Article

The epidemiology of fractures in children. Injury

Royal Hospital for Sick Children, Sciennes Road, Edinburgh EH9 1LF, United Kingdom.
Injury (Impact Factor: 2.14). 08/2007; 38(8):913-22. DOI: 10.1016/j.injury.2007.01.036
Source: PubMed

ABSTRACT

A retrospective study of all paediatric fractures presenting to hospital in Edinburgh, Scotland in 2000 was undertaken. It showed that the incidence of fractures was 20.2/1000/year and that 61% of children's fractures occurred in males. Analysis of paediatric fractures shows that there are six basic fracture distribution curves with six fractures showing a bimodal distribution but most having a unimodal distribution affecting younger or older children. The incidence of fractures increases with age with falls from below bed height (<1m) being the commonest cause of fracture. The majority of fractures in children involve the upper limb. Lower limb fractures are mainly caused by twisting injuries and road traffic accidents. The incidence of fractures in cyclists and pedestrians remains relatively high whereas the incidence in vehicle occupants is low suggesting that road safety programs have been successful. Similar programs should be instituted for young cyclists. The importance of accident prevention programmes in the home is also highlighted.

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    • "Our findings are thus consistent with previous research. A fall is usually recognized as the leading injury mechanism in upper extremity fractures (Carson et al., 2006; Rennie et al., 2007; Arora et al., 2014). "
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    • "A fracture incidence ranging from 16 to 20 per 1000 children has been described [3]. About a third of all boys and girls will sustain a fracture before the age of 16 years [3]. The majority of the available reports shedding light on the incidence of fractures included data assessed in heterogeneous age groups [4]. "
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    • "Fracture rates in adult patients with classic galactosemia have been reported between 31 and 63% (Waisbren et al. 2012; Batey et al. 2013), which is slightly higher than in the general population in which rates between 21 and 53% have been reported for this age category (van Staa et al. 2001). Only one study addresses the fracture rates in pediatric patients (Waisbren et al. 2012), and the reported prevalence of 18% is not higher than in the healthy pediatric population (Landin 1997). Although the pathophysiological mechanism is still not fully understood, several factors could negatively affect bone metabolism in this disease. "
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