Bone Fracture Patterns and Distributions according to Trauma Energy

Background. This study investigates the effect of injury mechanism and energy on fracture patterns and distributions. Also, it compares differences in bone fracture patterns based on injury mechanism, gender, and age. Methods. Three thousand and sixty-six admitted patients with bone fractures were r...

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Main Authors: Ahmad Almigdad, Ayman Mustafa, Sattam Alazaydeh, Mu’men Alshawish, Mohammad Bani Mustafa, Hamza Alfukaha
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Advances in Orthopedics
Online Access:http://dx.doi.org/10.1155/2022/8695916
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author Ahmad Almigdad
Ayman Mustafa
Sattam Alazaydeh
Mu’men Alshawish
Mohammad Bani Mustafa
Hamza Alfukaha
author_facet Ahmad Almigdad
Ayman Mustafa
Sattam Alazaydeh
Mu’men Alshawish
Mohammad Bani Mustafa
Hamza Alfukaha
author_sort Ahmad Almigdad
collection DOAJ
description Background. This study investigates the effect of injury mechanism and energy on fracture patterns and distributions. Also, it compares differences in bone fracture patterns based on injury mechanism, gender, and age. Methods. Three thousand and sixty-six admitted patients with bone fractures were reviewed retrospectively, and the fractures were analyzed regarding age, gender, and mechanism of injury. Fractures were located in eleven bones. However, the forearm, hand, leg, and foot were considered one bone, and the fracture was then subclassified according to the anatomic position within each bone. Trauma energy was classified according to the mechanism of injury where simple falls were considered low-energy injury while falling from a height, road traffic accidents, bullet, and industrial injuries were considered high energy. Results. Males represented most of the patients, and most injuries occurred in adults. However, the male patients were more prone to injuries than females across all age groups below fifty years, women above fifty years were more frequent, and a third of females’ injuries occurred in the elderly. Simple falls represent two-thirds of the trauma mechanism, and falling from a height and road traffic accidents are the most common high-energy injuries and more prevalent in males. Scapular, clavicular, distal humerus, and shaft of long bones fractures were more prevalent in males. In contrast, females had a higher frequency of proximal humerus, proximal and distal femur, distal leg, and thoracic spine fractures. Industrial injuries are more frequent in males; thus, hand injuries are more frequent. Pathological fractures were higher in females, and spine and pelvic fractures were more associated with high-energy injuries. Conclusions. The trauma’s energy determines the bone injury’s extent and nature. Knowing the trauma mechanism is essential to expect the extent of injuries and construct preventive measures accordingly.
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spelling doaj-art-6c60189b711a47bba22b4cf4ee7d14132025-08-20T03:34:10ZengWileyAdvances in Orthopedics2090-34722022-01-01202210.1155/2022/8695916Bone Fracture Patterns and Distributions according to Trauma EnergyAhmad Almigdad0Ayman Mustafa1Sattam Alazaydeh2Mu’men Alshawish3Mohammad Bani Mustafa4Hamza Alfukaha5Department of OrthopedicDepartment of OrthopedicDepartment of OrthopedicDepartment of OrthopedicDepartment of OrthopedicDepartment of OrthopedicBackground. This study investigates the effect of injury mechanism and energy on fracture patterns and distributions. Also, it compares differences in bone fracture patterns based on injury mechanism, gender, and age. Methods. Three thousand and sixty-six admitted patients with bone fractures were reviewed retrospectively, and the fractures were analyzed regarding age, gender, and mechanism of injury. Fractures were located in eleven bones. However, the forearm, hand, leg, and foot were considered one bone, and the fracture was then subclassified according to the anatomic position within each bone. Trauma energy was classified according to the mechanism of injury where simple falls were considered low-energy injury while falling from a height, road traffic accidents, bullet, and industrial injuries were considered high energy. Results. Males represented most of the patients, and most injuries occurred in adults. However, the male patients were more prone to injuries than females across all age groups below fifty years, women above fifty years were more frequent, and a third of females’ injuries occurred in the elderly. Simple falls represent two-thirds of the trauma mechanism, and falling from a height and road traffic accidents are the most common high-energy injuries and more prevalent in males. Scapular, clavicular, distal humerus, and shaft of long bones fractures were more prevalent in males. In contrast, females had a higher frequency of proximal humerus, proximal and distal femur, distal leg, and thoracic spine fractures. Industrial injuries are more frequent in males; thus, hand injuries are more frequent. Pathological fractures were higher in females, and spine and pelvic fractures were more associated with high-energy injuries. Conclusions. The trauma’s energy determines the bone injury’s extent and nature. Knowing the trauma mechanism is essential to expect the extent of injuries and construct preventive measures accordingly.http://dx.doi.org/10.1155/2022/8695916
spellingShingle Ahmad Almigdad
Ayman Mustafa
Sattam Alazaydeh
Mu’men Alshawish
Mohammad Bani Mustafa
Hamza Alfukaha
Bone Fracture Patterns and Distributions according to Trauma Energy
Advances in Orthopedics
title Bone Fracture Patterns and Distributions according to Trauma Energy
title_full Bone Fracture Patterns and Distributions according to Trauma Energy
title_fullStr Bone Fracture Patterns and Distributions according to Trauma Energy
title_full_unstemmed Bone Fracture Patterns and Distributions according to Trauma Energy
title_short Bone Fracture Patterns and Distributions according to Trauma Energy
title_sort bone fracture patterns and distributions according to trauma energy
url http://dx.doi.org/10.1155/2022/8695916
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