Epidemiologic pattern of paediatric supracondylar fractures of humerus in a teaching hospital of rural India: A prospective study of 263 cases

Rashid, Abdur; Sharma, Vivek; Jindal, Ramesh Chand; Singh, T. P.; Rathee, Narender

doi:10.1016/j.cjtee.2016.10.007

Cited by 25 publications

(22 citation statements)

References 15 publications

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“…From the distribution according to sex in previous study from Esen and Sapmaz and Anjum et al, male patients sustained more elbow fractures compared than female patients [5], [6]. This is in line with the result of our study in which the male patients dominantly suffered elbow fractures than the female patients while a retrospective study about pediatric elbow fractures conducted by Emery et al showed no differences in the demographic pattern of sex [7].…”

Section: Discussionsupporting

confidence: 91%

Elbow Fracture in Children at Saiful Anwar General Hospital, Nine Years Experiences

Sananta

Sintong

Prasetio

et al. 2019

Open Access Maced J Med Sci

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AIM: The frequency, incidence, and types of fracture of the elbow are different between children and adult. The epidemiology of elbow fracture in children has been the subject of a limited number of studies. This study aims to observe the pattern of elbow fractures in children 18 years of age and younger, during a nine years period. METHODS: This is a retrospective study about elbow fracture cases in children 18 years old and younger treated in Saiful Anwar General Hospital Malang in the period of June 2009 until December 2018. The data obtained from the medical record include the age at the time of accidents, fracture site, type of lesion and ipsilateral injuries, time of accidents, and the mechanism of injury. RESULTS: There is a total of 99 elbow fracture, and there are 62 male (63%) and 37 female patients (37%). The mean age for the entire group is 7.3 years (8.1 years for male and 7.1 years for female). Most cases are supracondylar fracture (n=77, 78%). The supracondylar fracture is composed of 17 fracture classified to type II, and 60 fracture to type III as classified by Gartland. The most common etiology of fracture is associated with sports, recreational activities, and fall from height of less than two meters. Nerve injury involving the median, radial, and ulnar nerve is seen in eight patients with type III supracondylar fracture. Associated brachial artery injury is seen in four patients with type III supracondylar fractures. 78 patients (79%) were treated surgically and 21 patients (21%) were treated conservatively. CONCLUSION: The incidence of elbow fracture in children treated in Saiful Anwar General Hospital during a nine years period is 99 patients, with supracondylar fracture Gartland type III being the leading type of this group. Male patients are more common than female patients. Nerve injury was seen in 13.33% of cases and brachial artery injury was seen 6.67% with type III supracondylar fracture. Most of the elbow fracture in our institution were treated operatively.

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Section: Discussionsupporting

confidence: 91%

Elbow Fracture in Children at Saiful Anwar General Hospital, Nine Years Experiences

Sananta

Sintong

Prasetio

et al. 2019

Open Access Maced J Med Sci

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“… 1999 , Anjum et al. 2017 , Lempesis et al. 2017 ) and with a higher incidence during the warmer than during the colder season (Tiderius et al.…”

Section: Discussionmentioning

confidence: 99%

Time trends in pediatric fractures in a Swedish city from 1950 to 2016

et al. 2020

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Background and purpose — As previous studies indicate time trends in pediatric fracture incidence, we followed the incidence in a Swedish city between 1950 and 2016. Patients and methods — Malmö city, Sweden had 322,574 inhabitants in 2015. We used diagnosis registry, charts, and radiographs of the only city hospital to classify fractures in individuals < 16 years in 2014–2016, and compared these with data from 1950–2006. We used joinpoint regression to analyze time trends and present results as mean annual percentage changes (APC). Differences between periods are described as incident rate ratios (IRR). To describe uncertainty, 95% confidence intervals (CI) are used. Results — During 2014–2016 the pediatric fracture incidence was 1,786 per 10 5 person-years (boys 2,135 and girls 1,423). From 1950 onwards age-adjusted fracture incidence increased until 1979 in both boys (APC +1.5%, CI 1.2–1.8) and girls (APC +1.6%, CI 0.8–2.5). The incidence remained stable from 1979 to 2016 (APC in boys 0.0%, CI –0.3 to 0.3 and in girls –0.2%, CI –1.1 to 0.7). Age-adjusted incidence 2014–2016 was higher than 2005–2006 in girls (IRR 1.1, CI 1.03–1.3), but not in boys (IRR 1.0, CI 0.9–1.1). Interpretation — Fracture incidence was in girls higher in 2014–2016 than in 2005–2006. However, only with more than 2 measuring points are meaningful trend analyses possible. When we analyzed the period 1950–2016 with 17 measuring points and joinpoint regression, we found that fracture incidence increased in both sexes until 1979 but has thereafter been stable.

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“…Concurrent fractures in pediatric supracondylar fracture have been reported up to 5% in the literature. 13 Average duration between day of injury and day of surgery was 5.2 days (2-14 days). Delayed presentation is not uncommon in our hospital due to lack of transport, uneven geographical topography and initial management by traditional bonesetter.…”

Section: Discussionmentioning

confidence: 99%

Pattern of Pediatric Supracondylar Fracture Operated at A Rural Teaching Hospital of Nepal: A Descriptive Cross-sectional Study

et al. 2020

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Introduction: Supracondylar fracture of humerus is one of the common pediatric fractures encountered in our daily clinical practice. The purpose of this study is to determine the pattern of supracondylar fracture operated at rural teaching hospital of Jumla, Karnali Nepal. Methods: A descriptive cross sectional study was conducted at Jumla, Karnali after Institutional Review Committee approval. Operating room notes from 15 May 2017 to 16 November 2019 were retrieved to gather the following information: patients address, age, sex, side, injury mechanism, displacement, neurovascular injury, concurrent injuries, initial management by traditional bone setters, time between injury and surgery, operative technique. Data analysis was done using Statistical Package for Social Sciences version 20. Results: A total of 138 children underwent operative fixation with mean age of 7.47 years and gender ratio of 2:1 boy to girl. Fall from cliff, ladders and rooftops were the prevailing cause of injury 72 (52.8%). Left side predominated with 88 (63.7%) and extension type was common in 135 (97.8%). Thirteen (9.4%) patients were initially managed by traditional bonesetters. Average time between injury and surgery was 5.2 days. Closed reduction was done in 100 (72.4%) patients whereas open reduction was necessary in 38 (27.5%) patients. Conclusions: Closed extension type pediatric supracondylar fracture was common in this study. Fall from cliff, rooftop and ladder are the major cause of fracture. Delayed presentation and initial management of the fracture by the traditional bonesetters makes supracondylar fracture more challenging in resource limited setting like ours.

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Epidemiologic pattern of paediatric supracondylar fractures of humerus in a teaching hospital of rural India: A prospective study of 263 cases

Cited by 25 publications

References 15 publications

Elbow Fracture in Children at Saiful Anwar General Hospital, Nine Years Experiences

Elbow Fracture in Children at Saiful Anwar General Hospital, Nine Years Experiences

Time trends in pediatric fractures in a Swedish city from 1950 to 2016

Pattern of Pediatric Supracondylar Fracture Operated at A Rural Teaching Hospital of Nepal: A Descriptive Cross-sectional Study

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