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10.1177/1758573220977028

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suck abstract from ncbi


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pmid33747137      Shoulder+Elbow 2021 ; 13 (1): 12-17
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  • COVID-19 - Changes in the presentation and management of shoulder and elbow trauma in a UK district general hospital orthopaedic department #MMPMID33747137
  • Faria G; Virani S; Shaeir M; Velazquez-Ruta P; Tadros BJ; Arealis G; Dhinsa BS; Relwani J
  • Shoulder Elbow 2021[Feb]; 13 (1): 12-17 PMID33747137show ga
  • INTRODUCTION: COVID-19 has had a significant impact on healthcare systems. We aim to quantify the impact of this outbreak on shoulder and elbow trauma in our institution. METHODS: We prospectively collected data on patients presenting to our hospital with shoulder and elbow injuries during COVID-19. This included the number of attendances to the emergency department, fracture clinic, inpatient admissions and operative treatments. This was compared to a pre-COVID-19 period. We also assessed the efficacy of telephone clinics. RESULTS: There has been a noticeable decrease in the number of emergency department and fracture clinic attendances with upper limb complaints. The number of in-person fracture clinic reviews also decreased, with a reciprocal exponential increase in telephone consultations. We recorded a decrease in the number of shoulder and elbow trauma procedures performed. There was a small increase in the proportion of injuries treated conservatively during COVID-19. Our telephone clinics yielded a diagnosis and management plan in many cases and patient perspective appeared favourable. CONCLUSION: We have noted significant change in the upper limb caseload. Certain injuries have reduced, likely due to COVID-19 lockdown. Moreover, we consider several changes to current practices could be taken forward after the pandemic.
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