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Barista's fracture: a new occupational hazard.

ABSTRACT: Stress fracture of the clavicle is a rare injury usually occurring in high-level athletes. It is typically a result of repetitive sporting activity or unusual strain. We present the first case of an occupational clavicle stress fracture in a young female barista. The patient initially presented with insidious onset clavicular pain. There was no history of trauma, and an undisplaced fracture was present on the plain radiograph but overlooked by the emergency physicians. Two weeks later, the patient presented again with worsening symptoms, and a displaced fracture of the clavicle was diagnosed on plain radiograph. A thorough occupational history revealed the cause of her pain, which was the mechanical activity of coffee tamping and the fracture went on to unite with no further complications. No other cause was found on investigations including magnetic resonance imaging. The fracture healed with cessation of coffee tamping. This case highlights a previously unrecognised occupational hazard of coffee tamping as a potential cause of stress fracture of clavicle.

SUBMITTER: Yusuf BS

PROVIDER: S-EPMC7236564 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature

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Barista's fracture: a new occupational hazard.

Yusuf Baasil Syed BS Segaren Neil N Segaren Nicholas N Di Mascio Livio L

JRSM open 20200506 5

Stress fracture of the clavicle is a rare injury usually occurring in high-level athletes. It is typically a result of repetitive sporting activity or unusual strain. We present the first case of an occupational clavicle stress fracture in a young female barista. The patient initially presented with insidious onset clavicular pain. There was no history of trauma, and an undisplaced fracture was present on the plain radiograph but overlooked by the emergency physicians. Two weeks later, the patie ...[more]

PMID: 32523705

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Project description:Background: Lower back pain is a public health concern affecting 70-85% of the world's population. There is paucity of published data on the prevalence, disability and risk factors for lower back pain among health workers in Uganda. Objective: To determine the frequency rate (note that is it implicit that frequency is a rate like incidence so including rate seems redundant here. This is bounded by zero and infinity. In contrast, prevalence is bounded by 0 and 1 and is thus a proportion not a rate) of lower back pain and its associated risks amongst health professionals in the Arua District of Uganda. Methods: Cross-sectional descriptive study of 245 consecutive participants conducted during February-April 2020. We stratified risks as individual or work related and analyzed the data using IBM SPSS version 25. Chi-square was used to measure the significance of association between categorical variables at 95% confidence interval, regarding a p ≤ 0.05 as significant. Results: The mean age of participants was 40.87 years ± 8.74 (SD), with female predominance (69.8%). Majority were either general nurses or midwives (64.9%) and more than half had practiced for over 6-10 years. The frequency rate of lower back pain was 39.6% (n = 97). Individual factors associated with LBP were; cigarette smoking (X 2 = 33.040; P ≤ 0.001), alcohol consumption (X 2 = 13.581; P ≤ 0.001), age (X 2 = 14.717; P = 0.002), and female gender (X 2 = 4.802; P = 0.028). The work related factors significantly associated with lower back pain were: being a nurse/midwife (X 2 = 9.829; P = 0.007), working in the outpatient department (X 2 = 49.752; P ≤ 0.001), bending (X 2 = 43.912; P ≤ 0.001), lifting (X 2 = 33.279; P < 0.001), over standing (X 2 = 40.096; P ≤ 0.001), being in awkward positions (X 2 = 15.607; P= < 0.001), and pushing patients (X 2 = 21.999; P ≤ 0.001). Conclusion: The frequency rate of low back pain was high amongst health workers and its main associated individual and work related factors could have been prevented. Health workers should strike a balance between caring for their personal back-health and meeting clients' needs while manually handling patients. Ergonomic structuring, job organization, back health care courses and use of assistive equipment could reduce such occupational hazards in our low resourced settings.

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Barista's fracture: a new occupational hazard.

Publications

Barista's fracture: a new occupational hazard.

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