gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Hand and wrist injuries following motorcycle traffic accidents in Medan, North Sumatra, Indonesia

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  • Aga Shahri Putra Ketaren - Orthopedic & Traumatology Universitas Sumatera Utara, Medan, Indonesia
  • presenting/speaker David Kalim - Orthopedic & Traumatology Universitas Sumatera Utara, Medan, Indonesia
  • Defry Rivandra Utama - Plastic Reconstructive Surgery Universitas Sumatera Utara, Medan, Indonesia
  • Eliza Nindita - Plastic Reconstructive Surgery Universitas Sumatera Utara, Medan, Indonesia

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1840

doi: 10.3205/19ifssh0696, urn:nbn:de:0183-19ifssh06960

Published: February 6, 2020

© 2020 Putra Ketaren et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives/Interrogation: To analyze the epidemiological profile of patients with hand and wrist injuries following motorcycle traffic accidents.

Methods: Data of this retrospective observational study was obtained from 227 patients' medical records who were admitted to orthopaedics department of Adam Malik General Hospital with hand and/or wrist injuries following motorcycle traffic accidents in 2016 to 2017.

Results and Conclusions: Out of the total of 763 hand and wrist injury patients, 227 (29.7%) were identified as victims of motorcycle trauma events due to road traffic accidents. Hand injuries accounted for 68 (30%) of cases, wrist injuries were 127 (55.9%), and both hand and wrist injuries were 32 (14.1%). The male-to-female ratio was 3:1. The average age of patient was 26.6 years with a range from 1 to 78 years old, median age: 23 years. Adult group (19-64 years old) constitutes 68% of all cases, < 19 years old were 28%, and elderly (>64 years old) were 4%. 146 patients (64.3%) sustained injuries to their dominant hand, while 81 (35.7%) were injured to the non-dominant hand. Hand fractures occurred in 61 (26.9%) patients, and wrist fractures were found in 129 (56.8%) patients. Of all cases, 17 patients (7.5%) needed an amputation.

The results indicate that hand and wrist injuries are commonly occurred in motorcyclist due to road traffic accidents and cause significant morbidity in their functions following the events. More than 50% of the hand and/or wrist injured patients involved in motorcycle accidents were adult male. Injuries more often found on the dominant hand than the non-dominant side.