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      The Transforming Face of Fracture Epidemiology: Our Concern

      letter
      1 , *
      Archives of Trauma Research
      Kowsar
      Face, Epidemiology, Bone

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          Abstract

          Dear Editor, We read with interest the Editorial published recently, entitled “The transforming face of fracture epidemiology” (1). The author has rightly pointed out the facts regarding the nonfatal patterns of skeletal fractures, which include the fractures induced by the restraint system like air bags and frontal motor vehicle collisions (2, 3). The various modification in designing of such light motor vehicles is needed to save people from catastrophic events. An input from the trauma centers to these manufacturers can help them in properly designing these motor vehicles. A general campaign among the masses can send a good message to the concerned people. Regarding the second part, children and women are more active than before and are now participating in high-energy recreational and athletic activities. This might be partly influenced by the social factors as well. Children usually indulge in indoor games and are often unattended during play hours (4). Osteoporosis is one of the global burdens in the state economy (5, 6). Proper screening by bone mineral density scan and proper management thereafter can decrease the fracture rate. A coordinated approach is needed to plan a proper strategy for the wellbeing of nation. Having an orthopedic trauma registry can show the actual burden of trauma. Then a plan can be made to prevent or decrease these events.

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          Most cited references7

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          Incidence of fractures compared to cardiovascular disease and breast cancer: the Women's Health Initiative Observational Study.

          To compare the absolute risk of fracture to the risk of other conditions by race/ethnicity, we studied 83,724 women, aged 70-79. The projected number of fractures was similar to or exceeded the combined number of cardiovascular events and breast cancers. Osteoporosis prevention efforts should target women of all ethnicities.
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            The incidence rate of hip fracture in Shiraz, Iran during 2008-2010.

            This study aimed to estimate the incidence rate of hip fracture during 2008-2010 in Shiraz, Iran. Overall, the standardized age-related incidence were 329.6/100,000 in men and 1,589.7/100,000 in women. The incidence rate in females was remarkably higher than the previous studies in Iran. This study aims to determine the incidence rate of hip fracture and its possible changes during 2008-2010 in Shiraz, Iran. This study reviewed and abstracted the hospital records, demographic, and clinical data of 1,923 patients aged 50 years or older with first time hip fracture admitted to private and public hospitals of Shiraz, Iran during 2008-2010 The age-adjusted incidence rate of hip fracture was determined along with association between gender, age, site of fracture, and socioeconomic status (SES) with the incidence rate. The mean age of subjects was 74.7 years (±10.6 years). Age-adjusted incidence rates for hip fracture, standardized to the 2000 US white male and female populations were 329.57 and 1,589.71 per 10(5), respectively, while totally it was 461.1 per 10(5). The incidence rate of hip fracture in females was higher than that of males in their 60s (1,229.2 versus 793.3), 70s (4,130.3 versus 2,835.3), and early 80s (4,506.8 versus 3,820.5) per 100,000. The hip fracture incidence in high SES area (157.1 per 100,000) followed by low SES regions (152.5 per 100,000) were higher compared to middle SES area (38.1 per 100,000) and towns around Shiraz (27.7 per 100,000) with fracture of the neck of femur being the most frequent affliction (391 per 100,000). The rate of hip fracture is increasing in the area under study particularly in women and to a greater extent in those aged 60 years or older. Therefore, it is necessary to pay special attention to primary and secondary prevention of hip fracture.
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              Restraint use and lower extremity fractures in frontal motor vehicle collisions.

              Seat belts and air bags have been shown to significantly reduce morbidity and mortality following MVCs. Research suggests that restraint use does not protect against lower extremity fracture; however, no population-based studies of this association exist. The purpose of this study is to compare the effectiveness of combined seat belt and airbag restraint systems with airbag alone, seat belt alone, and no restraints with respect to incidence and location of lower extremity fractures.
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                Author and article information

                Journal
                Arch Trauma Res
                Arch Trauma Res
                10.5812/atr
                Kowsar
                Archives of Trauma Research
                Kowsar
                2251-953X
                2251-9599
                18 March 2015
                March 2015
                : 4
                : 1
                : e24732
                Affiliations
                [1 ]Department of Orthopaedics, Bone and Joints Hospital, Srinagar, India
                Author notes
                [* ]Corresponding author: Hayat Ahmad Khan, Department of Orthopaedics, Bone and Joints Hospital, Srinagar, India. Tel: +91-9906672626, Fax: +91-1942423389, E-mail: drhayatkhan@ 123456gmail.com
                Article
                10.5812/atr.24732
                4460258
                6fc9882b-2e06-49e6-a6b8-1fb3ddc72a28
                Copyright © 2015, Kashan University of Medical Sciences.

                This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

                History
                : 20 October 2014
                : 29 October 2014
                Categories
                Letter

                face,epidemiology,bone
                face, epidemiology, bone

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