Traumatic Orthopaedic Injuries in the Prison Population

Area of Science:

• Orthopedic Surgery
• Public Health
• Epidemiology

Background:

• Musculoskeletal disorders are a common health issue among incarcerated populations.
• Limited existing literature addresses musculoskeletal trauma in prisons.
• The US has the highest global prison population, necessitating research into inmate health.

Purpose of the Study:

• To describe the epidemiology of traumatic musculoskeletal injuries in inmates.
• To identify the common types and locations of these injuries.
• To report on the complication rates associated with musculoskeletal trauma and its treatment in a prison setting.

Main Methods:

• A retrospective analysis of traumatic orthopedic injuries (excluding spine) was conducted.
• Data were collected from the Pennsylvania state prison system over a 3-year period.
• Current Procedure Terminology codes were used to identify injuries and complications.

Main Results:

• 576 patients with musculoskeletal injuries were identified.
• Hand and wrist injuries were most prevalent (65%), followed by foot and ankle (20%).
• Metacarpal fractures accounted for 22% of injuries; 64% of injuries were managed non-surgically, with low complication rates (e.g., 1.15% infection in hand surgery).

Conclusions:

• Upper extremity injuries and non-surgical treatment are prevalent in this inmate population.
• Low energy mechanisms are common causes of injury.
• Orthopedic treatment in prisons demonstrates surprisingly low infection and complication rates.