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Original Articles
- Patients with intentional punch injuries in the emergency department: a retrospective cohort study
- İbrahim Toker, Ömer Salt, Taner Şahin, Mükerrem Altuntaş, İrfan Gökçek, Murat Eşlik, İbrahim Tüysüz, Baycan Kuş, Muhammed İslam Özer
- J Trauma Inj. 2025;38(1):32-37. Published online March 31, 2025
- DOI: https://doi.org/10.20408/jti.2025.0022
- 6,459 View
- 68 Download
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Abstract
PDF - Purpose
Hand and wrist injuries represent some of the most common traumatic conditions encountered in the emergency department (ED). Our study aimed to elucidate the demographic and clinical characteristics of patients sustaining intentional punch injuries.
Methods
This single-center retrospective study involved patients aged 16 years and older who presented to the ED with intentional punch injuries in 2023.
Results
A total of 405 patients were included in the study. The median patient age was 30 years (interquartile range, 22–40 years), and 363 (89.6%) were male. Among the patients, a total of 389 fractures were identified in 362 patients (89.4%). Metacarpal bone fractures were the most common, with 372 fractures (95.6%). The fifth metacarpal was the most frequently injured (67.4%), followed by the fourth (10.0%) and third (7.7%) metacarpals. Although the most common base fracture occurred in the first metacarpal, shaft fractures were most prevalent in the second, third, fourth, and fifth metacarpals. Overall, 259 patients (71.5%) had nondisplaced fractures. Additionally, 31 patients (7.7%) had previously been admitted to the ED for punching, 17 (4.2%) had prior ED visits for trauma resulting in a fracture, and 63 (15.6%) reported a history of psychiatric drug use.
Conclusions
Young men represent the majority of intentional punch injury patients. The fifth metacarpal and its shaft fractures were most commonly observed. A history of prior ED visits for punching or trauma, as well as psychiatric medication use, may serve as potential risk factors. -
Summary
- Injury Characteristics of Self-injury Patients Who Visit the Emergency Department
- Young Soo Kwak, Kang Hyun Lee, Hyung Jin Shin, Kyung Hye Park, Han Joo Choi, Hyun Kim, Sung Oh Hwang
- J Korean Soc Traumatol. 2009;22(1):65-70.
- 1,966 View
- 4 Download
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Abstract
PDF
- PURPOSE
Many studies have addressed a psychiatric analysis of self-injury patients who have self-injurious behavior and who have attempted suicide. Few studies on the injury characteristics of self-injury related trauma patients have been conducted. We analyzed the injury characteristics of self-injury patients.
METHODS
A retrospective review of the medical records extracted from the injury surveillance system of Wonju Christian Hospital for the period from August 2006 to February 2008 was conducted. Of the 121 cases extracted, 103 were included in this study. We analyzed the sex ratio, age group, place of injury, injury mechanism, location of injury, management results, injury severity, and relation with drinking.
RESULTS
One hundred three cases were included (sex ratio: 1.06), and the mean age was 33.9+/-14.2 years old. Fifty-six patients (54.4%) were discharged from the emergency department (ED) on the day of injury after primary care, and 9 patients (8.7%) were discharged, because they refused treatment. Seven patients (6.8%) died. Of these, 4 patients (3.9%) died after attempted cardio-pulmonary resuscitation in the ED, 1 patient (1%) was dead on arrival, and 2 patients (1.9%) died after admission. Sixteen patients (15.5%) were admitted to the hospital, including 2 patients (1.9%) needing emergency surgery. Sixteen patients (15.5%) were transferred to other hospitals. Sixty-one cases (59.2%) involved drinking, and 31 (30.1%) did not; for 11 cases (10.7%), the involvement of drinking was unknown. The mean revised trauma score (RTS) was 11.26+/-2.52, and 88 cases (85.4%) hat a RTS of 12. The mean injury severity score (ISS) was 5.80+/-14.56, and 9 (8.7%) severely injured patients had scores of more than 15.
CONCLUSION
Most self-injuries were mild traumas related to drinking and occurred at a young age. Most cases were not so severe, and the patients were discharged from the ED, but some patients needed hospitalization. Other patients had injuries so severe that they died. -
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