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Table 2.

Acute upper limb referrals during early lockdown and ease of lockdown. Value are n (%) unless otherwise specified. P values not stated were not of significance

Early Lockdown
(n=177)
Ease of Lockdown
(n=456)
p-value
Demographics
Female 102 (57.6) 220 (48.2) 0.04
Male 75 (42.9) 236 (51.8)
Age (Mean ± SD) 39.7 ± 27.7 33.4 ± 24.1 0.005
Mean ASA (range) 1 (1-4) 1 (1-4)
Injury
ACJ Dislocation 1 (0.6) 6 (1.3)
Clavicle Fracture 15 (8.5) 34 (7.5)
Complex Elbow Injury 4 (2.3) 6 (1.3)
Distal Humerus Fracture (Adults) 1 (0.6) 5 (1.1)
Distal Radius Fracture 39 (22.0) 156 (34.2) 0.003
Elbow Dislocation 3 (1.7) 4 (0.9)
Forearm Fractures 4 (2.3) 23 (5.0)
Humeral Shaft Fracture 5 (2.8) 10 (2.2)
Olecranon Fracture 8 (4.5) 13 (2.9)
Other 0 2 (0.4)
Paediatric Elbow Fracture 15 (8.5) 20 (4.4) 0.05
Proximal Humerus Fracture 29 (16.4) 47 (10.3) 0.04
Radial Head/Neck Fracture 18 (10.2) 63 (13.8)
Scapular Fracture 1 (0.6) 2 (0.4)
Shoulder Dislocation 12 (6.8) 23 (5.0)
Septic Joint 0 2 (0.4)
Soft Tissue Infections 1 (0.6) 2 (0.4)
Soft Tissue Injury Elbow 10 (5.6) 27 (5.9)
Soft Tissue Injury Shoulder 7 (4.0) 10 (2.2)
Soft Tissue Injury Wrist 4 (2.3) 1 (0.2)
Mechanism of Injury
DIY 3 (1.7) 3 (0.7)
Fall from Height <1.5m 107 (60.5) 240 (52.6)
Fall from Height >1.5m 7 (4.0) 27 (5.9)
Gym 3 (1.7) 5 (1.1)
Road Traffic Collision 14 (7.9) 23 (5.0)
Total Sports
  • Cycling

  • Football

  • Skateboarding

  • Rollerblading

  • Other

36 (20.3)
16 (9.0)
4 (2.3)
7 (4.0)
4 (2.3)
5 (2.8)
135 (29.6)
94 (20.6)
18 (3.9)
12 (2.6)
0
11 (2.6)
0.02
0.0004
Assault 0 5 (1.1)
Other 5 (2.8) 11 (2.4)
Not applicable 2 (1.1) 6 (1.3)
Open Injury 0 4 (0.9)
Mean Days to Discharge (Range) 0 (0-11) 0 (0-29)
Mortality 0 0
COVID-19 Status
  • Asymptomatic, not swabbed

  • Asymptomatic, swab negative

  • Asymptomatic, swab positive

  • Symptomatic, swab positive

  • Symptomatic, swab negative

165 (93.2)
10 (5.6)
1 (0.6)
0 (0)
1 (0.6)
351 (77.0)
103 (22.6)
1 (0.2)
0 (0.0)
1 (0.2)
0.0001
0.0001
Management change due to COVID-19
  • Patient led

  • Surgeon led

  • Both

17 (9.6)
3
9
5
3 (0.7)
1
0
2
0.0001