Increasing wrist fracture rates in children may have major implications for future adult fracture burden

Jerrhag, Daniel; Englund, Martin; Petersson, Ingmar; Lempesis, Vasileios; Landin, Lars; Karlsson, Magnus K.; Rosengren, Björn

doi:10.3109/17453674.2016.1152855

Cited by 27 publications

(22 citation statements)

References 22 publications

(43 reference statements)

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“…Previous studies showed the incidence of distal forearm fractures in children and adolescents has increased. [13–15,18] Annual proportion of TULFs in the current study increased from 22.9 patients to 141.6 patients and then decreased to 105.5 patients with year of admission per 100,000 hospital admissions per 2-year period. Our findings emphasize that a multifactorial approach to the prevention of upper limb fractures is necessary if the incidence of these fractures is to be reduced through medical or public health interventions.…”

Section: Discussionmentioning

confidence: 53%

Incidence patterns of traumatic upper limb fractures in children and adolescents

et al. 2019

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China's child population ranked second in the world. However, data on the overall patterns and epidemiologic trends of TULFs among children and adolescents in Chongqing, China are scarce. With development of urbanization, motorization, building industry, the incidence patterns of traumatic upper limb fractures in children and adolescents might be about to change. To investigate the incidence patterns of traumatic upper limb fractures in children and adolescents (≤18 years old) according to age (≤3 years old, 3–6 years old, 6–12 years old, and 12–18 years old), gender, time, and etiology groups in Chongqing, China, we retrospectively reviewed 1078 children and adolescents who had traumatic upper limb fractures and who came to our university-affiliated hospitals from 2001 to 2010. The patients were grouped into different age groups, genders, year of admission range groups, and aetiologies. We used Pearson chi-square tests and independent samples t tests to assess differences of the grouped data and continuous variables, respectively. This study enrolled 1078 patients (849 males, 229 females) aged 11.0 ± 4.7 years old. The most common aetiologies and fracture sites of patients were low falls (705, 65.4%) and humerus (492, 45.6%). A total of 146 (13.5%) patients suffered a nerve injury, 94 (8.7%) patients sustained associated injuries, and 106 (9.8%) patients sustained complications. The proportion of injuries due to motor vehicle collisions increased with increasing age and year of admission. Female patients presented with significantly higher proportion of injuries due to motor vehicle collisions and significantly lower proportion of injuries due to hit by others. The proportion decreased from 63.2% to 33.3% in humeral fracture, increased from 8.8% to 35.5% in radius fracture, increased from 7.4% to 28.9% in ulna fracture with increasing age. Female patients presented with significantly higher proportion of humeral fracture, clavicle fracture and significantly lower proportion of radius fracture, ulna fracture, and hand fracture. Low falls and humerus fractures were the most common aetiologies and fracture sites. The pattern of traumatic upper limb fractures has specific age, gender, time, and etiology differences.

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Section: Discussionmentioning

confidence: 53%

Incidence patterns of traumatic upper limb fractures in children and adolescents

et al. 2019

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“…[ 17 , 18 ] Some studies have shown an increasing incidence of pediatric fractures at specific sites. [ 19 – 22 ] However, population-based data on overall pattern and epidemiological trends of traumatic fractures (TFs) resulting from falls in children and adolescents are scarce.…”

Section: Introductionmentioning

confidence: 99%

Traumatic fractures as a result of falls in children and adolescents

Wang

Zhou

et al. 2017

Medicine

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The aim of this study is to investigate the incidence and pattern of traumatic fractures (TFs) as a result of falls in a population of children and adolescents (≤18 years old) in China.This was a cross-sectional study. We retrospectively reviewed 1412 patients who were children and adolescents with TFs as a result of falls admitted to our university-affiliated hospitals in China from 2001 to 2010. Etiologies included high fall (height ≥2) and low fall (height <2 m). The incidence and pattern were summarized with respect to different age groups, year of admission, etiologies, genders, and the neurological function.This study enrolled 1054 males (74.6%) and 358 females (25.4%) aged 10.8 ± 4.7 years. The etiologies were low fall (1059, 75.0%) and high fall (353, 25.0%). There were 2073 fractures in total and 92 patients (6.5%) presented with multiple fractures. The most common fracture sites were upper extremity fractures in 814 patients (57.6%) and lower extremity fractures in 383 patients (27.1%), followed by craniofacial fractures in 233 patients (16.5%). A total of 231 (16.4%) patients suffered a nerve injury. The frequencies of early and late complications/associated injuries were 19.5% (n = 275) and 9.2% (n = 130). The frequencies of emergency admission, nerve injury, spinal fracture, lower extremity fractures, craniofacial fracture, sternum and rib fracture, and early complications/ASOIs were significantly larger in high fall than low fall (all P <.001, respectively). The frequencies of medical insurance rate (P = .042) and upper extremity fractures (P <.001) were significantly larger in low fall than high fall. The frequencies of spinal fracture (P = .039), lower extremity fractures (P = .048), and craniofacial fracture (P = .041) were significantly larger in female than the male patients. The frequency of upper extremity fractures (P <.001) and the mean age (P <.001) was significantly larger in male than female patients. The frequencies of emergency admission, high fall, spinal fracture, and craniofacial fracture were significantly larger in patients with nerve injury than other patients without nerve injury (all P <.001, respectively).Low falls and upper extremity fractures were the most common etiologies and sites, respectively. High fall, spinal fracture and craniofacial fracture were risk factors for nerve injury. Therefore, we should focus on patients who were caused by high fall and presented with spinal and craniofacial fracture to determine the presence of a nerve injury so that we can provide early, timely diagnosis and targeted treatment to children.

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“…1,2 Different countries with different culture, and daily activities presented with different patterns of fractures. [3][4][5][6][7][8] Some specific fracture sites had an increasing incidence in pediatric patients, 9,10 but data on the patterns and epidemiologic trends of traumatic facial fractures in China are scarce. Compared with facial fractures occurring in adults, traumatic facial fractures in children and adolescents are relatively uncommon.…”

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confidence: 99%

Traumatic Facial Fractures in Children and Adolescents

Wang

Song

Ren

et al. 2018

Journal of Craniofacial Surgery

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This study showed a retrospective analysis of the incidence and pattern of traumatic facial fractures in a pediatric and adolescent population ( 18 years old) in China. The authors retrospectively reviewed 154 children and adolescent who had traumatic facial fractures and who were admitted to our university-affiliated hospitals from 2005 to 2010. This study enrolled 109 males and 45 females aged 11.9 AE 5.2 years old. The incidence peaked around the periods of 12 to 18 years in the male, 6 and 16 to 18 years in the female. The most common etiologies were motor vehicle collisions (MVCs) (60, 39.0%), followed by high fall (40, 26.0%), low fall (32, 20.8%). The most common fracture sites were mandible (78, 50.6%) and nose (33, 21.4%), followed by orbit (31, 20.1%). A total of 35 (22.7%) patients suffered neurological deficit. The patients in the 12 to 18 age range group accounted for the largest proportion of 54.5%. Fracture incidence showed peaks between the hours of 12:00 to 16:00 PM (33.7%), during the autumn season (30.5%) and on Friday to Sunday (50.0%). The most common etiology and fracture site were MVCs and mandible, respectively. Etiologies and patterns of traumatic facial fractures vary with age. Continued efforts toward injury prevention of traumatic facial fracture among the children and adolescents are warranted.

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Increasing wrist fracture rates in children may have major implications for future adult fracture burden

Cited by 27 publications

References 22 publications

Incidence patterns of traumatic upper limb fractures in children and adolescents

Incidence patterns of traumatic upper limb fractures in children and adolescents

Traumatic fractures as a result of falls in children and adolescents

Traumatic Facial Fractures in Children and Adolescents

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