Title: The Epidemiological Analysis of Humeral Shaft Fractures in Kashmiri Population

Authors: Mohd Shahid Bhat, Mohammed Washim Khan, Irfan Andleeb Gul

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i6.142

Abstract

A retrospective study of all humeral shaft fractures presenting to bone and joint hospital Srinagar, Kashmir a tertiary care hospital between January 2015 to January 2017 was undertaken. We studied 200 cases of fracture shaft of humerus. The fractures were defined by their AO morphology, position, the age and gender of the patient and the mechanism of injury. Open fractures were classified using the Gustilo system and soft-tissue injury, and closed fractures using the Tscherne system.

Results: The fractures were classified as AO type A in 65.5%, type B in 25.5% and type C in 9.0%. Most (60%) occurred in the middle third of the diaphysis with around 30% in the proximal and 10% in the distal third. The severity of the fracture and soft-tissue injury was greater with increasing injury severity. Less than 10% of the fractures were open. There was a bimodal age distribution with a peak in the third decade as a result of moderate to severe injury in men and a larger peak in the seventh decade after a simple fall in women.

Keywords: Humerus, Kashmir, Retrospective, Epidemology.

References

  1. Brinker MR, O’Connor DP. The incidence of fractures and dislocations referred for orthopaedic services in a capitated population. J Bone Joint Surg Am. 2004;86-A(2):290–297.
  2. Kanis JA, Johnell O, Oden A, et al. Epidemiology of osteoporosis and fracture in men.Calcif Tissue Int. 2004;75(2):90–99
  3. Lovald S, Mercer D, Hanson J, et al. Complications and hardware removal after openreduction and internal fixation of humeral fractures. J Trauma. 2011;70(5): 1273–1277;discussion 1277-1278.
  4. M¨uller ME, Nazarian S, Koch P, Schatzker J. The comprehensive classification of fractures of long bones. Berlin, etc; Springer-Verlag,1990.
  5. Oestern H-J, Tscherne H. Pathophysiology and classification of soft tissue injuries associated with fractures. In: Tscherne H, Gotzen L, eds. Fractures with soft tissue injuries. Berlin, etc: Springer-Verlag, 1984:1-9.
  6. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analysis. J Bone Joint Surg [Am] 1976; 58-A:453-8.
  7. Gustilo RB, Mendoza RM, Williams DN. Problems in the management of type III (severe) open fractures: a new classification of typeIII open fractures. J Trauma 1984;24:742-6.
  8. Buhr AJ, Cooke AM. Fracture patterns. Lancet 1959;1:531-6.
  9. Robinson CM, Bell KM, Court-Brown CM, McQueen MM. Locked nailing of humeral shaft fractures: experience in Edinburgh over a two-year period. J Bone Joint Surg [Br] 1992;74-B:558-62.
  10. Mast JW, Spiegel PG, Harvey JP Jr, Harrison C. Fractures of thehumeral shaft: a retrospective study of 240 adult fractures. ClinOrthop1975;112:254-62.
  11. Rose SH, Melton LJ, Morrey BF, Ilstrup DM, Riggs BL. Epidemiologic features of humeral fractures. Clin Orthop 1982; 168:24-30
  12. Court-Brown CM, McBirnie J. The epidemiology of tibial fractures. J Bone Joint Surg [Br] 1995;77-B:417-21.
  13. Hak DJ, Althausen P, Hazelwood SJ. Locked plate fixation of osteoporotic humeral shaft fractures: Are two locking screws per segment enough? J Orthop Trauma. 2010;24(4): 207–211
  14. Ring D, Perey BH, Jupiter JB. The functional outcome of operative treatment of ununited fractures of the humeral diaphysis in older patients. J Bone Joint Surg Am.1999;81(2):177–190.
  15. McCalden RW, McGeough JA, Barker MB, Court-Brown CM. Age-related changes in the tensile properties of cortical bone: the relative importance of changes in porosity, mineralization and microstructure.

Corresponding Author

Mohd Shahid Bhat

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