{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T21:28:11Z","timestamp":1769981291346,"version":"3.49.0"},"reference-count":0,"publisher":"Diving and Hyperbaric Medicine Journal","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diving Hyperb Med"],"abstract":"<jats:p>Introduction: Artisanal diving fishermen in Yucat\u00e1n, Mexico have high rates of decompression sickness as a result of frequently unsafe diving practices with surface supplied compressed air. In this study, we investigated the prevalence of dysbaric osteonecrosis (DON), a type of avascular necrosis, in the most susceptible joints in a cohort of these fishermen.\nMethods: We performed radiographs of bilateral shoulders, hips, and knees of 39 fishermen in Mexico and surveyed them about their medical and diving histories. We performed pairwise correlations to examine if the fishermen\u2019s diving behaviours affected the numbers of joints with DON.\nResults: The radiographs revealed Grade II or higher DON in 30\/39 (76.9%) of the fishermen. Twenty-two of 39 fishermen (56.4%) had at least two affected joints. The number of joints with DON positively correlates with the lifetime maximum diving depth and average bottom time.\nConclusions: These findings represent among the highest prevalence rates of DON in divers and reflect the wide-spread scale of decompression sickness among these fishermen. Through this work, we hope to further educate the fishermen on the sequelae of their diving with the aim of improving their diving safety.<\/jats:p>","DOI":"10.28920\/dhm50.4.391-398","type":"journal-article","created":{"date-parts":[[2020,12,17]],"date-time":"2020-12-17T20:06:11Z","timestamp":1608235571000},"page":"391-398","source":"Crossref","is-referenced-by-count":4,"title":["Dysbaric osteonecrosis (DON) among the artisanal diving fishermen of Yucat\u00e1n, Mexico"],"prefix":"10.28920","volume":"50","author":[{"name":"Rush University Department of Emergency Medicine, Chicago IL, USA","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Popa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"UCSD Department of Emergency Medicine, Division of Hyperbaric and Undersea Medicine, San Diego, USA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Medak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"UCSD Department of Emergency Medicine, Division of Hyperbaric and Undersea Medicine, San Diego, USA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walter","family":"Chin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Winship Cancer Institute of Emory University, Atlanta GA, USA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oswaldo","family":"Huchim-Lara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"La Universidad Marista de M\u00e9rida School of Medicine, M\u00e9rida, Yuc\u00e1tan, Mexico","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evelyne","family":"Fliszar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"UCSD Department of Radiology, San Diego CA, USA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tudor","family":"Hughes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"UCSD Department of Radiology, San Diego CA, USA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Grover","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"UCSD Department of Emergency Medicine, Division of Hyperbaric and Undersea Medicine, San Diego, USA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"11463","published-online":{"date-parts":[[2020,12,20]]},"container-title":["Diving and Hyperbaric Medicine Journal"],"original-title":[],"deposited":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T01:14:43Z","timestamp":1765415683000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.dhmjournal.com\/images\/IndividArticles\/50Dec\/Popa_DONYucatan_2020-33(653).pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,20]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,12,20]]}},"URL":"https:\/\/doi.org\/10.28920\/dhm50.4.391-398","relation":{},"ISSN":["2209-1491"],"issn-type":[{"value":"2209-1491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,20]]}}}