Acil tıp kliniğine başvuran ve ortopedi ve travmatoloji konsültasyonu yapılan erişkin adli olguların geriye dönük analizi
RETROSPECTIVE ANALYSIS OF ADULT FORENSIC CASES ADMITTED TO THE EMERGENCY MEDICINE CLINIC AND CONSULTED WITH ORTHOPEDICS AND TRAUMATOLOGY
İsmail Eralp KAÇMAZ,Melikşah UZAKGİDER,Can Doruk BASA,Vadym ZHAMİLOV,Özge Atilla DUMAN,Gökçe KARAMAN,Haluk AĞUŞ,Oğuzhan EKİZOĞLU
Objective: The aim of this study was to investigate the characteristics of the injuries caused by forensic events in the adult age group in terms of orthopedics and traumatology science.
Materials and Methods: One hundred eighty two patients admitted to the Emergency Department of Tepecik Training and Research Hospital between 01.01.2016-31.12.2016 and consulted to orthopedy clinic were evaluated. Demographic characteristics of patients, admission to the emergency department, trauma type, characteristics of the injuries, additional consultations, radiological imaging methods, hospitalizations were evaluated.
Results: 15% (n=27) of the patients were female, the mean age was 46±(18). The majority of forensic cases who were consulted to the orthopedy clinic were gunshot injuries followed by blunt trauma, fall from height, stab wounds respectively. The most common type of injury was falling in women, gunshot in men. Bone fractures occurred in 45% (n= 81) of the patients, most common site of injury was upper extremities (n= 92), followed by lower extremity (n= 75).
Conclusion: In our country, it is seen that adult men are more exposed to forensic injuries than women. In the majority of forensic cases who needed orthopedy consultation up to the age of 40, the number of firearm injuries was the highest, subsequent injuries caused by blunt trauma due to violence and falls were prominent. In our study, it was decided that 7 of 8 patients with major vascular injuries did not develop a life-threatening condition, 20% of the patients did not have the dimensions of soft tissue injury. This situation shows that there are deficiencies in the judicial reports.