Walnut tree falls as a cause of musculoskeletal injury--a study from a tertiary care center in Kashmir

• Published in: Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES Vol. 16; no. 5; pp. 464 - 468
• Main Authors: Baba, Asif Nazir, Paljor, Simon D, Mir, Naseer A, Maajid, Saheel, Wani, Naveed Bashir, Bhat, Arshad Hussain, Bhat, Javeed Ahmed
• Format: Journal Article
• Language: English
• Published: Turkey Ulusal Travma ve Acil Cerrahi Derneği 01-09-2010
• Subjects: Accidental Falls - statistics & numerical data; Adult; Female; Fracture Fixation; Fractures, Bone - diagnostic imaging; Fractures, Bone - etiology; Fractures, Bone - mortality; Fractures, Bone - surgery; Fractures, Compression - diagnostic imaging; Fractures, Compression - etiology; Fractures, Compression - surgery; Humans; Juglans; Male; Radiography; Retrospective Studies; Seasons; Trees; Wounds and Injuries - epidemiology; Wounds and Injuries - etiology
• ISSN: 1306-696X

Fall from height is one of the important causes of musculoskeletal injuries. Fall from walnut trees constitutes an important entity that leads to a significant mortality and morbidity amongst those engaged in fruit collection. The present study aimed to determine the prevalence of different musculoskeletal injuries in these victims and to highlight the importance of recognizing this incident as an occupational injury.
A retrospective study of all patients admitted to the Orthopedic Department of the Sher-i-Kashmir Institute of Medical Sciences (SKIMS) Medical College from January 2003 to December 2007 was conducted. The medical records were studied for the different types of bony injuries, associated injuries and delay in the referral of patients.
94% of falls occurred from August to October. Of the 115 patients, 63 (54.7%) had associated non-orthopedic injuries. Head injury was the most common associated injury, presenting in 34 patients (29.5%). Thoracolumbar (16.5%), calcaneum (10.5%) and distal radius (8.7%) fractures constituted the common fractures encountered in the victims.
Walnut tree injuries mostly involve young males who form the productive group of the population. Being a seasonal injury, it puts a considerable load on the health resources of the region over a small period of time.