Pattern and Etiology of Acute Hand Injuries

Hyder Ali, Roqayyah Munawwer Khursheed, Sabeen Hyder, Mujtuba Pervez

  • Hyder Ali Department of Plastic & Reconstructive Surgery Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi



To determine the pattern and etiology of acute hand injuries presenting in an emergency room.

Study design

Cross-sectional study.

Place & Duration of study

Emergency Department of Dr. Ruth KM Pfau Civil Hospital Karachi, from August 2019 to July 2020.


All patients of age 15 years - 60 years with hand injuries were included using non-probability convenient sampling. Data were collected using hand injury chart and analyzed using SPSS software version 26. Results were presented in percentage, mean, and standard deviation. Chi-square test was applied to find out association and a p-value of <0.05 was considered as statistically significant.


Out of 386 cases, 342 (89%) were males and 44 (11%) females. The common age group affected was l5 years - 40 years (n= 342 - 88.6%). Occupation-wise, majority (n=276 - 71.5%) of the patients were unskilled workers. Maximum injuries (n=281 - 55.6%) occurred in the time interval from 4 pm to midnight. Majority of patients (n=90 - 55%) sustained injury while at work. The right hand was more commonly injured than the left hand. A total of 438 tendons were injured of which 307 (70%) were flexor tendons. Finger flexors and extensors were involved in 60% and 16.4% respectively.


Males employed as unskilled workers were mostly injured. Machine injuries occurred more frequently.

Key words

Hand injury, Tendon injuries, Machine injuries, Flexor tendon.