Characteristics of lower limb injuries in non-fatal road traffic accidents: a retrospective analysis of forensic medical examinations

Viacheslav K. Sokol, Vera A. Kolesnichenko, Edgar Grygorian

DOI: http://dx.doi.org/10.12775/JEHS.2020.10.12.004

Abstract


Background. Fractures of the lower limbs are one of the most common injuries in road traffic accidents, however, the frequency and localization of fractures, as well as associated trauma, are not well understood. The purpose of the study was to conduct a retrospective analysis of forensic medical examinations of victims with the road traffic injuries of the lower limbs. Results. The research material was 100 reports of forensic medical examinations of victims with fractures of the femur and/or shin bones resulting from a non-fatal road traffic accidents. The study found that the average age of the victims was 41.5 ± 18.8 years (18 - 81 years). The main contingent of those injured was pedestrians (82%). In victims, the most common injury was polytrauma; closed limb fractures were more common. Hip fractures of various localization were found in 39%, shin fractures - in 59%, ankle fractures - in 12%. Closed head injury with a concussion of the brain of a mild degree (23%), closed fractures of the ribs (3%), self-healing dislocation of the humerus (1%), diaphyseal fractures of the forearm (3%), distal radial bone fractures (7%), and fractures of styloid process of the ulna (2%) were also noted. Conclusions. The main victims of road traffic accidents are pedestrians with polytrauma. The most common localization of fractures of the lower extremities is the diaphysis of the femur and the diaphysis of the shin bones.


Keywords


mechanical trauma of the lower extremities; fractures of long bones; road traffic injury; forensic medical examination

Full Text:

PDF

References


Global status report on road safety 2018. Geneva: World Health Organization; 2018. Licence: CC BY- NC-SA 3.0 IGO. 403 р.

Global status report on road safety 2015. Geneva: World Health Organization; 2015; 340 p.

Statystyka dorozhnʹo-transportnykh pryhod v Ukrayini za period z 01/01/2019 po 31/12/2019. [Statistics of road accidents in Ukraine for the period from 01/01/2019 to 31/12/2019]. http://patrol.police.gov.ua/statystyka/ Ukrainian

Evdokimov E.A. Transportnyie travmyi i neotlozhnaya meditsina. [Traffic injuries and emergency medicine] Anesteziologiya i intensivnaya terapiya. 2007;4:4-6. Russian

Global status report on road safety 2018. Geneva: World Health Organization;2018; 424 p.

Hoogervorst P, Shearer DW, Miclau T. The Burden of High-Energy Musculoskeletal Trauma in High-Income Countries. World J Surg. 2020;44:1033–1038. https://doi.org/10.1007/s00268-018-4742-3

Stinner DJ, Edwards D. Surgical Management of Musculoskeletal Trauma. Surg Clin N Am. 2017;97:1119–1131 http://dx.doi.org/10.1016/j.suc.2017.06.005

Yu W, Chen H, Lv Y, Deng Q, Kang P, Zhang L. Comparison of influencing factors on outcomes of single and multiple road traffic injuries: A regional study in Shanghai, China (2011- 2014). PLoS ONE. 2017;12(5):e0176907. https://doi.org/ 10.1371/journal.pone.0176907 PMID: 28493893

Adoga AA, Oziolo KN. The Epidemiology and Type of Injuries Seen at the Accident and Emergency Unit of a Nigerian Referral Centre. J. Emerg. Trauma. Shock. 2014;7(2):77-82.

Sinha AP. Study of Orthopedic Injuries Pattern by Road Traffic Accident Victims. Int. J. Life. Sci. Scienti. Res. 2017;3(2):961-963. DOI:10.21276/ijlssr.2017.3.2.14

Mishra AN, Qidwai SA, Mishra S. Pattern of injuries in road traffic accident in northern Indian population. Int J Orthop Sci. 2017;3(4):917-919 DOI: https://doi.org/10.22271/ortho.2017.v3.i4m.124.

Azami-Aghdash S, Aghaei MH, Sadeghi-Bazarghani H. Epidemiology of Road Traffic Injuries among Elderly People; A Systematic Review and Meta-Analysis. Bull Emerg Trauma. 2018;6(4):279-291. doi: 10.29252/beat-060403.

Ravikanth R, Varghese PS. Pattern and Distribution of Long Bone Fractures in Victims of Road Traffic Accidents in Bangalore City. Indian J Forensic Med & Toxicology. 2017;11(1):229-232. DOI: 10.5958/0973-9130.2017.00047.0

Kong C, Yang J. Logistic regression analysis of pedestrian casualty risk in passenger vehicle collisions in China. Accid Anal Prev. 2010;42(4):987-993. doi: 10.1016/j.aap.2009.11.006.

Fridman L, Ling R, Rothman L, Cloutier MS, Macarthur C, Hagel B, Howard A. Effect of reducing the posted speed limit to 30 km per hour on pedestrian motor vehicle collisions in Toronto, Canada - a quasi experimental, pre-post study. BMC Public Health. 2020;20:56. https://doi.org/10.1186/s12889-019-8139-5


Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM




Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014

https://pbn.nauka.gov.pl/sedno-webapp/search?search&searchCategory=WORK&filter.inJournal=36616

POL-index 2011 - 2014

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-32a319c5-a850-4f44-ba70-1418a6087655

BASE 2011 - 2014

https://www.base-search.net/Search/Results?lookfor=Journal+of+Health+Sciences+%28Radom%29&type=all&oaboost=1&ling=1&name=&thes=&refid=dcrespl&newsearch=1

http://elibrary.ru/contents.asp?titleid=37467

http://journal.rsw.edu.pl/index.php/JHS/issue/archive

Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska, EuroPub database, NLM Catalog Result - NCBI, BASE, Russian Sciences Index, Arianta.

https://zdb-katalog.de/title.xhtml?idn=1080187162

https://europub.co.uk/journals/22625

US NLM = 101679844

101679844 - NLM Catalog Result - NCBI

https://www.ncbi.nlm.nih.gov/nlmcatalog/101679844

Find a library that holds this journal: http://worldcat.org/issn/23918306

 

PBN Poland

https://pbn.nauka.gov.pl/sedno-webapp/journals/49068

POL-index

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-c39c8169-88d2-45db-9e7f-d948ce9981c4

BASE

https://www.base-search.net/Search/Results?join=AND&bool0[]=AND&lookfor0[]=2391-8306&type0[]=all&page=11&l=pl&oaboost=1&refid=dcpagepl

Redaction, Publisher and Editorial Office

Publisher and Editorial Office
Department of Physical Culture,
Faculty of Earth Sciences and Spatial Management,
Nicolaus Copernicus University in Toruń, Poland
Address: Str. Lwowska 1, 87-100 Toruń, Poland

  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at https://dbh.nsd.uib.no/publiseringskanaler/erihplus/periodical/info?id=485984

Indexed in Index Copernicus Journals Master List.

http://journals.indexcopernicus.com/Journal+of+Education+Health+and+Sport,p24782242,3.html

ICV 2019 = 100.00 ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

RG Journal Impact: 0.18 *

*This value is calculated using ResearchGate data and is based on average citation counts from work published in this journal. The data used in the calculation may not be exhaustive.

RG Journal impact history

2020Available summer 2021
2018 / 20190.18
20170.07
20160.03

RG Journal impact over time

RG Journal impact
0.180.160.140.120.100.080.060.040.02201620172018
  

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (https://pbn.nauka.gov.pl/journals/36616)

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ) http://elibrary.ru/contents.asp?titleid=37467

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski

(http://www1.bg.us.edu.pl/bazy/czasopisma/czasop_full.asp?id=3595)

Partnerzy platformy czasopism