Patterns and Characteristics of Intentional Self-inflicted Hand Injuries among Military Personnel: A Retrospective Study and Proposal of Treatment Algorithm
Background:. Self-inflicted hand injuries have been described in the literature with varying nomenclature (factitious, malingering, and self-induced hand injuries). Identifying and treating these patients is complex and requires a multidisciplinary team approach at a high cost. There is a lack of li...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2022-11-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004648 |
| _version_ | 1797988119529652224 |
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| author | Fahad Abdullah Alowais, MBBS Faisal A. Alfaqeeh, MBBS Alwaleed K. Alammar, MBBS, SB-PLAST Hatan Mortada, MBBS Zafer Skef, MBBS Mishal Alshammari, MBBS Yasser Elsayed Idrees, MBBS |
| author_facet | Fahad Abdullah Alowais, MBBS Faisal A. Alfaqeeh, MBBS Alwaleed K. Alammar, MBBS, SB-PLAST Hatan Mortada, MBBS Zafer Skef, MBBS Mishal Alshammari, MBBS Yasser Elsayed Idrees, MBBS |
| author_sort | Fahad Abdullah Alowais, MBBS |
| collection | DOAJ |
| description | Background:. Self-inflicted hand injuries have been described in the literature with varying nomenclature (factitious, malingering, and self-induced hand injuries). Identifying and treating these patients is complex and requires a multidisciplinary team approach at a high cost. There is a lack of literature that describes the different patterns and characteristics of hand injuries among military personnel, especially in Saudi Arabia. We conducted a chart review study involving military personnel who attended the emergency department with hand injuries in Saudi Arabia to fill this gap.
Methods:. This retrospective chart review study was conducted at a tertiary hospital in Riyadh, Saudi Arabia. Our inclusion criteria included military personnel patients who presented to the emergency department with intentional self-inflicted hand-related injuries between 2016 and 2018.
Results:. A total of 274 cases were included; 241 (88%) were men. Injuries to the left hand (52.2%) were more common than injuries to the right hand. The most common injury site involved the little finger (45.6%). The majority were followed up (97.8%), and 28.8% of cases had a complication. The majority of fractures were managed with open reduction and internal fixation (63.9%). Moreover, the mean sick leave duration was 23 days.
Conclusions:. Self-inflicted injuries can be challenging to diagnose when patients are manipulative about the cause and mechanism. Most self-inflicted injuries involved the left little finger, and most were treated with open reduction and internal fixation. A self-inflicted injury is possible in the context of an unusual injury with a vague medical history. |
| first_indexed | 2024-04-11T07:58:52Z |
| format | Article |
| id | doaj.art-21539ca8546c415b97aaaa490ecb3bad |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-11T07:58:52Z |
| publishDate | 2022-11-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-21539ca8546c415b97aaaa490ecb3bad2022-12-22T04:35:48ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-11-011011e464810.1097/GOX.0000000000004648202211000-00043Patterns and Characteristics of Intentional Self-inflicted Hand Injuries among Military Personnel: A Retrospective Study and Proposal of Treatment AlgorithmFahad Abdullah Alowais, MBBS0Faisal A. Alfaqeeh, MBBS1Alwaleed K. Alammar, MBBS, SB-PLAST2Hatan Mortada, MBBS3Zafer Skef, MBBS4Mishal Alshammari, MBBS5Yasser Elsayed Idrees, MBBS6From the * Department of Plastic and Reconstructive Surgery, Security Forces Hospital, Riyadh, Saudi Arabia† Division of Plastic and Reconstructive Surgery, Department of Surgery, King Khaled University Hospital, Riyadh, Saudi Arabia‡ Department of Plastic Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia§ Division of Plastic Surgery, Department of Surgery, King Saud University Medical City, King Saud University, Riyadh, Saudi ArabiaFrom the * Department of Plastic and Reconstructive Surgery, Security Forces Hospital, Riyadh, Saudi ArabiaFrom the * Department of Plastic and Reconstructive Surgery, Security Forces Hospital, Riyadh, Saudi ArabiaFrom the * Department of Plastic and Reconstructive Surgery, Security Forces Hospital, Riyadh, Saudi ArabiaBackground:. Self-inflicted hand injuries have been described in the literature with varying nomenclature (factitious, malingering, and self-induced hand injuries). Identifying and treating these patients is complex and requires a multidisciplinary team approach at a high cost. There is a lack of literature that describes the different patterns and characteristics of hand injuries among military personnel, especially in Saudi Arabia. We conducted a chart review study involving military personnel who attended the emergency department with hand injuries in Saudi Arabia to fill this gap. Methods:. This retrospective chart review study was conducted at a tertiary hospital in Riyadh, Saudi Arabia. Our inclusion criteria included military personnel patients who presented to the emergency department with intentional self-inflicted hand-related injuries between 2016 and 2018. Results:. A total of 274 cases were included; 241 (88%) were men. Injuries to the left hand (52.2%) were more common than injuries to the right hand. The most common injury site involved the little finger (45.6%). The majority were followed up (97.8%), and 28.8% of cases had a complication. The majority of fractures were managed with open reduction and internal fixation (63.9%). Moreover, the mean sick leave duration was 23 days. Conclusions:. Self-inflicted injuries can be challenging to diagnose when patients are manipulative about the cause and mechanism. Most self-inflicted injuries involved the left little finger, and most were treated with open reduction and internal fixation. A self-inflicted injury is possible in the context of an unusual injury with a vague medical history.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004648 |
| spellingShingle | Fahad Abdullah Alowais, MBBS Faisal A. Alfaqeeh, MBBS Alwaleed K. Alammar, MBBS, SB-PLAST Hatan Mortada, MBBS Zafer Skef, MBBS Mishal Alshammari, MBBS Yasser Elsayed Idrees, MBBS Patterns and Characteristics of Intentional Self-inflicted Hand Injuries among Military Personnel: A Retrospective Study and Proposal of Treatment Algorithm Plastic and Reconstructive Surgery, Global Open |
| title | Patterns and Characteristics of Intentional Self-inflicted Hand Injuries among Military Personnel: A Retrospective Study and Proposal of Treatment Algorithm |
| title_full | Patterns and Characteristics of Intentional Self-inflicted Hand Injuries among Military Personnel: A Retrospective Study and Proposal of Treatment Algorithm |
| title_fullStr | Patterns and Characteristics of Intentional Self-inflicted Hand Injuries among Military Personnel: A Retrospective Study and Proposal of Treatment Algorithm |
| title_full_unstemmed | Patterns and Characteristics of Intentional Self-inflicted Hand Injuries among Military Personnel: A Retrospective Study and Proposal of Treatment Algorithm |
| title_short | Patterns and Characteristics of Intentional Self-inflicted Hand Injuries among Military Personnel: A Retrospective Study and Proposal of Treatment Algorithm |
| title_sort | patterns and characteristics of intentional self inflicted hand injuries among military personnel a retrospective study and proposal of treatment algorithm |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004648 |
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