Comprehensive Evaluation of Facial and Shoulder Injuries in Road Traffic Accidents as Related to Fracture Incidences: An Original Research Study

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Vaishnavi Dutta Mishra, Shalini Kumari, Amresh Kumar

Abstract

Background and Aim: Road Traffic Accidents are one of the major and most common causes of fracture of facial and shoulder bones. However; the incident rates are mostly depending upon various internal and external factors. Immediate treatment is desirable in these fracture cases so as to maximize the life expectancy. The ultimate aim of this study was to evaluate the facial and shoulder injuries in road traffic accidents as related to fracture incidences.


Materials and Methods: This study was conducted on 100 patients with age 25-50+ years those reported after incidents of road traffic accidents. Out of 100 patients, 59 patients were male and 41 were female. In facial injuries after road traffic accidents, authors studied in detail about the Maxillary fractures, Mandible fractures, Zygomatic fractures, Nasal-orbital fractures, Fronto-ethmoidal fractures, any Combination fractures. In shoulder injuries, Scapula Coracoid fractures, Scapula Acromion fractures, Scapula Spine fractures, Scapula Blade fractures, Scapula Glenoid fractures, Humerus Surgical Neck fractures, Humerus Supracondylar fractures, Humerus Shaft fractures, Combination of any were studied. P values less than 0.05 was considered as significant.


Statistical Analysis and Results: Statistical analysis was completed by using SPSS statistical package In Facial Fractures, Maximum incidence was reported for fractures of combination types followed by maxillary fractures. Over all P value was reported to be significant for maxillary fracture (0.002). Minimum fracture incidence was noted in Fronto-ethmoidal fracture. In Shoulder Fractures, Maximum incidence was reported for fractures of combination types followed by Humerus Surgical Neck fractures. Over all P value was reported to be significant for all studied fracture (0.001). Minimum fracture incidence was noted in Fronto-ethmoidal fracture.


Conclusion: Within the limitations of the study, authors concluded that in facial fractures, combination fractures involving multiple bones were most common after maxillary bone fractures. Similarly in shoulder fractures, combination fractures involving multiple bones were most common after Humerus Surgical Neck bone fractures. 

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