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Updated: Apr 19, 2026

Imaging of the Microstructural Failure Mechanism in the Human Hip
Published on: September 29, 2023
[Clinico-epidemiologic and clinico-nosologic characteristic of the hip trauma as a component of polysystemic damage]
Insights
Hip injuries (HI) in polytrauma patients are more common in working-age men and often result from traffic accidents or falls. The severity of these hip injuries depends on the trauma mechanism and patient demographics.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Epidemiology
Context:
- Hip injuries (HI) are a significant component of polysystemic and polyorgan damage in polytrauma patients.
- Understanding the clinico-epidemiological and clinico-nosological indices of HI is crucial for effective trauma management.
Purpose:
- To investigate the clinico-epidemiological and clinico-nosological indices of hip injuries (HI) within the context of polysystemic and polyorgan damage.
- To analyze the influence of gender, age, trauma mechanisms, and conditions on the occurrence and severity of HI in polytrauma patients.
Summary:
- Analysis of 54 polytrauma patients with HI revealed a higher incidence in working-age males.
- Traffic accidents (61.1%) and domestic incidents (29.6%) were the primary causes of HI.
- Injury severity correlated with trauma mechanisms: falls were associated with other skeletal and head injuries, direct blows with cranio-cerebral trauma, and combined mechanisms with widespread damage.
Impact:
- Findings highlight the demographic and etiological factors associated with hip injuries in polytrauma.
- The study provides insights into the relationship between trauma mechanisms and injury severity, informing clinical assessment and treatment strategies.
- This research contributes to a better understanding of hip injury patterns in complex trauma cases, aiding in the development of targeted interventions.
Abstract:
Clinico-epidemiological and clinico-nosological indices of the hip injury (HI) in a structure of polysystemic and polyorgan damage, depending on gender, age of the injured patients, as well as the main mechanisms and conditions of trauma, were investigated. Four hundreds of charts of stationary patients, the injured persons, suffering polytrauma, who were treated in The Ternopyl University clinic in 2008 - 2012 yrs, were analyzed. The HI, as a component of polysystemic damage, was revealed in 54 patients. In accordance to the ranking analysis data, the HI coexistence in polytrauma probably depends on gender and age of the injured persons (mainly the men of employable age). Mostly such injures have occurred while the traffic accident in 61.1% of observations and while domestic conditions - in 29.6%. Severity of coexistent HI in a polytrauma structure probably depends on their mechanisms. So, in falling down in most cases combination with other skeletal trauma and damage of head was noted; in a direct punch - with cranio-cerebral trauma; in coexistence of various mechanisms the most severe injuries have occurred with damage of several anatomo-functional regions, not the hip only, but head, thorax and abdomen.
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