Characteristics and trends of fireworks-related hand injuries and treatment at a Level I trauma center

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2025-08-07 DOI:10.1016/j.jor.2025.08.012

Jonathan Weinerman , Alina Syros , Nikhil Patel , Jacob Mesenger , Dylan Luxenburg , Arya Minaie , Max Baron , Helen G. Hui-Chou

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引用次数: 0

Abstract

Purpose

Firework-related injuries can have devastating consequences, often resulting in permanent damage or amputation, with incidence rising in recent years. This study characterizes firework-related hand injuries treated at a Level 1 Trauma Center over a 10-year period, analyzing demographics, injury patterns, outcomes, and trends.

Methods

The medical records of patients treated at a Level I trauma center for firework-related hand injuries between January 2013 and January 2023 were retrospectively reviewed. Variables analyzed included patient demographics, injury characteristics, hospital course, treatment details, and socioeconomic factors.

Results

The study included 33 male and 2 female patients aged 9–74 years (mean age 31 years). Injuries occurred in 88.6 % of cases due to patients holding fireworks, often in their dominant hand (42.9 %). Fractures occurred in 77.1 % of cases, traumatic amputations in 34.3 %, vascular injuries in 45.7 %, and nerve injuries in 48.6 %. Surgery was required in 82.9 % of patients, with irrigation and debridement (74.3 %) and revision amputation (60 %) being the most common procedures. The average length of hospitalization was 4.64 days, and many patients resided in lower-income areas, with 62.8 % from zip codes reporting an annual household income below $60,000.

Conclusion

Firework-related hand injuries impose significant physical and socioeconomic burdens, with most patients requiring surgery for fractures, suffering vascular or nerve damage, or undergoing traumatic or surgical amputation. Young adult males from lower-income, socially vulnerable areas were most affected. Future prevention efforts should focus on public health and legislative initiatives to reduce these injuries.

Type of study/level of evidence

Prognostic IV.

查看原文本刊更多论文

某一级创伤中心与烟花爆竹有关的手部损伤的特点和趋势及治疗

目的与工作有关的火灾伤害可造成毁灭性后果，往往导致永久性损伤或截肢，近年来发病率不断上升。本研究分析了10年来在一级创伤中心治疗的与火相关的手部伤害，分析了人口统计学、伤害模式、结果和趋势。方法回顾性分析2013年1月至2023年1月在某一级外伤中心收治的手部火灾工伤患者的医疗记录。分析的变量包括患者人口统计学、损伤特征、住院过程、治疗细节和社会经济因素。结果男性33例，女性2例，年龄9 ~ 74岁，平均年龄31岁。在88.6%的病例中，受伤的原因是患者经常用惯用手拿烟花（42.9%）。骨折占77.1%，外伤性截肢占34.3%，血管损伤占45.7%，神经损伤占48.6%。82.9%的患者需要手术，其中冲洗和清创（74.3%）和翻修截肢（60%）是最常见的手术。平均住院时间为4.64天，许多患者居住在低收入地区，62.8%来自邮政编码的家庭年收入低于6万美元。结论：手部火灾造成严重的身体和社会经济负担，大多数患者需要手术治疗骨折，血管或神经损伤，或接受创伤或手术截肢。来自低收入、社会脆弱地区的年轻成年男性受影响最大。未来的预防工作应侧重于公共卫生和立法举措，以减少这些伤害。研究类型/证据水平

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来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.