care center of coastal Andhra Pradesh

2018 ◽  
Vol 32 (2) ◽  
pp. 384-390
Author(s):  
R. Sivakumar ◽  
B.V. Subrahmanyam ◽  
S.V. Phanindra ◽  
Ashok Munivenkatappa ◽  
S. Satish Kumar ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Care Center ◽  
Skull Fracture ◽  
Tertiary Care ◽  
Clinical Aspects ◽  
Retrospective Data ◽  
Cerebral Contusion ◽  
Mean Values ◽  
One Year

Abstract Introduction: Demographic and clinical profile of traumatic brain injury (TBI) of a particular place is very crucial for strengthening the guidelines. The details of same are scant from a tertiary institute, Nellore district. The present study aims to explore the demographic, injury and clinical aspects of cerebro-cranial injury patients from an institute setup. Methods: The study consists of two years retrospective data and one year prospective data. The study was approved by institute ethical committee. The patient data was entered on pre designed proforma that includes the desired variables. The data analysis was done using StatsDirect software. Both prospective and retrospective data was merged for analysis. Percentages for categorical data and mean values for continuous data were calculated. Results: There were total of 336 patients. Patients in age group of 21 to 50 years constituted 67% and males were four times higher than females. Nearly one fourth of patients were influenced by alcohol. Three fourth of accidents were due to road traffic accidents (RTAs) followed by falls (17%) and assault (6%). About one tenth of patients were pedestrians. One fourth of patients had associated injuries other than head and brain. On CT findings majority of patients had cerebral contusion (46%) followed by skull fracture (40%), SDH (28%) and EDH (23%). Twenty two patients died in the study period. Conclusion: Knowledge of injury and its later consequences to public is very important. Strict rules to consider safety precautions and compulsory family insurances should be encouraged. Rules to prevent paediatric drive.

scholarly journals Anticipatory Guidance in Childhood Safety: How do Parents Fare? A Survey from a Tertiary Hospital

2021 ◽  
pp. 974-981
Author(s):  
Kishore Narayan ◽  
Daniel Paul Pragasam ◽  
P. Kesavaraj ◽  
Balamma Sujatha ◽  
S. Rajesh
Keyword(s):  
Middle Class ◽  
Parent Education ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Statistical Correlation ◽  
Care Hospital ◽  
Study Population ◽  
Home Injuries

Unintentional home injuries are a major cause for childhood morbidity and mortality. Aims and Objective: To find the KAP among mothers about common home injuries and methods to prevent them. To assess how safe the houses of the study population is. Materials and Methods: 200 mothers attending the paediatric OPD of a tertiary care hospital in a sub-urban area of South India were enrolled. They were interviewed with a structured questionnaire. Details regarding socio-demographic aspects, knowledge, attitude and practices about common household accidents and ways to prevent were asked. The safety aspects of their homes were also noted down. The collected data were analysed with sigma plot 13(system software, USA). In the above statistical tools the probability value <0.05 was considered as significant. Result: The mean age of mother was 28.82 ± 4.93 years and age at marriage, 21.7 ± 3.55 years. 54% belonged to lower middle class and nearly 20% each in upper lower and upper middle class. Fall from height, Road traffic accidents followed by electrical injuries were the commonest accidents known by mothers. Socioeconomic status and educational levels had statistical correlation with few of the variables. Conclusion: Knowledge about home accidents is poor in the study population. Most of the houses are not child safe. Parent education about home injuries and training on first aid should be part of newborn follow up.

scholarly journals Prevalence of Head Injury of Patients Arriving in a Tertiary Care Center

2020 ◽  
Vol 2 (1) ◽  
pp. 38-41
Author(s):  
Arbindra Kumar Yadav ◽  
Jagat Narayan Rajbanshi ◽  
Saroj Kumar Kushwaha ◽  
Pankaj Raj Nepal
Keyword(s):  
Head Injury ◽  
Severe Head Injury ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Care Center ◽  
Tertiary Care ◽  
Emergency Admission ◽  
P Value ◽  
Cross Sectional ◽  
Severity Of Injury

Background and purpose: The prevalence of head injury is increasing with increasing number of automobiles, especially motorbike. With the objective to evaluate the prevalence of head injury and factors that could affect the severity of head injury, this study was performed in a tertiary hospital at far- eastern Nepal. Methodology: This is a cross-sectional study over the duration of one year. Association of age, gender, and mode of injury was checked with severity of injury using Chi-square test where P-value was kept significant at <0.01. Result: Total numbers of patient admitted through the emergency department, during the study period, were 832. Mean age of patient in the study group was 34.59 (SD 18.92) years. Majority of them falls in the category of 20-29 years. Among the different categories of head injuries, mild head injury (76%) was the most common presentation followed by moderate head injury and severe head injury, which were 14% and 10% respectively.  Conclusion: Head injury seems to be the major cause of emergency admission in for eastern part of Nepal. Among them road traffic accidents seems to be the major burden which is more common in young gentlemen with significant number of severe head injury.

scholarly journals Pattern of hand injuries reported in a tertiary care setting of North India

2017 ◽  
Vol 5 (3) ◽  
pp. 880 ◽  
Author(s):  
Rishabh Gupta ◽  
Shavi Mahajan ◽  
Deepika Dewan ◽  
Rajat Gupta
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Hand Injuries ◽  
North India ◽  
Time Interval ◽  
Cross Sectional ◽  
Pattern Of Injury ◽  
Number Of Patients

Background: Hand injuries are very common in this industrialized world. Significant number of patients report every day to the emergency department with various patterns of hand injuries. It is important to understand these patterns in order to plan proper management and develop safety protocols aimed at preventing these injuries.Methods: The present cross sectional study was conducted among 150 patients presenting with Open hand injuries, in the OPD and emergency of Post Graduate Department of Orthopaedics, Government Medical College, Jammu over a period of one year from January 2010 to December 2010.Results: Out of 150 cases 131(87.33%) were males and 19 (12.67%) were females. The commonest age group affected was 21-30 years (34%) followed by 11-20 years (23%). Maximum injuries 90 (60%) occurred in the time interval from 4 pm to midnight. Majority of patients 67 (45%) sustained injury while at work.  Occupation-wise 37 (25%) patients were unskilled workers, mainly laborers, 35 (23%) were farmers, while the remainder belonged to various other professions. In this series machine injuries, assault and road traffic accidents accounted for most injuries, representing 61 (41%), 25 (17%) and 16 (11%) patients respectively. Traumatic amputation (30%) was the most common injury. The index (21%) and middle (21%) fingers were involved more commonly. Tendon injuries (31%) were more frequent than compound fractures (23%).  Conclusions: Hand trauma predominantly affects young males who have occupational exposure to different machines. A proper understanding of the pattern of injury will help in better management.

scholarly journals PATTERN OF FACIAL BONE FRACTURES IN ROAD TRAFFIC ACCIDENTS RIDING ON TWO WHEELERS IN A TERTIARY HOSPITAL IN BANGALORE, INDIA

2020 ◽  
pp. 1-3
Author(s):  
Kumaraswamy Mohan Kumar
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Tertiary Hospital ◽  
Road Traffic Accidents ◽  
Facial Bone ◽  
Retrospective Case ◽  
Case Record ◽  
The Face ◽  
Single Bone

The injury to the face is second most common in cases with road traffic accidents in patients on two wheelers. This adds to physical, social, emotional, economical burden and also psychological problems to the patient. It is a retrospective case record study of patients who had come to casualty with Road traffic accidents and were riding a two wheeler. 89 patients were selected with facial bone fractures and analyzed. Out of 89 patients 19% patients had single bone fracture and 67% had multiple bone fractures. Most common fractures were maxilla and nasoethmoid fractures. Conclusion- wearing full helmets can decrease the severity of these injuries. Awareness about wearing full helmets should increase.

A Study Assessing Surgical Management of Traumatic Orbital Fractures with Delayed Presentation at Tertiary Care Institutions: An Experience of 1 Year

2017 ◽  
Vol 14 (02/03) ◽  
pp. 065-069
Author(s):  
Sourabh Dixit ◽  
Manpreet Banga ◽  
Suniti Saha ◽  
Kaushik Roy ◽  
Partha Ghosh ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Surgical Repair ◽  
Road Traffic ◽  
Bone Fractures ◽  
Tertiary Care ◽  
Orbital Fracture ◽  
Ocular Motility ◽  
Delayed Presentation ◽  
Orbital Fractures ◽  
Fracture Stabilization

Abstract Background Orbital and periorbital injuries are significant contributors to traumatic facial injuries. Orbital fractures can occur either alone or in conjugation with other facial bone fractures and cranial and maxillofacial injuries. Objectives The study aims to find out the incidence of various types of fractures occurring in patients, mode of trauma, clinical presentation, and results of delayed surgical repair in cases of orbital fractures. Materials and Methods This is a “prospective observational study” including 12 patients. Surgical repair of orbital fractures was considered for suspected muscle entrapment in fractures, restricted ocular motility, symptomatic diplopia not improving for over 2-week period, or if enophthalmos greater than 2 mm was present. Results Regarding age incidence, the maximum number of cases, that is 41.66%, were aged between 21and 30 years. The main modes of trauma in most cases, that is, 50%, were due to road traffic accidents followed by fall from height, that is, 25%. The majority of cases presented to us with complex fractures involved one or more orbital bones, that is 33.33%. Postsurgery outcomes were good and fair in 75% and 25% patients, respectively. Conclusion Proper orbital fracture stabilization is crucial to bring out good cosmetic as well as ocular outcome.

scholarly journals Pattern Of Hand Injuries in a Teaching Hospital of a Developing Country

2018 ◽  
Vol 5 (1) ◽  
pp. 29-32
Author(s):  
Kishor Man Shrestha ◽  
A Pandey ◽  
B Shrestha
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Sports Injury ◽  
Hand Injury ◽  
Hand Injuries ◽  
Physical Assault ◽  
Road Traffic Accidents ◽  
Medical Sciences ◽  
Pattern Of Injury ◽  
The Right

INTRODUCTION: Hand injuries are common and are responsible for a significant hospital emergency visit and most of which are seen by non hand specialists. The pattern of the injuries varies from place to place. It is pertinent that those who may come across the patients understand this pattern. MATERIALS & METHODS: A retrospective review of records of patients presenting with hand injuries to the emergency unit and in OPD unit over two year period was carried out highlighting the pattern of the injury.RESULTS: The common cause of hand injury in these patients was fodder cutter machines which is 53 patients (30.6%) followed by industrial machines injury in 36 patients (20.8%), road traffic accidents in 30 patients (17.3%), physical assault  in 19 patients (10.9%), threshing machines in 13 patients (7.5%), fall in 9 patients (5.2%), falling objects in 8 patients (4.6%), door injury  in 2 patients (1.15%) and sports injury  in 1 patient (0.5%). The injury was more common in young adults between 15 to 34 years of age with the mean age of 24.5 years. Most of the injury occurred during work by fodder cutter machine and industrial machines or other causes as road traffic accidents. In the present study, 17.3% cases had injury on Saturday comprising 80.9% of males and 53.1% of cases had fractures with high incidence of injury of the Right hand which was 53.7%. Most of the cases having fractures were of Gustilo II variety (28.2%) and 94.2% of cases were of minor to moderate grades of severity of hand injury on grading by HISS grading.CONCLUSION:  Understanding the pattern of injury can impart positively on the management of hand injuries and for its preventive measures.Journal of Universal College of Medical Sciences (2017) Vol.05 No.01 Issue 15, page: 29-32

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