scholarly journals Incidence of pediatric long bone fractures at the university college hospital Ibadan

2020 ◽  
Vol 6 (4) ◽  
pp. 655
Author(s):  
Tolulope O. Ogunrewo ◽  
Olugboyega A. Oyewole ◽  
Richard A. Omoyeni ◽  
Mosimabale J. Balogun ◽  
Michael O. Okunola
Keyword(s):  
Emergency Department ◽  
Bone Fractures ◽  
Long Bone ◽  
Age Group ◽  
College Hospital ◽  
Long Bone Fractures ◽  
Paediatric Patients ◽  
University College ◽  
Paediatric Age ◽  
The University

<p class="abstract"><strong>Background:</strong> Individuals within the paediatric age group sustain different types of fractures, as such the need to determine the incidence and pattern of long bone fractures among patients 16 years and below admitted through the different wards of admittance of the university college hospital Ibadan.</p><p class="abstract"><strong>Methods:</strong> This was a retrospective hospital-based study involving patients 16 years and below admitted through the accident and emergency department, the children emergency department, the neonatal ward and labour ward of the hospital between January 2013 and December 2018 at the university college hospital Ibadan. Using a proformal completed from the electronically stored data that captured the patient’s history, examination findings, X-ray film and treatment offered which was collected on a weekly basis.<strong></strong></p><p class="abstract"><strong>Results:</strong> 25.13% of the patients reviewed within the study period were paediatric patients. A total of 337 paediatric patients were reviewed. There were 124 female and 213 males with ratio (F:M-1:1.7). The fractures were mostly secondary to fall and road traffic crash accounting for 68.54% and 23.15% respectively. 65.12% of the fractures involve the bone of the upper limbs while 34.98% occur in the bones of the lower limbs. The radius and the ulnar bones are the most affected. Transverse fracture is the most common pattern observed.</p><p class="abstract"><strong>Conclusions:</strong> More than 20% of the reviewed population was in the paediatric age group and the radius and ulnar bones were the most commonly fractured bone in this age group. They usually follow trivial falls.</p>

scholarly journals The incidence and pattern of geriatric limb fractures in Ibadan, Nigeria

2020 ◽  
Vol 8 (8) ◽  
pp. 2856
Author(s):  
Tolulope O. Ogunrewo ◽  
Olugboyega A. Oyewole ◽  
Richard A. Omoyeni ◽  
Chuka T. Iken ◽  
Samuel O. Ogunlade
Keyword(s):  
Emergency Department ◽  
Geriatric Patients ◽  
Motor Vehicle ◽  
Age Group ◽  
College Hospital ◽  
Accident And Emergency ◽  
University College ◽  
Accident And Emergency Department ◽  
Limb Fractures ◽  
The University

Background: Individuals within the geriatric age group sustained different types of fractures as such the need to determine the incidence and pattern of limb fractures among patients 65 years and above admitted through the accident and emergency department of the University College Hospital Ibadan.Methods: A retrospective hospital-based study in which patients 65 years and above admitted through the accident and emergency department of the University College Hospital Ibadan over a 42-month period were involved in the study. Using a proformal completed from the electronically stored data that captures the patient’s history, examination findings, X-ray film and treatment offered which was collected on a weekly basis.Results: 12.58% of the patients reviewed within the study period were geriatric patients. A total of 98 geriatric patients were reviewed. There were 59 female and 39 male with a ratio 1.5:1. The fractures were mostly secondary to a trivial fall within their homes (68.37%) while traumatic injury from motor vehicle and motor bike crashes accounted for 11.22% and 16.33% respectively. The most commonly fractured bone is the femur and the proximal third is the most affected part. Comminuted fracture is the most common pattern observed.Conclusions: More than 10% of the reviewed population was in the geriatric age group and the proximal femur was the most commonly fractured bone in this age group. They usually follow trivial falls.

44: Risk Factors for Delayed Analgesia in Patients Presenting to the Emergency Department With Long Bone Fractures

2009 ◽  
Vol 54 (3) ◽  
pp. S15
Author(s):  
J. Mejia ◽  
F. Bautista ◽  
N. Garg ◽  
V. Reddy ◽  
M.S. Radeos ◽  
...  
Keyword(s):  
Risk Factors ◽  
Emergency Department ◽  
Bone Fractures ◽  
Long Bone ◽  
Long Bone Fractures

scholarly journals (P2-72) Diagnostic Accuracy of Bedside Ultrasound for Identifying Fractures in Patients with Orthopedic Trauma Presenting to the Emergency Department of a Level-1 Trauma Center - Aims Ultrasound Fracture Study

2011 ◽  
Vol 26 (S1) ◽  
pp. s159-s159
Author(s):  
T.P. Sinha ◽  
S. Bhoi ◽  
A. Bhasin ◽  
M. Rodha ◽  
S. Kumar
Keyword(s):  
Emergency Department ◽  
Predictive Value ◽  
Bone Fractures ◽  
Training Session ◽  
Bedside Ultrasound ◽  
Long Bone ◽  
Observation Study ◽  
Brief Training ◽  
Long Bone Fractures ◽  
Limb Injuries

BackgroundRadiography is the standard observation tool for examining orthopedic injuries. Bedside Ultrasound (BUS) may be a faster, non-invasive alternative to effectively identify bone fractures in the emergency department (ED) setting. The study compares the diagnostic utilities of BUS and radiography for identifying long bone fractures.MethodsProspective observation study with convenience sampling was conducted in ED in patients > 5 years, with post-traumatic upper and lower limb injuries requiring standard radiological examination after informed consent. The BUS examinations were performed by a emergency physician (EP) who had a brief training session to detect fractures. For every subject, radiographs were taken and reviewed for the presence of fracture by blinded orthopedic specialist. Statistical analysis was done by SPSS.ResultsA total of 133 patients were enrolled in the study. Only 42 had fracture, out of which 36 were picked up by BUS. The overall sensitivity of the BUS in detecting fracture was 85.7% with a confidence interval (CI) of 0.70–0.94 and specificity of 100% with a CI = 0.95–1.00. The positive predictive value (PPV) of USG was 100% with a CI = 0.86–1.00 and negative predictive value (NPV) of 93.8% with a CI = 0.86–0.97. There were six additional fractures which were recognized on x-ray and were not picked up by ultrasound.ConclusionsBUS can be utilized by EP after brief training to accurately identify long-bone fractures. It may gain a more prominent role in pregnant and pediatric population as well as in mass-casualty scenarios.

Sign in / Sign up

Export Citation Format

Share Document