Descriptive Characteristics and Injury Patterns of Earthquake-Related Peripheral Nerve Injuries in the Extremities
Öz
Background/Aims:Due to the prioritization of limb and life-saving efforts by medical teams, peripheral nerve injuries (PNIs) resulting from earthquakes are frequently overlooked or receive delayed treatment. Thus, we examined earthquake-related PNIs in terms of their descriptive characteristics and injury patterns
Methods: The study was conducted retrospectively in a tertiary hospital after Kahramanmaraş Earthquakes. The study included victims under rubble admitted to the hospital and diagnosed with PNI according to their medical records between 06 February and 28 February 2023.
Results: The study included 70 patients and a total of 98 limbs with PNIs, with a mean patient age of 22.31±14.91 years. 77.6% (n=76) of PNIs involved the lower limb (68 peroneal and 8 sciatic nerves) and 22.4% (n=22) of PNIs involved the upper limbs (14 radial nerves, 5 ulnar nerves, 2 median nerves, 1 brachial plexus). It was found that 45.9% of PNIs (n=45) occurred in the right and 54.1% (n=53) in the left extremities. The median time under the rubble of the patients was 15 hours (IQR 8.75 - 32 hours). Fasciotomy was treated in 54.1% (n=43) of the extremities with PNI. Fasciotomies were most commonly performed on the cruris (42.9%), foot (26.5%), and thigh (16.3%).
Conclusion: This study found that PNIs occurred most frequently in the lower limbs, compared with the upper limbs, among earthquake victims with CLIs. Lower limb PNIs mainly occurred in the peroneal nerve, while upper limb PNIs mainly occurred in the radial nerve.
Anahtar Kelimeler
Crush injury, Peripheral nerve injury, Earthquake, Victims, Extremity
Kaynakça
- Doocy S, Daniels A, Packer C, Dick A, Kirsch TD. The human impact of earthquakes: a historical review of events 1980-2009 and systematic literature review. PLoS Curr. 2013 Apr 16;5:ecurrents.dis.67bd14fe457f1db0b5433a8e.
- Türkiye acil tıp derneği. Acil Tıp Uzmanları Saha Gözlem Raporu 6 ŞUBAT 2023 Kahramanmaraş Merkezli Depremler. Ulaşım adresi: https://tatd.org.tr/wp-content/uploads/2023/02/2386ba4ace1f5b53491d0d62eb432dfb.pdf
- Ministry of Interior Disaster and Emergency Management Presidency, PRESS BULLETIN 01.03.2023 About the Earthquake in Kahramanmaraş - 36 https://en.afad.gov.tr/press-bulletin-36-about-the-earthquake-in-kahramanmaras
- Zhang L, Zhao M, Fu W, Gao X, Shen J, Zhang Z, et al. Epidemiological analysis of trauma patients following the Lushan earthquake. PLoS One. 2014 May 20;9(5):e97416.
- Celikmen MF, Yilmaz S, Tatliparmak AC, Unal Colak F. Drop, Cover, and Hold On versus Fetal Position in the Triangle of Life to Survive in an Earthquake: A Delphi Study. Prehosp Disaster Med. 2023 Jun;38(3):287-293.
- Moitinho de Almeida M. "Recovering, not recovered" Hospital disaster resilience: a case-study from the 2015 earthquake in Nepal. Glob Health Action. 2022 Dec 31;15(1):2013597.
- Dai ZY, Li Y, Lu MP, Chen L, Jiang DM. Clinical profile of musculoskeletal injuries associated with the 2008 Wenchuan earthquake in China. Ulus Travma Acil Cerrahi Derg. 2010 Nov;16(6):503-7.
- Langer V. Management of major limb injuries. ScientificWorldJournal. 2014 Jan 5;2014:640430.
- Kimuli Balikuddembe J, Zeng X, Chen C. Health-Related Rehabilitation after the 2008 Great Wenchuan Earthquake in China: A Ten Year Retrospective Systematic Review. Int J Environ Res Public Health. 2020 Mar 29;17(7):2297.
- Ahrari MN, Zangiabadi N, Asadi A, Sarafi Nejad A. Prevalence and distribution of peripheral nerve injuries in victims of Bam earthquake. Electromyogr Clin Neurophysiol. 2006 Jan-Feb;46(1):59-62.