Open Access

Table III

Injury pattern and characteristics.

  Author Area Type of injury
1 Abraham JT et al. 2019/ USA Head and neck region − 92.1%, Extremities − 15.7 %, Trunk − 4.9 %, Multi − region − 12 patients Major in 74 children
Minor in 28 children
2 Akhtar N et al. 2006/ UK Face − 59% (Middle third was most commonly affected), UL − 20%, LL − 6%, Scalp − 7% Laceration − 75%, Puncture − 20%, Avulsion − 2.8%, Fracture − 1.4%, Tendon injury − 0.7%
3 Alizadeh K et al. 2017/ USA Head/neck region − 59.2%, Upper & lower extremities − 30.5%  
4 Avner RJ et al. 1991/ USA Face & scalp − 44, Trunk − 11, Extremity − 113 Lacerations − 38%, Abrasions − 33%, Puncture wounds − 29%
5 Bernardo LM et al. 1998/ USA Skull/ head − 41, Face − 176, Neck − 13, Chest − 7, Back − 14, Shoulder/ Upper arm/ upper limb − 25, Elbow/ forearm/wrist/hand fingers − 32, Hip/ thigh − 13, Knee − 26, Leg − 12, Spine − 1,Buttocks/genitals − 3, Multiple sites/ unspecified − 77 Fractures − 26, Dislocations − 11, Cerebral lacerations/ contusions/ intracranial injury − 3, Pneumothorax/hemothorax − 3, Open wounds − 330, Vessel injury − 6. Amputation of fingers and arm − 3, Superficial injury − 25, Contusion − 13, Nerve injury − 8, Lacerations of eye − 12
Open wounds were most common type of injury
6 Bernardo LM et al. 2000/ USA Total injuries − 511, Facial − 221, (cheek − 69 and lip/mouth − 66) Laceration − 57%, Puncture − 18%
Abrasion/ scrapes − 16%
7 Bernardo LM et al. 2002/ USA Total injuries − 886
Face − 61%
UL − 19%
LL − 9%
Laceration − 55%
Puncture − 24%
Abrasion − 13%
8 Chen HH et al. 2013/ USA
9 Chiam SC et al. 2014/ Australia Head& Neck − 70.8%, UL − 18.4%, LL − 9.4%, others − 1.4%
10 Daniels DM et al. 2009/ USA Head or neck (642), Trunk (90), Upper limb (342), lower limb (245)
11 Dwyer JP et al. 2007/ South Africa Head, Neck or Face 633(31%), Trunk 132 (7%), Shoulder, arm or hand 344(17%), Perineum or buttock 133(7%), Leg or foot 779(39%) Minor (Lacerations, Abrasions) 1718 (85%)
Significant 303(15%)
12 Eppley BL et al. 2013/ USA Head & Neck Puncture − 15%, Avulsion − 25%, Combination − 90%
13 Fien J et al.
2018/ California/ USA
Head 852, Face 3594 (54%), Neck 216, Thorax 207, Abdomen 226, Spine 23, Upper extremity 1031, Lower extremity 512, Unspecified 1251 AIS classification: Minor(1) − 6287 (79.6%), Moderate(2) − 1122, Serious(3) − 383, Severe(4) − 99, Critical(5) − 10, Maximum(6) − 1, Not assigned − 10
14 Garvey EM et al. 2014/ USA External (skin) 231 (81.9)Face 16 (5.65)Extremities/Pelvis 16 (5.65)Head/neck 13 (4.6)Abdomen 5 (1.8)Chest 1 (0.4) AIS classification: Minor(1) − 198 (70.2)Moderate(2) − 73 (25.9)Serious (3) − 6 (2.1)Severe (4) − 4 (1.4)Critical (5) − 1 (0.4)Unsurvivable (6) − 0 (0)
15 Greenhalgh C et al. 1991 Australia Face 91 bites (57%), Lower leg 11, Upper leg 9, Forearm 7, Hand 6, Back 5, Finger 5, Wrist 4, Abdomen 4, Elbow 2, Knee 2, Chest 2, Foot 2, Ankle 2  
16 Kasbekar AV et al. 2013/ UK Lip 46%, Ear 23%, Cheek 15%, Eye/undereye 5%, Nose 5%  
17 Kaye AE et al. 2009/ USA Face 29.8%, UL+LL 53.9%, trunk 4.7% NM
18 Kahn A et al. 2003 / Belgium Face and head (46)
Arms & hands (28)
Severe (Puncture & Lacerations) 80
Minor (Scratches & Bruises) 20
19 Lang, ME et al. 2005 /Canada Face 58.5%, Extremity 35.5%, Head 1.4%, Buttock 1.4%, neck 0.7% Mild 46%, Moderate 28.9%, Severe 25.1%
20 McGuire C et al. 2018/ Canada Face (42.9%), hands (12.6%) and scalp (12%) Arms (11%), Legs(11%) Neck (3.7%) Trunk (2.6%) Genitals (1.6%), Feet (1.6%) Buttocks (1.2%) Lackmann's Type I (91.1%), Type II (3.2%), Type III (5.1%), Type IVa 0.6%), Type IV b no cases
21 McHeik, JN et al. 2000/ France Cheek, 35 wounds (24.3%); Lip, 25 wounds (18.5%); Orbit, 24 wounds (16.4%); Forehead, 21 wounds (15%); Chin, 11 wounds (7.8%); Nose, 10 wounds (7.3%); Ear, 9 wounds (6.4%);
and Scalp, 6 wounds (4.3%)
Stage 1 (simple wound without lacerations or muscular injury) 59%; Stage 2, (multiple
injury with tissue lacerations and muscular injury) 35%; Stage 3 (substance loss) 6%
22 Mitchell RB et al. 2003/USA Head and neck only Scalp Laceration 57%
23 Monroy A et al. 2009 / USA Cheek 34%, Lips 21%, Nose 8%, Ears 8% Laceration complex − 45%, Laceration Linear − 32%, Avulsion − 18%, Puncture − 4%
24 Reisner IR et al. 2011/USA Face/head 52.5%, Arm/hand 32.3%, Leg/Foot 20.6%, Other 7.0% Injury Severity score
ISS1 85.4%
ISS2 9.1%
ISS3 2.5%
ISS4 3%
25 Schalamon J et al. 2005/ Austria Face 50%, UL − 28% LL − 18%, trunk − 4% Deep wounds − 85%
Scratches/ Minor Lacerations − 15%
26 Speirs J et al. 2015/ Texas/ USA Upper extremity 26(22.4%), Lower extremity 41(35.3%), Face/axial trunk 54(46.6%) Data mentioned only for upper extremity injuries
Excoriation 15.38%, Laceration 57.69%, Puncture wound 30.77%
27 Sribnick EA et al. 2016/ USA Head 73.7%, Other − 26.3%
28 Van As AB et al. 2010/ South Africa Scalp 72 (11), Skull 13 (2), Brain − closed injury 2 (0), Eye(s) 42 (7), Nose 19 (3), Facial bones 9 (1), Mouth/oropharynx 64 (10), Mandible 4 (1), Ear 39 (6), Face (other) 353 (56), Neck 15 (2) Laceration superficial − 64%, Laceration complicated − 15%, Abrasion − 13%, Close tissue 4%, Vascular − 0, Muscle tendon − 0, Others 3%
29 Wu PS et al./ USA

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