Epidemiology of occupational hand injuries presenting to a tertiary care center in Türkiye over a one-year period
DOI:
https://doi.org/10.64575/10703p31Keywords:
Hand injury, occupational accident, epidemiology, industrial trauma, hand surgery, amputationAbstract
Background: Work-related hand injuries constitute a major public health concern and a significant cause of occupational morbidity and lost productivity, particularly in highly industrialized regions. This study aimed to evaluate the epidemiological characteristics of patients presenting with occupational hand injuries in Kayseri, Türkiye.
Methods: A retrospective cohort study was conducted, evaluating 586 patients with work-related hand injuries between January 2024 and December 2024. Inclusion criteria comprised isolated hand injuries resulting from occupational accidents and documented patient consent. Demographic parameters, injury mechanisms, affected anatomical zones, and treatment modalities were systematically analyzed.
Results: The patient cohort was predominantly male (91.9%), with a mean age of 31 years. The machinery sector accounted for the highest incidence of trauma (30.7%). High-energy crush injuries inflicted by press machines were the predominant mechanism of injury (62.0%). Topographically, the index finger (second digit) was the most frequently injured. While 71% of patients were treated and discharged directly from the emergency department, 29% required formal hospital admission. Anatomical analysis revealed that among the individual tendons lacerated, 57.8% involved the extensor zones and 42.2% involved the flexor zones. Furthermore, left-hand digital injuries (54%) were significantly more prevalent than right-hand injuries.
Conclusion: Occupational hand injuries disproportionately afflict young male industrial workers and are primarily driven by high-energy mechanisms, resulting in trauma that ranges from superficial lacerations to devastating amputations.
References
1. International Labour Organization. Statistics of occupational injuries. Report III, sixteenth international conference of labour statisticians. Geneva; 1998 [accessed 2010 Nov 8]. Available from: http://www.ilo.org/public/english/bureau/stat/download/16thicls/report3.pdf
2. Takala J, Hämäläinen P, Sauni R, Nygård CH, Gagliardi D, Neupane S. Global-, regional- and country-level estimates of the work-related burden of diseases and accidents in 2019. Scand J Work Environ Health. 2024;50(2):73–82. doi: 10.5271/sjweh.4132 DOI: https://doi.org/10.5271/sjweh.4132
3. Akca Ç, Akköse Ş, Durak VA, Eken G, Çeçen S, Aydoğan G, et al. Acil servise el yaralanması ile başvuran iş kazalarında konsültan hekim ve acil servis hekiminin tanısal yaklaşımlarının karşılaştırılması. Uludağ Tıp Derg. 2025;51(1):23-27. doi: 10.32708/uutfd.1518099 DOI: https://doi.org/10.32708/uutfd.1518099
4. Concha-Barrientos M, Nelson DI, Fingerhut M, Driscoll T, Leigh J. The global burden due to occupational injury. Am J Ind Med. 2005;48(6):470-81. doi: 10.1002/ajim.20226 DOI: https://doi.org/10.1002/ajim.20226
5. Dufort VM, Kotch JB, Marshall SW, Waller AE, Langley JD. Occupational injuries among adolescents in Dunedin, New Zealand, 1990–1993. Ann Emerg Med. 1997;30(3):266-273. doi: 10.1016/S0196-0644(97)70160-4 DOI: https://doi.org/10.1016/S0196-0644(97)70160-4
6. Belville R, Pollack SH, Godbold JH, Landrigan PJ. Occupational injuries among working adolescents in New York State. JAMA. 1993;269(21):2754-9. doi: 10.1001/jama.1993.03500210054031 DOI: https://doi.org/10.1001/jama.1993.03500210054031
7. Brooks DR, Davis LK, Gallagher SS. Work-related injuries among Massachusetts children: a study based on emergency department data. Am J Ind Med. 1993;24(3):313-24. doi: 10.1002/ajim.4700240308 DOI: https://doi.org/10.1002/ajim.4700240308
8. Dağlı B, Serinken M. Occupational injuries admitted to the emergency department. JAEM. 2012;62(2):167-70. doi: 10.5152/jaem.2012.003 DOI: https://doi.org/10.5152/jaem.2012.003
9. Nelson NA, Park RM, Silverstein MA, Mirer FE. Cumulative trauma disorders of the hand and wrist in the auto industry. Am J Public Health. 1992;82(11):1550-2. doi: 10.2105/AJPH.82.11.1550 DOI: https://doi.org/10.2105/AJPH.82.11.1550
10. Yokoyama K, Itoman M, Nakamura K, Uchino M, Nitta H, Kojima Y. New scoring system predicting the occurrence of deep infection in open upper and lower extremity fractures: efficacy in retrospective re-scoring. Arch Orthop Trauma Surg. 2009;129(4):469-74. doi: 10.1007/s00402-008-0675-x DOI: https://doi.org/10.1007/s00402-008-0675-x
11. Wu Z, Guo Y, Gao J, Zhou J, Li S, Wang Z, et al. The epidemiology of acute occupational hand injuries treated in emergency departments in Foshan City, South China. Ulus Travma Acil Cerrahi Derg. 2018;24(4):303-10. doi: 10.5505/tjtes.2016.59020 DOI: https://doi.org/10.5505/tjtes.2016.59020
12. Matsuzaki H, Narisawa H, Miwa H, Toishi S. Predicting functional recovery and return to work after mutilating hand injuries: usefulness of Campbell’s Hand Injury Severity Score. J Hand Surg Am. 2009;34(5):880-5. doi: 10.1016/j.jhsa.2009.02.009 DOI: https://doi.org/10.1016/j.jhsa.2009.02.009
13. Şakrak T, Mangır S, Körmutlu A, Cemboluk Ö, Kıvanç Ö, Tekgöz A. 1205 el yaralanması olgusunun retrospektif analizi. Turk J Plast Surg. 2009;17(3):134-8. Available from: https://izlik.org/JA88ZE65DR
14. Moellhoff N, Throner V, Frank K, Benne A, Coenen M, Giunta RE, et al. Epidemiology of hand injuries that presented to a tertiary care facility in Germany: a study including 435 patients. Arch Orthop Trauma Surg. 2023;143(3):1715-24. doi: 10.1007/s00402-022-04617-9 DOI: https://doi.org/10.1007/s00402-022-04617-9
15. Niazi JIK, Aden AA, Younus A. Occupational upper-limb injuries: a retrospective review of outcomes at a private hospital in Gqeberha (formerly Port Elizabeth), South Africa. Cureus. 2025;17(12):e98760. doi: 10.7759/cureus.98760 DOI: https://doi.org/10.7759/cureus.98760
16. Rajak R, Chattopadhyay A. Prevalence and risk factors of non-fatal occupational injury among male workers in India: a systematic review and meta-analysis. BMC Public Health. 2026;26:440. doi: 10.1186/s12889-025-25965-2 DOI: https://doi.org/10.1186/s12889-025-25965-2
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