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A-1206 Epidemiology
Kevin Chung, USA
Thursday, June 14, 2018 · 8:04 a.m. · 12m 32s
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i can i mean that i can hear myself think it well i went to uh
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take this opportunity welcome you to the meeting and also the fact that the posting
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for the wonderful wonderful meeting i mean organisations absolute impeccable and discourse
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i think it's gonna share with us all the all the knowledge about a hand fractures
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i have the knowledge is not a sexy topic but somebody has to do it so i'm assigned to talk about religion
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fifty percent of all the emergency visits um for children less than ninety years of
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age more fractious and fracture the fawn fingers undress are the most common
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the hanover is uh mostly fracture it's particularly in sports activities
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in the us what i'm really important in high school was and we see a
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lot of sports injuries in the high school children uh doc young adults
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the peaks in hand and wrist fractures are typically do not
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sports seizing the summer may all the way to september
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so we look at the scrap scrap is actually very interesting to see the patterns of sports injury for all ages
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in children in tiny parlours bigger hancock in these turning towards and hard
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or so crash injuries or think it's it's a more common
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but then as i age start going into the more it had a lesson and also sports age you
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can see that's the fractures of the hand the rest and for um i actually much more common
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so the question is that when you care about me orgy who cares what because understanding
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at me all she would tell you which fractures calmly of five what group
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so we can actually do preventive measures to help decrease the incidence of these fractures
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and we also need to know the mechanism of these injuries so that we can have devices
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think how all children and maybe the working adult from getting these injuries
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and of course we need to allocate resources based on
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patterns of injuries and also seasonal changes injury
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so that we have and the right number of physicians and nurses take your these fractures
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but i think that's most important thing is we gotta prevents we cannot continue treat them
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with a preventive measures so that's much don't they had a talk about multiple fractures
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is most common the neck automatic cobble because the because of the poles
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and we call these so called fourth and fifth got a couple fractures boxes fractures
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but we know that a pop server can actually make a living boxing would not fracture the ring middle finger
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the box with the index and the middle finger not with that being able to use
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so these are amateur boxers that hurts the matter couples yeah baby argues that more common in males we all know that
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during the homeowner seasons when you get upset the male patients tend to work it is kind of fractures
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and most commonly younger men factors affect another couples of the small finger and sometimes a ring finger
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and this is a perfect example of if you what the graph
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hormonal cycles in a young but also you can see the peak probably matches with home i'm
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going way out in the testosterone such i'm just guessing about they end up another just
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the founder fractures on most commonly the base colourful and she's insurance approximate famines the small finger
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and thumb the most common in young adults young children because they had cocking minute these
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kind of home devices and toys these to fractures also quite calm
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the opinion watches the highest incidence in topics remedy for the fingers
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much more after maybe as an owner because my sports activities both
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in men and women for financial fractures in america we play
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feel happy and i think that you didn't euro other countries as well interesting be
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no gloves are necessary playing field hockey which causes a lot of these injuries
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i think we're in close can be very hard for to prevent these injuries
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as well machinery is actually common cause for those not looking ages
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you can see the fracture patterns going from there you can see that the to fractures uh most
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common in zero two four as you go along to the sports age fifteen to twenty four
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just keep goes out and then to the p. goes up in the working age is in the thirties and forties
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what about salter harris classification the many of these classifications i think
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what talking about the common types the salsa harris type too
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which is the patent you see their comprise of most of these fractious i mean i percent
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and sure and that's in ten years old comic effect the base of the proximal phalanx of the farm
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and the second most common thirty percent is this pattern cost but that's let injuries mostly
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and the least comments is the uh salter harris type some type one i can see the separation the purposes
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and then five what is the very least common involving to purchases in the base of the phonics
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some fractures are common because of um i told expose facing the other fingers now
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degrees in those within sixty five years h. town fracture some most comment
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let's comment is the fracture of the shaft because most fractures at the pace
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and we all know the pen is fracture in tropical fractured to separate the um the of all on aspen
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met a couple from the rest of them in the port eighty attendant who the matter couple proxy
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that's about every knowledge to review the other it sure we found that's the uh basic the thumb pen is fractured
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any found fractures benefactor comprise a majority of these fractures
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sixty three percent and most of the fractures happened meant
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this is common types i don't like classifications one two and three
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because i cannot really remember mostly our weather patterns of fractures
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you can see the three different patterns you see their height one is you have a
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march single on that he's and slice approximation another couple base type to skimp action
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type injuries and have three it's a small on the fragment very
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small fragment but this location of the c. n. c. joe
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rolando fractures much more severe and typically these results in
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a white t. shirt fractures and these are commonly
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involved in high energy injuries such as car accidents and even much most of your sports injuries
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yep immunology review literature show the most these fractures also meant for
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on the hand imploded of um i know so being chair
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and that's what the caucus and we all know that the coppers has about a seven bones and
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the stress more which is the uh piece of four and we can easily see that
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the most comments common fracture pattern or this before the cabal fractures comprise
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a fourteen percent of all the factions within us emergency rooms
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and some interest in the more commonly female i'd actually did not know that was a result of fog outstretched hand
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we can see the couple fracture incidence is on the age distribution
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as well the sports injuries and also young adults and
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then the working age of course onto product fractures for the
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ones much older residents sixty five years of age
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p. data couple fractures not common because of the collection is
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construct of these um couples make it more resistant
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two fractures in five to nine years of age most of them a home accidents and then
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you can see the pattern already uh ten to fourteen the most is what injuries
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and some soccer so gymnastics across how common for capo injuries
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if you look at the distribution you can tell that sixty eight percent of the city for it
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try creature um i actually comment as well many times we see it should
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fracture for track return after morris like motor vehicle accident and the
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other one's on last comment until these comments probably sets the more it
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as well as the somewhat piece of one this was for episode
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you look as fracture it not any factual terminology the skiff with fractures and much more common and this is something
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that we treat regularly in the hands of the pact is actually much more common in military personnel as well
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it's good for fractures calls my house which hand common pattern that we seem cleanly
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track which are fractured technology this is actually not that common but certainly
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not much of tree about these because it typically it she fractured we can see the actually
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sure that she fractured from the uh track which i'm on the lateral view
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trappers or it's um trapeze and fracture is also last comment three to five percent and usually sasha splits
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and i can injury is usually for motor vehicle accident high energy injury foreigner
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outstretched hands and this is typically accompany bide bennett's fracture as well
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handy fractures actually gonna common hammett fracture typically
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results and impact from some kind of a racket sports and comprise a two percent of all fractious and simply
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a fact that dominant hand in tennis players that actually jan the part of the record on have made of
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course we nodding coffers and hockey placing sticks actually are
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you particularly golfers me couldn't the bit somewhere hit
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the roots of maybe actually be a part of
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the uh the clock actually fractured the hand
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typically these fractures occur at the base of the uh
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handmade and the treatment when occur is usually excision
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the cavity fracture is boolean common now i have rarely actually maybe seeing one or two cases
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you might try this is very rare ensuring the kappa tape is the second
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most common into comparable is probably because of all the all suffocation
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and usually cause but the wreck for the right below or four from extended bus
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and these are patterns of captive fracture the you see uh most
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of them probably type and transfer type can happen as well
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the top of his afford fracture the something that actually have not seen at all
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probably because it's so hard to see the piece of warm i'm getting views comprise of one to two percent or copper fractures
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and the mechanism are usually the rectal oprah records what's and then also from
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they say hand on from the uh transmitter force from far in ankara
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loony fractious even one comment megan's injuries usually a high
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high energy injury and this is also related to
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these kind of patterns and most of patterns of multiple fractures but is different patterns being this white but
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because it's so one comment is really difficult to describe these factors uh these factor had is
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tribes what fracture less than one percent from high energy injuries in conjunction
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other things the most the time we don't treat them because
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it can't be a tricky tribes white is not the mall ball joint so typically wouldn't do much about it that he
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so based on the zapping the archie what is the implication why do we need to know these things
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we need to know that's majority of these hand fractures happen in adolescence but as things what's i think
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that's really important that we encourage the use of safety
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here is is also important that it's um
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then we collaborate with so called industry to make sure that we that buys these years of help
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all young children with paper back to sports and use a machine we have a large sports enterprise
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and also what's doctors always designing the engineers on somebody's here second hop
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sure and and how young adults from getting back to split and also protect them in some of these high risk sports
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but i think i think that the flavour today's topics that we need to know the patterns but also
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needs to know the prevention of these fractures i think the as the work related policies have instituted
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the number of these kind of injuries are becoming less and less which is actually a fortunately bands
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we got to use a emphasise reduces safety items particularly in homes
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i continue to see young children in and save home environment get the fingers caught in
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some of these instruments and somebody's talking just i think there's also education is important
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to be banned or children for getting the stock in somebody's preventable devices
Conference Program
A-1205 Welcome and Introduction
June 14, 2018 · 8 a.m.
A-1206 Epidemiology
Kevin Chung, USA
June 14, 2018 · 8:04 a.m.
A-1206 Epidemiology Q&A
Kevin Chung, USA
June 14, 2018 · 8:16 a.m.
A-1207 Evidence
Janos Rupnik, Hungary
June 14, 2018 · 8:19 a.m.
A-1208 Conservative
Grey Giddins , UK
June 14, 2018 · 8:31 a.m.
142 views
A-1209 K-wire & cerclage
Anuj Mishra, UK
June 14, 2018 · 8:57 a.m.
119 views
A-1209 K-wire & cerclage - Q&A
Anuj Mishra, UK
June 14, 2018 · 9:08 a.m.
A-1210 Intramedullary screws
Maurizio Calcagni, Switzerland
June 14, 2018 · 9:15 a.m.
156 views
A-1210 Intramedullary screws - Q&A
Maurizio Calcagni, Switzerland
June 14, 2018 · 9:24 a.m.
A-1211 Plates & screws
Philippe Cuenod, Switzerland
June 14, 2018 · 9:29 a.m.
154 views
A-1211 Plates & screws - Q&A
Philippe Cuenod, Switzerland
June 14, 2018 · 9:42 a.m.
A-1212 External fixation
Frédéric Schuind, Belgium
June 14, 2018 · 9:45 a.m.
126 views
A-1213 Compound fractures
Thomas Giesen, Switzerland
June 14, 2018 · 9:54 a.m.
364 views
A-1213 Compound fractures - Q&A
Thomas Giesen, Switzerland
June 14, 2018 · 10:08 a.m.
238 views