scholarly journals Characteristics of lower limb injuries in non-fatal road traffic accidents: a retrospective analysis of forensic medical examinations

2020 ◽  
Vol 10 (12) ◽  
pp. 40
Author(s):  
Viacheslav K. Sokol ◽  
Vera A. Kolesnichenko ◽  
Edgar Grygorian
2010 ◽  
Vol 1 (1) ◽  
pp. 14-15
Author(s):  
Anish Sam George ◽  
Murali Poduval

Objectives: A retrospective study was carried out to analyse the two wheeler accidents that presented over a one year period to a single institution and to study the pattern of limb injuries according to zones assigned to the limb. The mode of injury in the two wheeler accidents and the differences in limb injuries between the driver and the pillion riding passenger were also studied.Methods: All the road traffic accidents that could be attributed to two wheelers were obtained with the help of trauma records and the nominal registers and ward records. Limb injuries were then assigned to various anatomical zones that were created for the purpose of the study. The upper limb and lower limb injuries were separately analysed for differences between the driver and the pillion rider.Results: There were 242 two wheeler accidents seen between 1st jan 2008 to 31st dec 2008, of these 110 had limb injuries. 96 cases were eventually included and of these 67 were drivers. The most common mode of injury was a skid and fall of the vehicle ( 42%). Pillion riders were injured more often in collisions between two and four wheelers. The commonest injury in drivers was in wrist and hand regions of the upper limb and the tibia and ankle regions of the lower limb. In the pillion rider, lower limb injuries were commonest in the tibia and ankle whereas in the upper limb shoulder and wrist injuries predominated.Conclusion: Two wheeler accidents cause significant morbidity in both the driver and pillion rider, the tibia and ankle are commonly injured in both the populations whereas minor differences in upper limb injury are seen between the two groups.Keywords: Road traffic accidents; epidemiology; pattern of injuries.DOI: 10.3126/ajms.v1i1.2794Asian Journal of Medical Sciences Vol.1(1) 2010 p.14-15


2012 ◽  
Vol 20 (3) ◽  
pp. 203-206 ◽  
Author(s):  
Georgios Kouris ◽  
Sorin Hostiuc ◽  
Ionut Negoi ◽  
George Cristian Curca

Author(s):  
Costin D. Untaroiu ◽  
Neng Yue ◽  
Jaeho Shin

Although not life-threatening, lower limb injuries are the most frequent injury of moderate severity (AIS 2), sustained in a vehicle crash (Pattimore et al., 1991). To better understand the injury mechanisms, several lower extremity (LEX) finite element (FE) models were developed to investigate traffic accidents involving occupants in vehicles (Yang et al., 2006). The main limitations of existing lower limb FE models are due to their geometries, the modeling approaches used to represent their components, and limited test data used for the model validation.


2012 ◽  
Vol 59 (3) ◽  
pp. 57-60
Author(s):  
Marko Bumbasirevic ◽  
Ivan Milosevic ◽  
Vesna Bumbasirevic ◽  
Slavisa Zagorac ◽  
Aleksandar Lesic

INTRODUCTION: In the city of Belgrade pedestrians are under the high risk to sustain injuries in the road traffic accidents, they are often with multiple injuries, with long-term treatment and significant consequences. Most of them are in the senior or in the school age group. METHODS: We present the results of the epidemiological analysis of the mechanism of injury and treatment outcome of the pedestrians who sustained the lower limb injuries and additional, the injuries of the other organic systems. We also analyzed the relevant data about the moment of the collision. RESULTS: Regarding the gender, male were significant more injured, in the senior age of life. Patients with multiple injuries, especially with the pelvic injuries or injuries of more than two systems were significant more likely to have a fatal outcome. CONCLUSION: The pedestrians are the most vulnerable group in road traffic accidents. Thus, we need to make actions on two levels: appropriate environment conditions and effective prehospital and hospital treatment.


Author(s):  
Taís Martins Loreto ◽  
Marcus Vinicius Boaretto Cezillo ◽  
Bruno Rafael Müller ◽  
Rodrigo Chaves Ribeiro ◽  
Ana Aparecida Andrade ◽  
...  

ABSTRACT Background Lower limb injuries are related to important disability to deal with environment. Socioeconomic characteristics also must be considered since they lead to a particular trauma profile. This association is necessary to guide control measures to prevent morbidity and mortality. Study design In the region, the human development index (HDI) varies from 0.772 to 0.804), per capita income varies from 1.62 to 2.36 (minimum wage) and the average years of study in the population was 6.5 years. Data collected from 334 admitted trauma patients between 2011 and 2012 at Hospital Pirajussara, a tertiary reference center in São Paulo, Brazil, linked to the Federal University of São Paulo, Paulista School of Medicine (UNIFESP-EPM) compiled the following parameters: length of stay, age, sex, mechanism of injury and mortality, which was associated with the local characteristics and data from the existing literature. The environment characteristics surrounding the hospital are of slums without adequate work conditions. Results Domestic falls were the most important mechanism of injury (50.8%), affecting mainly elderly people at the rate of 33.5% with femur fractures. Traffic accidents involved 27.2% of patients, 71.4% of them caused by motorcycle. Seventy-seven percent of motorcycle accidents involved young drivers with lower leg injury (69.2%) and hip/thigh injury (26%). Conclusion Results demonstrate that most lesions are motivated by domestic falls and are strongly correlated to elderly patients, while young patients are more inclined to suffer traffic accidents, mostly associated with motorcycles. Considering this peculiar epidemiological profile is possible to intervene through policy approaches, such as safer road infrastructure and enforcement of laws to decrease risky behavior, and third age public healthcare strategies allied to better structured homes, using assistive devices as handrails for stairways and removing hazards from passage. How to cite this article Loreto TM, Cezillo MVB, Müller BR, Ribeiro RC, Andrade AA, Abib SCV. Lower Limb Injuries and Socioeconomic Influences in a Region of a Tertiary Hospital in São Paulo, Brazil. Panam J Trauma Crit Care Emerg Surg 2014;3(2):47-52.


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