Patterns of accidental fractures and dislocations in Saudi Arabia

Shaheen, M.A.; Badr, Abdulhalim A.; Al-Khudairy, Nail; Khan, Farah Aziz; Mosalem, A.; Sabet, N.

doi:10.1016/0020-1383(90)90115-b

Cited by 20 publications

(16 citation statements)

References 2 publications

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“…They are mainly workers involved in travels, transporting goods and services across the country. The vulnerability of the young adult male is consistent with findings [12] [18]- [20] from other parts of the world.…”

Section: Epidemiologysupporting

confidence: 88%

“…Road traffic accident is currently the commonest cause of traumatic joint dislocations in Nigeria, with figures as high as 62% -95% being recorded [7]- [10] Similarly high figures have been reported in India [11] as well as Saudi Arabia [12]. The hip joint is an inherently stable joint, requiring high velocity forces or energy to dislocate it; Posterior hip dislocation usually occur in a road accident when someone seated in a truck or car is thrown forward, striking the knee against the dashboard.…”

Section: Aetiopathogenesismentioning

confidence: 99%

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An Update on Traumatic Joint Dislocations in Nigeria

Edomwonyi¹,

Enemudo²

2015

OJO

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Trauma has assumed a pre-eminent epidemic proportion in the hierarchy of diseases afflicting the growing populace in Nigeria. Research into traumatic dislocations is relatively small. Road traffic accident is the commonest cause of traumatic dislocation in Nigeria currently. Human factors and collapse of road infrastructures are the major reasons. Young, productive, adult males are still the most affected while the rarity among children is again highlighted. Careful and detailed evaluation of patients is advised as certain conditions can mask the presence of a dislocation. Lack of diagnostic and therapeutic facilities in most centres in Nigeria makes this difficult, with clinicians resorting to clinical evaluation only and probably supported by only plain X-rays in some cases. Most cases are amenable to closed surgical management. Identification of long term complications is a major challenge, because of the poor follow up culture of our patients. Good road design and maintenance, enforcement of road regulations, manpower development and improvements in diagnostic and therapeutic facilities in all centres will reduce the burden of traumatic dislocations on the populace.

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Section: Epidemiologysupporting

confidence: 88%

Section: Aetiopathogenesismentioning

confidence: 99%

An Update on Traumatic Joint Dislocations in Nigeria

Edomwonyi¹,

Enemudo²

2015

OJO

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“… 24 Additionally, according to a 1994 review, 19 the most often injured body regions were the upper and lower extremities, and the head. A study conducted during 1990 25 showed that 14% of the cases of accidental fractures and dislocations were due to RTA. It was reported that 79.2% of patients admitted with spinal injuries between the years 1971 and 1997 had sustained their injuries as a result of a motor vehicle accident.…”

Section: Resultsmentioning

confidence: 99%

Road safety and road traffic accidents in Saudi Arabia

Mansuri

Al‐Zalabani

Zalat

et al. 2015

SMJ

204

198

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Objectives:To identify the changing trends and crucial preventive approaches to road traffic accidents (RTAs) adopted in the Kingdom of Saudi Arabia (KSA) over the last 2.5 decades, and to analyze aspects previously overlooked.Methods:This systematic review was based on evidence of RTAs in KSA. All articles published during the last 25 years on road traffic accident in KSA were analyzed. This study was carried out from December 2013 to May 2014 in the Department of Family and Community Medicine, Taibah University, Al-Madinah Al-Munawwarah, KSA.Results:Road traffic accidents accounted for 83.4% of all trauma admissions in 1984-1989, and no such overall trend was studied thereafter. The most frequently injured body regions as reported in the latest studies were head and neck, followed by upper and lower extremities, which was found to be opposite to that of the studies reported earlier. Hospital data showed an 8% non-significant increase in road accident mortalities in contrast to police records of a 27% significant reduction during the years 2005-2010. Excessive speeding was the most common cause reported in all recent and past studies.Conclusion:Disparity was common in the type of reporting of RTAs, outcome measures, and possible causes over a period of 2.5 decade. All research exclusively looked into the drivers’ faults. A sentinel surveillance of road crashes should be kept in place in the secondary and tertiary care hospitals for all regions of KSA.

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“…This evaluation must consider three types of information: 1) the characteristics of the fracture itself; 2) the skeletal pattern of trauma in the individual and the population; and 3) the social, culture historical, and/or environmental context of the human remains, including the presence of artifacts. Clinical research has considered the role of many variables in trauma causation (e.g., Agarwal, 1980;Åström et al, 1987;Barber, 1973;Björnstig et al, 1991;Buhr and Cooke, 1959;Busch et al, 1986;Cogbill et al, 1991;Donaldson et al, 1990;Fife and Barancik, 1985;Fife et al, 1984;Garraway et al, 1979;Grimm, 1980;Johansson et al, 1991;Jónsson et al, 1992;Jones, 1990;Knowelden et al, 1964;Madhock et al, 1993;Nilsson et al, 1991;Prince et al, 1993;Ralis, 1986;Sahlin, 1990;Shaheen et al, 1990;Zylke, 1990) and provides valuable aids for the interpretation of fractures in antiquity, particularly with regard to skeletal patterning and the contexts of injury.…”

Section: Interpreting the Ultimate Cause Of Injurymentioning

confidence: 99%

Trauma analysis in paleopathology

Lovell

1997

American J Phys Anthropol

472

441

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This paper reviews the mechanisms of injury and the types of fractures that most commonly affect the human skeleton, presents descriptive protocols for cranial and postcranial fractures adapted from clinical and forensic medicine, and summarizes anatomically the injuries most likely to be found in archaeological skeletons along with their most common causes and complications. Mechanisms of injury are categorized as direct and indirect trauma, stress, and fracture that occurs secondary to pathology. These are considered to be the proximate, or most direct, causes of injury and they are influenced by intrinsic biological factors such as age and sex, and extrinsic environmental factors, both physical and sociocultural, that may be thought of as the ultimate, or remote, causes of injury. Interpersonal conflict may be one of those causes but the skeletal evidence itself is rarely conclusive and must therefore be evaluated in its individual, populational, sociocultural, and physical context. A cautionary tale regarding parry fractures is presented as an illustration.

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Patterns of accidental fractures and dislocations in Saudi Arabia

Cited by 20 publications

References 2 publications

An Update on Traumatic Joint Dislocations in Nigeria

An Update on Traumatic Joint Dislocations in Nigeria

Road safety and road traffic accidents in Saudi Arabia

Trauma analysis in paleopathology

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