Upper extremity injuries in the victims of intimate partner violence

被引：26

作者：

Thomas, Richard ^{[1
]}

Dyer, George S. M. ^{[2
]}

Tornetta, Paul, III ^{[3
]}

Park, Hyesun ^{[1
]}

Gujrathi, Rahul ^{[1
]}

Gosangi, Babina ^{[1
]}

Lebovic, Jordan ^{[4
]}

Hassan, Najmo ^{[1
]}

Seltzer, Steven E. ^{[1
]}

Rexrode, Kathryn M. ^{[5
]}

Boland, Giles W. ^{[1
]}

Harris, Mitchel B. ^{[6
]}

Khurana, Bharti ^{[1
]}

机构：

[1] Harvard Med Sch, Brigham & Womens Hosp, Div Emergency Radiol, Dept Radiol, 75 Francis St, Boston, MA 02115 USA

[2] Harvard Med Sch, Brigham & Womens Hosp, Dept Orthoped Surg, 75 Francis St, Boston, MA 02115 USA

[3] Boston Med Ctr, Dept Orthoped Surg, 725 Albany St 4th Floor,Suite 4B, Boston, MA 02118 USA

[4] Hosp Joint Dis & Med Ctr, Dept Orthoped Surg, 301 E 17th St, New York, NY 10003 USA

[5] Harvard Med Sch, Brigham & Womens Hosp, Div Womens Hlth, 75 Francis St, Boston, MA 02115 USA

[6] Massachusetts Gen Hosp, Dept Orthoped Surg, 55 Fruit St, Boston, MA 02114 USA

来源：

EUROPEAN RADIOLOGY | 2021年 / 31卷 / 08期

关键词：

Intimate partner violence; Domestic violence; Abuse; Upper extremity; Radiology; DOMESTIC VIOLENCE; EPIDEMIOLOGY; FRACTURES; HAND; WOMEN;

D O I：

10.1007/s00330-020-07672-1

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Objectives To recognize most common patterns of upper extremity (UE) injuries in victims of Intimate Partner Violence (IPV). Methods Radiological review of 308 patients who reported physical IPV at our institution from January 2013 to June 2018, identified 55 patients with 88 unique UE injuries. Demographic data and injury patterns and associations were collected from the electronic medical records. Results The cohort included 49 females and 6 males (age 19-63, mean 38). At the time of injury, IPV was reported in 15/88 (17%) and IPV screening was documented for 22/88 (25%) injuries. There were 46 fractures, 8 dislocations or subluxations, and 34 isolated soft tissue injuries, most commonly involving the hand (56/88). Fractures most commonly involved the fingers (21/46, 46%) and the 5th digit (8/27, 30%). Medial UE fractures (5th digit, 4th digit) constituted 44% of hand and finger fractures (12/27) and 26% of all fractures (12/46). Comminuted and displaced fractures were rare (8/46, 17%). Head and face injuries were the most common concomitant injuries (9/22, 41%) and subsequent injuries (21/61, 35%). Of 12 patients with recurrent UE injuries, 6 had recurrent injuries of the same hand. Five of 6 non-acute fractures (83%) were of the hand. Conclusions Hand and finger injuries are the most common UE injuries in patients with IPV, with finger being the most common site and medial hand the most common region of fracture. Repeated injuries involving the same site and a combination of medial hand and head or face injuries could indicate IPV. Key Points Upper extremity injuries in victims of intimate partner violence are most commonly seen in the hand and fingers. Fingers are the most common site of fracture and the medial hand is the most common region of fracture in the upper extremity in victims of intimate partner violence. In intimate partner violence victims with upper extremity injuries, concomitant injuries and subsequent injuries are most commonly seen in the head and neck region.

引用

页码：5713 / 5720

页数：8

共 25 条

[1] THE EPIDEMIOLOGY OF FRACTURES OF THE HAND AND THE INFLUENCE OF SOCIAL DEPRIVATION [J].