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The "battered alcoholic syndrome"

W L Oppenheim

    The Journal of Trauma
    |November 1, 1977
    PubMed
    Summary

    The Battered Alcoholic Syndrome, defined by multiple fractures in different healing stages, affects 8% of fracture patients. Recognizing this syndrome is crucial for managing alcoholic patients effectively.

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    Area of Science:

    • Orthopedics
    • Addiction Medicine
    • Forensic Pathology

    Background:

    • The Battered Alcoholic Syndrome is characterized by multiple fractures in various stages of healing.
    • Recognizing this syndrome is vital as alcoholic patients may require different treatment approaches than non-alcoholic patients.
    • Alcoholism is often associated with a higher risk of trauma and fractures.

    Purpose of the Study:

    • To define the Battered Alcoholic Syndrome.
    • To determine the incidence of this syndrome in fracture patients.
    • To highlight the importance of recognizing this syndrome in patient management.

    Main Methods:

    • Fracture patients admitted to Harborview Medical Center were reviewed.
    • Radiographs and patient history were used to identify fractures in differing chronological stages of healing.
    • The study identified individuals with three or more fractures in distinct healing phases.

    Main Results:

    • The Battered Alcoholic Syndrome was identified in 8% of 100 consecutive fracture patient admissions.
    • A significant association was found: 62% of patients with a third distinct fracture were identified as alcoholics.
    • Etiologic factors include increased trauma exposure, psychological factors, nutritional deficits, and alcohol toxicity.

    Conclusions:

    • The Battered Alcoholic Syndrome is a clinically relevant condition with a notable incidence in fracture patients.
    • Early recognition of this syndrome is essential for appropriate patient care and management strategies.
    • Alcoholism should be considered in patients presenting with multiple fractures, even if they do not fit the skid-row stereotype.

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