Evidence map›Paper›PMID 30249239›Full record

ArticleBMC musculoskeletal disorders2018

Burden of gluteal fibrosis and post-injection paralysis in the children of Kumi District in Uganda.

Kristin Alves, Norgrove Penny, John Ekure, Robert Olupot, Olive Kobusingye, Jeffrey N Katz, Coleen S Sabatini

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. The Burden of Lower Limb Deformities in Low- and Lower-Middle-Income Countries: A Scoping Review.Journal of the Pediatric Orthopaedic Society of North America · 2026
    Review
  2. Article
  3. Article
  4. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 3 countries.

Kristin AlvesHarvard Combined Orthopaedic Surgery Residency Program, Boston, MA, USA.
Norgrove PennyDepartment of Orthopaedic Surgery, University of British Colombia, Victoria, Canada.
John EkureKumi Orthopaedic Center, Kumi, Uganda.
Robert OlupotKumi Hospital, Kumi, Uganda.
Olive KobusingyeMakerere University School of Public Health, Kampala, Uganda.
Jeffrey N KatzDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Coleen S SabatiniUniversity of California San Francisco Department of Orthopaedic Surgery, UCSF Benioff Children's Hospital Oakland, 747 52nd Street, OPC 1st Floor, Oakland, CA, 94609, USA. Coleen.Sabatini@ucsf.edu.
Kumi University · UGBrigham and Women's Hospital · USHarvard Affiliated Emergency Medicine Residency · USMakerere University · UGUCSF Benioff Children's Hospital · USUniversity of Victoria · CA

Funding

Training in Orthopaedic and Musculoskeletal Clinical ResearchT32AR055885 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI KATZ, JEFFREY NEIL, LOSINA, ELENA · 2008 to 2023
$4.0M
National Institutes of Health NIH 5T32AR055885-08NIAMS NIH HHS T32 AR055885
6 · The paper itself

Abstract

backgroundThe purpose of this study was to estimate the prevalence of postinjection paralysis (PIP) and gluteal fibrosis (GF) among children treated in a rural Ugandan Hospital.

methodsWe conducted a retrospective cohort study by reviewing the musculoskeletal clinic and community outreach logs for children (age < 18 yrs) diagnosed with either PIP or GF from Kumi Hospital in Kumi, Uganda between 2013 and 2015. We estimated the prevalence as a ratio of the number of children seen with each disorder over the total population of children seen for any musculoskeletal complaint in musculoskeletal clinic and total population of children seen for any medical complaint in the outreach clinic.

resultsOf 1513 children seen in the musculoskeletal clinic, 331 (21.9% (95% CI 19.8-24.1%)) had PIP and another 258 (17.1% (95% CI 15.2-19.0%)) had GF as their diagnosis. Of 3339 children seen during outreach for any medical complaint, 283 (8.5% (95% CI 7.6-9.5%)) had PIP and another 1114 (33.4% (95% CI 31.8-35.0%)) had GF. Of patients with GF, 53.9% were male with a median age of 10 years (50% between 7 and 12 years old). Of patients with PIP, 56.7% were male with a median age of 5 years (50% between 2 and 8 years old).

conclusionPIP and GF comprise over 30% of clinical visits for musculoskeletal conditions and 40% of outreach visits for any medical complaint in this area of Uganda. The high estimated prevalence in these populations suggest a critical need for research, treatment, and prevention.

Indexed as

ButtocksChildChild, PreschoolFemaleFibrosisHumansInjections, IntramuscularMaleParalysisPrevalenceRetrospective StudiesRural HealthUgandaGluteal fibrosisPost-injection paralysis

Identifiers

PMID30249239
PMCPMC6154889
OpenAlexW2891188708

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.