Parental needs and nursing response following SUFE Surgery: An interpretive descriptive study

<p><b>The parental experience of caring for a child following the unexpected admission and surgery for a significant hip injury has largely been unexplored in the New Zealand (NZ) context. Slipped Upper Femoral Epiphysis (SUFE) is one of the most common orthopaedic hip disorders prevalent amongst children between the ages of nine to fifteen years. In New Zealand, Māori and Pacific children are the most vulnerable population at risk of this hip condition. Existing literature focuses on the demographic and epidemiological studies, including surgical treatment and management of SUFE; however, there is a dearth of research concerning SUFE that focuses on parents’ experiences in the postoperative, discharge and rehabilitative phases of care and the nurses’ experience of caring for these children and their families.</b></p> <p>This qualitative study was undertaken at a large public hospital in New Zealand and interpretive descriptive methodology was utilised to examine the experiences of parents and nurses in caring for a child following invasive SUFE repair. As Māori and Pacific Island populations are highly represented in the SUFE statistics, most of the parents used in this study are from these socio-cultural backgrounds. Through transcribed semi-structured interviews with parents of five children who underwent SUFE repair, and five paediatric nurses caring for children and their families in the hospital ward, this study offers two perspectives of the journey for these parents following such an injury, from the child’s hospitalisation to caring for these children once they are home. Following thematic analysis, these perspectives are presented and contrasted revealing, insights of the parents’ ongoing need for support, information and planning for care and nurses’ efforts to meet these needs. Implications of nursing practice and parental education include the need for improved information sharing and delivery to aid parents understanding of the SUFE condition and effective management of care during hospitalisation and at home following discharge. Recommendations are made to improve the parental experience to support their child’s recovery following SUFE surgery.</p> <p>Key Words:SUFE, Parents and caregivers, Māori and Pacific populations, Nurses</p>

Parental needs and nursing response following SUFE Surgery: An interpretive descriptive study

<p><b>The parental experience of caring for a child following the unexpected admission and surgery for a significant hip injury has largely been unexplored in the New Zealand (NZ) context. Slipped Upper Femoral Epiphysis (SUFE) is one of the most common orthopaedic hip disorders prevalent amongst children between the ages of nine to fifteen years. In New Zealand, Māori and Pacific children are the most vulnerable population at risk of this hip condition. Existing literature focuses on the demographic and epidemiological studies, including surgical treatment and management of SUFE; however, there is a dearth of research concerning SUFE that focuses on parents’ experiences in the postoperative, discharge and rehabilitative phases of care and the nurses’ experience of caring for these children and their families.</b></p> <p>This qualitative study was undertaken at a large public hospital in New Zealand and interpretive descriptive methodology was utilised to examine the experiences of parents and nurses in caring for a child following invasive SUFE repair. As Māori and Pacific Island populations are highly represented in the SUFE statistics, most of the parents used in this study are from these socio-cultural backgrounds. Through transcribed semi-structured interviews with parents of five children who underwent SUFE repair, and five paediatric nurses caring for children and their families in the hospital ward, this study offers two perspectives of the journey for these parents following such an injury, from the child’s hospitalisation to caring for these children once they are home. Following thematic analysis, these perspectives are presented and contrasted revealing, insights of the parents’ ongoing need for support, information and planning for care and nurses’ efforts to meet these needs. Implications of nursing practice and parental education include the need for improved information sharing and delivery to aid parents understanding of the SUFE condition and effective management of care during hospitalisation and at home following discharge. Recommendations are made to improve the parental experience to support their child’s recovery following SUFE surgery.</p> <p>Key Words:SUFE, Parents and caregivers, Māori and Pacific populations, Nurses</p>

Media Coverage of Injury Prevalence in Tennis: a Content Analysis of Selected Online Newspapers

The health benefits of tennis have been well-described. However, like many other sports, playing tennis places athletes at risk of injury with a lot of physical and psychological effects. Thus, research has indicated the need for systematic studies to design useful strategies for the prevention and treatment of tennis-related injuries. Therefore, via a media-based analysis, this study aims to identify the most commonly reported tennis-related injuries and determine the extent of their news coverage in selected Nigerian online newspapers. Vanguard, Punch, The Nation, The Sun, and ThisDay were selected based on their popularity and online readership. A total of 113 tennis-related news articles were gathered via an internet-based search and subjected to content analysis. The articles were collected from January 2015 until December 2020 using “tennis” and “injury” as keywords. The findings showed that tennis-related injuries occur more often in lower extremities than upper extremities. Also, knee injury, hip injury, and elbow injury were the most commonly reported tennis-related injuries in the selected newspapers. Interestingly, these findings concur with previous clinical research on tennis-related injuries. Further analysis revealed that the selected newspapers paid much attention to tennis-related injuries. However, very few news stories reported official responses to tennis injuries. It was envisaged that this study could provide valuable insights on how to discover more efficient data for tennis injury analysis.

613 The Floating Hip: A Distinct Injury Pattern? A Descriptive Study and Case-Control Analysis

Aim A “Floating Hip” injury describes a simultaneous ipsilateral fracture of the femur and pelvis. We performed a descriptive study of the injury patterns, management, and outcomes of floating hip patients, and compared these patients to those with similar pelvic fractures without femoral involvement. Method This was a retrospective case-series review with secondary case-control analysis. Medical records of patients presenting with a floating hip injury to our tertiary orthopaedics department between 2015 and 2020 were reviewed. The control group comprised of patients with pelvic fractures but without associated femoral fractures, matched by age, sex, pelvic fracture classification, and mechanism of injury. Results 46 Floating Hip cases were identified (34 males), of average age 39 (15-86) years. 20 had acetabular fractures, 21 had pelvic ring fractures and 5 had both fractures, concomitant with ipsilateral femoral fractures. The most common site of femoral fracture was mid-shaft (21.7%), followed by distal (19.6%). 69.6% of P/A fractures were managed surgically, with ORIF (43%) the most common option. 4 (12.50%) patients suffered complications, including 2 infections and 1 DVT. Compared to controls, Floating Hip patients were more likely to require surgical management (67.6% vs 47.8%, p = 0.03), and had higher rates of surgical complications (12.5% vs 4.6%), though not statistically significant (p = 0.3). Conclusions Our study describes the patterns, management, and outcomes of Floating Hip injuries, and observes differences in the management and complications compared to similar pelvic fractures without femoral involvement. These findings suggest Floating Hip cases may warrant consideration as a distinct injury pattern.

A Comprehensive Assessment of Hip Damage in Ankylosing Spondylitis, Especially Early Features

Ankylosing spondylitis (AS) is most common in adolescents and the ultimate result is disability, which places a huge burden on patients and society. Therefore, the key to improve the prognosis of AS is the early diagnosis of hip injury. To examine if AS patients whose hip pain is either absent or minimal might already have observable MRI and X-ray hip changes. Clinical and imaging hip data were systematically analyzed in 200 healthy controls (HC) and 300 AS with varying degrees of hip pain. Forty-four patients with early hip osteoarthritis (OA) served as positive imaging controls. In MRI images, BME lesions in the STIR sequence were much more frequent in AS (62%) compared to HC (2%) (p &lt; 0.0001). Most importantly, 42% of AS with no or minimal hip pain had one or more MRI lesions. This was much more frequent compared to the 2% in HC (p &lt; 0.05). These lesions in AS were observed singly or in combination in the trochanters (8%), femoral heads (12%), and acetabula (13%). Parallel finding that X-ray changes were present in patients with minimal or no hip pain was also observed with X-ray. Based on the normal hip width of HC, joint space narrowing was observed in 94.3% of the entire AS cohort, and importantly 56.7% of AS patients with no or mild hip pain. In these latter patients, functional activities of the hips such as walking were normal. At least 40% of AS patients with minimal or no hip pain might already show MRI and X-ray changes.