frequency of lower limb injuries and their causes among motorcycle accident admitted into imam hossein hospital during one year

نویسندگان

علی ارحمی دولت ابادی

a arhamidoulatabadi دانشگاه علوم پزشکی شهید بهشتیسازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (shahid beheshti university of medical sciences) کامران حیدری

k hedari دانشگاه علوم پزشکی شهید بهشتیسازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (shahid beheshti university of medical sciences) حمید رضا حاتم آبادی

hr hatamabadi دانشگاه علوم پزشکی شهید بهشتیسازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (shahid beheshti university of medical sciences) علی وفایی

a vafaei دانشگاه علوم پزشکی شهید بهشتیسازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (shahid beheshti university of medical sciences)

چکیده

background and aim: motor vehicle accidents are common cause of mortality, morbidity and disability. human factors are principle cause for frequency of motor vehicle accident. in most studies, 52-40% lower limb injuries are trauma from a motorcycle accident. these accidents cause high financial cost and harm for society. materials and methods: in this study, patients with lower limb injuries referred to the hospital trauma ward of imam hussein were evaluated during one year. questionnaire forms were designed and completed for patients then data of these forms was inserted in a database. the information was analyzed by statistical software spss 18. results: from 766 patients with lower limb traumas which were examined and evaluated, 92 % were male and mean age of patients was 25± 12 years. 156 patients suffered from head and neck trauma and 134 persons had skin damage in addition to lower limb trauma. injury to leg was most common injuries in lower leg and tibia shaft fracture was more frequent than lower bone fracture. most injuries in pelvic trauma associated with fractures of the superior pubic ramus and coccyx bone. seventy percent of related knee injuries included injury to patella and tibia plateau. the most observed injuries in ankle and foot were lateral malleolus fracture and lisferanc injuries. about 11 percent of patients were discharged from emergency room after primary management and other patients were admitted in hospital. conclusion: given the high incidence of lower extremity injuries, especially the leg, in the accident of motorcycle riders, procurement and construction of efficient protective equipment, especially protective guard can be effective in reducing accidents. references crawford r. trauma audit: experience in north-east scotland. br j surg 1991; 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1985. mackenzie e j, morris j a jr, smith g s, fahey m. acute hospital costs of trauma in the united states: implications for regionalized systems of care. j trauma 1990; 30 (9): 1096 -101. ghorbani a. epidemiology of injuries and their causes among traumatic patients admitted into shahid mottahari hospital. gonbad-e qabus 2008; 15 (1):29-34. hatamabadi h r, vafaee r, haddadi m, abdalvand a, soori h. epidemiologic study of road traffic injuries by road user type characteristics and road environment in iran: a community-based approach. traffic inj prev 2012; 13:1–5. yunesian m, moradi a, khaji a, mesdaghinia a r, zargar m. evaluation of the effect of offender motorcyclists' penalty enforcement project on the incidence of road traffic accident injuries in tehran. payesh 2007; 6(1). 19-26. fernando j, plasencia a, ricart i, canaleta x, segui-gomez m. motor - vehicle injury patterns in emergency-department patients in south -european urban setting. annu proc assoc adv automot med 2000; 44: 445-58. peek c, braver e r, shen h, kraus j f. lower extremity injuries from motorcycle crashes: a common cause of preventable injury. j trauma 1994; 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