Motorcycle crashes and upper extremity trauma

Objectives : Upper extremity injuries following motorcycle crashes (MCC) incur increased healthcare costs and rehabilitation needs. We aim to characterize the epidemiology of MCC upper identify factors that influence severity cost care for injuries. Methods performed a retrospective cohort analysis 571 patients with after at level 1 trauma center from 2002 2013. collected data pertaining demographics, helmet use, toxicology, bony injury, Injury Severity Score (ISS), Glasgow Coma Scale (GCS), hospital length stay (LOS), cost. Continuous variables were compared using t -test or Wilcoxon rank test, depending on distribution, dichotomous Pearson’s chi-squared Fisher’s exact tests. Regression models used evaluate effect intoxication helmets injury location, severity, care, LOS. Results The incidence was 47.5%, hand forearm fractures most common (25.5% 24.7% total injuries). Intoxicated more likely have high ( p = 0.012), extended LOS 0.038), plastic surgery involvement in their but fewer 0.019). Non-helmeted sustained less < 0.001) soft tissue 0.001), yet severe (ISS ≥ 30, 0.006 GCS 9, 0.01) than helmeted patients. Conclusion are motorcyclists. Despite vital protection brain maxillofacial an non-helmeted patients, overall injuries, higher Therefore, even risk may expose extremity, reduced morbidity mortality. In addition mandatory laws, we advocate further development safety equipment focusing specifically prevention