Volar injuries of forearm and wrist

Difference in the injury pattern of selfinflicted and accidental injuries

Abstract

TITLE: Volar injuries of forearm and wrist. Difference in injury pattern between Self- inflicted and Accidental injuries.
Authors: Prof.Adil Hafeez Wani, Dr.Mir Mohsin,Dr.Onkar.S.Kulkarni

Department: Plastic and Reconstructive Surgery
Background: We observe a lot of self-inflicted and accidental injuries over volar aspect of forearm and wrist in SKIMS. So in this study, we decided to study about these patients with injury patterns

Objectives: To study the injury pattern, mode of injury, underlying cause and differences in the pattern of self-inflicted and accidental injuries.

Participants: All patients presenting in SKIMS with accidental or self-inflicted injuries over volar aspect of wrist and forearm. Study design: prospective observational Methods: Clinical and intraoperative observation, Statistical analyses. Results: young males were more affected. Stress was distributed equally in rural and urban areas. Glass cut injuries was significant in both groups. Deep injuries were more common involving both limbs. Conclusion: Selfinflcited injuries are clean-cut with hesitation cuts, whereas accidental injuries are contaminated,deeper.Tendon followed by nerve & artery were common structures involved.Superficial injuries involved females, deep injuries were common in male.Glass cut is the most common mode of injury in both groups

Implications: Irrespective of the mode and type of injury, a thorough exploration, even of a trivial looking wound and an early repair is of utmost importance. Stress is equally spread in rural and urban areas and young males are more commonly affected and the young age group should be out target of stress management and youth education along with technical modifications and lifestyle changes.