ABSTRACT
Background:The objective of the study was to determine association of inadequacy of vitamin D level with low energy fractures of distal radius and its predictors in young patients in Karachi Pakistan. Methods:Cross-sectional study was conducted on 220 young patients, visited hospital with low energy fracture of distal radius.A questionnaire was designed and filled after taking consent includes details regarding age, gender, occupation, area of skin and sun exposure duration, dietary habits, type of clothing and residence used. Serum Vitamin D3 levels were determined and compared with serum calcium levels, serum phosphorus and alkaline phosphatase levels.Results:Among 220 patients ranging from 12-45 years, mean 28±23.33SD. Female were 172(78.18%). Mostly have history of fall 127(57.72%)and RTA 63(28.63). Sun exposure duration in majority of participant was 1-2 hour/day 132(60%). Variable coloured clothes used by majority participant 135(61.36%) and variable fabric 102(46.36%). 202(91.8%) patients had deficiency of vitamin D and correlated with duration of sunlight exposure significantly, also with exposure of large skin area, dietary consumption of vitamin D rich food and worn variable clothing colours. Serum phosphorus level and serum alkaline phosphatase level were negatively correlated with vitamin D significantly whereas positively correlated with serum calcium.Conclusions:Prevalence of vitamin D deficiency is very high in low energy fracture of distal radius in young populationand sun exposure duration found to be most common predictor of inadequate D levels. A national food fortification program and campaign of public awareness to increase sunlight exposure and increase intake of vitamin D rich food are urgently needed.
ABSTRACT
Objective: To assess the frequency of common fractures secondary to a bike accident in patients admitted to the orthopedic department of a tertiary care hospital, urban center. Methods: This cross-sectional study embrace 240 patients with the bike out of action for 6-months from September 2017 to March 2018 in Department of Orthopedic Unit I and II, Dow University of Health Sciences/Civil Hospital urban center. Temporary history concerning the time of accident and age of the patients was taken. Examination and relevant X-Rays were done. All the knowledge was noted in proforma. Results: The common age of the patients was 32 years (0.92 ± 7.30). There have been 200 (83.33%) male and 40 (16.67%) female. Out of 240 patients, femoris fracture was found in 68 (28.33%), leg bone fractures 134 (55.83%), there have been 19 (7.92%) arm bone fractures, and radius-ulna fractures were determined in 19 (7.92%). Conclusion: Majority of the accidents are preventable by an academic campaign of the general public, social control of traffic rules, provision of facilities for passengers and upgraded observance system for transportation and drivers. Preventive programs and actions should be launched by policy manufacturers of involved departments and stakeholders at the national level.