Recent Hand Injuries: Epidemiological and Lesional Aspects (About 291 Cases).

Abstract

Introduction: Hand injuries are frequent and serious. Their consequences, sometimes irreversible, are the cause of major handicaps. The aim of our work was to describe the epidemiological and lesional aspects of hand trauma in the Orthopedics-Traumatology department of the CHU Aristide Le DANTEC. Material and Method: This was a continuous retrospective study over a period of 2 years. From June 1, 2015, to December 31, 2016, concern- ing all patients who came for a trauma recent hand, followed and whose file was found and completed. Results: Of 351 patients, we retained 291, 247 men for 44 women, aged in average age of 34 and carrying out different activities with a predominance of workers manuals (78.01%). Most of them came from the Dakar region (75.26%). THE work accidents predominated with 47.08%. The involvement of the right side was 58.76% of cases and concerned the dominant side in 56.35%. On the lesion level, there were 36.4% osteo- articu- lar lesions, 30.58% lesions of the parts soft, 23% nail lesions and 9.9% com- plex lesions associating at least 3 lesions elementary. Conclusion: Recent hand injuries account for 13.49% of injuries in our service; they are severe, affecting the different structures of the hand, either singly or jointly. They involve the functional prognosis of the hand with socio-professional reper- cussions important.