{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T12:36:39Z","timestamp":1740141399021,"version":"3.37.3"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2022,7,2]],"date-time":"2022-07-02T00:00:00Z","timestamp":1656720000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,7,2]],"date-time":"2022-07-02T00:00:00Z","timestamp":1656720000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of Eastern Finland (UEF) including Kuopio University Hospital"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>The effect of lockdown on the incidence of fractures and severe injuries has been widely studied, whereas studies regarding muscle, tendon, and ligament injuries have not received as much attention. The aim of the study was to investigate the effect of the lockdown and later regional regulations due to the COVID pandemic on the incidence of muscle, tendon, and ligament injuries and related surgical procedures.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and methods<\/jats:title>\n                <jats:p>This study focuses on the working-age population in the catchment areas of three major Finnish hospitals. Patients were divided into three age groups 18\u201334, 35\u201350 and 51\u201365\u00a0years of age. Suitable injuries were retrieved from the data using appropriate ICD-10 codes and procedure codes. The monthly incidence rate ratio (IRR), with 95% confidence intervals (CI), were compared between the year 2020 and the reference years 2017\u20132019.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Upper and lower extremity injury ED visits decreased by 15.7 and 8.2%. For upper extremity injuries, a decrease in incidence was observed for all three age groups in March (IRR 0.52, CI 0.33\u20130.80), (IRR 0.53, CI 0.31\u20130.91), (IRR 0.60, CI 0.38\u20130.95), respectively. An increase in 18\u201334\u00a0years of age group was detected in June (IRR 1.49, CI 1.05\u20132.13). Lower extremity injuries decreased in 18\u201334\u00a0years of age group in March (IRR 0.62, CI 0.43\u20130.90) and April (IRR 0.60, CI 0.42\u20130.87).<\/jats:p>\n                <jats:p>A decrease on the incidence of surgeries was observed in April for the 35\u201350 (IRR 0.53, CI 0.29\u20130.97) and 51\u201365\u00a0years of age groups (IRR 0.58, CI 0.34\u20130.98).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The nationwide lockdown in spring 2020 led to a notable decrease in the incidence of emergency department visits and the surgical treatment of muscle, tendon, and ligament injuries in Finland.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00402-022-04521-2","type":"journal-article","created":{"date-parts":[[2022,7,2]],"date-time":"2022-07-02T16:02:32Z","timestamp":1656777752000},"page":"2539-2545","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of national COVID-19 lockdown on the incidence of muscle, tendon and ligament injuries and related surgical procedures in the working-aged Finnish population"],"prefix":"10.1007","volume":"143","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7366-5140","authenticated-orcid":false,"given":"Julius","family":"M\u00f6tt\u00f6nen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilari","family":"Kuitunen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikko","family":"Uimonen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ville M.","family":"Mattila","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juha","family":"Paloneva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ville","family":"Ponkilainen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,7,2]]},"reference":[{"key":"4521_CR1","unstructured":"OXFORD COVID-19 Government response stringency index\u2014humanitarian data exchange. https:\/\/data.humdata.org\/dataset\/oxford-covid-19-government-response-tracker. Accessed 9 Nov 2021"},{"key":"4521_CR2","unstructured":"Government, in cooperation with the President of the Republic, declares a state of emergency in Finland over coronavirus outbreak. https:\/\/valtioneuvosto.fi\/en\/-\/10616\/hallitus-totesi-suomen-olevan-poikkeusoloissa-koronavirustilanteen-vuoksi. Accessed 4 Nov 2021"},{"key":"4521_CR3","unstructured":"Situation update on coronavirus\u2014infectious diseases and vaccinations\u2014THL. https:\/\/thl.fi\/en\/web\/infectious-diseases-and-vaccinations\/what-s-new\/coronavirus-covid-19-latest-updates\/situation-update-on-coronavirus. Accessed 9 Nov 2021"},{"key":"4521_CR4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1136\/wjps-2021-000304","volume":"4","author":"J Kuorikoski","year":"2021","unstructured":"Kuorikoski J, Kuitunen I, Uimonen M et al (2021) Incidence of pediatric injury visits decreased while trauma surgeries remained stable during the first and second waves of the COVID-19 pandemic in Finland: a register-based study. World J Pediatr Surg 4:1\u20135. https:\/\/doi.org\/10.1136\/wjps-2021-000304","journal-title":"World J Pediatr Surg"},{"key":"4521_CR5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1038\/s41598-020-80309-x","volume":"10","author":"V Crenn","year":"2020","unstructured":"Crenn V, El Kinani M, Pietu G et al (2020) Impact of the COVID-19 lockdown period on adult musculoskeletal injuries and surgical management: a retrospective monocentric study. Sci Rep 10:1\u20138. https:\/\/doi.org\/10.1038\/s41598-020-80309-x","journal-title":"Sci Rep"},{"key":"4521_CR6","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1080\/17453674.2021.1881241","volume":"92","author":"A Riuttanen","year":"2021","unstructured":"Riuttanen A, Ponkilainen V, Kuitunen I et al (2021) Severely injured patients do not disappear in a pandemic: Incidence and characteristics of severe injuries during COVID-19 lockdown in Finland. Acta Orthop 92:249\u2013253. https:\/\/doi.org\/10.1080\/17453674.2021.1881241","journal-title":"Acta Orthop"},{"key":"4521_CR7","doi-asserted-by":"publisher","first-page":"819","DOI":"10.5811\/westjem.2020.5.47780","volume":"21","author":"TH Kamine","year":"2020","unstructured":"Kamine TH, Rembisz A, Barron RJ et al (2020) Decrease in trauma admissions with COVID-19 pandemic. West J Emerg Med 21:819\u2013822. https:\/\/doi.org\/10.5811\/westjem.2020.5.47780","journal-title":"West J Emerg Med"},{"key":"4521_CR8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13049-020-00810-0","volume":"28","author":"I Kuitunen","year":"2020","unstructured":"Kuitunen I, Ponkilainen VT, Launonen AP et al (2020) The effect of national lockdown due to COVID-19 on emergency department visits. Scand J Trauma Resusc Emerg Med 28:1\u20138. https:\/\/doi.org\/10.1186\/s13049-020-00810-0","journal-title":"Scand J Trauma Resusc Emerg Med"},{"key":"4521_CR9","doi-asserted-by":"publisher","first-page":"336","DOI":"10.24095\/hpcdp.40.11\/12.02","volume":"40","author":"G Keays","year":"2020","unstructured":"Keays G, Friedman D, Gagnon I (2020) Pediatric injuries in the time of covid-19. Heal Promot Chronic Dis Prev Canada 40:336\u2013341. https:\/\/doi.org\/10.24095\/hpcdp.40.11\/12.02","journal-title":"Heal Promot Chronic Dis Prev Canada"},{"key":"4521_CR10","doi-asserted-by":"publisher","first-page":"1737","DOI":"10.1016\/j.jse.2020.05.003","volume":"29","author":"S Gumina","year":"2020","unstructured":"Gumina S, Proietti R, Polizzotti G et al (2020) The impact of COVID-19 on shoulder and elbow trauma: an Italian survey. J Shoulder Elb Surg 29:1737\u20131742. https:\/\/doi.org\/10.1016\/j.jse.2020.05.003","journal-title":"J Shoulder Elb Surg"},{"key":"4521_CR11","unstructured":"Population information system | digital and population data services agency. https:\/\/dvv.fi\/en\/population-information-system. Accessed 4 Nov 2021"},{"key":"4521_CR12","unstructured":"NOMESCO classification of surgical procedures. https:\/\/norden.diva-portal.org\/smash\/get\/diva2:970547\/FULLTEXT01.pdf. Accessed 28 Apr 2022"},{"key":"4521_CR13","unstructured":"R Core Team (2020). R: a language and environment for statistical computing. R foundation for statistical computing, Vienna, Austria. URL\u00a0https:\/\/www.R-project.org\/.\u00a0Accessed 1 Sep 2021"},{"key":"4521_CR14","unstructured":"Act 488\/1999 (2010) Medical research act. Finnish acts degrees 1\u201313"},{"key":"4521_CR15","doi-asserted-by":"publisher","first-page":"210","DOI":"10.4081\/or.2020.8941","volume":"12","author":"V Andreozzi","year":"2020","unstructured":"Andreozzi V, Marzilli F, Muselli M et al (2020) The impact of COVID-19 on orthopaedic trauma: a retrospective comparative study from a single university hospital in Italy. Orthop Rev (Pavia) 12:210\u2013213. https:\/\/doi.org\/10.4081\/or.2020.8941","journal-title":"Orthop Rev (Pavia)"},{"key":"4521_CR16","doi-asserted-by":"publisher","first-page":"97","DOI":"10.5539\/gjhs.v9n4p97","volume":"9","author":"M Ameri","year":"2016","unstructured":"Ameri M, Aghakhani K, Ameri E et al (2016) Epidemiology of the upper extremity trauma in a traumatic center in Iran. Glob J Health Sci 9:97. https:\/\/doi.org\/10.5539\/gjhs.v9n4p97","journal-title":"Glob J Health Sci"},{"key":"4521_CR17","first-page":"960","volume":"45","author":"A Memarian","year":"2016","unstructured":"Memarian A, Ameri E, Aghakhani K et al (2016) The epidemiology of lower extremities injuries in Iranian population. Iran J Public Health 45:960\u2013961","journal-title":"Iran J Public Health"},{"key":"4521_CR18","first-page":"50","volume":"134","author":"G Christey","year":"2021","unstructured":"Christey G, Amey J, Singh N et al (2021) Admission to hospital for injury during COVID-19 alert level restrictions. N Z Med J 134:50\u201358","journal-title":"N Z Med J"},{"key":"4521_CR19","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1371\/journal.pone.0253875","volume":"16","author":"M Uimonen","year":"2021","unstructured":"Uimonen M, Kuitunen I, Paloneva J et al (2021) The impact of the COVID-19 pandemic on waiting times for elective surgery patients: a multicenter study. PLoS ONE 16:1\u20138. https:\/\/doi.org\/10.1371\/journal.pone.0253875","journal-title":"PLoS ONE"},{"key":"4521_CR20","unstructured":"Hospital benchmarking\u2014THL. https:\/\/thl.fi\/en\/web\/thlfi-en\/statistics-and-data\/data-and-services\/quality-and-statistical-principles\/quality-descriptions\/hospital-benchmarking. Accessed 4 Nov 2021"}],"container-title":["Archives of Orthopaedic and Trauma Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-022-04521-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00402-022-04521-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-022-04521-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,17]],"date-time":"2023-04-17T12:08:43Z","timestamp":1681733323000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00402-022-04521-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,2]]},"references-count":20,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023,5]]}},"alternative-id":["4521"],"URL":"https:\/\/doi.org\/10.1007\/s00402-022-04521-2","relation":{},"ISSN":["1434-3916"],"issn-type":[{"type":"electronic","value":"1434-3916"}],"subject":[],"published":{"date-parts":[[2022,7,2]]},"assertion":[{"value":"3 January 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 June 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 July 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}