Akademik Veri Yönetim Sistemi
TURKISH JOURNAL OF PLASTIC SURGERY, sa.2, ss.74-79, 2025 (ESCI)
Aim: Injuries resulting from punching glass can lead to unpredictable injuries. Damage caused by glass can range from a simple cut to complex injuries affecting the deep structures of the hand. There are few studies in the literature examining the structures affected by glass punching. The aim of our study is to examine the most frequently affected structures and the reasons for their effects. Materials and Methods: This is a retrospective study. The patients' emergency department and outpatient clinic notes, X-ray images, surgical records, discharge reports, physical therapy notes, and invoice reports were examined. Patients who stated in their outpatient clinic notes that they had "hit glass," "hit a drinking glass," or "punched glass" were included in the study. Categorical variables were presented using absolute frequencies and percentages and were compared using the Chi-square test or Fisher's exact test. Statistical significance was defined as P < 0.05. All data analyses were performed using IBM SPSS Statistics version 21. Results: The flexor carpi radialis tendon was more frequently affected in patients who punched glass compared to those who hit glass (P = 0.023). No significant statistical difference was found between other structures (P > 0.05). The surgery duration was calculated as 169.3 +/- 95.0 min in patients with nerve and/or vascular damage, and it was found to be longer compared to the surgery duration in patients without nerve and/or vascular damage (P < 0.001). Conclusion: These patients cause significant harm to themselves by leading to irreversible nerve damage. In addition, they place a burden on the insurance system due to prolonged labor force loss and increased costs.