The Relationship Between Etiology of Wrist Flexor Zone-5 Injuries and Anger Control

Introduction: This study aimed to compare individuals who sustained flexor zone 5 wrist injuries due to punching glass versus accidental work injuries.It focused on anger scales, rehabilitation adherence, and treatment outcomes.Methods: Forty-eight (9 females, 39 males) cases were reviewed retrospectively.Group A included patients injured by punching glass, while Group B consisted of work-related injuries.Data were collected using Spielberger's Anger scales and a sociodemographic form.Grip strength and QDASH scores were measured at the final follow-up, and the two groups were compared.Results: Group A had 30 patients (7 females, 23 males), with an average age of 35.43 years (range: 20-56) and a follow-up period averaging 77.73 months (range: 23-135).Group B consisted of 18 patients (2 females, 16 males), with an average age of 46.44 years (range: 25-62) and an average follow-up period of 70.28 months (range: 18-148).Group A, comprising statistically significantly younger males with dominant hand injuries, showed higher uncontrolled anger scores, whereas Group B demonstrated higher anger control scores.There were no significant differences between groups regarding alcohol and/or drug usage, psychiatric history, education, trauma, grip strength, QDASH scores, or rehabilitation compliance. Conclusion:The majority of injuries from punching glass involved young males with dominant-side injuries and significant anger levels.Although preoperative psychiatric evaluations are not carried out due to the urgent nature of these surgeries, postoperative care should involve hand surgeons, therapists, and psychiatric specialists using a biopsychosocial approach.