A survey of bone and joint disease in Jamaica - abstract
West Indian med. j
; 5(2): 138, June 1956.
Artigo
em Inglês
| MedCarib
| ID: med-7668
Biblioteca responsável:
JM3.1
Localização: JM3.1; R18.W4
ABSTRACT
Little information exists of the incidence of bone and joint disease in the tropics. For this reason the conditions seen tend to be neglected as they behave differently from the same conditions in temperate climes where most of the doctors have been trained. Knowledge of their frequency is essential for teaching purposes and to plan clinical research. This survey has been made by keeping a list of the diagnosis of every new out-patient seen during 1954 and 1955, a total of 4,500 cases. The traumatic cases are not of particular interest and have not been analysed. Although the incidence of rare conditions is perhaps higher than in a general hospital, it is not unduly out of proportion as many such cases have been referred from medical and paediatrics clinics and have not been included. Tuberculosis is common and usually responds well to conservative treatment once the elements of malnutrition is corrected. Yaws seems to be dying out rapidly. Gonococcal arthritis is common. Rheumatoid arthritis, Stills disease and ankylosing spondylitis are fairly common, considerably more so than was at first thought. Osteoarthritis mainly affects synovial membrane and is relatively uncommon in the hip but quite common in the knee. Severe cases are unusual and usually are secondary to some obvious long-standing abnormality. Foot troubles are rare except for club feet which are of similar incidence to other countries. The knee ligaments are frequently strained but a meniscus tear is very unusual. Shoulder degenerative changes are very common. Spondylosis is relatively common and accounts for a proportion of paraplegics, most of which do not present at an Orthopaedic Clinic. Disc lesions in the lumbar region are common, only very few are severe enough to warrant surgery. Certain congenital lesions not seen elsewhere occur particularly around the knee. The ostoechondritis juveniles group is common. Bone lesions of sickle cell disease are common and frequently go undiagnosed. Neoplasms are of a similar incidence to that seen in temperate regions. (AU)
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Coleções:
Bases de dados internacionais
Contexto em Saúde:
Doenças Negligenciadas
Problema de saúde:
Doenças Negligenciadas
/
Tuberculose
/
Bouba
Base de dados:
MedCarib
Assunto principal:
Doenças Ósseas
/
Artropatias
Limite:
Humanos
País/Região como assunto:
Caribe Inglês
/
Jamaica
Idioma:
Inglês
Revista:
West Indian med. j
Ano de publicação:
1956
Tipo de documento:
Artigo
/
Congresso e conferência