RESUMO
Background: In dentistry, musculoskeletal (MSK) pain creates a significant occupational health hazard jeopardizing the efficient delivery of care to the patients. There are several factors linked to the job that contribute to the higher incidence of MSK pain among dental practitioners. Uncomfortable postures and movements, frequent and prolonged working hours, the amount of time spent with each patient are some of the work-related factors of work related lower back pain which need to be addressed to prevent the disabling effects in the long run. The study aims to evaluate the prevalence of work related lower back pain and significance of associated risk factors in Saudi Arabia. Methods: Self-administered questionnaire were distributed to 384 dental practitioners who were working in various clinics in Saudi Arabia. This survey had four sections with questions related to demographic data, clinical practice, ergonomic principles, and psychosocial impacts. Descriptive statistics including chi-square analyses and associated significance were performed. Results: The relationship between age, years of experience and back pain among dental professionals was found to be significant with back pain lasting between 1 to 7 days in 34.2% among the participants. Older individuals with more experience tend to use back braces, analgesics, and physiotherapy more often. The cumulative prevalence of back pain in the study was 42.2%, with the majority of participants working for 2-8 hours per day. Various types of back strain injuries were observed across age groups and experience levels. Psychosocial impacts like job dissatisfaction and missed workdays were more pronounced in older individuals. The type of dental work and sitting posture also influenced back pain in specific age groups with significant associations observed. Conclusions: Our study sheds light on the significant issue of MSK pain among dental practitioners in Saudi Arabia, emphasizing its complex nature involving physiological, ergonomic and psychosocial factors. Found high prevalence of MSK pain, especially lower back discomfort, linked to factors like sitting postures and long working hours.
RESUMO
Open ankle fractures are uncommon (3-6%) among all ankle fractures. Emerging trends show that the incidence of low-energy open ankle fractures is prevalent in older women. The mechanism of open fracture management continues to pose difficulties for orthopaedic surgeons. A simple fall is responsible for just under half of all fractures caused by motor vehicle collisions (MVCs). Despite technological advancements and surgical methods, infectious and non-infectious rates remain problematic. The mainstay of care is to combine antibiotic therapy with thorough irrigation and debridement. To prevent additional soft tissue and vascular damage, these fractures must be stabilized immediately, preferably with an external fixator. When the residual infection has cleared and the soft tissue envelope is adequate, do a definitive open reduction and internal fixation, adapting the procedure to the patient and type of fracture. Functional outcomes could be enhanced by taking safeguards against preventable comorbidities to reduce postoperative complications.