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Open Access 17-06-2024 | Ulna Fracture | Original Article

Presentations and management of hospitalized patients with upper extremity fractures at a level 1 trauma center: a 5-year observational study

Authors: Syed Imran Ghouri, Mohammad Asim, Ayman El-Menyar, Ibrahim Afifi, Yassir Abdulrahman, Hisham Jogol, Hassan Al-Thani, Sandro Rizoli

Published in: European Journal of Orthopaedic Surgery & Traumatology

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Abstract

Background

Upper extremity injuries (UEIs) are common in the emergency departments, yet they are under-reported in developing countries. This study examined the frequency, injury characteristics, and treatment approaches of upper extremity fractures (UEFs) among hospitalized trauma patients in a nationally representative population.

Methods

We conducted a retrospective, observational study including all the hospitalized patients with UEFs in the only level 1 trauma center in Qatar between July 2015 and August 2020. Comparative analyses were performed according to injury mechanisms, severity, and management approach.

Results

A total of 2,023 patients sustained UEIs with an average age of 34.4 ± 12.9 years, and 92% were males. Motor vehicle crashes (MVCs; 42.3%) were the primary cause of shoulder girdle injuries in 48.3% of cases. Fractures of the radius, ulna, and hands occurred in 30.8, 16.5 and 14.5%, respectively. Young adults were more involved in MVCs and motorcycle crashes (MCCs), while pedestrians who were typically older had a higher rate of humerus fractures. Patients with MCCs had a higher rate of clavicle and ulna fractures. Pedestrians were at risk of serious injuries, with a higher mean injury severity score and lower Glasgow Coma Scale.

Conclusion

Most UEFs patients were young males and mainly affected by MVCs. Shoulder girdle, particularly clavicle and scapula/glenoid fractures, emerged as common injury sites. The study highlighted the potential risk of pedestrian injuries, as reflected in higher injury severity, concomitant injuries, and higher mortality. Future studies are needed to optimize preventive measures by incorporating insights into specific injury mechanisms and patterns of UEIs.
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Metadata
Title
Presentations and management of hospitalized patients with upper extremity fractures at a level 1 trauma center: a 5-year observational study
Authors
Syed Imran Ghouri
Mohammad Asim
Ayman El-Menyar
Ibrahim Afifi
Yassir Abdulrahman
Hisham Jogol
Hassan Al-Thani
Sandro Rizoli
Publication date
17-06-2024
Publisher
Springer Paris
Keyword
Ulna Fracture
Published in
European Journal of Orthopaedic Surgery & Traumatology
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-024-04017-2