Traumatic Orthopaedic Injuries in the Prison Population.

Autor:	Barreto Rocha D; Department of Orthopedics, Geisinger Medical Center, Danville, PA (Dr. Rocha, Dr. Grandizio, Dr. Maniar, Dr. Horwitz), and the Universidad del Rosario, Bogota, Colombia (Dr. Sanchez)., Sanchez D; Department of Orthopedics, Geisinger Medical Center, Danville, PA (Dr. Rocha, Dr. Grandizio, Dr. Maniar, Dr. Horwitz), and the Universidad del Rosario, Bogota, Colombia (Dr. Sanchez)., Grandizio LC; Department of Orthopedics, Geisinger Medical Center, Danville, PA (Dr. Rocha, Dr. Grandizio, Dr. Maniar, Dr. Horwitz), and the Universidad del Rosario, Bogota, Colombia (Dr. Sanchez)., Maniar HH; Department of Orthopedics, Geisinger Medical Center, Danville, PA (Dr. Rocha, Dr. Grandizio, Dr. Maniar, Dr. Horwitz), and the Universidad del Rosario, Bogota, Colombia (Dr. Sanchez)., Horwitz DS; Department of Orthopedics, Geisinger Medical Center, Danville, PA (Dr. Rocha, Dr. Grandizio, Dr. Maniar, Dr. Horwitz), and the Universidad del Rosario, Bogota, Colombia (Dr. Sanchez).
Jazyk:	angličtina
Zdroj:	Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews [J Am Acad Orthop Surg Glob Res Rev] 2020 Apr 06; Vol. 4 (4). Date of Electronic Publication: 2020 Apr 06 (Print Publication: 2020).
DOI:	10.5435/JAAOSGlobal-D-20-00031
Abstrakt:	The United States has the highest population of inmates in the world (per capita and total). Musculoskeletal disorders are included within the 10 most frequent medical reports of prisoners; however, the literature about them is limited. The purpose of this study is to describe the epidemiology and complications of traumatic musculoskeletal injuries. To our knowledge, this is the first report of musculoskeletal trauma and complications in the prison population. Methods: A list of all traumatic orthopaedic injuries and complications, except for spine, was sent to the billing contractor of the Pennsylvania state prison system based on the Current Procedure Terminology, and it was queried over a 3-year period. Results: Five hundred seventy-six patients met the criteria. The hand and wrist was the most commonly injured region (65%), followed by foot and ankle (20%). Metacarpal fracture represented 22% of all injuries. A low complication rate was noted among all surgical procedures. Infection was seen in 1.15% of hand surgeries and in 2% of ankle surgeries. In addition, a low incidence of nonunion was recorded (1.5%). Nonsurgical management was the chosen method of treatment in 64% of all injuries. Conclusion: In this prison population with musculoskeletal injuries, upper extremity injuries and nonsurgical treatment are more prevalent and low energy injuries are more common. Contrary to popular belief, there is a trend toward low infection and complication rates after orthopaedic treatment. Further studies are necessary to best identify the patterns of injuries and the best way to treat inmates with orthopaedic injuries. Competing Interests: Dr. Horwitz or an immediate family member has received royalties from Zimmer Biomet and NewClip; is a member of a speakers' bureau or has made paid presentations on behalf of Smith & Nephew; serves as a paid consultant to Zimmer Biomet, DePuy, A Johnson & Johnson Company; has received research or institutional support from Synthes; serves as a board member, owner, officer, or committee member of the AAOS Board, FOT, and the Orthopaedic Trauma Association. None of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Barreto Rocha, Dr. Sanchez, Dr. Grandizio, Dr. Maniar. (Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.)
Databáze:	MEDLINE
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