MyMedR

A comparative epidemiologic study of fractures among Indian, Malay and Swedish children

Wong PC

Med J Malaya, 1965 Dec;20(2):132-43.

PMID: 4221974

Matched MeSH terms: Fractures, Bone/epidemiology*

Epidemiology of fractures in the Chinese children of Singapore

Wong PC

Med J Malaya, 1966 Jun;20(4):288-99.

PMID: 4224337

Matched MeSH terms: Fractures, Bone/epidemiology*

Review of patients with multiple injuries treated at University Hospital, Kuala Lumpur

Silva JF

J Trauma, 1984 Jun;24(6):526-31.

PMID: 6737530

This study has analyzed 260 patients with multiple injuries sustained in road accidents admitted to the University Hospital during the period July 1967 to July 1976, in relation to age, sex, and ethnic distribution. The types of injuries sustained have been discussed to highlight their effects on the community in a developing country. The extremities have been most frequently involved, while head injuries followed closely. The causative factors of multiple injury-producing accidents have been evaluated. The categories of victims most liable to multiple injuries have been discussed. The significance of understanding the mechanism of these accidents and the effect of such knowledge in minimizing diagnostic errors, thus enabling management and the urgent need for regional accident services in developing countries, have been stressed.

Matched MeSH terms: Fractures, Bone/epidemiology

Review of cases of fractures of the spine at the university hospital

Silva JF

Med J Malaysia, 1978 Jun;32(4):268-73.

PMID: 732618

Matched MeSH terms: Fractures, Bone/epidemiology*

Road accidents

Iqbal QM

Med J Malaysia, 1974 Sep;29(1):60-3.

PMID: 4282633

Matched MeSH terms: Fractures, Bone/epidemiology*

A survey of fractures in the dog and cat in Malaysia

Wong WT

Vet Rec, 1984 Sep 15;115(11):273-4.

PMID: 6495579

A survey of 61 canine and 26 feline fractures diagnosed between January 1980 and June 1983 at a veterinary teaching hospital was conducted. More than 80 per cent of the fractures occurred in animals less than two years old. Male animals were more frequently involved. In the dog, the femur, tibia, pelvis, radius and ulna were most often affected while in the cat, the femur, mandible, pelvis and spine were more often involved. All the findings were consistent with other reports in the literature.

Matched MeSH terms: Fractures, Bone/epidemiology

Increased fracture risk and osteoporosis not associated with vitamin D levels in Malaysian patients with inflammatory bowel disease

Hilmi I, Sunderesvaran K, Ananda V, Sarji SA, Arumugam K, Goh KL

J Clin Endocrinol Metab, 2013 Jun;98(6):2415-21.

PMID: 23553858 DOI: 10.1210/jc.2013-1147

INTRODUCTION: Osteoporosis and osteopenia are well-recognized complications of inflammatory bowel disease. Previous studies have suggested that vitamin D deficiency is an important risk factor for the development of osteoporosis. We hypothesized that low vitamin D levels is the main reason for reduced bone mineral density in patients with inflammatory bowel disease. We aimed to study its potential role in Malaysia, which is a tropical country with 3 large ethnic groups. We also sought to examine the relationship between fracture risk and bone mineral density in this group.
METHODOLOGY: Relevant history as well as 25-hydroxycholecalciferol (vitamin D) levels and bone mineral density were obtained. Normal, inadequate, and low vitamin D levels were defined as 61-160 nmol/L (24-64 ng/mL), 30-60 nmol/L (12-24 ng/mL), and less than 30 nmol/L (<12 ng/mL), respectively.
RESULTS: Seventy-two patients were recruited. The prevalence of osteopenia and osteoporosis, respectively, were 58% and 17% in the spine and 51% and 14% in the hip. Mean vitamin D level in the group was low at 45.12 ± 17.4 nmol/L (18.05 ± 6.96 ng/mL), but there was no significant association between bone mineral density and vitamin D level. Twelve patients (16.7%) had a fragility fracture after the diagnosis of inflammatory bowel disease. The cumulative fracture incidence was 10% at 5 years and 35% at 10 years. There was a statistically significant association between osteoporosis of hip and a history of fracture (odds ratio 5.889; 95% confidence interval 1.41-24.53, P = .009).
CONCLUSION: Osteoporosis is prevalent among Malaysian patients with inflammatory bowel disease and is associated with a 6-fold increased risk of fractures. Most inflammatory bowel disease patients had inadequate or low vitamin D levels, but there was no association between vitamin D levels and BMD.

Matched MeSH terms: Fractures, Bone/epidemiology

Fulltext Osteoarthritis and falls in the older person

Ng CT, Tan MP

Age Ageing, 2013 Sep;42(5):561-6.

PMID: 23864423 DOI: 10.1093/ageing/aft070

Osteoarthritis and falls are common conditions affecting older individuals which are associated with disability and escalating health expenditure. It has been widely assumed that osteoarthritis is an established risk factor for falls in older people. The relationship between osteoarthritis and falls has, quite surprisingly, not been adequately elucidated, and published reports have been conflicting. Our review of the existing literature has found limited evidence supporting the current assumption that the presence of osteoarthritis is associated with increased risk of falls with suggestions that osteoarthritis may actually be protective against falls related fractures. In addition, joint arthroplasty appears to increase the risk of falls in individuals with osteoarthritis.

Matched MeSH terms: Fractures, Bone/epidemiology*

Fulltext Outcome of surgically treated Lisfranc injury: a review of 34 cases

Miswan MF, Singh VA, Yasin NF

Ulus Travma Acil Cerrahi Derg, 2011 Nov;17(6):504-8.

PMID: 22290002 DOI: 10.5505/tjtes.2011.04809

We reviewed cases with Lisfranc injuries who presented to our center in order to study the adequacy of the treatment method and their final functional outcome.

Matched MeSH terms: Fractures, Bone/epidemiology

Long bone fractures among children in Malaysia

Iqbal QM

Int Surg, 1974 Aug;59(8):410-5.

PMID: 4853031

Matched MeSH terms: Fractures, Bone/epidemiology*

Fulltext Chronic liver disease is universal in children with biliary atresia living with native liver

Lee WS, Ong SY, Foo HW, Wong SY, Kong CX, Seah RB, et al.

World J Gastroenterol, 2017 Nov 21;23(43):7776-7784.

PMID: 29209118 DOI: 10.3748/wjg.v23.i43.7776

AIM: To examine the medical status of children with biliary atresia (BA) surviving with native livers.

METHODS: In this cross-sectional review, data collected included complications of chronic liver disease (CLD) (cholangitis in the preceding 12 mo, portal hypertension, variceal bleeding, fractures, hepatopulmonary syndrome, portopulmonary hypertension) and laboratory indices (white cell and platelet counts, total bilirubin, albumin, international normalized ratio, alanine aminotransferase, aspartate aminotransferase, γ-glutamyl transpeptidase). Ideal medical outcome was defined as absence of clinical evidence of CLD or abnormal laboratory indices.

RESULTS: Fifty-two children [females = 32, 62%; median age 7.4 years, n = 35 (67%) older than 5 years] with BA (median age at surgery 60 d, range of 30 to 148 d) survived with native liver. Common complications of CLD noted were portal hypertension (40%, n = 21; 2 younger than 5 years), cholangitis (36%) and bleeding varices (25%, n = 13; 1 younger than 5 years). Fifteen (29%) had no clinical complications of CLD and three (6%) had normal laboratory indices. Ideal medical outcome was only seen in 1 patient (2%).

CONCLUSION: Clinical or laboratory evidence of CLD are present in 98% of children with BA living with native livers after hepatoportoenterostomy. Portal hypertension and variceal bleeding may be seen in children younger than 5 years of age, underscoring the importance of medical surveillance for complications of BA starting at a young age.

Matched MeSH terms: Fractures, Bone/epidemiology*

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