| Boxer's fracture: an indicator of intentional and recurrent injury. | |
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MedLine Citation:
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PMID: 10452433 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The objective was to describe the population of patients presenting with a boxer's fracture (BF), to determine how often BF is an intentional injury, to determine if it is a predictor of recurrent injury, and to compare the rates of intentional injury and injury recidivism between patients with BF and those with other injuries. An emergency department (ED)-based injury surveillance system (EDBISS) in a university-affiliated ED (census of 35,000) provided data on injured patients presenting between January 1, 1995 and December 31, 1996. Chart review was performed. Descriptive analyses were performed. The results showed 22,728 of 69,438 (33%) ED visits during a 2-year period were attributable to injuries. Sixty-two patients presented with BF. Mean age of BF patients was 22.1 versus 28.6 for all injured (P < .005). Ninety-two percent (57/62) of BF patients were men compared with 58% of all injured (P < .0001). Thirty-eight of 62 (61%) BF injuries were sustained after intentional punches of an object/person. Seventeen of 62 (27%) BF patients were injury recidivists. Previous studies in this same ED population showed that 6% had intentional injuries and 12% were injury recidivists. BF is usually an intentional injury and these patients are at increased risk for recurrent injury. Clinicians should focus prevention efforts on this high-risk population. |
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Authors:
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S E Greer; J M Williams |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: The American journal of emergency medicine Volume: 17 ISSN: 0735-6757 ISO Abbreviation: Am J Emerg Med Publication Date: 1999 Jul |
Date Detail:
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Created Date: 1999-08-30 Completed Date: 1999-08-30 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 357-60 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, Center for Rural Emergency Medicine, West Virginia University, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Age Factors Aged Athletic Injuries / epidemiology Child Emergency Service, Hospital / statistics & numerical data Female Forecasting Fractures, Bone / epidemiology*, prevention & control Humans Male Metacarpus / injuries* Middle Aged Occupational Diseases / epidemiology Population Surveillance Recurrence Retrospective Studies Risk Factors Sex Factors Violence / statistics & numerical data West Virginia / epidemiology Wounds and Injuries / epidemiology |
| Grant Support | |
ID/Acronym/Agency:
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R49/CCR308469-05//PHS HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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