Compressive Peripheral Nerve Injuries in Earthquake Victims in Kahramanmaraş Earthquake on February 6, Our Clinical Observations

Compressive Peripheral Nerve Injuries in Earthquake Victims in Kahramanmaraş Earthquake on February 6, Our Clinical Observations

Background Earthquakes are one of the most common causes of mortality and morbidity due to natural disasters. In particular, soft tissue and musculoskeletal injuries are the most common types of injuries following earthquakes and the most common reason for hospital admission. Turkey is a region with a very high risk of earthquakes. Compression is one of the most common causes of mechanically induced peripheral nerve injuries. Peripheral nerve injuries cause long-term disruptions in daily life, professional development, and education. These injuries are the important causes of labor loss, especially in young adult patients. The purpose of our study is to emphasize the importance of early diagnosis and treatment for these injuries by sharing our observations on compressive peripheral nerve injuries seen in earthquake victims after the Kahramanmaraş earthquakes on February 6. Materials and Methods We included patients with peripheral nerve injury who were admitted to the physical therapy clinic of Adana City Hospital for three months starting from February 6, 2023. Results The mean age of the injured was 32.64±17.63 years. The median time of being pulled from the rubble was 24 hours. 95.5% were living in Hatay province. The most common sites of peripheral nerve injury were legs (43.3%), arms (17.9%) and forearms (16.4%). 31.3% of the injured had bone fractures. The most common complaints were weakness in the legs (31.3%), foot drops (29.9%), and wrist drops (20.9%). Conclusion Earthquake is a natural disaster that can cause blunt and penetrating injuries and serious peripheral nerve injuries. Thus, it should be kept in mind that these injuries, which significantly affect the quality of life, are quite common and may be overlooked during the acute phase after earthquakes.

___

  • 1.Şen, S. Kahramanmaraş Depremlerinin Ekonomiye Etkisi, Diplomasi ve Strateji Dergisi 2023; 4: 1-55
  • 2.Ministry of Interior Disaster and Emergency Management Presidency. Press bulletin 01.03.2023 about the earthquake in Kahramanmaraş- 36. https://en.afad.gov.tr/pressbulletin-36-about-the-earthquake-in-kahramanmaras. Accessed March 2, 2023
  • 3.Republic of Türkiye Ministry of Health. Health Minister Dr. Koca Shared the latest situation of health services in earthquake regions. www.saglik.gov.tr/EN,94845/ health-minister-dr-koca-shared-the-latest-situation-of-health-services-in-earthquakeregions.html. Accessed March 2, 2023
  • 4.Shen N, Zhu J. Functional assessment of peripheral nerve injury and repair. J Reconstr Microsurg. 1996; 12: 153-7. https://doi.org/10.1055/s-2007-1006469
  • 5.Valone F, Lyon R, Lieberman J, et.al. Efficacy of transcranial motor evoked potentials, mechanically elicited electromyography, and evoked electromyography to assess nerve root function during sustained compression in a porcine model. Spine (Phila Pa 1976). 2014; 39(17): 989-93. https://doi.org/10.1097/BRS.0000000000000442
  • 6.Chemnitz A, Dahlin LB, Carlsson IK. Consequences and adaptation in daily life- 67 patients' experiences three decades after a nerve injury sustained in adolescence. BMC Musculoskelet Disord. 2013; 14(1): 1-9. https://doi.org/10.1186/1471-2474-14-252
  • 7.Moriyama N, Urabe Y, Onoda S, et.al. Effect of residence in temporary housing after the Great East Japan Earthquake on the physical activity and quality of life of older survivors. Disaster Medicine and Public Health Preparedness. 2017; 11(6): 701-10. https://doi.org/10.1017/dmp.2017.19
  • 8.Li Q, Yang CH, Xu JG, et.al. Cross-sectional study of craniocerebral trauma in a tertiary hospital after 2008 Sichuan earthquake: A brief report of 242 cases and experiences from West China Hospital. J Trauma. 2011; 70(6): E108-112. https://doi.org/10.1097/TA.0b013e3181fb4976
  • 9.Liang NJ, Shih YT, Shih FY, et.al. Disaster epidemiology and medical response in the Chi-Chi earthquake in Taiwan. Ann Emerg Med. 2001; 38(5): 549-55. https://doi.org/10.1067/mem.2001.118999
  • 10.Peek-Asa C, Kraus JF, Bourque LB, et.al. Fatal and hospitalized injuries resulting from the 1994 Northridge earthquake. Int J Epidemiol.1998; 27(3): 459-65. https://doi.org/10.1093/ije/27.3.459
  • 11.Peek-Asa C, Ramirez M, Seligson H, et.al. Seismic, structural, and individual factors associated with earthquake related injury. Inj Prev. 2003; 9(1):62-6. https://doi.org/10.1136/ip.9.1.62
  • 12.Rempel DM, Diao E. Entrapment neuropathies: pathophysiology and pathogenesis. J Electromyogr Kinesiol. 2004; 14(1): 71-5. https://doi.org/10.1016/j.jelekin.2003.09.009
  • 13.Aycan A, Yener U, Aycan N, et.al. Neurosurgical injuries caused by the 2011 Van earthquake: The experience at the Van Regional Training and Research Hospital. J Emerg Med. 2015; 49(4):464-70. https://doi.org/10.1016/j.jemermed.2015.03.018
  • 14.Bulut M, Fedakar R, Akkose S, et.al. Medical experience of a university hospital in Turkey after the 1999 Marmara earthquake. Emerg Med J. 2005; 22(7):494-8. https://doi.org/10.1136/emj.2004.016295
  • 15.Tiwari A, Haq Al, Myint F, et.al. Acute compartment syndromes. Br J Surg. 2002; 89:397- 412. https://doi.org/10.1046/j.0007-1323.2002.02063.x
  • 16.Hotchkiss RN, Pederson WC, Kozin SH, et.al. Green's Operative Hand Surgery, 2-Volume-Set. Elsevier; 2017.
  • 17. Valone F, Lyon R, Lieberman J, et.al. Efficacy of transcranial motor evoked potentials, mechanically elicited electromyography, and evoked electromyography to assess nerve root function during sustained compression in a porcine model. Spine (Phila Pa 1976). 2014; 39(17): 989-93. https://doi.org/10.1097/BRS.0000000000000442
  • 18.Okuyucu EE, Turhanoğlu AD, Duman T, et.al. Klinik ve Elektrofizyolojik Tanılar Arasındaki Tutarlılık Turk Norol Derg. 2009; 15: 129-133.
  • 19. Yağcı I, Akyüz G. Elektrofizyoloji ve Elektrodiagnoz. Türkiye Klinikleri J Int. Med Sci. 2007; 3: 1-7.
Çukurova Anestezi ve Cerrahi Bilimler Dergisi-Cover
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2018
  • Yayıncı: Merthan Tunay
Sayıdaki Diğer Makaleler

Effects of Pterygium Surgery on Holladay Eqiuvalent Keratometry Readings

Aynura SARIYEVA AYDAMIROV, Berkay KIZILTAŞ, Ayna SARİYEVA ISMAYİLOV

Zor Hava Yoluna Neden Olabilen Pediyatrik Sendromlar

Ebru BİRİCİK

Tonsillektomi sonrası kanama: Cerrahi deneyimin etkisi

Talih ÖZDAŞ, Nuray BAYAR MULUK, Vedat DELİBAŞ, Mustafa Çağrı DERİCİ, Sanem Okşan ERKAN, Birgül TUHANİOĞLU, Orhan GÖRGÜLÜ, Osman Kürşat ARIKAN

Böbrek Nakli Alıcılarında Hipomagnezemi Ve Kalsinörin İnhibitörleri

Engin ONAN, Saime PAYDAS, Mustafa BALAL, Nebi Cankat GEYGEL, İbrahim AKKAYA, Erhan TATAR

The Postoperative Analgesic Effect Of Transversus Abdominis Plane Block Undergoing inguinal Hernia Repair: A Randomized Controlled Study

Selda ÇELİK İLHAN, Zeliha TUNCEL, Mehtap ÖZDEMİR, Özlem DELİGÖZ

Sistinozis Hastalarının Değerlendirilmesi ve Kronik Böbrek Hastalığı İlişkili Faktörler

Begüm AVCI, Gönül PARMAKSIZ

TORAKAL DORSAL KÖK GANGLİYONU PULSED RADYOFREKANS UYGULAMASININ ETKİNLİĞİNİN POSTHERPETİK NEVRALJİ İLE POSTTORAKOTOMİ AĞRI SENDROMLARI ÜZERİNE ETKİLERİNİN KARŞILAŞTIRILMASI

Çağatay KÜÇÜKBİNGÖZ, Fidan MARUFOGLU, Tamer BAYRAM, Ayşe BAHŞİ, Hayri ÖZBEK

The Impact of the COVID-19 Pandemic on Anesthesia Management and Clinical Outcomes in Cesarean Section Surgery

İlsev BABAOĞLAN, Demet LAFLI TUNAY, Murat Türkeün ILGINEL, Nazlı TOTİK DOĞAN

Anxiety-depression and sleep quality in students receiving online education at home during the covid-19 pandemic

Ayşe KARAOĞULLARINDAN, Sanem Okşan ERKAN, Birgül TUHANİOĞLU, Yunus KILLI, Orhan GÖRGÜLÜ

Gebelikte covid-19 hastalığının yenidoğan tarama ABR sonuçlarına etkisi

Sedat ALAGÖZ, Sefa ARLIER, Vedat DELİBAŞ, Kübra İRDAY DEMİR, Tuğçe KÜÇÜKOĞLU ÇİÇEK, Sadık KÜKRER, Talih ÖZDAŞ