Pattern of extremity fractures among patients with musculoskeletal injuries: A hospital based study from North India

Awasthi, Bhanu; Raina, Sunil Kumar; Kumar, Naveen; Sharma, Vipin; Kalia, Sandeep; Thakur, Lokesh

doi:10.4103/0972-4958.175847

Cited by 6 publications

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“…However, other authors rec-DOI: 10.4236/ojo.2023.133011 104 Open Journal of Orthopedics orded a predominance of fractures to the forearm bones [5] [15] [20] [26]. The falls as second causes reflects the broken bones in the forearm that victims are using the hands to cushion the impact which will be transmitted to the radius and ulna thereby causing a fracture of these bones [2] [5] [20]. However, Ibrahima et al [2] and Bhaskara et al [10] placed in the foreground femur fractures.…”

Section: Discussionmentioning

confidence: 99%

Fracture of Limbs Bones in a Rural and Post Conflict Health Zone

Kuyigwa¹,

Musho²,

Mubenga³

et al. 2023

OJO

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Background: Trauma is major public health problem in developing countries where they are associated with many factors, mainly such as lack of road safety, poverty and inadequate urban planning. We aim to highlight the epidemiology of the fractures limbs bones in a rural area where people live in a context of low economy, low education and insecurity. Methods: We conducted a cross-sectional, retrospective study involving all patients admitted for fracture in the surgical department of FOMULAC-KATANA General Reference Hospital from 1 st January 2011 to 31 st December 2014. The patients whose medical records were not completed were excluded. Results: Among 136 patients included in our study, 140 bones limbs were registered. Most of them (60.1%) were aged between 15 -44 years and the average age is 30, 1 year. Male predominance is noticed (72.8%) with a male/female ratio of 2.7/1, and informal professionals are the most found in our patients (67.6%). The main circumstances of fracture occurrence are, respectively, road traffic accidents (57.4%), falls (22.3%) and firearms (10.3%). The leg bones (33.6%) and forearm bones (20%) are the most concerned bones. Open fractures are recorded in 40.7% of patients. The supporting treatment is mainly orthopedic (64.5%) but also surgical (35.5). The mortality rate is 3.6%. Conclusion: The fractures of the limbs bones in Katana General Reference Hospital mainly affect young male which is informal professional. The road traffic accidents are the first circumstance leading to fractures followed by falls. The leg bones are the most fractured body part and fractures are commonly opened.

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Section: Discussionmentioning

confidence: 99%

Fracture of Limbs Bones in a Rural and Post Conflict Health Zone

Kuyigwa¹,

Musho²,

Mubenga³

et al. 2023

OJO

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“…2,5,13,14 However other studies have shown trauma from motor vehicular collision as the predominant external cause of fractures, especially in regions where road traffic injury is common. 5,[15][16][17] Fractures of the shaft of the humerus as a result of muscular exertion are uncommon with reports from several countries showing such fractures occur during activities such as throwing a baseball, javelin or hand grenades. 18,19 Some factors such as smoking have been identified as an independent risk factor for humeral shaft fracture in men.…”

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confidence: 99%

Epidemiology of fractures of the humerus at the university college hospital Ibadan

et al. 2023

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Background: The humerus is one of the long bones of the upper limb. It may be fractured following traumatic or non-traumatic injury. Humeral shaft fractures account for 1-3% of all fractures. However supracondylar fracture of the humerus is more common amongst children accounting for about 16% of all pediatric fractures. Trauma especially from falls especially in both children and geriatric populations has been known to cause humeral fractures. Other causes had been documented also. This study was aimed at determining the incidence, cause and pattern of humeral fracture in patients who presented to the accident and emergency department of the University College Hospital, Ibadan, Oyo state, Nigeria. Methods: Patients with radiologically confirmed humeral fractures who presented to the accident and emergency department of the hospital between January 2015 and December 2019 were included in the study. Data was obtained from the electronically stored data at the department of orthopedic surgery and trauma university college hospital Ibadan using a proforma and the data generated was analyzed using Statistical Package for the Social Sciences version 16. Results: A total of 167 patients with humeral fractures were seen during the study period. Most of these patients are within the age range of 0-15 years. Male to female ratio was 1.7:1. Most humeral fractures were due to fall and the distal humerus was most commonly affected. Conclusions: Humeral fractures occur in younger people and efforts should be geared towards preventing this trend in younger population.

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Nerve injury in severe trauma with upper extremity involvement: evaluation of 49,382 patients from the TraumaRegister DGU® between 2002 and 2015

Huckhagel

Nüchtern

Regelsberger

et al. 2018

Scand J Trauma Resusc Emerg Med

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BackgroundPeripheral nerve injury (PNI) as an adjunct lesion in patients with upper extremity trauma has not been investigated in a Central European setting so far, despite of its devastating long-term consequences. This study evaluates a large multinational trauma registry for prevalence, mechanisms, injury severity and outcome characteristics of upper limb nerve lesions.MethodsAfter formal approval the TraumaRegister DGU® (TR-DGU) was searched for severely injured cases with upper extremity involvement between 2002 and 2015. Patients were separated into two cohorts with regard to presence of an accompanying nerve injury. For all cases demographic data, trauma mechanism, concomitant lesions, severity of injury and outcome characteristics were obtained and group comparisons performed.ResultsAbout 3,3% of all trauma patients with upper limb affection (n = 49,382) revealed additional nerve injuries. PNI cases were more likely of male gender (78,6% vs.73,2%) and tended to be significantly younger than their counterparts without nerve lesions (mean age 40,6 y vs. 47,2 y). Motorcycle accidents were the most frequently encountered single cause of injury in PNI patients (32,5%), whereas control cases primarily sustained their trauma from high or low falls (32,2%). Typical lesions recognized in PNI patients were fractures of the humerus (37,2%) or ulna (20,3%), vascular lacerations (arterial 10,9%; venous 2,4%) and extensive soft tissue damage (21,3%). Despite of similar average trauma severity in both groups patients with nerve affection had a longer primary hospital stay (30,6 d vs. 24,2 d) and required more subsequent inpatient rehabilitation (36,0% vs. 29,2%).ConclusionPNI complicating upper extremity trauma might be more commonly encountered in Central Europe than suggested by previous foreign studies. PNI typically affect males of young age who show significantly increased length of hospitalization and subsequent need for inpatient rehabilitation. Hence these lesions induce extraordinary high financial expenses besides their impact on health related quality of life for the individual patient. Further research is necessary to develop specific prevention strategies for this kind of trauma.

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Pattern of extremity fractures among patients with musculoskeletal injuries: A hospital based study from North India

Cited by 6 publications

References 0 publications

Fracture of Limbs Bones in a Rural and Post Conflict Health Zone

Fracture of Limbs Bones in a Rural and Post Conflict Health Zone

Epidemiology of fractures of the humerus at the university college hospital Ibadan

Nerve injury in severe trauma with upper extremity involvement: evaluation of 49,382 patients from the TraumaRegister DGU® between 2002 and 2015

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