Akademik Veri Yönetim Sistemi
Turkiye Klinikleri Journal of Medical Sciences, cilt.33, sa.2, ss.360-365, 2013 (Scopus)
Objective: This study aimed to identify the lesions detected on wrists during the medical examination under custody, distinguish the plastic handcuff wound, identify the origin of the lesion, and introduce a multidisciplinary approach with neurology and psychiatry clinics. Material and Methods: A total of 40 people who were plastic handcuffed, 13 females and 27 males, and a total of 62 people who were metal handcuffed, 21 females and 41 males, were included in the study. Wrist and hand examination was performed. Skin findings were addressed in three ways as "no damage", "the epidermis is damaged", and "the dermis is damaged". "Handcuff neuropathy" was looked for in neurological examination. Test subjects who have both skin damage and neuropathy were considered as "mix-type". Plastic handcuffed group and metal handcuffed group were dealt separately for comparison. Results: Line-shaped skin damage at the antero-medial of the wrist was found in all plastic handcuffed test subjects. According to the type of handcuff, statistically significant difference was found between the damage situations (p<0.01); plastic handcuff injury rate is higher than the metal handcuff; epidermis damage and mix-type damage rate caused by plastic handcuff is higher than the metal handcuff. Handcuff neuropathy for both sexes was seen in six plastic handcuffed cases (15%); in five metal handcuffed cases (8.1%). Conclusion: The sign of plastic handcuff should be carefully evaluated in wrist injuries, and its photographs should be taken. We believe that, if handcuff neuropathy is determined during neurology consultation, it should be documented by electromyography and a detailed psychiatric examination must be performed. © 2013 by Türkiye Klinikleri.