Volume : 3, Issue : 7, JUL 2017
THE EPIDEMIOLOGY OF UPPER LIMB FRACTURES AND DISLOCATIONS IN CHILDREN AND ADOLESCENTS
SLAWOMIR KIEPURA, M.D, PROF. JULIAN DUTKA, PHD., Maria Wieczorek-Grohman,Ph.D.
Background: The aim of the study was to determine the epidemiology of upper limb injuries that required hospitalization in the population of more than 140,000 children.
Material and methods: A retrospective analysis of epidemiological data collected from 583 children treated at the Paediatric Surgery Department of Specialistic Hospital in Krakow in the years 2012-2015 because of upper limb fracture/dislocation. Age,sex, circumstances of the incident, type of fracture and the associated damage were evaluated.
Results: Upper limb fractures and dislocations together accounted for 38% of all hospital admissions due to injuries of different parts of the body. Median age of subjects was 9.6 years with a range from 2 months to 17 years. It was found that the main causes of injuries were one-storey falls (30%), second-storey falls (22.5%) and traffic accidents (12.5%). The most common fractures involved: the distal epiphysis of the radius and ulna (41.5%), then shafts of the bones of the forearm (25.5%) and the distal epiphysis of the humerus (17.3%). In the analyzed material, 36% of children suffered fractures/dislocations at home and 29% at school. 19% of fractures in children were sustained during sports activities.
Conclusion: Upper limb fractures and dislocations are the leading traumatic cause of hospitalization of children and adolescents in the surgical ward. Upper limb fractures and dislocations usually occur at home and its surroundings and at school, especially during sports activities. A one-storey fall is the most common cause of these injuries. In traffic accidents, pedestrians usually suffer injuries.
Adolescent,Child, Epidemiology, Fractures,Upper Extremity.
Article : Download PDF
Cite This Article
Article No : 18
Number of Downloads : 562
1. MacKay M and Vincenten J. Tools to Address Childhood Trauma, Injury and Children’s Safety: Final Report of the TACTICS Project. Birmingham: European Child Safety Alliance; 2014. 2. Hedström EM, Bergström U, Michno P. Injuries in children and adolescents--analysis of 41,330 injury related visits to an emergency department in northern Sweden.Injury. 2012 Sep; 43 (9):1403-8.
3. Clark EM. The epidemiology of fractures in otherwise healthy children. Curr Osteoporos Rep. 2014 Sep; 12(3):272-8. 4. Naranje SM, Erali RA, Warner WC Jr, Sawyer JR, Kelly DM. Epidemiology of Pediatric Fractures Presenting to Emergency Departments in the United States. J Pediatr Orthop. 2016 Jun; 36(4):e45-8. 5. Issin A, Kockara N, Oner A, Sahin V. Epidemiologic Properties of Pediatric Fractures in a Metropolitan Area of Turkey. Medicine (Baltimore). 2015 Oct; 94(43). 6. Karl JW, Olson PR, Rosenwasser MP. The Epidemiology of Upper Extremity Fractures in the United States, 2009. J Orthop Trauma. 2015 Aug; 29(8):e242-4. 7. de Putter CE, van Beeck EF, Burdorf A, et al. Increase in upper extremity fractures in young male soccer players in the Netherlands, 1998-2009. Scand J Med Sci Sports. 2015 Aug; 25(4):462-6. 8. Jespersen E, Rexen CT, Franz C, Møller NC, Froberg K, Wedderkopp N. Musculoskeletal extremity injuries in a cohort of schoolchildren aged 6-12: a 2.5-year prospective study. Scand J Med Sci Sports. 2015 Apr; 25(2):251-8. 9. Barr LV. Paediatric supracondylar humeral fractures: epidemiology, mechanisms and incidence during school holidays. J Child Orthop. 2014 Mar;8(2):167-70. 10. Joeris A, Lutz N, Wicki B, Slongo T, Audigé L. An epidemiological evaluation of pediatric long bone fractures - a retrospective cohort study of 2716 patients from two Swiss tertiary pediatric hospitals. BMC Pediatr. 2014 Dec 20; 14:314. 11. Mansoor K, Shahnawaz S, Ahmad A, Arif MM, Hamza M. Epidemiology of childhood fractures in city of Karachi. J Ayub Med Coll Abbottabad. 2015 Jul-Sep;27(3):608-12. 12. Pan RH, Chang NT, Chu D, Hsu KF, Hsu YN, Hsu JC, Tseng LY, Yang NP. Epidemiology of orthopedic fractures and other injuries among inpatients admitted due to traffic accidents: a 10-year nationwide survey in Taiwan. ScientificWorldJournal. 2014 Feb 5; 2014:637872. 13. Mohamed AS, Ngom G, Sow M, et al. Scooter accidents in children at Aristide Le Dantec, University Hospital of Dakar: a study of 74 cases. Pan Afr Med J. 2016 Feb 8;23:32.