Monday, 27 September 2021

Study on Functional Outcomes of Adolescents after Initial Treatment of Upper Limb Fractures in a Selected District in Sri Lanka | Chapter 11 | Issues and Development in Health Research Vol. 5

Background: Adolescents are the most vulnerable to injuries, which are the main cause of morbidity and mortality in the United States. Fractures have been discovered as a common complication of injuries, and limb fractures severely restrict their functional capacity. Adolescents' productivity and quality of life may suffer as a result. Preventing adolescent-related injuries is an investment for a society because adolescents are among the most economically productive age groups. 59.5 percent of upper limb fracture patients admitted to the National Hospital in Sri Lanka failed to carry out everyday tasks during the first three months after treatment.

The goal of this study was to assess the functional outcomes of adolescents aged 10 to 19 years who received first treatment for upper limb fractures in government hospitals in Sri Lanka's Colombo area.

Methodology: A follow-up study was undertaken on 400 teenage victims who suffered upper limb fractures as a result of their injuries. They were picked from six major hospitals in Colombo's district after first treatment and followed up for six weeks. A validated and culturally accepted new method was used to measure their functional results using a Likert scale at six weeks, while visiting follow-up clinics at their individual hospitals or at their homes.

The results showed that 33.2 percent of 400 patients had good functional outcomes after six weeks of treatment. The highest mean score for adolescents was for specific activities like playing, sports or leisure activities, or sewing, and this was their primary functional impairment (Mean score 865.5 with standard deviation of 23.97).

Conclusions and Recommendations: Rehabilitation care for adolescent fracture victims needs to be enhanced in order for them to heal rapidly, as they represent the country's future generation.


Author (S) Details


Hemali Jayasekera

Ministry of Health, Sri Lanka and Warwick Medical School, UK.

Samitha Siritunga

Non-Communicable Disease Unit, Ministry of Health, Sri Lanka

Upul Senarath

Department of Community Medicine, Faculty of Medicine, University of Colombo, Sri Lanka.

Paramjit Gill

Division of Health Sciences, Warwick Medical School, University of Warwick, United Kingdom.


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