Epidemiology of distal forearm fractures in Danish children

Kramhøft, M; Bødtker, Søren

doi:10.3109/17453678809148784

Cited by 60 publications

(75 citation statements)

References 5 publications

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“…In Malmo, the frequency has increased from 23% in 1975-79 (Landin 1983) to 26%, in our study, due to an increase in fracture rate among girls. Girls now seem to have an activity pattern similar to boys, resulting in an increasing incidence of fractures of the distal radius in girls, which also was found by Kramhoft and Bodtker (1988) in Denmark, where the weather conditions are similar to those in southern Sweden. Bailey et al (1989) noted a correlation between the peak incidence of distal radius fractures and the peak velocity of growth in Canadian children.…”

Section: Discussionmentioning

confidence: 57%

“…A fracture incidence similar to that in Malmo for [1975][1976][1977][1978][1979] was found in Nottingham children in 1981 (Worlock and Stower 1986). A higher rate of distal forearm fractures than in Landin's findings 1975Landin's findings -1979 was reported by Kramhoft and Bodtker (1988) in Danish children during 1985, mainly due to more fractures among girls. We have now determined whether there has been a further increase in the incidence of fractures among children in Malmo.…”

Section: Carl Johan Tiderius' Lennart Landin* and Henrik Duppelmentioning

confidence: 63%

See 1 more Smart Citation

Decreasing incidence of fractures in children: An epidemiological analysis of 1,673 fractures in Malmö, Sweden, 1993–1994

Cj¹,

Landin²,

Düppe³

1999

Acta Orthopaedica Scandinavica

104

100

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Section: Discussionmentioning

confidence: 57%

Section: Carl Johan Tiderius' Lennart Landin* and Henrik Duppelmentioning

confidence: 63%

Decreasing incidence of fractures in children: An epidemiological analysis of 1,673 fractures in Malmö, Sweden, 1993–1994

Cj¹,

Landin²,

Düppe³

1999

Acta Orthopaedica Scandinavica

104

100

View full text Add to dashboard Cite

“…Nevertheless, the lower BMD observed in teenagers with late puberty has clinical relevance, because this is a period of high fracture incidence. (20,(31)(32)(33) In our cohort, a 28% increased risk of having had a previous fracture during childhood, adolescence, and young adulthood (up until the age of 24 years) for each year age at PHV increased, was observed.…”

Section: Pubertal Timing and Bmd In Adolescentsmentioning

confidence: 76%

Catch up in bone acquisition in young adult men with late normal puberty

Darelid

Ohlsson

Nilsson

et al. 2012

Journal of Bone and Mineral Research

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The aim of this study was to investigate the development of bone mineral density (BMD) and bone mineral content (BMC) in relation to peak height velocity (PHV), and to investigate whether late normal puberty was associated with remaining low BMD and BMC in early adulthood in men. In total, 501 men (mean AE SD, 18.9 AE 0.5 years of age at baseline) were included in this 5-year longitudinal study. Areal BMD (aBMD) and BMC, volumetric BMD (vBMD) and cortical bone size were measured using dual-energy X-ray absorptiometry (DXA) and pQCT. Detailed growth and weight charts were used to calculate age at PHV, an objective assessment of pubertal timing. Age at PHV was a strong positive predictor of the increase in aBMD and BMC of the total body (R 2 aBMD 11.7%; BMC 4.3%), radius (R 2 aBMD 23.5%; BMC 22.3%), and lumbar spine (R 2 aBMD 11.9%; BMC 10.5%) between 19 and 24 years (p < 0.001). Subjects were divided into three groups according to age at PHV (early, middle, and late). Men with late puberty gained markedly more in aBMD and BMC at the total body, radius, and lumbar spine, and lost less at the femoral neck (p < 0.001) than men with early puberty. At age 24 years, no significant differences in aBMD or BMC of the lumbar spine, femoral neck, or total body were observed, whereas a deficit of 4.2% in radius aBMD, but not in BMC, was seen for men with late versus early puberty (p < 0.001). pQCT measurements of the radius at follow-up demonstrated no significant differences in bone size, whereas cortical and trabecular vBMD were 0.7% (p < 0.001) and 4.8% (p < 0.05) lower in men with late versus early puberty. In conclusion, our results demonstrate that late puberty in males was associated with a substantial catch up in aBMD and BMC in young adulthood, leaving no deficits of the lumbar spine, femoral neck, or total body at age 24 years. ß

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“…Previous studies [1,7,8] have found that the incidence of distal forearm fractures in children reaches a peak at or about the time of the pubertal growth spurt. One explanation for this observation is a transient increase in cortical porosity, resulting from increased bone turnover due to increased calcium demands at the time of greatest longitudinal bone growth [10].…”

Section: Discussionmentioning

confidence: 99%

Epidemiologic Dynamics Contributing to Pediatric Wrist Fractures in the United States

Shah

Buzas

Zinberg

2014

Hand (New York, N,Y.)

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Background The purpose of this study was to explore and evaluate national trends and factors contributing to pediatric wrist fractures. Methods Over a 16-year period from January 1998 to December 2013, we identified and reviewed patients aged 0-17 years old with the primary diagnosis of wrist fracture, as evaluated in US EDs and chronicled by the National Electronic Injury Surveillance System (NEISS) database of the US Consumer Product Safety Commission. We conducted descriptive epidemiologic, bivariate, and chi-square analyses. Patients were categorized into age-defined subgroups and further stratified by sex, race, location, and consumer product/activity associated with injury. Results There were 53,265 children evaluated in NEISS EDs (national estimate, 1,908,904) with wrist fractures from 1998 to 2013. Mean age was 10.9 years, with 64 % males and 36 % females. The most common locations of injury were place of recreation/sports, home, and school. The top five consumerproduct-related injuries were associated with bicycles, football, playground activities, basketball, and soccer. The highest subgroup associations were with beds (0-12 months), stairs (13-36 months), playgrounds (3-5 and 6-10 years), and football (11-17 years). The greatest increase in fractures occurred between ages 0-12 and 13-36 months, with the second-largest increase between ages 3-5 and 6-10. Conclusions It is essential to develop injury prevention and safety strategies as well as identify individual risk factors for fracture, including activity, sex, and key age transitions. Surveillance is imperative to advance our understanding of these fractures, and in the future may facilitate development of research prediction tools to anticipate or prevent injury.

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Epidemiology of distal forearm fractures in Danish children

Cited by 60 publications

References 5 publications

Decreasing incidence of fractures in children: An epidemiological analysis of 1,673 fractures in Malmö, Sweden, 1993–1994

Decreasing incidence of fractures in children: An epidemiological analysis of 1,673 fractures in Malmö, Sweden, 1993–1994

Catch up in bone acquisition in young adult men with late normal puberty

Epidemiologic Dynamics Contributing to Pediatric Wrist Fractures in the United States

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