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Role of calcium and phosphorous concentration as an intrinsic factor in the development of skull fracture following road traffic accidents

INTRODUCTION: Traumatic brain injury (TBI) or head injury is one of the leading causes of morbidity and mortality globally. TBI includes a fractured skull as an indicator of insult which can affect the treatment outcome as well. The development of any fracture depends on a combination of factors def...

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Autores principales: Tamuli, Raktim P., Saikia, Bishwajeet, Sarmah, Smritimala, Patowary, Amar J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7491794/
https://www.ncbi.nlm.nih.gov/pubmed/32984138
http://dx.doi.org/10.4103/jfmpc.jfmpc_368_20
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author Tamuli, Raktim P.
Saikia, Bishwajeet
Sarmah, Smritimala
Patowary, Amar J.
author_facet Tamuli, Raktim P.
Saikia, Bishwajeet
Sarmah, Smritimala
Patowary, Amar J.
author_sort Tamuli, Raktim P.
collection PubMed
description INTRODUCTION: Traumatic brain injury (TBI) or head injury is one of the leading causes of morbidity and mortality globally. TBI includes a fractured skull as an indicator of insult which can affect the treatment outcome as well. The development of any fracture depends on a combination of factors defining the intrinsic properties of the bone and the extrinsic factors related to the impact. A decrease in bone mass secondary to deficiency of calcium (Ca) and phosphorus (P) can be a significant factor intrinsic to the skull bone, which can modulate the outcome of the impact by increasing the susceptibility of bones towards fractures. We undertook this research to find out whether or not the Ca and P concentration in skull bone has a role to play as an intrinsic factor, in the development of skull fracture following Road Traffic Accidents (RTAs). METHODOLOGY: In this case–control study conducted for two years, we collected 94 bone samples, i.e. 47 each, from skull bones with head injuries following RTA, with (case) and without (control) fracture of the skull. The elemental analyses for the bony concentration of Ca and P in both the groups were then compared using energy dispersive X-ray (EDX). Unpaired t-test and Fisher's exact test was used for statistical analysis. RESULTS: The elemental analysis of bones provided evidence that suggests that whilst; Ca is the only mineral that appears to have a significant correlation with the development of fracture skull, the overall Ca: P ratio of less than 1.99 increases the chances of skull fracture by 3.9 times. CONCLUSIONS: Both individual bony Ca concentration and Ca: P ratio can be regarded as important intrinsic factors for the development of skull fracture.
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spelling pubmed-74917942020-09-24 Role of calcium and phosphorous concentration as an intrinsic factor in the development of skull fracture following road traffic accidents Tamuli, Raktim P. Saikia, Bishwajeet Sarmah, Smritimala Patowary, Amar J. J Family Med Prim Care Original Article INTRODUCTION: Traumatic brain injury (TBI) or head injury is one of the leading causes of morbidity and mortality globally. TBI includes a fractured skull as an indicator of insult which can affect the treatment outcome as well. The development of any fracture depends on a combination of factors defining the intrinsic properties of the bone and the extrinsic factors related to the impact. A decrease in bone mass secondary to deficiency of calcium (Ca) and phosphorus (P) can be a significant factor intrinsic to the skull bone, which can modulate the outcome of the impact by increasing the susceptibility of bones towards fractures. We undertook this research to find out whether or not the Ca and P concentration in skull bone has a role to play as an intrinsic factor, in the development of skull fracture following Road Traffic Accidents (RTAs). METHODOLOGY: In this case–control study conducted for two years, we collected 94 bone samples, i.e. 47 each, from skull bones with head injuries following RTA, with (case) and without (control) fracture of the skull. The elemental analyses for the bony concentration of Ca and P in both the groups were then compared using energy dispersive X-ray (EDX). Unpaired t-test and Fisher's exact test was used for statistical analysis. RESULTS: The elemental analysis of bones provided evidence that suggests that whilst; Ca is the only mineral that appears to have a significant correlation with the development of fracture skull, the overall Ca: P ratio of less than 1.99 increases the chances of skull fracture by 3.9 times. CONCLUSIONS: Both individual bony Ca concentration and Ca: P ratio can be regarded as important intrinsic factors for the development of skull fracture. Wolters Kluwer - Medknow 2020-06-30 /pmc/articles/PMC7491794/ /pubmed/32984138 http://dx.doi.org/10.4103/jfmpc.jfmpc_368_20 Text en Copyright: © 2020 Journal of Family Medicine and Primary Care http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Tamuli, Raktim P.
Saikia, Bishwajeet
Sarmah, Smritimala
Patowary, Amar J.
Role of calcium and phosphorous concentration as an intrinsic factor in the development of skull fracture following road traffic accidents
title Role of calcium and phosphorous concentration as an intrinsic factor in the development of skull fracture following road traffic accidents
title_full Role of calcium and phosphorous concentration as an intrinsic factor in the development of skull fracture following road traffic accidents
title_fullStr Role of calcium and phosphorous concentration as an intrinsic factor in the development of skull fracture following road traffic accidents
title_full_unstemmed Role of calcium and phosphorous concentration as an intrinsic factor in the development of skull fracture following road traffic accidents
title_short Role of calcium and phosphorous concentration as an intrinsic factor in the development of skull fracture following road traffic accidents
title_sort role of calcium and phosphorous concentration as an intrinsic factor in the development of skull fracture following road traffic accidents
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7491794/
https://www.ncbi.nlm.nih.gov/pubmed/32984138
http://dx.doi.org/10.4103/jfmpc.jfmpc_368_20
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