M otor development is the process by which an organism gains mobility, in parallel with physical growth and the development of the central nervous system. In children, mobility develops through a process starting with reflexes and resulting in a high level of coordinated motor skills. Hand injuries occurring in early childhood may adversely affect this development.Turkiye Klinikleri J Pediatr 2015;24(3)
89Analysis of Hand Injuries in Children Between 0-6 Years of Age A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The motor development of the upper extremity and hand is actually a result of learning the intentional and fine motions in correlation with the physical growth, central nervous system differentiation and acquired cognitive abilities which are gained in early childhood. Therefore, such hand injuries in early ages may impair the process as whole. We aimed to investigate the epidemiology, etiology and the treatment outcomes in very young patients suffering from the hand injuries in this study. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : A retrospective investigation of records of 507 patients, who admitted to our emergency department at last five years, between 0-6 years of age were analyzed according to etiology, the type of injury, anatomical localization of the injury, treatment approach and outcome. R Re es su ul lt ts s: : Most of the hand injuries were simple injuries (75.3%) and occured at home (72.6%). The most frequent cause of injuries was contusion (55%) and most frequent injuried site of the hand was detected as finger. Female to male ratio was 1:1.5 and right hand to left hand ratio was 2:1. C Co on nc cl lu us si io on n: : The hand injuries in the very young population seems to be common and the investigation of the etiology and type of occurrence might give us new and better modalities in preventing such injuries. K Ke ey y W Wo or rd ds s: : Child; hand injuries; accidents, home Ö ÖZ ZE ET T A Am ma aç ç: : Üst ekstremite ve el motor gelişimi fiziksel büyüme ve merkezi sinir sistemi farklıla-şması ile ilişki içindedir. Edinilmiş bilişsel hareketlerin öğrenilmesi erken çocukluk döneminde oluşur. Çocukluk çağında görülen el yaralanmaları bu süreci bozar. Bu çalışma çocukluk çağı el yaralanmalarının epidemiyoloji ve etiyolojisinin ve tedavi sonuçlarının araştırılması amacıyla yapıldı. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Son beş yılda kurumumuz acil birimine başvuran ve 507 hasta incelendi. bulgular yaralanmanın görüldüğü yaş aralığına, yerleşimine ve tedavi süreçlerine göre değerlendirildi. B Bu ul lg gu ul la ar r: : El yaralanmalarının çoğunlukla basit yaralanma (%75.3) olduğu ve evde (% 72.6) oluştuğu, en sık kontüzyon tarzı (% 55) olduğu, ve en sık parmak yaralanması olduğu görüldü. Kadın erkek oranı 1:1.5 ve sağ el sol el oranı 2:1 bulundu. S So on nu uç ç: : Çocukluk çağında da el yaralanmalarının sık görüldüğü düşünüldü. Etyoloji ve sıklık incelemesi, bu yaralanmaların önlenmesi bakımından yeni ve uygun yöntemler önerebilir.A An na ah h t ta ...
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