Epidemiology of Paediatric Shoulder Dislocation: A Nationwide Study in Italy from 2001 to 2014

Abstract

Limited knowledge is accessible concerning the tendencies of hospitalization for skeletally immature patients with episodes of shoulder dislocation. Our research aim was to evaluate annual hospitalizations for shoulder dislocation in paediatric patients in Italy from 2001 to 2014, on the basis of the official data source as hospitalization reports. The second purpose was to investigate geographical diversification in hospitalization for shoulder dislocation in regions of Italy. The last aim was to make statistical predictions of the number of shoulder dislocation hospitalization volumes and rates in skeletally immature patients based on data from 2001 to 2014. An examination of the National Hospital Discharge records (SDO) kept at the Italian Ministry of Health regarding the 14 years of our study (2001 through 2014) was conducted. These data are anonymous and include patient’s age, gender, domicile, region and time of hospitalization, and the kind of reimbursement (public or private). In the 14-year study time, 344 hospitalizations for shoulder dislocation of patients aged 0–14 years took place in Italy. The male/female hospitalization ratio varied from a maximum of 3.0 (2001) to a minimum of 1.1 (2013), with a mean average ratio in the 2001–2014 timespan of 2.0. Almost half of the hospitalizations (49.1%) were performed in the South. The mean incidence of hospitalizations in Italy for shoulder dislocation in patients with less than 14 years was 0.3 for every 100,000 inhabitants in the same class of age. The most common treatment was a closed reduction (60.8%), followed by open stabilization (16.6%) and arthroscopic procedures (13.7%). The present registry study shows a low incidence of hospitalization for shoulder dislocation in young patients. The most common treatment for a shoulder dislocation in paediatric patients is a closed shoulder reduction. Regions from the south and the centre of Italy are marked by an inferior number of operations and a higher number of hospitalization for closed shoulder reduction.

Epidemiology of Anterior Cruciate Ligament Reconstruction Surgery in Italy: A 15-Year Nationwide Registry Study

“…Therefore, considering this way of census and the frequency of data updating, the high information content allows the performance of important clinical-epidemiological analyses to evaluate the effectiveness of the assistance provided and potential health planning interventions [ 9 , 10 , 11 , 12 , 13 ].…”

Developmental Hip Dysplasia: An Epidemiological Nationwide Study in Italy from 2001 to 2016

“…The ICD-9-CM procedures codes were 77.35 "Other Division of Bone, Femur", 79.75 "Closed Reduction of Dislocation of Hip", 79.85 "Open Reduction of Dislocation of Hip" and 83.12 "Adductor Tenotomy Of Hip". Patients aged between 0 and 14 years were defined as "young" (according to ISTAT) [19]. To avoid underestimating the population which may suffer from DDH, the study was referred only to the young Italian community.…”

Pediatric Musculoskeletal Trauma: Upper Limb

“…In young individuals with open physes, injury may lead to physeal or metaphyseal fractures rather than dislocation; < 2% of all traumatic glenohumeral dislocations occur in patients < 10 years of age. 14,15 However, 20% of shoulder dislocations occur in patients between the ages of 10 and 20 years. 14 Nearly 75% of dislocations occur in males, and half of the dislocations occur in association with direct injury during contact sports.…”

“…A greater elasticity of the joint capsule and the glenoid labrum in skeletally immature children, as well as the capsular insertion near the glenoid border, protect young children from recurrent dislocation. 15,23 Thus surgery may not be necessary after a first-time dislocation in younger patients. 16 In contrast, in older adolescents with closed physis, male sex and aged 14 years were found to be the greatest risk factors for recurrent shoulder instability following a first-time traumatic anterior shoulder dislocation.…”