Dogs and Orthopaedic Injuries: Is There a Correlation With Breed?

Brice, Joshua; Lindvall, Eric M.; Hoekzema, Nathan; Husak, Lisa

doi:10.1097/bot.0000000000001235

Cited by 6 publications

(7 citation statements)

References 4 publications

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“…Unique to our study, however, was the finding that the age group at time of injury correlated with specific dog breeds, in that pit bulls were statistically less likely to inflict harm on infants and preschool children. Nonetheless, the most likely breed to be implicated in attacks in our data set was pit bull or pit bull mix, similar to several prior studies 2,16–22 . However, contrasting reports suggest that pit bulls may be misidentified disproportionately compared with other breeds 23–36 …”

Section: Discussionsupporting

confidence: 80%

“…A possible explanation for peak attack incidence falling in the warmer months is likely related to dogs being put outside and children playing outside once it is warm enough to do so, thus increasing the chance of interaction. Although some other studies have demonstrated that pit bull breed was correlated with higher incidence of complex injury requiring surgical repair, our analysis found no statistically significant difference in surgical management or location of surgical management (proxies for severity) based on dog breed 2,16,19,20,34 . Similarly, a study by Gurunluoglu et al 35 did not find an association between need for more advanced reconstructive techniques and dog breed.…”

Section: Discussioncontrasting

confidence: 80%

“…Nonetheless, the most likely breed to be implicated in attacks in our data set was pit bull or pit bull mix, similar to several prior studies. 2,[16][17][18][19][20][21][22] However, contrasting reports suggest that pit bulls may be misidentified disproportionately compared with other breeds. [23][24][25][26][27][28][29][30][31][32][33][34][35][36] Our study also found that most injuries were attributed to dogs familiar to the victim, as has also been previously reported.…”

Section: Discussionmentioning

confidence: 99%

“…Although some other studies have demonstrated that pit bull breed was correlated with higher incidence of complex injury requiring surgical repair, our analysis found no statistically significant difference in surgical management or location of surgical management (proxies for severity) based on dog breed. 2,16,19,20,34 Similarly, a study by Gurunluoglu et al 35 did not find an association between need for more advanced reconstructive techniques and dog breed. We did not specifically assign injury severity scores but rather used the need for surgical repair and where the repair took place (ED vs OR) as proxies for injury severity, which may not accurately represent injury severity.…”

Section: Out Of Southmentioning

confidence: 94%

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Analysis of Pediatric Dog Bite Injuries at a Level 1 Trauma Center Over 10 Years

et al. 2021

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Background Dog bite injuries cause significant preventable patient morbidity and health care expenditure in children. This study aimed to characterize the patient and healthcare burden related to pediatric dog bite injuries at a level 1 trauma center. Methods This is a retrospective review of 356 pediatric patients who presented to Virginia Commonwealth University Pediatric Emergency Department between July 2007 and August 2017 after sustaining dog bite injuries. Demographic information, injury details, management, outcomes, and financial information were analyzed. Results Most pediatric dog bite injuries afflicted male children (55.6%), ages 6 to 12 years (45.7%), by a household dog (36.2%). The most common offending breed was a pit bull or pit bull mix (53.0%). Infants and grade schoolers were more likely to sustain bites to the head/face (P = 0.001). Usual management consisted of primary repair (75.9%), whereas approximately 25% of the patients required advanced reconstructive techniques. Most patients healed uneventfully, but prolonged antibiotics, additional wound care, or procedures were necessary in 8.4% of the patients. Hospital charges per patient averaged US $8830.70 and tended to be higher in the younger age groups. Insurance status was statistically associated with use of conscious sedation, surgical consult placement, and surgical repair. Conclusions Although most pediatric dog bite injuries in this study healed uneventfully from primary management in the emergency department, 25% required additional interventions. Furthermore, patient care for these injuries was associated with significant but potentially avoidable personal and financial burden to families. Our data reflect a need for safety education on animal care, behavior, and interaction.

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Section: Discussionsupporting

confidence: 80%

Section: Discussioncontrasting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Out Of Southmentioning

confidence: 94%

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Analysis of Pediatric Dog Bite Injuries at a Level 1 Trauma Center Over 10 Years

et al. 2021

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“…Studies have shown that one third of patients with a dog bite injury required orthopedic treatment. 15 Yet, there is little published data regarding the appropriate utilization of imaging among this patient population. We hypothesized that imaging is overused in the initial workup of these patients.…”

mentioning

confidence: 99%

Utilization of Imaging in the Management of Pediatric Dog Bites

et al. 2020

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Introduction:We hypothesized that imaging is overused in the initial workup of dog bite patients. To reduce radiation exposure, we aim to determine which circumstances surrounding dog bites, patient population, and injury patterns would necessitate imaging studies for management.Methods: A retrospective review was performed on all patients presenting with dog bites to our level I pediatric trauma center between 2013 and 2015. Data collected included: circumstances surrounding the injury, patient demographics, injuries, and imaging studies performed. Our analysis focused on maxillofacial and head CT scans, and plain radiographic studies of the limbs, hands, and feet. Imaging studies were considered positive if there was evidence of bony injury. Results:We identified 615 patients with dog bites, with 114 patients having had at least one imaging study performed (a total of 145 imaging studies to analyze). Only 13 (11%) patients had a positive study. In the CT scan group, 6 (22.2%) of 27 studies were positive. In the plain radiographic group, 7 (5.9%) of 118 studies were positive.Conclusions: Our review indicates that imaging studies are overused in the initial workup of these patients, and the majority of these studies are negative. This study confirms that it is feasible to institute guidelines for ordering imaging studies in dog bite patients. This will ultimately reduce radiation exposure and the cost of care for these injuries.

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