The epidemiology of fractures in adolescents with reference to social deprivation

Menon, M. R. G.; Walker, Juliette; Court-Brown, Charles M.

doi:10.1302/0301-620x.90b11.21163

Cited by 49 publications

(36 citation statements)

References 14 publications

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“…In some reports, all the patients going to a medical center were studied, while, some other studies, including the present study, examined the hospitalized patients with severe traumas (Urquhart et al, 2006). Moreover, the location of a specific medical center, different seasons of the year, racial differences, the level of welfare in different populations and countries influence the number of traumatic patients (Menon et al, 2008;Amin et al, 2011;Donaldson et al, 1990;Koo et al, 2013). …”

Section: Discussionmentioning

confidence: 88%

“…Although the importance of the subject is clear, there are few epidemiological studies appropriate for quantitative and qualitative evaluation of such injuries in different societies (Urquhart et al, 2006;Court-Brown & Caesar, 2006;Menon et al, 2008;Amin et al, 2014). Moreover, the epidemiology of such injuries differs from one society to another, and cannot be generalized (Scholes et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology of the Upper Extremity Trauma in a Traumatic Center in Iran

Ameri¹,

Ali²,

Ameri³

et al. 2016

GJHS

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Introduction: Orthopedic injuries are the most common types of traumatic injuries and present as fractures of the limbs, pelvis, and vertebrae or lesions in soft tissues, muscles, ligaments, and tendons. The upper limb fractures occur in distal radius and ulna, metacarpals, fingers, scapula, and carpal bones, Proximal, diaphysis, distal humerus, clavicle, proximal ulna and radio and distal humero and humero, radio, ulna, and metacarpo. The objective of this project was to accurately describe the occurrence of injuries of the upper extremity and the mechanisms of such injuries in a representative sample of Iranian population.Method: This prospective case series was performed on the patients admitted to Shafa Yahyaian Hospital through the emergency ward within 6 months. Patients' demographic features, the information about the mechanism of injury in soft tissues, bones and joints which obtained using clinical examination and imaging techniques, also the findings during the surgery were recorded in the information form. All analyses were performed using SPSS software, version 21. The independent t test or Mann-Whitney test and the Chi-square test or Fisher's exact test was used to compare the data. The results were significant at P<0.05. Results:This study was performed on 1287 patients with upper limb fracture. The male and female patients respectively comprised of 998 (77.5%) and 289 (22.5%) subjects. About 113 patients suffered injuries at shoulder joint or its surrounding bones. The most common traumatic mechanisms in this group included falls from the standing position (49.2%), direct hit (19.5%), and then falling down (12.58%). Humerus fractures were observed in 68 patients. There was a significant correlation between humerus fractures and the mechanisms (P=0.000). The patients with traumas around the elbow comprised of 182 individuals. Sex distribution of fractures around the elbow shows a significant correlation between sex and elbow fractures. Forearm fractures were observed in 233 patients, and there was a significant correlation between age groups and forearm fractures. Fractures around the wrist were observed in 333 patients. There was a significant correlation between patients with fractures around the wrist (36.88±23.81 years) and patients without fractures (30.84±18.99 years) around the wrist in terms of the mean age. Hand fractures were observed in 358 patients. There was a significant correlation between hand fractures and sex. Conclusion:The result of the current study which shows the epidemiology of these injuries and how such injuries occur in this area can well help the healthcare planners to design preventive and therapeutic measures.

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Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Epidemiology of the Upper Extremity Trauma in a Traumatic Center in Iran

Ameri¹,

Ali²,

Ameri³

et al. 2016

GJHS

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“…There is a progressive increase in the number of fractures with age in the paediatric population [12,19]. In our series, we noticed that 60% of the children in the outpatient and 50% of the inpatient study group were between 11 and 15 years old.…”

Section: Discussionmentioning

confidence: 50%

“…Population-based studies from Scotland found that children living in deprived areas have higher fracture rates than those from affluent areas [19,24]. In contrast, a similar study from South Wales did not show any correlation [14].…”

Section: Discussionmentioning

confidence: 83%

Are extremity musculoskeletal injuries in children related to obesity and social status? A prospective observational study in a district general hospital

Pullagura

Gopisetti

Bateman

et al. 2011

Journal of Children's Orthopaedics

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Background Obesity is one of the several independent risk factors for the risk of fractures. Major epidemiological studies also suggested the social status of the patients to be a confounding factor. We aimed to look at the influence of obesity on fractures and to determine if the social status of the patients is a confounding factor. Methods This is an observational study of 560 children with musculoskeletal injuries who presented over a period of 8 months and the data were collected prospectively. Obesity status and social deprivation index were estimated. Results The prevalence of overweight and obese children was 29.9%. Twenty-four percent of the boys and 31% of the girls were obese (P = 0.2). In the group of most deprived areas, the prevalence of obesity increased to 40% in those needing admission for intervention. Conclusions Although there is a slight increase in obesity, there is no suggestion of increased rate of fractures in deprived areas. Upper limb injuries were more predominant, with distal radius fracture being the most common injury. Boys sustain fractures twice as often as girls. There is a tendency to increasing obesity with increasing age.

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“…The Carstairs score is a -score based on overcrowding, male unemployment, social class, and car ownership. It has been extensively used to examine social deprivation in orthopaedic surgery [7,8,12] and other branches of medicine [9,13]. The Carstairs score can be used to divide the population of Scotland into five equal quintiles, with Quintile 1 (Q1) being the most affluent and Quintile 5 (Q5) being the most deprived.…”

Section: Methodsmentioning

confidence: 99%

The Epidemiology of Fractures Caused by Falls Down Stairs

2013

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Fractures sustained from a fall down stairs have received little attention in the orthopaedic literature. We have undertaken a study of these fractures to determine their epidemiology and to compare it to that of fractures caused by a standing fall. All new patients presenting with a fracture between July 2007 and June 2008 were prospectively identified. Falls down stairs caused 261 fractures and were the fifth commonest mode of injury in all ages but the second commonest in those aged 65 years or over. Patients in this category were significantly younger than those with a fracture from a standing fall (54.6 yrs versus 64.9 yrs, < 0.001). Fractures of the ankle (odds ratio (OR) 1.9, < 0.001), talus (OR 3.0, = 0.04), calcaneus (OR 9.7, < 0.001), midfoot (OR 6.9, < 0.001), toe phalanges (OR 12.0, < 0.001), scapula (OR 4.6, = 0.002), and proximal ulna (OR 2.4, = 0.04) were significantly more likely to result from a fall involving stairs. When grouped together, the odds of any foot or ankle fracture resulting from a fall down stairs were approximately double when compared with a fall from standing (OR 2.1, < 0.001). There was a trend towards increased fracture incidence from falls down stairs with worsening social deprivation ( = 0.63, = 0.05). A fall down stairs poses a substantial risk of fractures of the foot, ankle, and scapula. When examining patients with this mechanism of injury, these fracture types should be excluded.

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The epidemiology of fractures in adolescents with reference to social deprivation

Cited by 49 publications

References 14 publications

Epidemiology of the Upper Extremity Trauma in a Traumatic Center in Iran

Epidemiology of the Upper Extremity Trauma in a Traumatic Center in Iran

Are extremity musculoskeletal injuries in children related to obesity and social status? A prospective observational study in a district general hospital

The Epidemiology of Fractures Caused by Falls Down Stairs

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