Acta Scientific Orthopaedics (ASOR) (ISSN: 2581-8635)

Research Article Volume 3 Issue 9

Extremities Fracture and Associated Factors among Adult Patients in Debre Markos Referral Hospital, East Gojjam Zone, Northern Ethiopia: A Hospital Based Cross-Sectional Study

Yoseph Merkeb Alamneh1*, Getachew Chane2, Mengistu Ayele2 and Asfaw Gerbi2

1Department of Biomedical Sciences, School of Medicine, Debre Markos University, Debre, Markos, Ethiopia
2Department of Biomedical Sciences, Institute of Health Science, Jimma University, Jimma, Ethiopia

*Corresponding Author: Yoseph Merkeb Alamneh, Department of Biomedical Sciences, School of Medicine, Debre Markos University, Debre, Markos, Ethiopia.

Received: July 30, 2020; Published: August 24, 2020

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Abstract

Background: Extremities’ fractures, particularly when left untreated, are a common sequelae of injuries and a major cause of morbidity and mortality; but the burden and distribution of traumatic fractures in low- and middle-income countries is poorly understood. The increasing the prevalence of extremity fracture can be attributed to modernization, industrialization and increased rate of bone fracture in the society. Extremities fracture is the leading cause of functional disability and death in different age groups in both sex. It may result from road traffic accidents, falls, gunshot, machines, attacks as well as sports. The epidemiology of fracture in Ethiopia provides little knowledge about its distribution and associated factors needed for prevention. Thus, this study aimed to investigate extremities fracture and associated factors in Debre Markos referral Hospital.

Methods: Hospital based cross-sectional study was conducted from April to June 2018 at Debre Markos referral hospital, Northern Ethiopia. A total of 422 patients were included in this study. Data were collected using a structured questionnaire by trained data collectors. The collected data were coded, entered into epi data 3.1, and exported to STATA version 14 for statistical analysis. Simple logistic Regression analysis and Multiple logistic regression analyses was employed to identify factors associated with extremity fracture and factors which had a p-value of ≤ 0.25 in Simple Logistic Regression analysis was included in Multiple Logistics Regression analysis. P-values of less than or equal to 0.05 was considered statistically significant.

Result: Among the total 422 adult patients who visited the emergency department, 144 (34.12%) patients experienced extremity fractures in Debre Markos Referral Hospital. Ninety-two (63.9%) were males and 52(36.1%) were females and their age range from 26 to 77 years. Residency, sex, age, behavioral factors such as using alcohol and fighting, vehicle type, types of occupation and medical illness were identified as the key risk factors of extremities fracture.

Conclusion and Recommendation: The prevalence of extremities fracture were high at study area and socio-demographic characteristics, behavioral factors and co-morbidities were found to be significantly associated with extremity fracture. Therefore, efforts should be scaled up to develop effective preventive measures and enforced against fractures of extremities.

Keywords: Benign Hypermobility Syndrome; Knee Hypermobility; Marfan’s Syndrome; Ehler Danlos Syndrome; Beighton Score; Brighton Criteria

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References

  1. Mullick G., et al. “Clinical profile of benign joint hypermobility syndrome from a tertiary care military hospital in India”. International Journal of Rheumatic Diseases 5 (2013): 590-594.
  2. Neki NS and Chhabra A. “Benign joint hypermobility syndrome”. Journal of Mahatma Gandhi Institute of Medical Sciences 1 (2016): 12.
  3. Covaci S., et al. “Benign joint hypermobility syndrome”. Romanian Journal of Rheumatology1 (2017).
  4. Beighton P., et al. “Ehlers‐Danlos syndromes: revised nosology, Villefranche, 1997”. American Journal Of Medical Genetics1 (1998): 31-37.
  5. Beighton P., et al. “Articular mobility in an African population”. Annals of the Rheumatic Diseases5 (1973): 413.
  6. Carter C and Wilkinson J. “Persistent joint laxity and congenital dislocation of the hip”. The Journal of bone and Joint Surgery 1 (1964): 40-45.
  7. Larsson L-G., et al. “Benefits and disadvantages of joint hypermobility among musicians”. New England Journal of Medicine15 (1993): 1079-82.
  8. Ross J and Grahame R. “Joint hypermobility syndrome”. BMJ 20 (2011): 342.
  9. Grahame R and Hakim AJ. “Hypermobility”. Current Opinion in Rheumatology1 (2008): 106-110.
  10. Grahame R and Hakim A. “High prevalence of joint hypermobility syndrome in clinic referrals to a north London community hospital”. Rheumatology: OXFORD UNIV PRESS GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND (2004).
  11. Al‐Jarallah K., et al. “Prevalence of joint hypermobility in Kuwait”. International Journal of Rheumatic Diseases8 (2017): 935-940.
  12. Adib N., et al. “Joint hypermobility syndrome in childhood. A not so benign multisystem disorder?” Rheumatology6 (2005): 744-750.
  13. Decoster LC., et al. “Prevalence and features of joint hypermobility among adolescent athletes”. Archives of Pediatrics and Adolescent Medicine10 (1997): 989-992.
  14. Scher DL., et al. “Incidence of joint hypermobility syndrome in a military population: impact of gender and race”. Clinical Orthopaedics and Related Research®7 (2010): 1790-1795.
  15. Kirk J., et al. “The hypermobility syndrome. Musculoskeletal complaints associated with generalized joint hypermobility”. Annals of the Rheumatic Diseases5 (1967): 419.
  16. Beighton PH., et al. Hypermobility of joints: Springer Science and Business Media (2011).
  17. Bird H., et al. “Joint hypermobility leading to osteoarthrosis and chondrocalcinosis”. Annals of the Rheumatic Diseases 3 (1978): 203-211.
  18. Diaz MA., et al. “Joint hyperlaxity and musculoligamentous lesions: study of a population of homogeneous age, sex and physical exertion”. Rheumatology2 (1993): 120-122.
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Citation

Citation: Yoseph Merkeb Alamneh., et al. “Extremities Fracture and Associated Factors among Adult Patients in Debre Markos Referral Hospital, East Gojjam Zone, Northern Ethiopia: A Hospital Based Cross-Sectional Study”. Acta Scientific Orthopaedics 3.9 (2020): 18-29.




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