Gradually increasing predominance of self-mutilation in upper extremity arterial injuries: less morbidity but with high threat to society

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dc.contributor.authorTopal, Askin Ender
dc.contributor.authorEren, Mehmet Nesimi
dc.date.accessioned2024-04-24T17:37:29Z
dc.date.available2024-04-24T17:37:29Z
dc.date.issued2010
dc.departmentDicle Üniversitesien_US
dc.description.abstractBACKGROUND Although vascular trauma of the upper extremity is increasingly more common, mortality and morbidity rates remain low, at between 0-8%. Self-mutilation has become evident in recent years. We planned this study to compare the results of self-mutilation with other penetrating trauma in upper extremity vascular injuries and also to emphasize the dangers of self-mutilation for society. METHODS Data of 249 patients with penetrating vascular injury of the upper extremity were retrospectively analyzed. There were 214 male (86%) and 35 female (14%) patients, with a mean age of 24.76 +/- 11.28 years (range: 2-69 years). Of these, 129 (52%) were self-mutilators. RESULTS The ulnar artery was the most frequently affected (n=140, 56%). There was no mortality or limb loss. However, eight (3.21%) patients, who had penetrating trauma, had restriction in finger motions. Male predominance, substance abuse and associated nerve injury were significantly more common among self-mutilators (p values <0.001, <0.001 and 0.005, respectively), whereas brachial artery injury, vein graft interposition and fasciotomy rates were higher among the penetrating trauma group (p<0.001 for all). CONCLUSION The form of and reason for injuries and presence of substance abuse in case of self-mutilation must be investigated cautiously, and the immediate commencement of psychiatric treatment must be provided to the self-mutilators.en_US
dc.identifier.endpage531en_US
dc.identifier.issn1306-696X
dc.identifier.issue6en_US
dc.identifier.pmid21153946
dc.identifier.scopus2-s2.0-78649763800
dc.identifier.scopusqualityQ3
dc.identifier.startpage527en_US
dc.identifier.urihttps://hdl.handle.net/11468/20944
dc.identifier.volume16en_US
dc.identifier.wosWOS:000284091700009
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPenetrating Injuryen_US
dc.subjectSelf-Mutilationen_US
dc.subjectUpper Extremityen_US
dc.titleGradually increasing predominance of self-mutilation in upper extremity arterial injuries: less morbidity but with high threat to societyen_US
dc.titleGradually increasing predominance of self-mutilation in upper extremity arterial injuries: less morbidity but with high threat to society
dc.typeArticleen_US

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