Acil Servise Başvuran İzole El Yaralanmalı İş Kazalarının Serebral Lateralizasyon İle İlişkisi

Yıl 2022, Cilt: 5 Sayı: 2, 56 - 60, 30.06.2022

Hüseyin Uzunosmanoğlu , Şeref Kerem Çorbacıoğlu , Seda Dağar , Emine Emektar , Meral Yıldırım , Yunsur Çevik

https://doi.org/10.54996/anatolianjem.1018878

Öz

Amaç: Çalışmamızın amacı, iş kazası ile acil servise başvuran ve izole el yaralanması olan hastalarda dominant el kullanım dağılımının belirlenmesi ve dominant el kullanımı ile yaralanma lokalizasyonunun ilişkisinin değerlendirilmesidir.

Gereç ve Yöntemler: Tek merkezli prospektif tanımlayıcı çalışmamıza, 01.12.2019 ile 01.06.2020 tarihleri arasında acil servise iş kazası nedeniyle başvuran ve izole el yaralanması tespit edilen 528 hasta dahil edildi.

Bulgular: Yaralanma türlerinin analizi, 369 (%69.9) hastada izole deri kesileri olduğunu, geri kalan hastalarda ise nörovasküler ve tendon yaralanması, kırık veya ampütasyon gibi daha ciddi eşlik eden yaralanmaların olduğunu gösterdi. En sık yaralanma mekanizması alet kullanırken elle kesmeydi (163 vaka, %30.9). Elde en sık etkilenen bölgeler birinci ve ikinci parmaklardı. Sağ hemisfer dominant olan hastalarda dominant hemisfere uygun olmayan elin dominant olarak kullanımı sol hemisfere dominant olan hastalara göre istatistiksel olarak anlamlı oranda yüksek saptandı (38.1% vs 1.7%, p<0.0001).

Sonuç: Sol eli dominat kullanan bireylerde iş kazalarına bağlı izole el yaralanma riski daha yüksek gibi görünmektedir ve el yaralanmasının sağ eli dominant kullanan bireylere göre daha fazla non-dominant elde ortaya çıkmaktadır.

Anahtar Kelimeler

Baskın el, baskın hemisfer, el yaralanması, iş kazaları

Destekleyen Kurum

None. The authors declared that this study received no financial support

Teşekkür

Değerlendirmeleriniz şimdiden teşekkürler.

The Relationship Between Isolated Hand Injuries due to Occupational Accidents and Cerebral Lateralization in Patients Presenting to the Emergency Department

Öz

Aim: This study aimed to determine the distribution of hand dominance and to evaluate the relationship between the dominant hand and injury site among patients who presented to emergency service with occupational accident and had isolated hand injury.

Material and Methods: This single-center prospective descriptive study included 528 patients who administered to the emergency department due to work accident and were found to have isolated hand injuries between 01.12.2019-01.06.2020.

Results: 369 (69.9%) patients had isolated skin cuts while the rest of the patients had more severe accompanying injuries such as neurovascular and tendon injury, fracture, or amputation. The most common mechanism of injury was hand cuts while using a tool (163 cases, 30.9%). The most commonly affected regions in hand were the first and second fingers. In patients with right hemisphere dominant, the dominant use of the hand that is not suitable for the dominant hemisphere was found to be statistically significantly higher than in patients with left hemisphere dominant (38.1% vs 1.7%, p<0.0001).

Conclusion: The risk of isolated hand injury due to occupational accidents appears to be greater in left-handed individuals, and hand injury more commonly involves non-dominant hand in left-handed individuals than the right-handed ones.

Anahtar Kelimeler

Dominant hand, dominant hemisphere, hand injury, occupational accidents

Kaynakça

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