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.

Abstract

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.

Keywords

Adolescent,Child, Epidemiology, Fractures,Upper Extremity.

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