Orthopaedic surgeons can play important role in identifying victims of domestic violence in the emergency department – narrative review of Brazilian literature

Giordano, Vincenzo; Giordano, Carolina; Lopes, Isadora Maria; Pires, Robinson Esteves Santos; Godoy‐Santos, Alexandre Leme; Giannoudis, Peter V.

doi:10.1097/md.0000000000031461

Cited by 3 publications

(2 citation statements)

References 45 publications

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“…Musculoskeletal injuries, noted in as many as 42% of cases, frequently involve the upper limbs and the torso. These injuries represent the primary cause of death among women aged 1 to 34 years [102].…”

Section: Role Of Orthopedic Surgeons In Combating Gender-based Violencementioning

confidence: 99%

Investigating and Practicing Orthopedics at the Intersection of Sex and Gender: Understanding the Physiological Basis, Pathology, and Treatment Response of Orthopedic Conditions by Adopting a Gender Lens: A Narrative Overview

Biz,

Khamisy-Farah,

Puce

et al. 2024

Biomedicines

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In the biomedical field, the differentiation between sex and gender is crucial for enhancing the understanding of human health and personalizing medical treatments, particularly within the domain of orthopedics. This distinction, often overlooked or misunderstood, is vital for dissecting and treating musculoskeletal conditions effectively. This review delves into the sex- and gender-specific physiology of bones, cartilage, ligaments, and tendons, highlighting how hormonal differences impact the musculoskeletal system’s structure and function, and exploring the physiopathology of orthopedic conditions from an epidemiological, molecular, and clinical perspective, shedding light on the discrepancies in disease manifestation across sexes. Examples such as the higher rates of deformities (adolescent idiopathic and adult degenerative scoliosis and hallux valgus) in females and osteoporosis in postmenopausal women illustrate the critical role of sex and gender in orthopedic health. Additionally, the review addresses the morbidity–mortality paradox, where women, despite appearing less healthy on frailty indexes, show lower mortality rates, highlighting the complex interplay between biological and social determinants of health. Injuries and chronic orthopedic conditions such osteoarthritis exhibit gender- and sex-specific prevalence and progression patterns, necessitating a nuanced approach to treatment that considers these differences to optimize outcomes. Moreover, the review underscores the importance of recognizing the unique needs of sexual minority and gender-diverse individuals in orthopedic care, emphasizing the impact of gender-affirming hormone therapy on aspects like bone health and perioperative risks. To foster advancements in sex- and gender-specific orthopedics, we advocate for the strategic disaggregation of data by sex and gender and the inclusion of “Sexual Orientation and Gender Identity” (SOGI) data in research and clinical practice. Such measures can enrich clinical insights, ensure tailored patient care, and promote inclusivity within orthopedic treatments, ultimately enhancing the precision and effectiveness of care for diverse patient populations. Integrating sex and gender considerations into orthopedic research and practice is paramount for addressing the complex and varied needs of patients. By embracing this comprehensive approach, orthopedic medicine can move towards more personalized, effective, and inclusive treatment strategies, thereby improving patient outcomes and advancing the field.

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Section: Role Of Orthopedic Surgeons In Combating Gender-based Violencementioning

confidence: 99%

Investigating and Practicing Orthopedics at the Intersection of Sex and Gender: Understanding the Physiological Basis, Pathology, and Treatment Response of Orthopedic Conditions by Adopting a Gender Lens: A Narrative Overview

Biz,

Khamisy-Farah,

Puce

et al. 2024

Biomedicines

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“…Domestic violence is a major public health problem and an universal phenomenon that persists in all countries of the world [1][2][3][4]; but yet unrecognized and considered a tolerated or even accepted social phenomenon accompanied by significant health consequences [2, 5-10,]. In 2013 worldwide, nearly one third of women who had at least one relationship experienced physical and/ or sexual violence from their partner or ex-intimate partner [11].…”

Section: Introductionmentioning

confidence: 99%

Clinical and Medico-Legal Epidemiological Aspects of Domestic Violence against Women in Bangui (Central African Republic): About 150 Cases

2023

J Community Med Public Health

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Objective: evaluate domestic violence among women; identify the resulting injuries and the legal consequences. Methods: This was a 12-month cross-sectional study (From January to December 2017) of victims of domestic violence who were seen in the emergency room of Bangui Hospital Centres or who filed a complaint during the study period. All female victims of domestic violence with injuries requiring medical and surgical care had been retained. The data was entered and processed by the Epi info software. The Chi-squared test was used to compare significance level means at 0.05. Results: A total of 150 victims were included. Their average age was 29 years (range: 16 and 53 years). The length of conjugal life averaged 7.7 years (range: 1 and 32 years). The types of violence caused were psychological (68%), physical (99.3%), economic (51.3%), verbal (65.3%) and sexual (12.1%). The spouse's alcoholism was found in 49.3% of cases. In 56.7% of cases, the lesions observed were benign. They were ocular in 22.7%. Fractures were observed in 8% of cases. There were 7.3% dental lesions and 5.3% penetrating wounds. In 86% of couples, violence was recurrent. The perpetrator's low intellectual level was associated with the severity of the injuries. The injuries resulted in a total incapacity for work (ITT) of less than 21 days in 46.7% of victims and more than 21 days in 10.6%. Out-of-court Settlement was the settlement method observed in 52% of victims. A complaint was filed in 48% of cases, of which only 30.6% will have a judicial follow-up with conviction of the aggressors and the 69.4% have remained unanswered. The presence of ITT of more than 21 days and abortion are the reasons for recourse to justice. Conclusion: Domestic violence is a phenomenon in Bangui. The resources made available for the care of victims and for the prediction of the phenomenon remain insufficient.

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DORIS study: domestic violence in orthopaedics, a prospective cohort study at a Swedish hospital on the annual prevalence of domestic violence in orthopaedic emergency care

Svensson Malchau,

Caragounis,

Sundfeldt

2024

BMJ Open

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BackgroundDomestic violence (DV) is a major problem which despite many efforts persists globally. Victims of DV can present with various injuries, whereof musculoskeletal presentation is common.ObjectivesThe DORIS study (Domestic violence inORthopaedIcS) aimed to establish the annual prevalence of DV at an orthopaedic emergency department (ED) in Sweden.DesignFemale adult patients with orthopaedic injuries seeking treatment at a tertiary orthopaedic centre between September 2021 and 2022 were screened during their ED visit.SettingThis is a single-centre study at a tertiary hospital in Sweden.ParticipantsAdult female patients seeking care for acute orthopaedic injuries were eligible for the study. During the study period, 4192 female patients were provided with study forms and 1366 responded (32.5%).Primary and secondary outcome measuresThe primary outcome measure was to establish the annual prevalence of injuries due to DV and second, to establish the rate of current experience of any type of DV.ResultsOne in 14 had experience of current DV (n=100, 7.5%) and 1 in 65 (n=21, 1.5%) had an injury due to DV.ConclusionsThe prevalence of DV found in the current study is comparable to international findings and adds to the growing body of evidence that it needs to be considered in clinical practice. It is important to raise awareness of DV, and frame strategies, as healthcare staff have a unique position to identify and offer intervention to DV victims.

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Orthopaedic surgeons can play important role in identifying victims of domestic violence in the emergency department – narrative review of Brazilian literature

Cited by 3 publications

References 45 publications

Investigating and Practicing Orthopedics at the Intersection of Sex and Gender: Understanding the Physiological Basis, Pathology, and Treatment Response of Orthopedic Conditions by Adopting a Gender Lens: A Narrative Overview

Investigating and Practicing Orthopedics at the Intersection of Sex and Gender: Understanding the Physiological Basis, Pathology, and Treatment Response of Orthopedic Conditions by Adopting a Gender Lens: A Narrative Overview

Clinical and Medico-Legal Epidemiological Aspects of Domestic Violence against Women in Bangui (Central African Republic): About 150 Cases

DORIS study: domestic violence in orthopaedics, a prospective cohort study at a Swedish hospital on the annual prevalence of domestic violence in orthopaedic emergency care

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