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Updated: Mar 7, 2026

Pseudofracture: An Acute Peripheral Tissue Trauma Model
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Current trauma patterns in Pietermaritzburg.

N B Moodley1, D L Clarke1, C Aldous1

  • 1Department of Surgery, Nelson R Mandela School of Medicine; University of KwaZulu-Natal, South Africa.

South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
|February 28, 2017
PubMed
Summary
This summary is machine-generated.

Blunt trauma, largely from non-intentional motor vehicle accidents (MVAs), now exceeds penetrating trauma in Pietermaritzburg. Injury prevention strategies targeting MVAs and violence are crucial.

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Area of Science:

  • Trauma Surgery
  • Public Health
  • Emergency Medicine

Background:

  • Assesses the trauma burden on hospitals, intensive care units (ICUs), and the medico-legal mortuary in Pietermaritzburg.
  • Highlights the need to understand trauma demographics and injury mechanisms for effective intervention.

Purpose of the Study:

  • To audit the spectrum and burden of trauma cases presenting to a major metropolitan complex.
  • To analyze patient demographics, injury mechanisms, and outcomes including ICU admission and mortality.

Main Methods:

  • Retrospective audit of emergency department, ICU, and mortuary records over two years (2010-2011).
  • Inclusion of patient demographics, trauma mechanism, facility data, ICU admission details, and length of stay.
  • Manual data entry into a spreadsheet for analysis.

Main Results:

  • 10,644 trauma patients presented; assault (35%) and motor vehicle accidents (MVAs) (35%) were leading causes.
  • Blunt trauma (70%) predominated over penetrating trauma (30%).
  • MVAs constituted the largest proportion (48%) of ICU admissions and a significant cause of death (42%).

Conclusions:

  • Blunt trauma, increasingly non-intentional, is surpassing penetrating trauma.
  • Motor vehicle accidents represent a significant burden on healthcare resources and mortality.
  • Injury prevention initiatives must prioritize addressing MVAs and interpersonal violence.