Journal articles: 'Fracture sociale'

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Garczynski, Guillaume. "Fracture numérique, fracture sociale." Revue Projet N°371, no. 4 (2019): 33. http://dx.doi.org/10.3917/pro.371.0033.

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Giblin, Béatrice. "Fracture sociale ou fracture nationale ?" Hérodote 120, no. 1 (2006): 77. http://dx.doi.org/10.3917/her.120.0077.

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Vandeninden, Élise. "Fracture (sociale, numérique, etc.)." Quaderni 63, no. 1 (2007): 46–48. http://dx.doi.org/10.3406/quad.2007.1775.

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Duval, Guillaume. "La fracture sociale s'approfondit." Alternatives Économiques 238, no. 7 (July 1, 2005): 8. http://dx.doi.org/10.3917/ae.238.0008.

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Cohen, Philippe. "Pensée unique, fracture sociale, populisme." Le Débat 178, no. 1 (2014): 41. http://dx.doi.org/10.3917/deba.178.0041.

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Khan, Zarina. "Politique d'intégration et fracture sociale." Empan 68, no. 4 (2007): 130. http://dx.doi.org/10.3917/empa.068.0130.

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Maurin, Louis. "Fracture sociale : les nouvelles inégalités." Alternatives Économiques 255, no. 2 (February 1, 2007): 71. http://dx.doi.org/10.3917/ae.255.0071.

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Sers, Jean-Pierre. "Le Centre d'action sociale protestant devant la fracture sociale." Autres Temps. Les cahiers du christianisme social 48, no. 1 (1995): 98–103. http://dx.doi.org/10.3406/chris.1995.1832.

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Michaud, Marie-Christine, and Edwige Rude-Antonie. "Jeunes de l'Immigration - La Fracture Sociale." International Migration Review 31, no. 2 (1997): 489. http://dx.doi.org/10.2307/2547247.

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Girault, F. "Vote de crise et fracture, sociale." Études Normandes 48, no. 1 (1999): 103–24. http://dx.doi.org/10.3406/etnor.1999.2386.

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Henni, Ahmed. "Fracture sociale et fracture raciale ou De la dynamique d'un capitalisme patricien." Lignes 21, no. 3 (2006): 227. http://dx.doi.org/10.3917/lignes.021.0227.

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Michaud, Marie-Christine. "Book Review: Jeunes de l'Immigration—La Fracture Sociale." International Migration Review 31, no. 2 (June 1997): 489–90. http://dx.doi.org/10.1177/019791839703100228.

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Balme, René. "“Lutter contre la fracture sociale suppose aussi de lutter contre la fracture numérique”." Les Cahiers du Développement Social Urbain N° 55, no. 1 (January 1, 2012): 31–33. http://dx.doi.org/10.3917/cdsu.055.0031.

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Kiyindou, Alain. "Introduction : Réduire la fracture numérique, une question de justice sociale ?" Les cahiers du numérique 5, no. 1 (March 30, 2009): 11–17. http://dx.doi.org/10.3166/lcn.5.1.11-17.

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Miroux, Daniel. "Le monde de l'argent et la fracture sociale en Nouvelle-Calédonie." Journal de la Société des océanistes 108, no. 1 (1999): 19–31. http://dx.doi.org/10.3406/jso.1999.2077.

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Tutenuit, Claire. "La cartographie numérique, un instrument de progrès ou de fracture sociale ?" Annales des Mines - Responsabilité et environnement N° 94, no. 2 (2019): 93. http://dx.doi.org/10.3917/re1.094.0093.

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Bauduin, D., A. Bouhafs, R. Gibot, and C. Olivier. "Les puéricultrices de protection maternelle et infantile et la fracture sociale." Journal de Pédiatrie et de Puériculture 10, no. 7 (September 1997): 423–29. http://dx.doi.org/10.1016/s0987-7983(97)80070-9.

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Rouban, Luc. "Europe : la fracture sociale. La diversité des cultures sociopolitiques en Europe." Futuribles, no. 313 (November 2005): 39–54. http://dx.doi.org/10.1051/futur:200531339.

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Maingueneau, Dominique. "Une inquiétante fracture discursive." Cadernos de Campo: Revista de Ciências Sociais, no. 28 (June 2020): 29–45. http://dx.doi.org/10.47284/2359-2419.2020.28.2945.

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On voit se développer des phénomènes qu’on désigne diversement : « montée du populisme », « mouvements antisystèmes », etc. Ce n’est pas seulement une fracture sociale, mais aussi une fracture « discursive ». Les « populistes » pensent qu’on leur refuse l’accès aux lieux où s’énoncent les paroles qui ont le plus de poids en termes d’audience et d’autorité morale, qu’une élite de privilégiés et/ou de minorités coupée de la société « réelle » a le monopole de la parole légitime. Cette fracture discursive est rendue possible par les réseaux sociaux, où ceux qui se pensent exclus s’expriment abondamment. Mais il existe une asymétrie fondamentale entre leurs énoncés et ceux des « élites », qui justifient leur statut en respectant un certain nombre de normes cognitives et linguistiques. C’est une dangereuse situation d’« interincompréhension » où chacun des deux adversaires se légitime par l’autre. L’analyste du discours ne peut pas se contenter de montrer les déficiences des énoncés « populistes » ; il doit réfléchir sur la fracture discursive elle-même. Mais traiter le discours des élites comme du discours ne doit pas signifier valider le point de vue « populiste ».

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VIDAL, Daniel. "Formation sociale et mouvements sociaux." Sociologie et sociétés 2, no. 2 (September 30, 2002): 167–88. http://dx.doi.org/10.7202/001827ar.

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Résumé Les notes présentées ici partent d'une double hypothèse. D'une part, l'impossibilité de dégager de la succession des analyses sociologiques un principe de continuité qui permettrait de définir la sociologie comme lieu d'une histoire linéaire. Chaque système théorique constitue son objet propre, son langage spécifique, et, à la limite, une méthodologie relativement autonome. À l'intérieur de chacun de ces ensembles théoriques, sans doute se produit-il unecumulativité des découvertes et des résultats, dans la mesure où l'on peut poser l'unicité des ressources et des modes de traitement. D'un système à l'autre, par contre, si des voies de passage demeurent possibles, ce ne sont que pratiques d'emprunt donnant lieu à des objets mixtes, relevant de deux ordres de signification incompatibles. D'autre part, et comme exemple, l'analyse centrée sur le concept et l'objet de société s'oppose à l'analyse mettant en place les concepts de formation sociale et de mouvements sociaux. C'est cette dernière analyse que les réflexions qui suivent essaient de présenter brièvement. Instances, registres, travail, contradictions, lignes de fracture par quoi une formation sociale produit différents modes de transformation comme sa nécessité propre, tels sont les arguments qu'une sociologie des transformations sociales paraît devoir observer.

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Augier-Grimaud, Johana. "La théâtralité dans la Cena Trimalchionis : esthétique du vulgaire et fracture sociale." Bulletin de l'Association Guillaume Budé 1, no. 1 (2011): 137–53. http://dx.doi.org/10.3406/bude.2011.6768.

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Madec, Pierre, and Christine Rifflart. "Politique de la ville : le zonage comme outil d’identification de la fracture sociale." Revue économique 67, no. 3 (2016): 443. http://dx.doi.org/10.3917/reco.673.0443.

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Lavergne, Marc. "Fracture sociale et fragmentation spatiale dans un processus de métropolisation. Le cas d’Amman." Insaniyat / إنسانيات, no. 22 (December 30, 2003): 95–113. http://dx.doi.org/10.4000/insaniyat.6977.

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Girard, M., and D. Malauzat. "Aperçu des moyens de communications utilisés par les usagers d’un centre hospitalier psychiatrique français : fracture numérique ou sociale ?" European Psychiatry 29, S3 (November 2014): 544. http://dx.doi.org/10.1016/j.eurpsy.2014.09.326.

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La place des technologies de communication grandit dans le quotidien, et l’organisation du soin en médecine. Afin d’en évaluer l’accès et l’usage, nous avons diffusé un questionnaire auprès des personnes hospitalisées au Centre Hospitalier Esquirol de Limoges, hôpital public de soin en psychiatrie à vocation régionale. Notre intérêt a porté sur le type de moyens de communication dont les personnes disposent, incluant les moyens de transport, et leur fréquence d’usage. Le questionnaire, anonyme, sans collecte de donnée médicale ou identifiante, a été diffusé auprès des patients de plus de 12 ans, accueillis en hospitalisation complète ou partielle durant la semaine du 7 au 11 avril 2014.Les 954 questionnaires (par rapport aux 1044 théoriques) exploités correspondent à une population représentative en âge et en sexe de celle alors hospitalisées dans l’établissement. Les résultats montrent un plus faible équipement en support de communication (65 % ont un téléphone portable), et des connexions à Internet moins fréquentes qu’en population générale (54 % ne se connectent jamais). Concernant les lieux et moyens de consultation Internet, l’ordinateur personnel est le plus cité, mais pour 34 % seulement, l’usage du téléphone portable restant peu répandu. La voiture reste le moyen de transport majoritaire mais pour 60 % seulement. L’accès et l’usage des moyens de communications actuels sont plus réduits qu’en population générale [1,2], même en tenant compte de l’influence de l’âge et de la ruralité. Enfin, les moins connectés et les moins utilisateurs de technologies sont les personnes en hospitalisation partielle, âgées, accueillis en filières de soin des troubles psychotiques.Ainsi, la possibilité d’intégrer ces techniques dans le projet individualisé de soin (rappel de rendez-vous, d’examens…) nécessite au préalable l’équipement et/ou sa mise à jour pour atteindre les populations les plus concernées.

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Higbee, Will. "The return of the political, or designer visions of exclusion? The case for Mathieu Kassovitz?s ? fracture sociale? trilogy." Studies in French Cinema 5, no. 2 (August 18, 2005): 123–36. http://dx.doi.org/10.1386/sfci.5.2.123/1.

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Kansakar, Niva, Bikram Budhathoki, Namdev Prabhu, and Anjani Kumar Yadav. "Pattern and Etiology of Mandibular Fractures Reported at Nepalgunj Medical College: A Prospective Study." Journal of Nepalgunj Medical College 13, no. 2 (February 6, 2017): 21–24. http://dx.doi.org/10.3126/jngmc.v13i2.16540.

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Background: Mandibular fracture is one of the most common fractures of the maxillofacial region. The pattern of mandibular fractures varies from country to country and these variations can be due to social, cultural, and environmental factors. Objectives: This study was conducted to evaluate the etiology, incidence and pattern of mandibular fractures in western region of Nepal, reported at Nepalgunj Medical College Teaching Hospital.Methodology: A prospective study of 130 patients with mandibular fractures was conducted in Department of Dentistry, Nepalgunj Medical College Teaching Hospital from November 2013 to November 2014. These patients were examined both using clinical and radiographic parameters for mandibular fracture. Data concerning age, gender, causes of fracture and sites of fracture were analyzed.Result: Out of 130 patients, 104(80%) were male patients and 26(20%) were female patients. Most common age group was between 21-30 years. Most common cause of mandibular fracture was road traffic accidents accounting for 66(50.77%) cases followed by fall injury in 30(23.08%) cases. Most common site involved was parasymphysis 46(30.47%) followed by angle 27(17.89%). Road traffic accidents due to alcohol consumption 40(68.97%) was the leading cause followed by assault 10(17.24%) and fall 8(13.79%).Conclusion: Mandibular fractures are more frequent in male than female with higher frequency in 21-30 years age group. The most commonly fractured site was the parasymphysis. Road traffic accidents were the most common etiology and significantly associated with alcoholism. JNGMC Vol. 13 No. 2 December 2015

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François, Kouassi N’goran, and N’drin Beugré Anselme. "Conflits Fonciers Intercommunautaires Et Fracture Sociale Dans Les Régions Du Guémon Et Du Cavally À L’ouest De La Côte d’Ivoire." European Scientific Journal, ESJ 12, no. 14 (May 29, 2016): 240. http://dx.doi.org/10.19044/esj.2016.v12n14p240.

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The armed conflict that ravaged Côte d'Ivoire after the post-election crisis in november 2010 was sparked by several factors (land disputes, armed uprising of september 2002, tribal militias conquest of state power). In the regions of Guémon and Cavally that formed the epicenter of the war, intercommunal land disputes were instrumental in the outbreak of the war. These tensions between peasants have long caused confusion in the far west forest and contributed in part to the social division between indigenous and migrant communities. This qualitative study based on the phenomenological approach and firstly analyses the dynamics of these communal land disputes before the post-election crisis of 2010. Then, it situates the impact of these conflicts in the social division between communities.

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Dalud-Vincent, Monique. "Analyser et comparer des tables de mobilité sociale à l’aide d’une approche relationnelle : continuité et lignes de fracture entre catégories socioprofessionnelles." Nouvelles perspectives en sciences sociales 15, no. 2 (2020): 11. http://dx.doi.org/10.7202/1071314ar.

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Laé, Jean-François. "La prise de corps chez M. Foucault, une attention aux mouvements." Sociologie et sociétés 38, no. 2 (September 10, 2007): 175–88. http://dx.doi.org/10.7202/016379ar.

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Résumé Dans cet entretien avec Marcelo Otero, qui explore le contexte des relations entre la sociologie et Michel Foucault, Jean-François Laé livre quelques-unes des clefs qui permettent de mieux comprendre les malentendus et une certaine mise à l’écart de celui-ci dans la discipline (en France). Il revient sur l’écart entre l’étude de cas chez l’auteur et en sociologie, sur les mécanismes disciplinaires et les micropouvoirs, sur les oppositions théoriques. Puis il explicite son propre usage des concepts foucaldiens dans ses différents ouvrages — de L’instance de la plainte à L’ogre du jugement, de Fracture sociale à Lettres perdues — ; on y voit un héritage souterrain, l’attirance vers les illégalismes dans le rapport au droit, les vies anonymes et mystérieuses, les écritures murmurantes.

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Arcens Somé, Marie-Thérèse. "La fracture sociale en milieu urbain en Afrique : les stratégies de survie en milieu défavorisé dans la ville de Ouagadougou (Burkina Faso)." Anthropologie & développement, no. 45 (May 1, 2017): 171–72. http://dx.doi.org/10.4000/anthropodev.566.

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Blondel, Alice. "« Poser du Tricostéril sur la fracture sociale ». L'inscription des établissements de la décentralisation théâtrale dans des projets relevant de la politique de la ville." Sociétés & Représentations 11, no. 1 (2001): 287. http://dx.doi.org/10.3917/sr.011.0287.

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Anakwe, R. E., S. A. Aitken, J. G. Cowie, S. D. Middleton, and C. M. Court-Brown. "The epidemiology of fractures of the hand and the influence of social deprivation." Journal of Hand Surgery (European Volume) 36, no. 1 (August 13, 2010): 62–65. http://dx.doi.org/10.1177/1753193410381823.

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This study investigates the relationship between the epidemiology of hand fractures and social deprivation. Data were collected prospectively in a single trauma unit serving a well-defined population. The 1382 patients treated for 1569 fractures of the metacarpals or phalanges represented an incidence of hand fracture of 3.7 per 1000 per year for men and 1.3 per 1000 per year for women. Deprivation was not directly associated with the incidence of hand fracture. Common mechanisms of injury are gender specific. Fractures of the little finger metacarpal were common (27% of the total) and were associated with social deprivation in men ( P = 0.017). For women, fractures where the mechanism of injury was unclear or the patient was intoxicated and could not recall the mechanism showed a clear association with deprivation. Affluent patients were more likely to receive operative treatment. Social deprivation influences both the pattern and management of hand fractures.

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Robert Moshy, Jeremiah, Beatus Stanslaus Msemakweli, Sira Stanslaus Owibingire, and Karpal Singh Sohal. "Pattern of mandibular fractures and helmet use among motorcycle crash victims in Tanzania." African Health Sciences 20, no. 2 (July 22, 2020): 789–97. http://dx.doi.org/10.4314/ahs.v20i2.32.

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Background: The maxillofacial structures are commonly affected in motorcycle crashes, with the mandible being one of the most frequently fractured bones. Helmets have been shown to have a protective effect in preventing maxillofacial inju- ries, however, its effect on the occurrence of mandibular fractures is not very well established. Objectives: To evaluate the pattern of mandibular fractures among motorcycle crash victims in Tanzania, and determine the role of helmets in occurrence of mandibular fractures among the motorcyclists. Methodology: This was a 6-months prospective, cross-sectional study that recruited motorcycle crash victims who reported with mandibular fractures following motorcycle crash at Muhimbili National Hospital. A specially designed questionnaire was used for data collection. For purpose of analysis, the Statistical Package for Social Sciences software version 20 was used. Results: The study included a total of 132 participants of whom majority were male (120, 90.9%). The peak age incidence was 21-40 years in 76.5% of the victims. More than half (89, 67.4%) of the victims were riders during the crash. Helmet use was reported in 42.3% of the victims, and majority (67.3%) were usinghalf-face helmets. The symphysis region was the fre- quently fractured anatomical location (50, 37.9%). More than half of the victims had multiple site involvement, with higher odds observed in individuals wearing half-face helmets. Conclusion: Young males were affected ten times more than females. Most of the victims were riders during the crash. The symphysis region was the frequently fractured anatomical site. There was no difference in occurrence of mandibular frac- tures between those who wore and those who did not wear helmets during the crashes. However, the severity of mandibular fractures was dependent on the type of helmet used. Keywords: Mandibular fracture; motorcycle crash; helmet use; Tanzania.

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Clemens, Kristin K., Alexandra Ouedraogo, Mark Speechley, Lucie Richard, Jenny Thain, and Salimah Z. Shariff. "Hip Fractures in Older Adults in Ontario, Canada—Monthly Variation, Insights, and Implications." Canadian Geriatrics Journal 22, no. 3 (August 30, 2019): 148–64. http://dx.doi.org/10.5770/cgj.22.341.

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BackgroundIn older adults, hip fractures have been described to peak in cooler months. Seasonal differences in patient vulnerability to fracture and social/behavioural factors might contribute to these trends.MethodsUsing linked health-care databases in Ontario Canada, we examined monthly variation in hip fracture hospitalizations in those > 65 years (2011–2015). We stratified results by age category (66-79, ≥80 years). We then examined for variation in the demographic and comorbidity profiles of patients across the months, and as an index of contributing social/behavioural factors, noted variation in health-care behaviours.ResultsThere were 47,971 and 52,088 hospitalizations for hip fracture in those 66–79, and ≥80 years, respectively. There was strong seasonality in fractures in both groups. Peaks occurred in October and December when patients appeared most vulner-able. Rates fell in the summer in those 66-79 years, and in the late winter in those ≥80 years (when health-care utilization also declined). A smaller peak in fractures occurred in May in both groups. ConclusionsHip fractures peak in the autumn, early winter, and spring in Canada. A dip in fractures occurs in the late winter in the oldest old. Environmental factors might play a role, but seasonal vulnerability to fracture and winter isolation might also be influential.

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Honorine Pegdwendé SAWADOGO, Honorine Pegdwendé SAWADOGO. "La pandémie de la COVID-19, révélatrice et amplificatrice des inégalités et des fractures sociales dans le milieu urbain au Burkina Faso: l’exemple de la ville de Bobo-Dioulasso." Journal of Humanities and Social Sciences Studies 3, no. 1 (January 30, 2021): 41–50. http://dx.doi.org/10.32996/jhsss.2021.3.1.5.

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La COVID-19 a créé une crise sans précédent pour les acteurs des secteurs formel et informel, et a mis chaque entreprise au défi de reconsidérer ses activités commerciales et de s'adapter aux nouvelles circonstances inattendues. Le présent document vise à explorer les conséquences dues aux perturbations causées par la pandémie sur le quotidien des acteurs de l’économie de Bobo-Dioulasso. Une enquête basée sur des entrevues individuelles semi-dirigées a été utilisée pour collecter des données auprès des employés et employeurs des secteurs formel et informel. Les résultats montrent que les acteurs du secteur informel ont eu des difficultés à s’adapter aux mesures-barrières édictées contre la COVID-19. Ces difficultés sont dues à la faible capitalisation de leurs microentreprises, la mauvaise structuration du secteur et l’absence de protection sociale qui rendent les travailleurs de l’informel très vulnérables aux chocs externes. En ce qui concernent les travailleurs du secteur formel, le télétravail a permis la poursuite de leurs activités tout en gardant leur rémunération. Toutefois, les efforts devraient être axés sur l'efficacité de leur gestion opérationnelle interne. Quant aux chefs de service du public et des chefs d’entreprise du privé formel en plus de la protection des travailleurs déjà assurée, un management continue et une communication efficace et démocratique sont impératifs au maintien du niveau de participation et d’efficacité des agents. L’enquête a révélé que l’économie informelle et celle formelle ont des capacités différentes d’adaptation face aux chocs externes comme la crise sanitaire de la COVID-19. Cette crise est venue accentuer les inégalités en amplifiant davantage la fracture sociale dans la ville de Bobo-Dioulasso.

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Muratore, Maurizio, Francesco Conversano, Maria Daniela Renna, Paola Pisani, Valeria Villani, and Sergio Casciaro. "Social Impact of Osteoporotic Fractures." International Journal of Measurement Technologies and Instrumentation Engineering 4, no. 2 (April 2014): 39–53. http://dx.doi.org/10.4018/ijmtie.2014040104.

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Osteoporosis affects about 200 million subjects in the world and is responsible for 8.9 million fractures each year. The frequency of osteoporotic fractures is rising in many countries, due to the increased longevity of the population. In Europe, the annual cost of all osteoporotic fractures has been estimated to be 30 billion of Euros. In this paper, after an overview of the socioeconomic impact of osteoporosis in the world and in Italy, with particular focus on Apulia region, the most important techniques used to assess the fracture risk are briefly described. Moreover, the most commonly used pharmacological agents for the treatment of osteoporosis are reported. The aim of this review is to analyze the main factors causing the huge impact of osteoporosis on healthcare system, in terms of diagnosis and therapies, and to illustrate recent advances for treatment and prevention of this “silent disease”.

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Symonette, Caitlin J., Joy MacDermid, and Ruby Grewal. "Social Support Contributes to Outcomes following Distal Radius Fractures." Rehabilitation Research and Practice 2013 (2013): 1–6. http://dx.doi.org/10.1155/2013/867250.

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Background. Distal radius fractures are the most common fracture of the upper extremity and cause variable disability. This study examined the role of social support in patient-reported pain and disability at one year following distal radius fracture.Methods. The Medical Outcomes Study Social Support Survey was administered to a prospective cohort of 291 subjects with distal radius fractures at their baseline visit. Pearson correlations and stepwise linear regression models (F-to-remove 0.10) were used to identify whether social support contributes to wrist fracture outcomes. The primary outcome of pain and disability at one year was measured using the Patient Rated Wrist Evaluation.Results. Most injuries were low energy (67.5%) and were treated nonoperatively (71.9%). Pearson correlation analysis revealed that higher reported social support correlated with improved Patient Rated Wrist Evaluation scores at 1 year,r(n=181)=-0.22,P<0.05. Of the subscales within the Social Support Survey, emotional/informational support explained a significant proportion of the variance in 1-year Patient Rated Wrist Evaluation scores,R2=4.7%,F(1, 181) = 9.98,P<0.05.Conclusion. Lower emotional/informational social support at the time of distal radius fracture contributes a small but significant percentage to patient-reported pain and disability outcomes.

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Boisvert, Denis. "Kiyindou, Alain (dir). Fracture numérique et justice sociale. Numéro thématique des Cahiers du numérique, vol. 5, n° 1, 2009. 247 p. ISBN 978-2-7462-2359-2." Documentation et bibliothèques 57, no. 4 (2011): 228. http://dx.doi.org/10.7202/1028994ar.

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Ribeiro-dos-Santos, Julia Souza, Vinícius Paes de Assis Santos, and João Gualberto Cerqueira Luz. "Retrospective study of sports-related maxillofacial fractures in a Brazilian trauma care center." Brazilian Journal of Oral Sciences 20 (February 9, 2021): e211615. http://dx.doi.org/10.20396/bjos.v20i00.8661615.

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Aim: Maxillofacial fractures occur frequently in the general population, and sports-related fractures represent some of these cases. However, few studies have been carried out in Brazilian populations aimed at sports-related maxillofacial fractures. This study assessed the demographic and fracture characteristics of patients with sports-related maxillofacial fractures who were seen at a Brazilian trauma care center. Methods: Medical records of patients with a history of sports-related maxillofacial fractures treated between January 2018 and December 2019 were retrospectively evaluated. Personal data, fracture characteristics, sport type, treatment performed and need for hospitalization were collected. The data were subjected to statistical analyses with likelihood ratio test using the Statistical Package for Social Sciences (SPSS) 25.0 (p ≤ 0.050). Results: Forty cases (4.96% of the total) of facial fractures were included. The mean age was 24.9 (± 9.8) years, with a predominance of males (92.5%). The use of protective equipment was rare. The most frequently involved sport modality was soccer (47.5%), followed by cycling (27.5%). The most frequent fracture location was nose (45%), followed by mandible (25%) and zygomatic complex (17.5%). Soccer was responsible for most nose fractures (61.1%), while cycling caused the majority of mandibular fractures (60%). Conservative treatment predominated (60%). There was only a significant difference between fracture location and the need for hospitalization (p = 0.021). Conclusion: Patients with sportsrelated maxillofacial fractures were typically young adult males, the injury was more often located in the nose and mandible and related to soccer or cycling. The use of protective equipment must be reinforced.

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Oky, Firmansyah M., and Humaryanto. "Socioeconomic Measures Influence on Therapy Selection in Closed Complete Fracture Evaluated by Social Economy Status from June 2018 – 2019 at Raden Mattaher Hospital, Jambi." Orthopaedic Journal of Sports Medicine 7, no. 11_suppl6 (November 1, 2019): 2325967119S0048. http://dx.doi.org/10.1177/2325967119s00480.

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Objectives: Fractures are loss of continuity of bone structure, not only cracks or separation of the cortex, fractures often result in complete damage and separate bone fragments. Fractures themselves have many different types in clinical terms, a fracture is divided into 2, complete fracture and incomplete fracture, where the treatment process and management are different. In the case of closed complete fracture, cultural and economic are still the main reason for patients to refuse medical treatment. Because of that matter, people are still reluctant to go to the hospital and prefer alternative therapy. The purpose of this study was to determine the relationship between therapy selection of closed complete fracture based on the condition of the socio-economic status of the patient in Raden Mattaher Hospital Jambi. Methods: The study was conducted retrospectively from medical record data of patients who experienced closed complete fracture from June 2018 to June 2019. The sampling method is using a Non-Probability sampling with a purposive sampling technique, and later the data was processed descriptively which included the patient’s socioeconomic status. Results: From the results of the research conducted from June 2018 - June 2019 in Raden Mattaher General Hospital Jambi, 125 patients were found with cases of closed complete fracture. From 125 cases of close complete fracture, as many as 91 patients (72.8%) are men with productive age who came from various fields of work. The location that is often affected is femur bone as many as 37 patients (29.6%). From 125 patients with closed complete fracture, we found that 48 patients (38.4%) prefer alternative therapy and 26 of them (54,17%) are from the Class III treatment room, 13 patients (27.08%) are from the Class II treatment room, and class I treatment room as many as 9 patients (18.75%). This shows the lower the treatment class, the higher the patient chooses alternative therapy. Conclusion: Socio-economic status is still related to the therapy selection.

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Gregson, Celia. "49 Falls and the Prediction of Fragility Fractures." Age and Ageing 48, Supplement_4 (December 2019): iv13—iv17. http://dx.doi.org/10.1093/ageing/afz164.49.

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Abstract Fragility fractures carry high health and social care costs for patients, families, and health systems. Falls are a fundamental risk factor for sustaining a fragility fracture, and hence fracture risk assessment is an intrinsic component of any falls evaluation. I will review the relationship between falls and incident fracture and outline strategies for assessing fracture risk. I will review the different fracture risk assessment tools available, including FRAX. I will discuss approaches to fracture risk assessment in the context of falls. Sarcopenia is an important risk factors for falls. Recently the European Working Group on Sarcopenia in Older People (EWGSOP) updated their diagnostic criteria for sarcopenia, placing a greater emphasis on muscle strength and physical performance. Whilst measures of muscle mass may not add to the clinical prediction of fractures over an above a tool such as FRAX, I will discuss the value of tests of muscle function, impairment of which characterises sarcopenia, in the prediction of fracture risk. I will further present data on patient’s own perception of fracture risk and how this might be influenced by a history of falls.

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Mitchell, Sarah E., Stuart A. Aitken, and Charles M. Court-Brown. "The Epidemiology of Fractures Caused by Falls Down Stairs." ISRN Epidemiology 2013 (June 17, 2013): 1–6. http://dx.doi.org/10.5402/2013/370340.

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Fractures sustained from a fall down stairs have received little attention in the orthopaedic literature. We have undertaken a study of these fractures to determine their epidemiology and to compare it to that of fractures caused by a standing fall. All new patients presenting with a fracture between July 2007 and June 2008 were prospectively identified. Falls down stairs caused 261 fractures and were the fifth commonest mode of injury in all ages but the second commonest in those aged 65 years or over. Patients in this category were significantly younger than those with a fracture from a standing fall (54.6 yrs versus 64.9 yrs, P<0.001). Fractures of the ankle (odds ratio (OR) 1.9, P<0.001), talus (OR 3.0, P=0.04), calcaneus (OR 9.7, P<0.001), midfoot (OR 6.9, P<0.001), toe phalanges (OR 12.0, P<0.001), scapula (OR 4.6, P=0.002), and proximal ulna (OR 2.4, P=0.04) were significantly more likely to result from a fall involving stairs. When grouped together, the odds of any foot or ankle fracture resulting from a fall down stairs were approximately double when compared with a fall from standing (OR 2.1, P<0.001). There was a trend towards increased fracture incidence from falls down stairs with worsening social deprivation (r=0.63, P=0.05). A fall down stairs poses a substantial risk of fractures of the foot, ankle, and scapula. When examining patients with this mechanism of injury, these fracture types should be excluded.

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Østbye, Truls, Ruth E. Walton, Runa Steenhuis, and Anthony B. Hodsman. "Predictors and Sequelae of Fractures in the Elderly: The Canadian Study of Health and Aging (CSHA)." Canadian Journal on Aging / La Revue canadienne du vieillissement 23, no. 3 (2004): 245–51. http://dx.doi.org/10.1353/cja.2004.0035.

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ABSTRACTThe objective of this study was to describe the incidence, type, risk factors, and sequelae of fractures experienced by community-dwelling elderly Canadians. Data are from the Canadian Study of Health and Aging (CSHA), a longitudinal cohort study, collected in three waves: baseline (1991), wave 2 (1996), and wave 3 (2001). In CSHA-2 (1996), fractures were reported by 3.7 per cent of men and 7.5 per cent of women; in CSHA-3 (2001), by 2.9 per cent of men and 7.3 per cent of women. The distribution of fracture types was similar for men and women. Risk factors for women were increased age, history of fracture, and regular alcohol use; for men, stroke, arthritis, and lack of independent bathing. Walkers or wheelchairs were needed by over 30 per cent of those with any lower body fracture. One third of subjects with any fracture and over 50 per cent with femur fractures reported moderate or severe pain. It is concluded that elderly Canadians are at high risk for fractures, and older women are at most risk. Pain and mobility problems were common sequelae. The need for primary and secondary prevention of these age-related events is paramount.

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Gautam, A., AD Bele, and D. Jain. "Reattachment of Fractured Tooth Fragment in Maxillary Anterior Teeth: An Esthetic Approach." Journal of Oral Health and Community Dentistry 8, no. 3 (2014): 184–87. http://dx.doi.org/10.5005/johcd-8-3-184.

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ABSTRACT Fracture of anterior teeth is a very common form of dental injuries among children and young adolescents. Various treatment modalities have been practiced in past but reattachment of fractured fragment is considered to be most conservative, natural and esthetic approach. The restoration of natural teeth form, color and alignment in these patients create a positive social and emotional response in such patients. This article discusses a case of 16 year old female patient with fractured right central incisor(ellis class 3 fracture). Reattachment of fractured fragment was done after single sitting endodontic treatment with bonding system and dual cure composite resin cement. Evaluation at 1 year yields good reattachment, intact post, good esthetics and good periodontal health.

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Belov, M. V., and K. Yu Belova. "Contemporary view of medical care of the elderly people with proximal femur fractures." Russian Journal of Geriatric Medicine, no. 2 (August 1, 2021): 186–95. http://dx.doi.org/10.37586/2686-8636-2-2021-176-185.

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Fractures of the proximal femur are a severe, life-threatening injury with enormous social, medical and economic consequences. Even with a well-organized system of medical care, up to 12-17% of patients die within the first year after injury, and the long-term risk of death doubles. Specially designed population-based studies in the Russian Federation have shown a high incidence of hip fractures in patients at the age of 50 and older. However, there is currently no unified system of medical care organization for all regions of Russia, which allows hospitalization and operation of patients with hip fractures during the first hours after trauma. Hip fracture in an elderly person is an absolute indication for the hospitalization. However most patients have severe comorbidities, osteoporosis, an increased risk of falls and mortality because of any reason. The main surgical treatments for hip fractures include osteosynthesis of the fracture or hip arthroplasty. It is well known that after the occurrence of any fragility fracture the risk of subsequent fractures increases by 2-3 times. To ensure the continuity of patient management, provide prescription of anti-osteoporotic drugs and long-term follow-up of patients it is necessary to manage them within the special Fracture Liaison Services (FLS). The article is devoted to the organization of medical care in patients of older age groups who have received hip fractures. A review of modern approaches to the treatment and organization of care for elderly patients with hip fractures is based on the methodological recommendations «Complex measures aimed at preventing falls and fractures in the elderly» developed in the framework of the federal project «The Older Generation», the draft national clinical guidelines «Fractures of the proximal femur», as well as the results of our own research.

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Nielsen, Jonna. "Does human sexual dimorphism influence fracture frequency, types and distribution?" Anthropological Review 74, no. 1 (January 1, 2011): 13–23. http://dx.doi.org/10.2478/v10044-010-0002-3.

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Does human sexual dimorphism influence fracture frequency, types and distribution? This study explores the hypothesis that the pattern of gender inequality in a community influences the frequency, patterns and distribution of fractures. As it is not possible to read gender relations from skeletons, it is - following several research results - assumed that the level of gender inequality is reflected in sexual dimorphism. Thus the study design consists in correlating a measure of sexual dimorphism with measures of frequencies, patterns and distribution of skeletal trauma between the two sexes. Nearly two hundreds individuals from two medieval Danish cemeteries have been examined (43 females/48 males from Jutland and 46 females/49 males from Funen). Sexual dimorphism was assessed by means of measurements on the pelvis and, in accordance with conventional wisdom, the level of sexual dimorphism was found to be lower in the Funen than in the Jutland sample. The fracture frequencies, patterns and distribution were estimated for the two skeletal samples. No significant difference between the fracture frequencies or types on the two sites was found, but the distribution of fractures between the sexes in Ribe was found to be significantly different. The study indicates a level of relationship between human sexual dimorphism, gender roles, and the distribution of fractures between the sexes. Studies of larger samples will help clarify this.

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Tarazona-Santabalbina, Francisco José, Cristina Ojeda-Thies, Jesús Figueroa Rodríguez, Concepción Cassinello-Ogea, and José Ramón Caeiro. "Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture." International Journal of Environmental Research and Public Health 18, no. 6 (March 16, 2021): 3049. http://dx.doi.org/10.3390/ijerph18063049.

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Hip fractures are an important socio-economic problem in western countries. Over the past 60 years orthogeriatric care has improved the management of older patients admitted to hospital after suffering hip fractures. Quality of care in orthogeriatric co-management units has increased, reducing adverse events during acute admission, length of stay, both in-hospital and mid-term mortality, as well as healthcare and social costs. Nevertheless, a large number of areas of controversy regarding the clinical management of older adults admitted due to hip fracture remain to be clarified. This narrative review, centered in the last 5 years, combined the search terms “hip fracture”, “geriatric assessment”, “second hip fracture”, “surgery”, “perioperative management” and “orthogeriatric care”, in order to summarise the state of the art of some questions such as the optimum analgesic protocol, the best approach for treating anemia, the surgical options recommendable for each type of fracture and the efficiency of orthogeriatric co-management and functional recovery.

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Lukianets, Yevheniia. "Assessment of the use of different risk algorithms for osteoporotic fractures in women in the practice of a family doctor." ScienceRise, no. 3 (June 30, 2021): 34–39. http://dx.doi.org/10.21303/2313-8416.2021.001921.

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Object of research: Women in whom the risk of osteoporotic fractures was assessed using the FRAX, Q-Fracture algorithms, and the risk factors for osteoporosis and their role in the development of osteoporotic fractures were studied. Investigated problem: the use of various algorithms in the practice of a family doctor to assess the 10-year risk of osteoporotic fractures. Main scientific results: A decrease in bone mineral density was found in 51.4 % of the surveyed women, of whom osteopenia was in 48.7 %, osteoporosis in 2.9 % of women. The risk of fractures according to all algorithms was higher in women of the age group 70–79 years: FRAX Total – 8.87±3.2, FRAX Hip – 4.03±3.1, Q fracture total – 12.87±1.5, Q fracture Hip – 7.97±2.7, FRAX Total without BMD – 11.9±5.5, FRAX Hip without BMD – 6.3±4.8. Age correlates negatively with the T score (r=–0.47, p=0.007) and positively with the FRAX Total algorithms without BMD (r=–0.47, p=0.003), FRAX Hip without BMD (r=0.78, p=0.006), Q fracture total (r=0.86, p=0.007), Q fracture Hip (r=0.92, p=0.008), FRAX Hip with BMD (r=0.55, p=0.009). No statistically significant difference was found with FRAX Total with BMD (r=0.21, p=0.345). Risk factors: 14.3 % of women had fractures of various localization; fractures in parents were noted by 37.1 % of respondents; a decrease in height by 3 cm during life occurred in 13.3 %. Early menopause (up to 45 years old) occurred in 11.4 % of women. Physical activity less than 30 minutes a day was noted by 68.6 %. The area of practical use of the research results: the primary level of medical care. Innovative technological product: early identification of risk factors for osteoporosis and calculation of the risk of fractures will reduce the medical and social consequences of complications in osteoporosis. Scope of application of the innovative technological product: in the clinical practice of general practitioners.

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Oliver, William M., Henry K. C. Searle, Zhan Herr Ng, Neil R. L. Wickramasinghe, Samuel G. Molyneux, Tim O. White, Nicholas D. Clement, and Andrew D. Duckworth. "Fractures of the proximal- and middle-thirds of the humeral shaft should be considered as fragility fractures." Bone & Joint Journal 102-B, no. 11 (November 1, 2020): 1475–83. http://dx.doi.org/10.1302/0301-620x.102b11.bjj-2020-0993.r1.

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Aims The aim of this study was to determine the current incidence and epidemiology of humeral diaphyseal fractures. The secondary aim was to explore variation in patient and injury characteristics by fracture location within the humeral diaphysis. Methods Over ten years (2008 to 2017), all adult patients (aged ≥ 16 years) sustaining an acute fracture of the humeral diaphysis managed at the study centre were retrospectively identified from a trauma database. Patient age, sex, medical/social background, injury mechanism, fracture classification, and associated injuries were recorded and analyzed. Results A total of 900 fractures (typical 88.9%, n = 800/900; pathological 8.3%, n = 75/900; periprosthetic 2.8%, n = 25/900) were identified in 898 patients (mean age 57 years (16 to 97), 55.5% (n = 498/898) female). Overall fracture incidence was 12.6/100,000/year. For patients with a typical fracture (n = 798, mean age 56 years (16 to 96), 55.1% (n = 440/798) female), there was a bimodal distribution in men and unimodal distribution in older women (Type G). A fall from standing was the most common injury mechanism (72.6%, n = 581/800). The majority of fractures involved the middle-third of the diaphysis (47.6%, n = 381/800) followed by the proximal- (30.5%, n = 244/800) and distal-thirds (n = 175/800, 21.9%). In all, 18 injuries (2.3%) were open and a radial nerve palsy occurred in 6.7% (n = 53/795). Fractures involving the proximal- and middle-thirds were more likely to occur in older (p < 0.001), female patients (p < 0.001) with comorbidities (p < 0.001) after a fall from standing (p < 0.001). Proximal-third fractures were also more likely to occur in patients with alcohol excess (p = 0.003) and to be classified as AO-Orthopaedic Trauma Association type B or C injuries (p < 0.001). Conclusion This study updates the incidence and epidemiology of humeral diaphyseal fractures. Important differences in patient and injury characteristics were observed based upon fracture location. Injuries involving the proximal- and middle-thirds of the humeral diaphysis should be considered as fragility fractures. Cite this article: Bone Joint J 2020;102-B(11):1475–1483.

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Bortulev, Pavel I., Vladimir E. Baskov, Dmitry B. Barsukov, Ivan Y. Pozdnikin, Anatoliy V. Ovsyankin, Alexey P. Drozdetsky, Oksana V. Bortuleva, Tamila V. Baskaeva, and Ekaterina A. Kostomarova. "Results of treatment of children with femoral neck fractures." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 6, no. 2 (June 22, 2018): 63–72. http://dx.doi.org/10.17816/ptors6263-72.

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Introduction. Femoral fractures in children remain a topical problem because of the risk and frequency of severe complications, such as aseptic necrosis of the femoral head that causes deforming coxarthrosis and early disabilities. This type of injury accounts for approximately 1% of all skeletal bone fractures in childhood. In 80% of the cases, the cause of femoral neck fracture is severe trauma, but in 15% of patients, the fracture occurs despite inadequate trauma during physiologically normal activity of the child. With femoral neck fractures without stable osteosynthesis, consolidation of bone fragments occurs extremely rarely, and a long period of immobilization during conservative treatment is accompanied by a risk of complications caused by hypodynamia. Aim. To conduct a retrospective analysis of the results of surgical treatment of different types of fracture of the femoral neck in children. Materials and methods. We analyzed surgical treatment results of 5 children aged 10 to 17 years (4 boys, 1 girl) with different types of femoral neck fractures according to the Delbet and Colonna classification. The cause of the fractures in all 5 children was high-energy trauma. All patients, depending on the type of fracture, underwent a closed repositioning with osteosynthesis of the fragments using metal constructions (cannulated screws, DHS plate). Follow-up observations were performed ≤7 years after the surgical treatment. Results. Restoration of the hip joint function, absence of pain syndrome, absence of complications, and complete social adaptation was achieved in all cases. Conclusion. Femoral neck fractures are subject to immediate surgical treatment because there is a high risk of aseptic necrosis of the head of the femur. With the correct technical performance, it is possible to achieve stable, positive, functional, and radiologic long-term results.

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Journal articles on the topic 'Fracture sociale'

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