Floating shoulders are a double disruption injury of the Superior Shoulder Suspensory Complex (SSSC) [1]. Traditionally, in a floating shoulder the neck of the scapula and the distal clavicle are fractured but the definition has evolved to include concurrent tears of the coracoacromial and acromioclavicular ligaments [2, 3]. This injury is very rare, with incidence having been defined as being roughly 0.1% [4, 5]. The majority of these injuries are often caused by a high energy trauma, usually motor vehicle crashes [6]. However, they may also be caused by other mechanisms, including fall from height, motorcycle accidents, bicycle accidents, and gunshot wounds [7].
{"title":"Floating Shoulder Review","authors":"","doi":"10.33140/ijor.05.01.07","DOIUrl":"https://doi.org/10.33140/ijor.05.01.07","url":null,"abstract":"Floating shoulders are a double disruption injury of the Superior Shoulder Suspensory Complex (SSSC) [1]. Traditionally, in a floating shoulder the neck of the scapula and the distal clavicle are fractured but the definition has evolved to include concurrent tears of the coracoacromial and acromioclavicular ligaments [2, 3]. This injury is very rare, with incidence having been defined as being roughly 0.1% [4, 5]. The majority of these injuries are often caused by a high energy trauma, usually motor vehicle crashes [6]. However, they may also be caused by other mechanisms, including fall from height, motorcycle accidents, bicycle accidents, and gunshot wounds [7].","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125859761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Data from the Centers for Disease Control (CDC) provide proof that COVID-19 deaths affected nearly 80 percent of seniors age 65 and older in the first quarter of 2020 and continuing today, despite the fact that the sample size was limited to 52,166 people. As of January 20, 2022, over 75.8 percent of total COVID-19 deaths in the United States have been among seniors 65 and older, whilst this age group accounts for only 16.5 percent of the total United States population. Millennial successors to the Baby Boomers, namely those ages 18 to 39, represent some 29.9 percent of the United States population but only 2.6 percent of COVID-19 deaths. This is not a theory; the CDC data fully acknowledges this high percentage of deaths among senior citizens in the United States.
{"title":"Medicare Insolvency Delay (but Not the Solution) Due to COVID-19 Deaths","authors":"","doi":"10.33140/ijor.05.001","DOIUrl":"https://doi.org/10.33140/ijor.05.001","url":null,"abstract":"Data from the Centers for Disease Control (CDC) provide proof that COVID-19 deaths affected nearly 80 percent of seniors age 65 and older in the first quarter of 2020 and continuing today, despite the fact that the sample size was limited to 52,166 people. As of January 20, 2022, over 75.8 percent of total COVID-19 deaths in the United States have been among seniors 65 and older, whilst this age group accounts for only 16.5 percent of the total United States population. Millennial successors to the Baby Boomers, namely those ages 18 to 39, represent some 29.9 percent of the United States population but only 2.6 percent of COVID-19 deaths. This is not a theory; the CDC data fully acknowledges this high percentage of deaths among senior citizens in the United States.","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123772261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: The effects of mobilization approaches in weight-related respiratory problems in people diagnosed with obesity are not clearly known. In this study, the effects of dia-phragmatic mobilization methods on respiratory functions, fatigue, sleep quality, anxiety and depression in obese individuals were emphasized. Methods: Within the scope of our study, people aged between 18-65 years and a body mass index (BMI) of 30 kg/m2 and above were included in the process, sociodemographic information was recorded, and randomized diaphragmatic mobilization group (n=20) and control group (n=20) were included. The study was continued by dividing into two groups. Diaphragmatic mobilization approaches (diaphragmatic translation technique, di-aphragm stretching technique, diaphragm eight technique) were applied to the treated group for an average of 15-20 minutes, 2 sessions per week, for a total of 4 weeks. No effects were seen in obese subjects in the control group. Necessary evaluations were made within the group before and after the study. Result: In the comparison of the difference values of both groups within the scope of our study, spirometric measurements were FEF (25-75%), MVV (%), (L) parameters, respir-atory muscle strength measurement in all parameters, fatigue, sleep quality, depression, SF-36; A statistically significant difference was found in physical function and energy sub-parameters (p<0.05). Conclusion: As a result, it has been seen that diaphragm mobilization techniques are a safe and feasible approach that can improve the respiratory functions, sleep and quality of life of obese individuals and minimize the symptoms of fatigue. Summary Statement What is already known about this topic? • Respiratory functions, sleep and quality of life of obese individuals are not good and they experience fatigue very often. What this paper adds? • Demonstrated the effect of diaphragm mobilization techniques. The implications of this paper: • As a result, it has been revealed that diaphragm mobilization techniques are a good indication in obese individuals.
{"title":"The Effects of Diaphragmatic Mobilization Techniques on Respiratory Functions, Sleep Quality, Anxiety and Depression in Persons: Application in Obese Persons","authors":"","doi":"10.33140/ijor.05.01.05","DOIUrl":"https://doi.org/10.33140/ijor.05.01.05","url":null,"abstract":"Aim: The effects of mobilization approaches in weight-related respiratory problems in people diagnosed with obesity are not clearly known. In this study, the effects of dia-phragmatic mobilization methods on respiratory functions, fatigue, sleep quality, anxiety and depression in obese individuals were emphasized. Methods: Within the scope of our study, people aged between 18-65 years and a body mass index (BMI) of 30 kg/m2 and above were included in the process, sociodemographic information was recorded, and randomized diaphragmatic mobilization group (n=20) and control group (n=20) were included. The study was continued by dividing into two groups. Diaphragmatic mobilization approaches (diaphragmatic translation technique, di-aphragm stretching technique, diaphragm eight technique) were applied to the treated group for an average of 15-20 minutes, 2 sessions per week, for a total of 4 weeks. No effects were seen in obese subjects in the control group. Necessary evaluations were made within the group before and after the study. Result: In the comparison of the difference values of both groups within the scope of our study, spirometric measurements were FEF (25-75%), MVV (%), (L) parameters, respir-atory muscle strength measurement in all parameters, fatigue, sleep quality, depression, SF-36; A statistically significant difference was found in physical function and energy sub-parameters (p<0.05). Conclusion: As a result, it has been seen that diaphragm mobilization techniques are a safe and feasible approach that can improve the respiratory functions, sleep and quality of life of obese individuals and minimize the symptoms of fatigue. Summary Statement What is already known about this topic? • Respiratory functions, sleep and quality of life of obese individuals are not good and they experience fatigue very often. What this paper adds? • Demonstrated the effect of diaphragm mobilization techniques. The implications of this paper: • As a result, it has been revealed that diaphragm mobilization techniques are a good indication in obese individuals.","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115045444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Olecranon fractures are the most frequent articular fractures of the elbow. Objective: The aim of our work is to study the epidemiological, lesional, therapeutic and evolutionary aspects of olecranon fractures in the Orthopaedic-Traumatology Department of Aristide Le Dantec Hospital in Dakar. Patients and methods: This was a retrospective study over a period of 4 years, from January 1, 2014 to December 31, 2017, including 32 patients operated for a recent olecranon fracture using the pinning-hooking technique. Results: The series included 21 patients, 18 males and 3 females with an average age of 34 years (extremes 21 and 62 years). Road and traffic accidents were the leading cause with 09cases ie 43 percent. According to the Mayo Clinic classification, we observed 04 type I fractures (03 type IA and 01 type IB), 17 type II fractures (13 type IIA and 4 type IIB). The associated lesions were: skin openings with 03 cases (type I of Cauchoix and Duparc); section of the ulnar nerve; osteochondral and tendon fractures and lesions involving the elbow, forearm, radius and humerus. The average delay to consultation surgery was 13 days. Evaluation according to the modified Mayo Clinic criteria showed 80% good and excellent results and 20% fair results. The average follow-up was 3 years. Complications included 1 case of infection, 3 cases of secondary displacement, 2 cases of stiffness and 1 case of mal union. Conclusion: The treatment of olecranon fractures remains surgical and the technique of tension band wiring is the gold standard.
{"title":"Epidemiological, Lesional, Therapeutic and Evolutionary Aspects of Olecranon Fractures","authors":"","doi":"10.33140/ijor.05.01.03","DOIUrl":"https://doi.org/10.33140/ijor.05.01.03","url":null,"abstract":"Introduction: Olecranon fractures are the most frequent articular fractures of the elbow. Objective: The aim of our work is to study the epidemiological, lesional, therapeutic and evolutionary aspects of olecranon fractures in the Orthopaedic-Traumatology Department of Aristide Le Dantec Hospital in Dakar. Patients and methods: This was a retrospective study over a period of 4 years, from January 1, 2014 to December 31, 2017, including 32 patients operated for a recent olecranon fracture using the pinning-hooking technique. Results: The series included 21 patients, 18 males and 3 females with an average age of 34 years (extremes 21 and 62 years). Road and traffic accidents were the leading cause with 09cases ie 43 percent. According to the Mayo Clinic classification, we observed 04 type I fractures (03 type IA and 01 type IB), 17 type II fractures (13 type IIA and 4 type IIB). The associated lesions were: skin openings with 03 cases (type I of Cauchoix and Duparc); section of the ulnar nerve; osteochondral and tendon fractures and lesions involving the elbow, forearm, radius and humerus. The average delay to consultation surgery was 13 days. Evaluation according to the modified Mayo Clinic criteria showed 80% good and excellent results and 20% fair results. The average follow-up was 3 years. Complications included 1 case of infection, 3 cases of secondary displacement, 2 cases of stiffness and 1 case of mal union. Conclusion: The treatment of olecranon fractures remains surgical and the technique of tension band wiring is the gold standard.","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130019109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Therapeutic arsenal for humeral diaphyseal fractures is huge. It ranges from non-operative treatment to various osteosynthesis techniques by exofixation or endofixation. The goal of our study is to determine the place of screwed plate on diaphyseal fractures of the humerus. We gathered 15 cases of humeral diaphyseal fractures treated by screwed plate out of 106 (14%). The average age of our patients was 37.13 years. The fracture was isolated in six (6) cases and associated with other fractures of 9 patients. The site of the fracture line was at the middle third in 73.3% of cases. The line was transversal in 53.3% of cases, oblique in 20% and comminuted in 6.7% of cases. The average operating time was 13.2 days. All of our patients were treated by dynamic compression plates (DCP). Consolidation was obtained in all of patients over an average time of 74 days. The mean evaluation follow up is 22.2 months. Results, according to the STEWART and HUNDLEY score, were judged excellent in 93.3% of patients. The scar was unaesthetic in 33.3% of cases. Three complications noted were mal union, radial nerve palsy and the infection of the operating site. Osteosynthesis by screwed plate of humeral diaphyseal fractures, though appropriate for specific fractures, gives good clinical results.
{"title":"Screwed Plate Treatment for Diaphyseal Fractures of Humerus: Case of 15 Patients","authors":"","doi":"10.33140/ijor.05.01.01","DOIUrl":"https://doi.org/10.33140/ijor.05.01.01","url":null,"abstract":"Therapeutic arsenal for humeral diaphyseal fractures is huge. It ranges from non-operative treatment to various osteosynthesis techniques by exofixation or endofixation. The goal of our study is to determine the place of screwed plate on diaphyseal fractures of the humerus. We gathered 15 cases of humeral diaphyseal fractures treated by screwed plate out of 106 (14%). The average age of our patients was 37.13 years. The fracture was isolated in six (6) cases and associated with other fractures of 9 patients. The site of the fracture line was at the middle third in 73.3% of cases. The line was transversal in 53.3% of cases, oblique in 20% and comminuted in 6.7% of cases. The average operating time was 13.2 days. All of our patients were treated by dynamic compression plates (DCP). Consolidation was obtained in all of patients over an average time of 74 days. The mean evaluation follow up is 22.2 months. Results, according to the STEWART and HUNDLEY score, were judged excellent in 93.3% of patients. The scar was unaesthetic in 33.3% of cases. Three complications noted were mal union, radial nerve palsy and the infection of the operating site. Osteosynthesis by screwed plate of humeral diaphyseal fractures, though appropriate for specific fractures, gives good clinical results.","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134013023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: There is no consensus on the optimal method for the definitive diagnosis of mediopatellar plica syndrome. Currently, the diagnosis is made based on the patient history and is supported by physical examination. In this study, we retrospectively examined the accuracy of pre-arthroscopic diagnosis. Result: Five knees (20%) were diagnosed with mediopatellar plica syndrome based on MRI before arthroscopic examination. The pre- arthroscopic diagnosis rate of mediopatellar plica syndrome was 18 knees (72%). Complete suprapatellar plica and mediopatellar plica were noted in 3 knees. Mediopatellar plica (type C) and patellofemoral disorder were observed bilaterally in one patient. Conclusion: Our results imply that collecting a more detailed patient history and conducting a thorough physical examination are both important in definitive diagnosis of mediopatellar plica syndrome. However, it should be noted that mediopatellar plica syndrome may accompany patellofemoral disorders.
{"title":"Accuracy And Difficulty of Preoperative Diagnosis for Mediopatellar Plica Syndrome","authors":"","doi":"10.33140/ijor.05.01.02","DOIUrl":"https://doi.org/10.33140/ijor.05.01.02","url":null,"abstract":"Background: There is no consensus on the optimal method for the definitive diagnosis of mediopatellar plica syndrome. Currently, the diagnosis is made based on the patient history and is supported by physical examination. In this study, we retrospectively examined the accuracy of pre-arthroscopic diagnosis. Result: Five knees (20%) were diagnosed with mediopatellar plica syndrome based on MRI before arthroscopic examination. The pre- arthroscopic diagnosis rate of mediopatellar plica syndrome was 18 knees (72%). Complete suprapatellar plica and mediopatellar plica were noted in 3 knees. Mediopatellar plica (type C) and patellofemoral disorder were observed bilaterally in one patient. Conclusion: Our results imply that collecting a more detailed patient history and conducting a thorough physical examination are both important in definitive diagnosis of mediopatellar plica syndrome. However, it should be noted that mediopatellar plica syndrome may accompany patellofemoral disorders.","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130450394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hip replacement surgery has undergone tremendous changes from preoperative work up to post operative management. Now many studies are done on individual stages to assess which is the best method. Also, these are helping to fasten the recovery phase. Early and pain free mobilisation is the present motto in joint replacements so that patients can get back to their routine activities as soon as possible.
{"title":"What’s New in Hip Replacement- Recent Update and Guidelines","authors":"","doi":"10.33140/ijor.04.03.12","DOIUrl":"https://doi.org/10.33140/ijor.04.03.12","url":null,"abstract":"Hip replacement surgery has undergone tremendous changes from preoperative work up to post operative management. Now many studies are done on individual stages to assess which is the best method. Also, these are helping to fasten the recovery phase. Early and pain free mobilisation is the present motto in joint replacements so that patients can get back to their routine activities as soon as possible.","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129416570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: To systematically review the literature regarding low-cost, low-fidelity, self-made arthroscopic surgical simulators and provide an overview of their use in the teaching of arthroscopic surgical skills. Methods: Systematic review of the literature following PRISMA (Preferred Reporting Items for Systematic Reviews and MetaAnalyses) guidelines. Results: A total of 10 studies met inclusion criteria. All studies utilized low-cost, low-fidelity, self-made arthroscopic simulators of varying designs. Five studies (50%) utilized low-cost, self-made arthroscopic cameras and three (30%) utilized commercial surgical arthroscopic cameras. One study (10%) demonstrated face validity, five (50%) demonstrated construct validity, and three (30%) demonstrated transfer validity. The assessed arthroscopic tasks varied, but generally consisted of a combination of triangulation, object grasping, and tissue manipulation. Seven (70%) studies evaluated total simulator construction costs, with six (60%) studies achieving total construction costs of < $80 US Dollars. Conclusions: A growing body of literature supports the use of low-cost, low-fidelity, self-made arthroscopic surgical simulators. The cost-effectiveness and practicality of these simulators remains a major benefit to their overall utility when compared to their commercially available and high-fidelity counterparts. Furthermore, studies utilizing low-fidelity arthroscopic simulators are beginning to place a large importance on the achievement of face, construct, and transfer validity. Evidence suggests that the true utility of low-cost, low-fidelity arthroscopic surgical simulators stem not from their ability to replicate operating room conditions, but rather from their ability to provide practical training in basic and essential arthroscopic skills that will then be further refined through possible additional simulation and future surgical training.
{"title":"Low-Cost, Low-Fidelity, Self-Made Arthroscopic Surgical Simulators: A Systematic Review","authors":"","doi":"10.33140/ijor.04.03.10","DOIUrl":"https://doi.org/10.33140/ijor.04.03.10","url":null,"abstract":"Purpose: To systematically review the literature regarding low-cost, low-fidelity, self-made arthroscopic surgical simulators and provide an overview of their use in the teaching of arthroscopic surgical skills. Methods: Systematic review of the literature following PRISMA (Preferred Reporting Items for Systematic Reviews and MetaAnalyses) guidelines. Results: A total of 10 studies met inclusion criteria. All studies utilized low-cost, low-fidelity, self-made arthroscopic simulators of varying designs. Five studies (50%) utilized low-cost, self-made arthroscopic cameras and three (30%) utilized commercial surgical arthroscopic cameras. One study (10%) demonstrated face validity, five (50%) demonstrated construct validity, and three (30%) demonstrated transfer validity. The assessed arthroscopic tasks varied, but generally consisted of a combination of triangulation, object grasping, and tissue manipulation. Seven (70%) studies evaluated total simulator construction costs, with six (60%) studies achieving total construction costs of < $80 US Dollars. Conclusions: A growing body of literature supports the use of low-cost, low-fidelity, self-made arthroscopic surgical simulators. The cost-effectiveness and practicality of these simulators remains a major benefit to their overall utility when compared to their commercially available and high-fidelity counterparts. Furthermore, studies utilizing low-fidelity arthroscopic simulators are beginning to place a large importance on the achievement of face, construct, and transfer validity. Evidence suggests that the true utility of low-cost, low-fidelity arthroscopic surgical simulators stem not from their ability to replicate operating room conditions, but rather from their ability to provide practical training in basic and essential arthroscopic skills that will then be further refined through possible additional simulation and future surgical training.","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121671576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The study of mortality in a community makes it possible to define the axes of disease prevention and to readjust public health policies. The achieve of our study was to assess hospital mortality in trauma patients in an orthopedic department of a teaching hospital in sub-Saharan Africa. Patients and Method: We conducted a retrospective prognostic study evaluating hospital mortality during the period from March 1, 2013 to February 29, 2018. The results were analyzed using Statistical Package for the Social Sciences (SPSS) version 26.0. Results: Hospital mortality rate was 1.43%. The Circumstances of death were dominated by road accidents with 48.2%. Trauma to the lower limbs, the spine and polytrauma were the most frequently observed lesions on admission of patients with 40%, 27.3% and 28.2% respectively. Neurovegetative complications (29.51 %) and cardiopulmonary arrest (18.03 %) were the main causes of death at autopsy. Results: Hospital mortality rate was 1.43%. The Circumstances of death were dominated by road accidents with 48.2%. Trauma to the lower limbs, the spine and polytrauma were the most frequently observed lesions on admission of patients with 40%, 27.3% and 28.2% respectively. Neurovegetative complications (29.51 %) and cardiopulmonary arrest (18.03 %) were the main causes of death at autopsy. Conclusion: Traffic accidents are the most common cause of death from trauma. They can be avoided or limited by a good road safety policy.
{"title":"Hospital Mortality in Trauma Patients","authors":"","doi":"10.33140/ijor.04.03.09","DOIUrl":"https://doi.org/10.33140/ijor.04.03.09","url":null,"abstract":"Introduction: The study of mortality in a community makes it possible to define the axes of disease prevention and to readjust public health policies. The achieve of our study was to assess hospital mortality in trauma patients in an orthopedic department of a teaching hospital in sub-Saharan Africa. Patients and Method: We conducted a retrospective prognostic study evaluating hospital mortality during the period from March 1, 2013 to February 29, 2018. The results were analyzed using Statistical Package for the Social Sciences (SPSS) version 26.0. Results: Hospital mortality rate was 1.43%. The Circumstances of death were dominated by road accidents with 48.2%. Trauma to the lower limbs, the spine and polytrauma were the most frequently observed lesions on admission of patients with 40%, 27.3% and 28.2% respectively. Neurovegetative complications (29.51 %) and cardiopulmonary arrest (18.03 %) were the main causes of death at autopsy. Results: Hospital mortality rate was 1.43%. The Circumstances of death were dominated by road accidents with 48.2%. Trauma to the lower limbs, the spine and polytrauma were the most frequently observed lesions on admission of patients with 40%, 27.3% and 28.2% respectively. Neurovegetative complications (29.51 %) and cardiopulmonary arrest (18.03 %) were the main causes of death at autopsy. Conclusion: Traffic accidents are the most common cause of death from trauma. They can be avoided or limited by a good road safety policy.","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122463890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-18DOI: 10.21203/rs.3.rs-966011/v1
J. Yi, Wenmei Li, Ting Zhang, Jia-he Yang, Zhongbo Sun, Bin Zheng, Xiaoqin Duan
Background: Overuse of electronic products and decrease in levels of physical activity may lead to an increased incidence of spinal health problems in college students. This study aims to 1) identify the incidence of spinal health problems in college students, 2) to explore the key postural factors in development of spinal musculoskeletal dysfunction and scoliosis, and 3) to clarify new strategies for early identification and prevention of scoliosis. Methods: A cross-sectional screening by static posture assessment, selective functional movement assessment (SFMA) and Adam's Forward Bend Test, was conducted to 306 college students from October to December 2019. Descriptive analysis, Spearman correlation analysis and binomial logistic regression analysis were performed on the collected data.Results: Static postural assessment was completed among 306 college students, 53% of students’ external auditory meatus and acromioclavicular joint were not in the same gravitational line, 45% had forward-head posture, 42% had uneven shoulders. When performing SFMA, we found spinal musculoskeletal dysfunctions, including abnormalities of multi-segment spine flexion (32%), cervical rotation to right (18%), cervical rotation to left (16%), etc. In Adam's Forward Bend Test, 10.78% had a positive result, which suggested structural or functional scoliosis. Correlation analysis showed that the top three postural factors related to spinal musculoskeletal dysfunctions included uneven shoulders, forward-head, position of thorax and pelvis rotated. And top three postural factors related to scoliosis were spinous processes line deviating from midline, winged scapula and head rotation off midline. Logistic regression analysis displayed that there are two high risk factors for scoliosis, including external auditory meatus and acromioclavicular joint not in the same vertical line (OR = 6.314), and deviation of spinous processes line (OR = 12.743). Conclusions: Poor posture, spinal musculoskeletal dysfunction and scoliosis affect a significant proportion of college students. While their spinal musculoskeletal dysfunction and scoliosis are closely related to poor posture.
{"title":"Screening on Collect Students: Postural Risk Factors of Spinal Musculoskeletal Problems and Scoliosis","authors":"J. Yi, Wenmei Li, Ting Zhang, Jia-he Yang, Zhongbo Sun, Bin Zheng, Xiaoqin Duan","doi":"10.21203/rs.3.rs-966011/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-966011/v1","url":null,"abstract":"\u0000 Background: Overuse of electronic products and decrease in levels of physical activity may lead to an increased incidence of spinal health problems in college students. This study aims to 1) identify the incidence of spinal health problems in college students, 2) to explore the key postural factors in development of spinal musculoskeletal dysfunction and scoliosis, and 3) to clarify new strategies for early identification and prevention of scoliosis. Methods: A cross-sectional screening by static posture assessment, selective functional movement assessment (SFMA) and Adam's Forward Bend Test, was conducted to 306 college students from October to December 2019. Descriptive analysis, Spearman correlation analysis and binomial logistic regression analysis were performed on the collected data.Results: Static postural assessment was completed among 306 college students, 53% of students’ external auditory meatus and acromioclavicular joint were not in the same gravitational line, 45% had forward-head posture, 42% had uneven shoulders. When performing SFMA, we found spinal musculoskeletal dysfunctions, including abnormalities of multi-segment spine flexion (32%), cervical rotation to right (18%), cervical rotation to left (16%), etc. In Adam's Forward Bend Test, 10.78% had a positive result, which suggested structural or functional scoliosis. Correlation analysis showed that the top three postural factors related to spinal musculoskeletal dysfunctions included uneven shoulders, forward-head, position of thorax and pelvis rotated. And top three postural factors related to scoliosis were spinous processes line deviating from midline, winged scapula and head rotation off midline. Logistic regression analysis displayed that there are two high risk factors for scoliosis, including external auditory meatus and acromioclavicular joint not in the same vertical line (OR = 6.314), and deviation of spinous processes line (OR = 12.743). Conclusions: Poor posture, spinal musculoskeletal dysfunction and scoliosis affect a significant proportion of college students. While their spinal musculoskeletal dysfunction and scoliosis are closely related to poor posture.","PeriodicalId":192630,"journal":{"name":"International Journal of Orthopaedics Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130789927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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