Traumatic peripheral nerve injuries in young Korean soldiers: a recent 10-year retrospective study
Purpose Traumatic peripheral nerve injury (PNI), which occurs in up to 3% of trauma patients, is a devastating condition that often leads to permanent disability. However, knowledge of traumatic PNI is limited. We describe epidemiology and clinical characteristics of traumatic PNI in Korea and ident...
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Korean Society of Traumatology
2024-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2024-0001.pdf |
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| author | Chul Jung Jae-hyun Yun Eun Jin Kim Jaechan Park Jiwoon Yeom Kyoung-Eun Kim |
| author_facet | Chul Jung Jae-hyun Yun Eun Jin Kim Jaechan Park Jiwoon Yeom Kyoung-Eun Kim |
| author_sort | Chul Jung |
| collection | DOAJ |
| description | Purpose Traumatic peripheral nerve injury (PNI), which occurs in up to 3% of trauma patients, is a devastating condition that often leads to permanent disability. However, knowledge of traumatic PNI is limited. We describe epidemiology and clinical characteristics of traumatic PNI in Korea and identify the predictors of traumatic complete PNI. Methods A list of enlisted soldier patients who were discharged from military service due to PNI over a 10-year period (2012–2021) was obtained, and their medical records were reviewed. Patients were classified according to the causative events (traumatic vs. nontraumatic) and injury severity (complete vs. incomplete). Of traumatic PNIs, we compared the clinical variables between the incomplete and complete PNI groups and identified predictors of complete PNI. Results Of the 119 young male patients who were discharged from military service due to PNI, 85 (71.4%) were injured by a traumatic event; among them, 22 (25.9%) were assessed as having a complete injury. The most common PNI mechanism (n=49, 57.6%), was adjacent fractures or dislocations. Several injury-related characteristics were significantly associated with complete PNI: laceration or gunshot wound, PNI involving the median nerve, PNI involving multiple individual nerves (multiple PNI), and concomitant muscular or vascular injuries. After adjusting for other possible predictors, multiple PNI was identified as a significant predictor of a complete PNI (odds ratio, 3.583; P=0.017). Conclusions In this study, we analyzed the characteristics of enlisted Korean soldiers discharged due to traumatic PNI and found that the most common injury mechanism was adjacent fracture or dislocation (57.6%). Patients with multiple PNI had a significantly increased risk of complete injury. The results of this study contribute to a better understanding of traumatic PNI, which directly leads to a decline in functioning in patients with trauma. |
| format | Article |
| id | doaj-art-c8cd4b07e2b14234bf3b0385e5ab11d6 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-c8cd4b07e2b14234bf3b0385e5ab11d62025-01-16T06:10:27ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832024-09-0137319222010.20408/jti.2024.00011315Traumatic peripheral nerve injuries in young Korean soldiers: a recent 10-year retrospective studyChul Jung0Jae-hyun Yun1Eun Jin Kim2Jaechan Park3Jiwoon Yeom4Kyoung-Eun Kim5 Department of Rehabilitation Medicine, Armed Forces Capital Hospital, Seongnam, Korea Department of Rehabilitation Medicine, Armed Forces Capital Hospital, Seongnam, Korea Department of Rehabilitation Medicine, Armed Forces Capital Hospital, Seongnam, Korea Department of Rehabilitation Medicine, Armed Forces Capital Hospital, Seongnam, Korea Department of Rehabilitation Medicine, Armed Forces Capital Hospital, Seongnam, Korea Department of Rehabilitation Medicine, Armed Forces Capital Hospital, Seongnam, KoreaPurpose Traumatic peripheral nerve injury (PNI), which occurs in up to 3% of trauma patients, is a devastating condition that often leads to permanent disability. However, knowledge of traumatic PNI is limited. We describe epidemiology and clinical characteristics of traumatic PNI in Korea and identify the predictors of traumatic complete PNI. Methods A list of enlisted soldier patients who were discharged from military service due to PNI over a 10-year period (2012–2021) was obtained, and their medical records were reviewed. Patients were classified according to the causative events (traumatic vs. nontraumatic) and injury severity (complete vs. incomplete). Of traumatic PNIs, we compared the clinical variables between the incomplete and complete PNI groups and identified predictors of complete PNI. Results Of the 119 young male patients who were discharged from military service due to PNI, 85 (71.4%) were injured by a traumatic event; among them, 22 (25.9%) were assessed as having a complete injury. The most common PNI mechanism (n=49, 57.6%), was adjacent fractures or dislocations. Several injury-related characteristics were significantly associated with complete PNI: laceration or gunshot wound, PNI involving the median nerve, PNI involving multiple individual nerves (multiple PNI), and concomitant muscular or vascular injuries. After adjusting for other possible predictors, multiple PNI was identified as a significant predictor of a complete PNI (odds ratio, 3.583; P=0.017). Conclusions In this study, we analyzed the characteristics of enlisted Korean soldiers discharged due to traumatic PNI and found that the most common injury mechanism was adjacent fracture or dislocation (57.6%). Patients with multiple PNI had a significantly increased risk of complete injury. The results of this study contribute to a better understanding of traumatic PNI, which directly leads to a decline in functioning in patients with trauma.http://jtraumainj.org/upload/pdf/jti-2024-0001.pdfperipheral nerve injurieswounds and injuriesepidemiologyprognosismilitary personnel |
| spellingShingle | Chul Jung Jae-hyun Yun Eun Jin Kim Jaechan Park Jiwoon Yeom Kyoung-Eun Kim Traumatic peripheral nerve injuries in young Korean soldiers: a recent 10-year retrospective study Journal of Trauma and Injury peripheral nerve injuries wounds and injuries epidemiology prognosis military personnel |
| title | Traumatic peripheral nerve injuries in young Korean soldiers: a recent 10-year retrospective study |
| title_full | Traumatic peripheral nerve injuries in young Korean soldiers: a recent 10-year retrospective study |
| title_fullStr | Traumatic peripheral nerve injuries in young Korean soldiers: a recent 10-year retrospective study |
| title_full_unstemmed | Traumatic peripheral nerve injuries in young Korean soldiers: a recent 10-year retrospective study |
| title_short | Traumatic peripheral nerve injuries in young Korean soldiers: a recent 10-year retrospective study |
| title_sort | traumatic peripheral nerve injuries in young korean soldiers a recent 10 year retrospective study |
| topic | peripheral nerve injuries wounds and injuries epidemiology prognosis military personnel |
| url | http://jtraumainj.org/upload/pdf/jti-2024-0001.pdf |
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