805 results match your criteria fractures african


The effects of orthopedic pathological conditions and systemic diseases on the prevalence of hip osteoarthritis in Modern African- and European-Americans.

Homo 2021 Jun 23. Epub 2021 Jun 23.

Department of Physical Therapy, Movement & Rehabilitation Sciences, Northeastern University, Boston, MA, USA.

Osteoarthritis (OA) is a leading cause of disability among aging adults. In the U.S. Read More

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Treatment of open tibia fractures in Sub-Saharan African countries : a systematic review.

Acta Orthop Belg 2021 Mar;87(1):85-92

Open tibia fracture (OTF) treatment is well documented in developed countries. Yet, this fracture pattern remains challenging because it is associated with an increased risk of infection and delayed union, particularly in case of Gustilo III B and C open fractures. Since access to healthcare is limited in Sub- Saharan African countries, this paper explores the results of OTF management in this setting. Read More

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Diagnostic Yield of Axial Computed Tomography Scans for Pediatric Axial Skeletal Injuries.

Spine (Phila Pa 1976) 2021 Jul;46(13):867-873

Department of Orthopedics & Rehabilitation, University of Rochester School of Medicine and Dentistry, Rochester, New York.

Study Design: Retrospective cohort study.

Objective: To evaluate the diagnostic yield of computed tomography (CT) imaging of the axial skeleton in pediatric patients evaluated a level I trauma center.

Summary Of Background Data: CT imaging has become ubiquitous in the assessment of axial skeletal injuries in trauma patients. Read More

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A country-specific FRAX model for Botswana.

Arch Osteoporos 2021 06 7;16(1):90. Epub 2021 Jun 7.

Centre for Metabolic Bone Diseases, University of Sheffield, Sheffield, UK.

Introduction: Hip fracture rates in Botswana were used to create a FRAX® model for fracture risk assessment.

Objective: This paper describes the development and characteristics of a country-specific FRAX model for Botswana.

Methods: Age-specific and sex-specific incidence of hip fracture and national mortality rates was incorporated into a FRAX model for Botswana. Read More

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A Retrospective Evaluation of the Prevalence of Cracked Teeth Among an Adult Population in Nevada.

Eur Endod J 2021 Apr 9. Epub 2021 Apr 9.

Department of Biomedical Sciences, School of Dental Medicine, University of Nevada, Las Vegas, Nevada, United State of America.

Objective: To identify the distribution and characteristics of cracked teeth in a Southern Nevada population attending the dental clinics of the School of Dental Medicine, University of Nevada, Las Vegas (SDM, UNLV).

Methods: A retrospective keyword search of the clinical notes of SDM, UNLV patient charts in AxiUm™ was performed using the search terms 'crack' and 'fracture' to discern the number of patients that had clinically identifiable teeth with cracks, and which teeth (if any) had documented symptoms consistent with the cracks. The inclusion criteria for the record search were individuals ≥18 years old, seen at the dental clinic between 2010 and 2018. Read More

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Ankle fractures in patients over age 55 years: Predictors of functional outcome.

OTA Int 2020 Sep 27;3(3):e080. Epub 2020 Jul 27.

MetroHealth Medical Center, affiliated with Case Western Reserve University, Cleveland, Ohio.

Objectives: To identify predictors of functional outcomes following treatment of ankle fracture in patients 55 years or older.

Setting: Level 1 Trauma Center.

Patients/participants: Four hundred twenty-nine patients with torsional ankle fractures (44A-C): 233 patients (54%) were ages 55 to 64, 25% were between the ages 65 and 74; 21% were 75 years or older. Read More

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September 2020

Frequency of Osteoporosis in Black Nigerian Women Aged 50 and above with Degenerative Musculoskeletal Diseases and Fractures.

West Afr J Med 2021 Apr;38(4):342-346

Rheumatology Unit, Department of Medicine, Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos State, Nigeria.

Background And Objectives: Osteoporosis is a bone disease characterized by reduced bone density (and microarchitecture damage) prevalent in post-menopausal women, who are prone to fragility fractures. There is paucity of data regarding the prevalence of osteoporosis in Nigerian women. This study was carried out to evaluate the frequency of osteoporosis among Nigerian women with degenerative skeletal diseases and fractures who visited our hospital so as to suggest prevention and early treatment in order to reduce the occurrence of fragility fractures. Read More

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Comment on: "Outcomes of surgical management regarding acetabular fractures: cases from African countries".

Int Orthop 2021 Apr 23. Epub 2021 Apr 23.

University of Nis, Faculty of Medicine, Clinic for Orthopaedic Surgery and Traumatology, University Clinical Centre Nis, Bul. dr Zorana Djindjica 48, 18000, Nis, Serbia.

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Outcomes of closed interlocking intramedullary nailing of the tibia without fluoroscopy in resource-limited settings: experience from two hospitals in Cameroon.

Pan Afr Med J 2021 26;38:87. Epub 2021 Jan 26.

Department of Surgery and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.

Introduction: closed static interlocking nailing with c-arm guidance is the standard procedure for the treatment of closed diaphyseal leg fractures. It is still very difficult to carry out such procedures in a low-income setting because of few or absent image intensifiers (c-arm) despite the necessity. The aim of this study was to describe the outcomes of patients with tibial fractures treated with closed interlocking intramedullary nails without c-arm guidance in a Cameroonian population. Read More

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Physiotherapists' awareness of risk of bone demineralisation and falls in people living with HIV: a qualitative study.

BMC Health Serv Res 2021 Apr 13;21(1):333. Epub 2021 Apr 13.

Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, P.O. Box 241, Cape town, 8000, South Africa.

Background: Recent research has indicated a seemingly increased propensity for both falls and accelerated bone loss in people living with HIV (PLWH). Physiotherapists play a crucial role in optimising function and quality of life of PLWH through prevention of falls and reducing the harm that results.

Aim: This study aimed to explore physiotherapists' awareness of falls risk and accelerated bone demineralisation in PLWH and their perceptions of current falls prevention strategies in the care of PLWH in selected regions of sub-Saharan Africa. Read More

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Outcomes of surgical management regarding acetabular fractures: cases from African countries.

Int Orthop 2021 Apr 7. Epub 2021 Apr 7.

Department of Orthopedic Surgery and Traumatology, Military Hospital Moulay Ismail Meknes (HMMI), 50000, Meknes, BP, Morocco.

Background: The management of acetabular fractures, which are severe injuries and often complex, is difficult and costly especially for poor and developing African countries.

Aim: To analyze and evaluate the functional and the radiological outcome of patients with acetabular fracture treated with open reduction and internal fixation.

Materials And Methods: It is a retrospective study on 24 patients treated with ORIF and followed up in the Trauma Orthopedic Surgery Department of the Military Hospital of Moulay Ismail of Meknès (MHMIM) between January 2014 and December 2019. Read More

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A review of blunt pelvic injuries at a major trauma centre in South Africa.

S Afr J Surg 2021 Mar;59(1):26a-26e

Pietermaritzburg Metropolitan Trauma Service, Department of Surgery, University of KwaZulu-Natal, South Africa and Department of Surgery, University of the Witwatersrand, South Africa.

Background: The collective five-year experience with the acute management of pelvic trauma at a busy South African trauma service is reviewed to compare the usefulness and applicability of current grading systems of pelvic trauma and to review the compliance with current guidelines regarding pelvic binder application during the acute phase of resuscitation.

Methods: A retrospective review was conducted over a 5-year period from December 2012 to December 2017 on all polytrauma patients who presented with a pelvic fracture. Mechanism of injury and presenting physiology and clinical course including pelvic binder application were documented. Read More

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Civilian gunshot injuries in orthopaedics: a narrative review of ballistics, current concepts, and the South African experience.

Eur J Orthop Surg Traumatol 2021 Jul 24;31(5):923-930. Epub 2021 Mar 24.

Orthopaedic Research Unit, Division of Orthopaedic Surgery, H49 OMB, Groote Schuur Hospital, University of Cape Town, Cape Town, 7925, South Africa.

The incidence of civilian gunshot injuries is on the rise worldwide.Unfortunately, there is a lack of high-level evidence guiding management. The treatment of orthopaedic injuries from gunshots is complex and requires consideration of multiple aspects, including energy transfer to the tissue, severity of the wound, possible contamination, presence of fractures and associated injuries. Read More

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Epidemiology of orthopaedic fractures due to firearms.

J Clin Orthop Trauma 2021 Jan 26;12(1):45-49. Epub 2020 Oct 26.

Department of Orthopaedic Surgery, Rutgers University, New Jersey Medical School, 140 Bergen Street, D-1610, Newark, NJ, 07103, USA.

The majority of firearm injuries involve the extremities and have concomitant orthopaedic injuries. National data on the epidemiology of wounds caused by firearms may better inform physicians and identify areas of public health intervention. We conducted an analysis of a national database to describe the epidemiology of orthopaedic firearm injuries in the United States. Read More

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January 2021

Effect of vitamin D and calcium carbonate supplementation on muscle strength in postmenopausal women living with HIV.

Antivir Ther 2020 ;25(8):411-418

Columbia University Irving Medical Center, New York, NY, USA.

Background: Both falls and fractures are increased in older persons living with HIV (PLWH). Low serum total 25-hydroxyvitamin D (25-OHD) levels have been associated with falls, fractures and poor muscle strength. We hypothesized that vitamin D (VitD) supplementation would improve muscle strength in postmenopausal PLWH. Read More

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January 2020

FRAX-based fracture probabilities in South Africa.

Arch Osteoporos 2021 03 1;16(1):51. Epub 2021 Mar 1.

Mary McKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia.

The hip fracture rates in South Africa were used to create ethnic-specific FRAX® models to facilitate fracture risk assessment.

Introduction: The aim of this study was to develop FRAX models to compute the 10-year probability of hip fracture and major osteoporotic fracture and assess their potential clinical application.

Methods: Age- and sex-specific incidence of hip fracture and national mortality rates were incorporated into a FRAX model for the White, Black African, Coloured and Indian population of South Africa. Read More

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Bone mass and vertebral fractures in South African children on prolonged oral glucocorticoids for chronic non-malignant illnesses.

Bone Rep 2021 Jun 2;14:100751. Epub 2021 Feb 2.

Department of Paediatrics, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa.

Introduction: We hypothesized that the prevalence of vertebral fractures would be low and that bone mineral density (BMD) would be less severely affected in a black South African (SA) population treated with glucocorticoids (GCs) than that reported in mainly white populations.

Methods: All children aged 5-17.9 years with chronic non-malignant illnesses who were on GCs (intravenous or oral) for greater than 3 months duration were evaluated. Read More

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Associations of hemoglobin and change in hemoglobin with risk of incident hip fracture in older men and women: the cardiovascular health study.

Osteoporos Int 2021 Feb 12. Epub 2021 Feb 12.

Division of Endocrinology, Stanford University School of Medicine, 300 Pasteur Dr., S-025, Stanford, CA, 94305, USA.

In a multi-site longitudinal cohort study, decreasing hemoglobin was associated with increased hip fracture risk in men. Anemia was associated with hip fracture in men and in African American women. Decreasing hemoglobin may be a marker of progressing bone fragility, making its serial measurement useful for fracture risk stratification. Read More

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February 2021

Civilian Gun Shot Wounds Associated With Spinal Injuries.

Global Spine J 2021 Feb 11:2192568221991802. Epub 2021 Feb 11.

Department of Orthopaedics & Rehabilitation, University of Rochester School of Medicine and Dentistry, Rochester, New York, NY, USA.

Study Design: Retrospective.

Objective: To evaluate functional outcomes and characteristics associated with gunshot wound (GSW) to the spine.

Methods: Patients with GSW to the spine managed at a Level 1 Trauma Center from January 2003 to December 2017 were enrolled. Read More

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February 2021

Musculoskeletal imaging manifestations of beta-thalassemia.

Skeletal Radiol 2021 Sep 9;50(9):1749-1762. Epub 2021 Feb 9.

Division of Musculoskeletal Imaging and Intervention, Department of Radiology, University of Washington Medical Center, UW Radiology-Roosevelt Clinic, 4245 Roosevelt Way NE, Box 354755, Seattle, WA, 98105, USA.

Beta-thalassemia is a heterogeneous group of anemic disorders caused by the absence or defective production of beta-globin chains. Their clinical manifestations vary from asymptomatic to severe symptoms leading to a transfusion-dependent anemic state. The genes that cause thalassemia are prevalent in Asian and African populations, particularly concentrated in the Middle East, Mediterranean region, parts of India, and South East Asia. Read More

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September 2021

Traditional bonesetters in northern Ghana: opportunities for engagement with the formal health sector.

Pan Afr Med J 2020 18;37:248. Epub 2020 Nov 18.

University of Washington, Box 359960, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, USA.

Introduction: we sought to explore the knowledge and practices among traditional bonesetters (TBSs) in the Northern Region of Ghana and to assess opportunities for their engagement with the formal health sector.

Methods: we identified 28 TBSs widely distributed in the Northern Region. They were interviewed using qualitative and quantitative methods, regarding their background, training, current practices, opinions regarding orthodox care, and interests in future linkages with the formal health sector. Read More

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Race and Insurance Status are Associated With Different Management Strategies After Thoracic Trauma.

J Surg Res 2021 May 2;261:18-25. Epub 2021 Jan 2.

Department of Surgery, New York University School of Medicine, New York, New York.

Introduction: Health-care disparities based on race and socioeconomic status among trauma patients are well-documented. However, the influence of these factors on the management of rib fractures following thoracic trauma is unknown. The aim of this study is to describe the association of race and insurance status on management and outcomes in patients who sustain rib fractures. Read More

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Randomized Controlled Trial Comparing Silver-Impregnated Fibrous Hydrocolloid Dressings With Silver Sulfadiazine Cream Dressings for the Treatment of Fracture Blisters to Determine Time to Surgical Readiness.

J Orthop Trauma 2021 Aug;35(8):442-447

Division of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Objectives: To investigate, in patients with fracture blisters, the time to surgical readiness in those treated with silver-impregnated fibrous hydrocolloid (SFH) dressings compared with those treated with topical silver sulfadiazine (SS) cream and to determine the direct costs associated with both treatments.

Design: A single-blind, randomized controlled trial.

Setting: The study was conducted at Tygerberg Hospital, a tertiary care facility, and Worcester Provincial Hospital, a secondary care facility, Western Cape, South Africa. Read More

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Effects of exercise training on bone mineral density and some health-related outcomes in HIV conditions: A randomized controlled trial.

Medicine (Baltimore) 2020 Dec;99(50):e23206

Department of Orthopaedic Surgery, University of the Witwatersrand, Johannesburg, South Africa.

Introduction: Human Immunodeficiency Virus (HIV) infection remains prevalent co-morbidity, and among fracture patients. Few studies have investigated the role of exercise interventions in preventing bone demineralization in people who have fractures and HIV. If exercise exposed, HIV-infected individuals may experience improved bone health outcomes (BMD), function, quality of life (QoL). Read More

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December 2020

Prevalence of Sarcopenia in Older South African Patients Following Surgery for Fragility Fractures of the Hip.

Geriatr Orthop Surg Rehabil 2020 26;11:2151459320971560. Epub 2020 Nov 26.

Division of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Introduction: Geriatric patients with a fragility fracture of the hip (FFH) are especially prone to sarcopenia with poor functional outcomes and quality of life. We assessed the prevalence of sarcopenia in older South African patients with FFH. Risk factors for sarcopenia were also investigated. Read More

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November 2020

Racial Disparity in Time to Surgery and Complications for Hip Fracture Patients.

Clin Orthop Surg 2020 Dec 30;12(4):430-434. Epub 2020 Jul 30.

Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA.

Backgroud: Racial and ethnic disparities in orthopedic surgery may be associated with worse perioperative complications. For patients with hip fractures, studies have shown that early surgery, typically within 24 to 48 hours of admission, may decrease postoperative morbidity and mortality. Our objective was to determine whether race is associated with longer time to surgery from hospital presentation and increased postoperative complications. Read More

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December 2020

National Trends in Pediatric Facial Fractures: The Impact of Health Care Policy.

Plast Reconstr Surg 2021 02;147(2):432-441

From the Department of Plastic and Reconstructive Surgery, The Johns Hopkins Hospital.

Background: Traumatic injuries are significant sources of morbidity and mortality in the pediatric population. Using a national database, this study aims to characterize pediatric facial fracture management and the effect of health care policy changes on populations receiving treatment.

Methods: A retrospective cohort study was performed using Healthcare Cost and Utilization Project Kids' Inpatient Database databases from 2000 to 2016. Read More

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February 2021

Selected characteristics and injury patterns by age group among pedestrians treated in North Carolina emergency departments.

Traffic Inj Prev 2020 10 12;21(sup1):S157-S161. Epub 2020 Nov 12.

Highway Safety Research Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Objective: The objective of this study was to describe pedestrian demographic characteristics, crash characteristics, selected health outcomes, and injury patterns by age using linked North Carolina (NC) crash-emergency department (ED) visit data for the period October 1, 2010, to September 30, 2015.

Methods: This was a descriptive epidemiologic study. To examine both crash and health outcomes, NC pedestrian crash records were linked to statewide NC ED visit records using hierarchical deterministic methods. Read More

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October 2020

Racial Variation in the Relationship of Glycemic Control with Fracture Risk in Elderly Patients with Diabetes.

Diabetes Metab Syndr Obes 2020 5;13:4153-4155. Epub 2020 Nov 5.

Department of Epidemiology and Biostatistics, University of Texas Health Science Center at Tyler, Tyler, TX, USA.

We investigated racial variation in glycemic control (glycated hemoglobin A1c [HbA1c]) with fracture risk in geriatric patients with diabetes. Compared to an HbA1c of 7.0-7. Read More

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November 2020

Predictors of appointment adherence following operative treatment of pediatric supracondylar humerus fractures: which patients are not following up?

J Pediatr Orthop B 2020 Oct 29. Epub 2020 Oct 29.

Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children and Children's Medical Center of Dallas.

This study aims to identify characteristics associated with poor appointment adherence after surgical stabilization of supracondylar humerus fractures (SCHFX) in children. A retrospective review of 560 consecutive, surgically managed patients with SCHFX from 2010 to 2015 was performed. One missed follow-up appointment was classified as 'low adherence', whereas missing two or more appointments was classified as 'very low adherence'. Read More

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October 2020