The Association Between Weight Status and Pediatric Forearm Fractures Resulting From Ground-Level Falls

Ryan, Leticia Manning; Teach, Stephen J.; Searcy, Kimberle; Singer, Steven A.; Wood, Rachel E.; Wright, Joseph L.; Hunting, Katherine L.; Chamberlain, James M.

doi:10.1097/pec.0000000000000628

Cited by 21 publications

(9 citation statements)

References 22 publications

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“…In addition, the fact that the overweight children had impaired mobility may contribute further to their increased risk for falls and fractures [ 36 , 88 ]. It should be mentioned that overweight children mostly tend to fall from lower heights (as they avoid rapid-movement activities and climbing activities), yet they exhibit a greater risk for fractures [ 88 , 89 ].…”

Section: Malalignments and Injuriesmentioning

confidence: 99%

Gait Pattern, Impact to the Skeleton and Postural Balance in Overweight and Obese Children: A Review

Steinberg

Nemet

Pantanowitz

et al. 2018

Sports

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The article reviews the biomechanical factors that may cause overweight/obese children to reduce their level of physical activity, while increasing their risk of overuse injuries and exercise-related pain. Recommendations would be to screen those children for any gait or postural impairments before they join any exercise program, and to provide them with specific gait treatments and/or physical exercise programs, in order to decrease their risk for future musculoskeletal injuries and pain.

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Section: Malalignments and Injuriesmentioning

confidence: 99%

Gait Pattern, Impact to the Skeleton and Postural Balance in Overweight and Obese Children: A Review

Steinberg

Nemet

Pantanowitz

et al. 2018

Sports

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“…Despite previous findings suggesting otherwise, we did not find that overweight and obese patients more commonly sustain forearm fractures from low-energy mechanisms. 15 Additionally, there was no statistically significant difference in rates of surgical intervention (CRPP or ORIF) between the UN and OO groups. The findings of our study are contrary to previously published studies that demonstrate higher rates of malreduction, loss of initial reduction, failure of nonoperative management, and need for additional intervention in obese children.…”

Section: Discussionmentioning

confidence: 81%

Do Forearm Fracture Characteristics and Outcomes Differ Between Obese and Non-Obese Children?

Lyons¹,

McGregor²,

Hoyt³

et al. 2022

Journal of the Pediatric Orthopaedic Society of North America

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Background: Nearly one-third of children and adolescents are overweight or obese in the United States. This study aimed to explore the difference in injury characteristics and treatment outcomes between forearm fractures in children based upon weight status.Methods: Four hundred and sixty-eight skeletally immature children sustaining forearm fractures between 2017-2019 were retrospectively reviewed. Demographics, injury characteristics, treatment methods, and complications were reviewed. Patients were analyzed by weight group: underweight, normal weight, overweight, and obese as defined by body mass index (BMI) percentile for age. Analyses were performed on dichotomized groups: underweight and normal weight (UN) versus overweight and obese (OO). Results:The median age at injury was 10 years. The distribution of BMI categories was 4.1% underweight, 56.2% normal weight, 16.2% overweight, and 23.5% obese. OO individuals were less likely to have angulated (>10 degrees) fractures in any plane (34% vs. 45%) and less likely to require closed reduction (27% vs. 37%) compared to their UN peers. Those with an acceptable cast index (less than 0.8), regardless of weight, trended towards lower rates of loss of reduction compared to those with poor cast index (17% vs. 29%). No statistically significant differences were found in rates of open fracture, low energy mechanism, operative treatment, loss of reduction, or complications between OO and UN children. Conclusions:Overweight and obese children sustain forearm fractures that are less angulated and require closed reduction at a lower rate. There are no differences in rates of open fracture, low energy mechanism, operative

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“…The influence of physical exercise on fracture risk may act as a protective factor, if one believes that physical activity strengthens the bone structure and improves balance and coordination. It may also counteract childhood obesity and overweight that have been described to be associated with an increased risk of forearm fractures [ 26 , 27 ]. However, there is reason to believe that exposure to bicycling, tree climbing, monkey bars and trampolines would produce more fractures than computer games or similar digital entertainment.…”

Section: Discussionmentioning

confidence: 99%

The incidence of distal radius fractures in a Swedish pediatric population - an observational cohort study of 90 970 individual fractures

Südow

Navarro

2021

BMC Musculoskelet Disord

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Background 40–50 % of all boys and 30–40 % of girls suffer from at least one fracture during childhood. A quarter of these fractures affects the wrist, making it the worst affected part of the body. Children often sustain the injury during play or sport activities. There has been a lifestyle change among European children during the last decades, and there is reason to believe that fracture incidence is changing. Methods For the purpose of this observational cohort study registry data was retrieved from the Swedish National Patient Register for all pediatric patients registered with a distal radius fracture during the period 2005–2013. Incidence rates were calculated for each year using data from Statistic Sweden on population size by age and gender. Results 90 970 distal radius fractures were identified. The mean age at the time of fracture was 10 years. In ages 10–17 the proportion of male patients was significantly larger. Seasonal variations were detected with peak incidences in May and September. A decreasing total fracture incidence was observed during the study period. Conclusions The incidence of distal radius fractures in a population 0–17 years in Sweden was higher among male than in female patients. The incidence was lower in 2008–2013 as compared to 2005. Further studies are necessary to reveal if the incidence will continue to decrease.

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The Association Between Weight Status and Pediatric Forearm Fractures Resulting From Ground-Level Falls

Cited by 21 publications

References 22 publications

Gait Pattern, Impact to the Skeleton and Postural Balance in Overweight and Obese Children: A Review

Gait Pattern, Impact to the Skeleton and Postural Balance in Overweight and Obese Children: A Review

Do Forearm Fracture Characteristics and Outcomes Differ Between Obese and Non-Obese Children?

The incidence of distal radius fractures in a Swedish pediatric population - an observational cohort study of 90 970 individual fractures

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