Introduction: Hand and wrist wounds are breaches of the skin barrier caused by a
harmful agent. The aim is to describe the epidemiological, clinical,
therapeutic, and evolutionary profile.
Patients and
Method: This was a prospective descriptive study,
conducted from January 2020 to June 2022, including all traumatic wounds (hand
and/or wrist). The variables studied were epidemiological, clinical,
therapeutic, and developmental.
Results: Out of 280 traumatic wounds received, we collected 44 hand and/or
wrist wounds, representing 15.7%. The average age was 33.2 years [18-78 years]
with a male predominance (sex ratio: 4.5). The etiological circumstances were
dominated by assaults (45.5%) and traffic accidents (45.5%). Bladed weapons
were used as injuring agents in 45.4% of cases. Motorcycle taxi drivers
accounted for 56.8% of cases. The most frequent lesion location was the palm of
the hand (59%) and the right side (52.3%). Tendon injuries were observed in 29
cases (65.9%), bone injuries in 25 cases (38.63%), nerve injuries in 8 cases
(15.9%), and vascular injuries in 7 cases (13.63%). A sequela in the form of
amputation was found in 8 patients, representing 18.18% of cases. The average
time to return to work was 147 days; functional outcomes were rated as
excellent in 22.8% (n=10) and good in 41% (n=18) of cases.
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