Authors

Abstract

Background: One of the common reasons for referral to healthcare centers are orthopedic injuries which may occur due to spontaneous pathologic injuries, traffic accidents, workplace injuries, and during exercise. This study aimed to determine the frequency, types and causes of orthopedic injuries refering to Akhatr teaching hospital in Tehran.
Methods: In this study, records of all the patients presented to the emergency department of the Akhtar hospital in 2015 were reviewed. Data were collected by random completion of the "damage record questionnaire" by nurses. Data were analyzed using descriptive (frequency, mean and standard deviation) and inferential (Chi-square) statistics to evaluate the incidence rate of injuries and demographic characteristics of the participants and to compare the incidence rate of injuries in various body parts.
Results: Most injuries occurred in lower extremities, followed by upper extremities. In addition, there was a significant association between gender and cause of incidents (P<0.03). Moreover, a significant correlation was observed between gender and rate of injury in left (P<0.001) and right (P<0.049) lower extremities and also in the right (P<0.001) and left (P<0.001) upper extremities. Results demonstrated a higher rate of injury among men, compared to women. Furthermore, the ankle was the most commonly injured area in the lower extremities while the wrist was the most common area of injury in upper extremities.
Conclusion: According to our results, the main cause of orthopedic injuries in the emergency department was traffic accidents (drivers, car occupants, and pedestrians), and the majority of patients were in the age range of 20- 40 years.
 

Keywords

1. Lombardi DA, Smith GS, Courtney TK, Brennan
MJ, Kim JY, Perry MJ. Work-related falls from ladders--a
follow-back study of US emergency department cases.
Scand J Work Environ Health. 2011;37(6):525-32.
2. Fan J, McLeod CB, Koehoorn M. Descriptive
epidemiology of serious work-related injuries in British
Columbia, Canada. PLoS One. 2012;7(6):e38750.
3. Agarwal-Harding KJ, Meara JG, Greenberg SL,
Hagander LE, Zurakowski D, Dyer GS. Estimating the
global incidence of femoral fracture from road traffic
collisions: a literature review. J Bone Joint Surg Am.
2015;97(6):e31.
4. Tsur A, Eluz D, Itah D, Segal Z, Shakeer N, Galin
A. Clinical profile of fallers with femoral neck fractures.
Pm r. 2014;6(5):390-4.
5. Aitken SA, Watson BS, Wood AM, Court-Brown
CM. Sports-related fractures in South East Scotland: an
analysis of 990 fractures. J Orthop Surg (Hong Kong).
2014;22(3):313-7.
6. Moradinazar M, Kurd N, Farhadi R, Amee V,
Najafi F. Epidemiology of work-related injuries among
construction workers of ilam (Western iran) during 2006
- 2009. Iran Red Crescent Med J. 2013;15(10):e8011.
7. Lauritzen JB. Hip fractures. Epidemiology, risk
factors, falls, energy absorption, hip protectors, and
prevention. Dan Med Bull. 1997;44(2):155-68.
8. Della-Giustina K, Della-Giustina DA. Emergency
department evaluation and treatment of pediatric
orthopedic injuries. Emerg Med Clin North Am.
1999;17(4):895-922, vii.
9. Chang NT, Lee YH, Hsu JC, Chan CL, Huang GS,
Renn JH, et al. Epidemiological study of orthopedic
injuries in hemodialysis patients in Taiwan: a fixed
cohort survey, 2004-2008. Clin Interv Aging. 2013;8:301-
8.
10. Pan R-H, Chang N-T, Chu D, Hsu K-F, Hsu Y-N,
Hsu J-C, et al. Epidemiology of orthopedic fractures and
other injuries among inpatients admitted due to traffic
accidents: a 10-year nationwide survey in Taiwan. The
Scientific World Journal. 2014;2014:7.
11. Eid HO, Barss P, Adam SH, Torab FC, Lunsjo K,
Grivna M, et al. Factors affecting anatomical region of
injury, severity, and mortality for road trauma in a high-
income developing country: lessons for prevention.
Injury. 2009;40(7):703-7.
12. Ebrahimi Pour H, Khani M, Saleh Aabadi S,
Babaei Heydar Abadi A, Molavi Taleghani Y, Mirzaei N,
et al. Demographically investigate the trauma resulting
from road traffic accidents in injured patients referred
to Taleghani Hospital in Mashhad (Khorasan razavi,
Iran)-2013. Journal of Safety Promotion and Injury
Prevention. 2014;2(3):155-60.
13. Peden M, Scurfield R, Sleet D, Mohan D, Hyder
AA, Jarawan E, et al. World report on road traffic injury
prevention. Geneva; World Health Organization; 2004.
14. Foroud nia F, Janghorbani M. Characteristics of
the inner city road traffic casualties in Kerman during
1994. Journal of Kerman University of Medical Sciences.
1995;2(1):35-42.
15. Yousefzadeh S, Ahmadi DM, Mohammadi MH,
Dehnadi MA, Hemati H, Shaabani S. Epidemiology of
Injuries and their Causes among Traumatic Patients
Admitted into Poursina Hospital, Rasht (second half of
the year 2005). Journal Of Kermanshah University Of
Medical Sciences (Behbood). 2007;11(3):286-95.
16. Ghorbani A, Rabiei MR, Charkazi A.
Epidemiology traumaye nashi az tasadofat dar
bimarestane Shahid Motahariye Gonbad-e-Kavous.
Iranian Journal of Forensic Medicine. 2009;15:29-34.
(Article in Persian)
17. Solhi H, Kalantari M, Gudarzi D, Noori G R,
Yaghubi A A, Cyrus A, et al . Epidemiolgical assessment
of trauma patients referring to Arak Vali-Asr Hospital.
2010;2(1).
18. Mares J, Ohlidalova K, Opatrna S, Ferda J.
منابع
مجله جراحی استخوان و مفاصل ایران
دوره شانزدهم، شماره 3 (شماره مسلسل 62)، تابستان 1397، صفحه‌های 260-256 بررسی فراوانی و علل بروز آسیب های ارتوپدی
259
Determinants of prevalent vertebral fractures and
progressive bone loss in long-term hemodialysis
patients. J Bone Miner Metab. 2009;27(2):217-23.
19. Rudser KD, de Boer IH, Dooley A, Young B,
Kestenbaum B. Fracture risk after parathyroidectomy
among chronic hemodialysis patients. J Am Soc Nephrol.
2007;18(8):2401-7.
20. Rodriguez Garcia M, Naves Diaz M, Cannata
Andia JB. Bone metabolism, vascular calcifications and
mortality: associations beyond mere coincidence. J
Nephrol. 2005;18(4):458-63.
21. Jamal SA, Hayden JA, Beyene J. Low bone
mineral density and fractures in long-term hemodialysis
patients: a meta-analysis. Am J Kidney Dis.
2007;49(5):674-81.
22. Rosansky S, Glassock RJ, Clark WF. Early start of
dialysis: a critical review. Clin J Am Soc Nephrol.
2011;6(5):1222-8.
23. Bahadorimonfared A, Soori H, Mehrabi Y,
Delpisheh A, Esmaili A, Salehi M, et al. Trends of fatal
road traffic injuries in Iran (2004–2011). PloS one.
2013;8(5):e65198.
24. Bhalla K, Naghavi M, Shahraz S, Bartels D,
Murray CJ. Building national estimates of the burden of
road traffic injuries in developing countries from all
available data sources: Iran. Inj Prev. 2009;15(3):150-6.
25. Ameratunga S, Hijar M, Norton R. Road-traffic
injuries: confronting disparities to address a global-
health problem. The Lancet. 2006;367(9521):1533-40.
26. Hasselberg M, Laflamme L, Weitoft GR.
Socioeconomic differences in road traffic injuries during
childhood and youth: a closer look at different kinds of
road user. J Epidemiol Community Health.
2001;55(12):858-62.
27. Orsi C, Bertuccio P, Morandi A, Levi F, Bosetti C,
La Vecchia C. Trends in motor vehicle crash mortality in
Europe, 1980–2007. Saf Sci. 2012;50(4):1009-18.
28. Li YH, Rahim Y, Lu W, Song GX, Yan Y, De DZ, et
al. Field data: a study on trend and prediction of fatal
traffic injuries prevalence in Shanghai. Traffic Inj Prev.
2006;7(4):403-7.
29. Vorko-Jovic A, Kern J, Biloglav Z. Risk factors in
urban road traffic accidents. J Safety Res. 2006;37(1):93-
8.