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Review
. 2019 May 30;11(1):e1-e9.
doi: 10.4102/phcfm.v11i1.1908.

The physical, psychological and social impact of long bone fractures on adults: A review

Sevani Singaram  1 , Mergan Naidoo
Affiliations
Review

The physical, psychological and social impact of long bone fractures on adults: A review

Sevani Singaram et al. Afr J Prim Health Care Fam Med. .

Abstract

Background: Long bone fractures are common injuries caused by trauma and are a common cause for referral to hospitals. Little consideration has been given to the impact of long bone fractures in adults despite the World Health Organization's statement that such injuries cause substantial morbidity in low- and middle-income countries.

Aim: This review targeted published studies conducted from 1990 to 2017 that examined the impact of long bone fractures on the psychological, social, financial, occupational and physical health of adults.

Method: This scoping review involved a systematic literature search using key terms in Science Direct, Cochrane Library, BMJ Online, PubMed, Jstor, SpringerLink, Emerald Insight and Ebscohost Research databases and Google Scholar.

Results: From a total of 297 publications, 19 met the inclusion criteria: four publications focused on the impact of fractures of the humerus, one publication looked at ulna fractures, six publications focused on distal radius fractures, five looked at femur fractures and three focused on tibial fractures.

Conclusion: Long bone fractures have a considerable impact on many facets of a patient's life. In some cases, the fracture prevents patients from working and meeting financial obligations. The injury limited previously normal social interactions and pre-injury functioning. Future research should examine the impact of long bone fractures in Africa, as there were very limited studies, which were identified.

Keywords: financial; impact; long bone fractures; occupational; physical; psychological; social.

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Conflict of interest statement

The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article.

Figures

FIGURE 1
FIGURE 1
PRISMA 2009 flow diagram tool.
FIGURE 2
FIGURE 2
The biopsychosocial model.
See this image and copyright information in PMC

References

    1. Haagsma JA, Graetz N, Bolliger I, et al. . The global burden of injury: Incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013. Inj Prev. 2016;22(1):3–18. 10.1136/injuryprev-2015-041616 - DOI - PMC - PubMed
    1. Conway DJ, Coughlin R, Caldwell A, Shearer D. The institute for global Orthopedics and traumatology: A model for academic collaboration in orthopedic surgery. Front Public Health. 2017;5:146. - PMC - PubMed
    1. Frouzan A, Masoumi K, Delirroyfard A, Mazdaie B, Bagherzadegan E. Diagnostic accuracy of ultrasound in upper and lower extremity long bone fractures of emergency department trauma patients. Electron Physician. 2017;9(8):5092–5097. 10.19082/5092 - DOI - PMC - PubMed
    1. Luqmani R, Joseph B, Robb J, Porter D. Textbook of orthopaedics, trauma, and rheumatology. Amsterdam: Elsevier Health Sciences; 2013.
    1. Manwana ME, Mokone GG, Kebaetse M, Young T. Epidemiology of traumatic orthopaedic injuries at Princess Marina Hospital, Botswana. SA Orthop J. 2018;17(1):41–46.