The coronavirus disease clavicle study: a predictor of future trauma trends
Background: Clavicle fractures are a common presentation to the emergency department after falls and sporting injuries. During 2020, the coronavirus disease 2019 (COVID-19) pandemic brought with it a long period of social isolation, resulting in a change of behavior patterns and, in return, the pres...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-05-01
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| Series: | JSES International |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666638322000299 |
| _version_ | 1811290839740055552 |
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| author | Ghazal Hodhody, MBChB, BSc (Hons), MRCS Joann W.Y. Lum, MBChB, MRCS Sadia Afzal, MBBS, BSc (Hons), MRCS Sophie Rogers, MBChB Leanne Dupley, MBChB Saleem Mastan, MBChB Krishna Sagar Karanam, MBBS William Fletcher, MBBS Nicholas Ward, MBChB Neelam Patel, MBChB Fayez Almari, MBChB Kenneth Koo, MBChB Isabel Hughes, MBChB Thomas Collins, MBChB Christopher Jump, MBChB Matthew Bradley, MBBCh Michael S. Greenhalgh, MBChB Samuel Newman, MBChB Muhammad Yasir Tarar, MBBS Jack Gleave, BSc Jack Buchanan, MBBS Emma V. Mulgrew, MBChB, FRCS |
| author_facet | Ghazal Hodhody, MBChB, BSc (Hons), MRCS Joann W.Y. Lum, MBChB, MRCS Sadia Afzal, MBBS, BSc (Hons), MRCS Sophie Rogers, MBChB Leanne Dupley, MBChB Saleem Mastan, MBChB Krishna Sagar Karanam, MBBS William Fletcher, MBBS Nicholas Ward, MBChB Neelam Patel, MBChB Fayez Almari, MBChB Kenneth Koo, MBChB Isabel Hughes, MBChB Thomas Collins, MBChB Christopher Jump, MBChB Matthew Bradley, MBBCh Michael S. Greenhalgh, MBChB Samuel Newman, MBChB Muhammad Yasir Tarar, MBBS Jack Gleave, BSc Jack Buchanan, MBBS Emma V. Mulgrew, MBChB, FRCS |
| author_sort | Ghazal Hodhody, MBChB, BSc (Hons), MRCS |
| collection | DOAJ |
| description | Background: Clavicle fractures are a common presentation to the emergency department after falls and sporting injuries. During 2020, the coronavirus disease 2019 (COVID-19) pandemic brought with it a long period of social isolation, resulting in a change of behavior patterns and, in return, the presentation of fractures to our local hospitals. The effects of this global pandemic on the presentation and management of clavicles were noted with particular interest to the change in mechanism and its future implications. Methods: We performed a longitudinal observational study in 10 hospitals in the North West of England, reviewing all patients presenting with a clavicle fracture during 6 weeks in the first peak of COVID-19 pandemic and compared these with the same period in 2019. Collection points included the patient demographics, fracture characteristics, mechanism of injury, and management. Results: A total of 427 clavicle fractures were assessed with lower numbers of patients presenting with a clavicle fracture during the COVID-2020 period (n = 177) compared with 2019 (n = 250). Cycling-related clavicle fractures increased 3-fold during the pandemic compared with the 2019 control group. We also noted an overall increase in clavicle fractures resulting from higher energy trauma as opposed to low energy or fragility fracture. We also found a faster time to surgery in the COVID cohort by 2.7 days on average when compared with 2019. Conclusions: Government restrictions and the encouragement of social distancing led to behavioral changes with a vast increase in cyclists on the road. This created a significant rise in clavicle fractures related to this activity. This is likely to be further driven by the government pledge to double cyclists on the road by 2025 in the United Kingdom. We forecast that this increase in cyclists, a behavior change accelerated by the pandemic, is a reliable predictor for future trauma trends. |
| first_indexed | 2024-04-13T04:20:29Z |
| format | Article |
| id | doaj.art-866e69446cb94838a20594c663a00351 |
| institution | Directory Open Access Journal |
| issn | 2666-6383 |
| language | English |
| last_indexed | 2024-04-13T04:20:29Z |
| publishDate | 2022-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES International |
| spelling | doaj.art-866e69446cb94838a20594c663a003512022-12-22T03:02:48ZengElsevierJSES International2666-63832022-05-0163362367The coronavirus disease clavicle study: a predictor of future trauma trendsGhazal Hodhody, MBChB, BSc (Hons), MRCS0Joann W.Y. Lum, MBChB, MRCS1Sadia Afzal, MBBS, BSc (Hons), MRCS2Sophie Rogers, MBChB3Leanne Dupley, MBChB4Saleem Mastan, MBChB5Krishna Sagar Karanam, MBBS6William Fletcher, MBBS7Nicholas Ward, MBChB8Neelam Patel, MBChB9Fayez Almari, MBChB10Kenneth Koo, MBChB11Isabel Hughes, MBChB12Thomas Collins, MBChB13Christopher Jump, MBChB14Matthew Bradley, MBBCh15Michael S. Greenhalgh, MBChB16Samuel Newman, MBChB17Muhammad Yasir Tarar, MBBS18Jack Gleave, BSc19Jack Buchanan, MBBS20Emma V. Mulgrew, MBChB, FRCS21Royal Bolton Hospital, Bolton, UK; Corresponding author: Ghazal Hodhody, MBChB, BSc (Hons), MRCS, Royal Bolton Hospital, Minerva Rad, Bolton BL4 OJR, UK.Royal Bolton Hospital, Bolton, UKRoyal Bolton Hospital, Bolton, UKUniversity Hospitals, Morecambe Bay, Lancaster, UKRoyal Preston Hospital, Preston, UKVictoria Hospital, Blackpool, UKRoyal Bolton Hospital, Bolton, UKRoyal Blackburn Hospital, Blackburn, UKRoyal Bolton Hospital, Bolton, UKManchester Foundation Trust Hospitals, Manchester, UKSalford Royal Hospital NHS Trust, Salford, UKSalford Royal Hospital NHS Trust, Salford, UKStepping Hill Hospital NHS Trust, Stockport, UKManchester Foundation Trust Hospitals, Manchester, UKRoyal Oldham Hospital, Oldham, UKManchester Foundation Trust Hospitals, Manchester, UKRoyal Preston Hospital, Preston, UKUniversity Hospitals, Morecambe Bay, Lancaster, UKBlackpool Victoria Hospital, Blackpool, UKManchester Foundation Trust Hospitals, Manchester, UKRoyal Blackburn Hospital, Blackburn, UKRoyal Bolton Hospital, Bolton, UKBackground: Clavicle fractures are a common presentation to the emergency department after falls and sporting injuries. During 2020, the coronavirus disease 2019 (COVID-19) pandemic brought with it a long period of social isolation, resulting in a change of behavior patterns and, in return, the presentation of fractures to our local hospitals. The effects of this global pandemic on the presentation and management of clavicles were noted with particular interest to the change in mechanism and its future implications. Methods: We performed a longitudinal observational study in 10 hospitals in the North West of England, reviewing all patients presenting with a clavicle fracture during 6 weeks in the first peak of COVID-19 pandemic and compared these with the same period in 2019. Collection points included the patient demographics, fracture characteristics, mechanism of injury, and management. Results: A total of 427 clavicle fractures were assessed with lower numbers of patients presenting with a clavicle fracture during the COVID-2020 period (n = 177) compared with 2019 (n = 250). Cycling-related clavicle fractures increased 3-fold during the pandemic compared with the 2019 control group. We also noted an overall increase in clavicle fractures resulting from higher energy trauma as opposed to low energy or fragility fracture. We also found a faster time to surgery in the COVID cohort by 2.7 days on average when compared with 2019. Conclusions: Government restrictions and the encouragement of social distancing led to behavioral changes with a vast increase in cyclists on the road. This created a significant rise in clavicle fractures related to this activity. This is likely to be further driven by the government pledge to double cyclists on the road by 2025 in the United Kingdom. We forecast that this increase in cyclists, a behavior change accelerated by the pandemic, is a reliable predictor for future trauma trends.http://www.sciencedirect.com/science/article/pii/S2666638322000299ClavicleFractureCOVID-19PandemicCyclingTreatment |
| spellingShingle | Ghazal Hodhody, MBChB, BSc (Hons), MRCS Joann W.Y. Lum, MBChB, MRCS Sadia Afzal, MBBS, BSc (Hons), MRCS Sophie Rogers, MBChB Leanne Dupley, MBChB Saleem Mastan, MBChB Krishna Sagar Karanam, MBBS William Fletcher, MBBS Nicholas Ward, MBChB Neelam Patel, MBChB Fayez Almari, MBChB Kenneth Koo, MBChB Isabel Hughes, MBChB Thomas Collins, MBChB Christopher Jump, MBChB Matthew Bradley, MBBCh Michael S. Greenhalgh, MBChB Samuel Newman, MBChB Muhammad Yasir Tarar, MBBS Jack Gleave, BSc Jack Buchanan, MBBS Emma V. Mulgrew, MBChB, FRCS The coronavirus disease clavicle study: a predictor of future trauma trends JSES International Clavicle Fracture COVID-19 Pandemic Cycling Treatment |
| title | The coronavirus disease clavicle study: a predictor of future trauma trends |
| title_full | The coronavirus disease clavicle study: a predictor of future trauma trends |
| title_fullStr | The coronavirus disease clavicle study: a predictor of future trauma trends |
| title_full_unstemmed | The coronavirus disease clavicle study: a predictor of future trauma trends |
| title_short | The coronavirus disease clavicle study: a predictor of future trauma trends |
| title_sort | coronavirus disease clavicle study a predictor of future trauma trends |
| topic | Clavicle Fracture COVID-19 Pandemic Cycling Treatment |
| url | http://www.sciencedirect.com/science/article/pii/S2666638322000299 |
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