• Emre Hocaoğlu, Samet Vasfi Kuvat, Burhan Özalp, Anvar Akhmedov, Yunus Doğan, Erol Kozanoğlu, Fethi Sarper Mete, and Metin Erer.
• Department of Plastic Reconstructive and Aesthetic Surgery, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey. emrehocaoglu@gmail.com
• Ulus Travma Acil Cer. 2013 Jan 1;19(1):58-64.

BackgroundDespite significant practical knowledge and experience on foreign body penetration injuries to the hand and/or wrist, deficient management and complications can still be encountered, and ignorance of its causative and eventual social aspects unfortunately is a substantial fact. This study aims to cover the clinical and social properties and the management of these kinds of injuries.MethodsA retrospective analysis of 86 patients requiring evaluation and treatment in a Hand Surgery Division of a university hospital was performed.ResultsThe median age was 32 (min: 4, max: 63). Industrial workers constituted the largest occupational group (n=22, 25.6%). Twenty-three (26.7%) of the cases were elective admissions. Thirteen (15.1%) patients had various comorbidities, and five (5.8%) had psychiatric diagnoses at the time of the injury. The index finger was the most frequent site of injury (n=29, 33.7%). General anesthesia was not necessary for the management of 94.2% of the cases. In 26 (30%) of the patients, neural, tendinous or osseous damage was observed. Twenty-four (30%) patients were included in a postoperative hand physiotherapy program.ConclusionThe practically well-known general features of the issue and those aspects that may still be overlooked currently are reevaluated herein, in light of our observational data.

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