M Ramdass, V Naraynsingh, D Maharaj
compound fracture, erotic dance, fibula, medicine, orthopedics, tibia
M Ramdass, V Naraynsingh, D Maharaj. Fractured Tibia & Fibula Due To Erotic Dancing: A Trinidad Experience. The Internet Journal of Orthopedic Surgery. 2000 Volume 1 Number 1.
In Trinidad & Tobago a local dance exists, referred to as 'wining'. It is a dance associated with gyrating movements of the hips and pelvis accompanied by swaying, spiral movements of the lower limbs while moving towards the ground.
We report the first two cases of a compound, spiral fracture of the distal third of the tibia and fibula due to 'wining', an erotic dance native to our island and suggest caution to those who perform this dance.
While performing the ‘wining dance’ for his companions, the left leg of a healthy 42-year old obese male suddenly fractured in a spiral manner while he was swaying towards the ground in the typical spiral fashion[fig. 1]. The pointed end of the tibia pierced the skin from within and converted it to a compound fracture. There was no underlying pathologic condition.
While performing the ‘wining dance’ the right leg of a healthy 56-year old obese male suddenly fractured in a spiral manner while he was swaying towards the ground in the typical spiral fashion. The pointed end of the tibia pierced the skin from within and converted it to a compound fracture. There was no underlying pathologic condition
Compound tibia and fibula fractures are common injuries typically associated with direct trauma during a motor vehicle accident 1, football injures 2 or an accidental fall from a height.
Usually a twisting force causes a
There are few esoteric causes for a spiral tibia and fibula fracture to occur with only one case of a closed tibia and fibula fracture due to loss of attention secondary to excessive use of laxatives with diuretics4.
‘Wining’ in particular has been associated with paraphimosis in young males and is documented as an esoteric cause of paraphimosis. 5
We postulate the downward, swaying, spiral movements of the legs in these overweight males induced enough rotational force to fracture the long bones of the legs and suggest that persons with known medical disorders, which predispose to osteoporosis or those who are overweight proceed in a cautious manner when performing the ‘wining dance’.
Dr. Michael J. Ramdass
100 East Drive,
Trinidad, West Indies.