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Article Type

Original Study

Abstract

Objective: The aim of this study was to analyze the socio-demographic patterns of extremities trauma in cases admitted to Menoufia University Hospital during 2011, with evaluation of homicidal cases in relation to the instrument used, type of injury, and the associated complications. Background: Trauma to the extremities represents one of the most common injury patterns seen in emergency medical and surgical practice. Extremities injuries were more common in males in the age group 18 to <30 years. Blunt instruments were the causative agents of most assault and self-inflicted injuries. Materials and methods: In this study, patients with trauma to the extremities admitted to Menoufia University Hospital during 2011 were included. Clinical data, plain radiography and/or computed tomography, MRI, electromyography, and nerve conduction studies were assessed. Results: The total number of patients included was 1020. Most cases of the study were males in the age group 18 to <30 years. Assault was found to be the most common reason followed by accidents. Injuries were found to be more common in upper limbs than lower limbs, and they outnumbered lower limbs in the self-inflicted mode, whereas lower limbs were more common in the assault mode. A significant relationship was found between the causative instrument and circumstances of injury; accident injuries occurred most frequently because of heat. Most of assault and self-inflicted injuries were caused by blunt instruments. A significant relationship was found between the outcome and the circumstances of injury. Most of accident and assault injury patients developed complications, whereas most of the self-inflicted injury patients improved. Conclusion: Trauma can affect different parts of the body: head, chest, abdominal region, extremities, face, spinal cord, the genitourinary system, pelvis, and soft tissues. Limb injuries are a common problem among the physically active, and such injuries may result in diminished performance, reduced participation, and in the longer term loss of function, chronic joint disease, and disability. Limb injuries represent the commonest form of injury involved in road traffic accidents.

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