Indicators and dynamics of injuries of the musculoskeletal system in children of st petersburg in the current conditions

Баиндурашвили, А Г; Шапиро, К. И.; Drozhzhina, Lyudmila A; Vishniakov, Alexander N

doi:10.17816/ped72113-120

Cited by 3 publications

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“…За последние годы по-казатель травматизма детей от 0 до 17 лет состав-ляет в среднем по России 116-118 случаев травм на 1000 детей соответствующего населения. В от-дельных федеральных округах и в административ-ных регионах эти цифры различаются, а в круп-ных городах показатели значительно превышают средние данные, что среди прочих причин мож-но объяснить доступностью медицинской помо-щи [5][6][7].…”

Section: Introductionunclassified

Injury rate in the pediatric population of Saint Petersburg

Solovyova

Zaletina

2017

Pediatr Traum Orthop Reconstr Surg

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Введение. Детский травматизм все еще остается актуальной и нерешенной проблемой в медицине. За послед-ние годы показатель травматизма детей от 0 до 17 лет составляет в среднем по России 116-118 случаев травм на 1000 детей соответствующего населения. Цель исследования -изучить показатели детского травматизма в Санкт-Петербурге в 2016 г. и сравнить их с аналогичными данными предыдущих лет и средними показателями по России. Материал и методы. На основе государственной статистики изучены показатели детского травматизма в Санкт-Петербурге в 2016 г., инвалидность детей вследствие внешних воздействий и деятельность лечебно-профилактических учреждений по оказанию специализированной помощи детям с травмами. Результаты и обсуждения. Новая форма отчетности Росстата позволила уточнить данные о характере травм и числе переломов костей в различных областях тела в соответствии с классом XIX МКБ-10, а также о забо-леваемости и смертности детей от внешних причин (класс XX МКБ), среди которых выделены транспортные и дорожно-транспортные несчастные случаи, физическое насилие. Выводы. По сравнению с данными предшествующих лет у детей 0-14 лет показатель распространенности травм имеет тенденцию к снижению, у подростков 15-17 лет -значительно выше средних данных по Рос-сии. Снизилась инвалидность детей от внешних воздействий. Профилактика детского травматизма в Санкт-Петербурге, особенно у подростков, остается актуальной медико-социальной проблемой. Introduction. The injury rate in children remains an urgent and unresolved problem in the field of medicine. In recent years, the average injury rate in 0-to 17-year-old children is 116-118 injuries per 1000 children of the corresponding population in Russia. Aim.The study aimed to analyze the injury rates in the children in St. Petersburg in 2016 and to compare them with the injury rates of previous years and those of children in Russia. Material and methods. Based on state statistics, the indices of injury rate in the children in St. Petersburg in 2016 were evaluated. The disability in children as a result of external actions and the activities of medical and preventive institutions for providing specialized care to children with injuries were also investigated. Results and discussion. A new form of reporting by Rosstat enabled the clarification of the data with respect to the nature of the injuries and the number of bone fractures in various locations of the body in accordance with the XIX class of the ICD-10, as well as with respect to the morbidity and mortality in children owing to external causes (class XX of the ICD) that include road-traffic accidents and physical abuse. Conclusions. The rate of injury in children aged 0-14 years decreased when compared with that suggested by the previous year's data. Further, in adolescents aged 15-17 years, the rate of injury was significantly higher than the average rate in Russia. The disability in children as a result of external actions has decreased. However, the prevention of child injuries in St. Petersburg, especially in adolescents, re...

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Section: Introductionunclassified

Injury rate in the pediatric population of Saint Petersburg

Solovyova

Zaletina

2017

Pediatr Traum Orthop Reconstr Surg

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A rare case of diaphyseal fractures of the shin bones in a child when jumping on a trampoline. Ways to prevent expert errors using complex analysis of radiography data and case materials: A case report

Клевно

Vishnyakova

2023

Russian Journal of Forensic Medicine

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Relevance. Given the significant contribution of childhood injuries to the structure of common problems associated with the health of the child, it is important during the examination to determine the exact mechanism of fractures, in particular, diaphyseal fractures of the shin bones, since the specification of the mechanism for the formation of bodily injuries leads to the actual origins of injuries and allows further development a set of preventive measures to prevent the occurrence of these situations, moreover, it sometimes makes it possible to accurately distribute the burden of responsibility for what happened between the defendants in the case. Description of the expert case. In the presented expert case, the circumstances of bodily injury described by the subject and her legal representative were not consistent with the type and nature of the fractures received during trampoline jumping, while the video recording from the surveillance camera did not provide complete information about the specific conditions of injury. A detailed analysis of the results of radiography of the shin bones, including the determination of the morphological features of fractures and their nature, as well as a frame-by-frame study of the presented video recording, made it possible for the expert to specify the mechanism of injury. Conclusion. The diaphyseal fractures of the shin bones of atypical localization for a "trampoline injury" detected in a child could serve as a source of expert errors in determining the mechanism of their occurrence, however, a thorough comprehensive assessment of all objects for examination submitted for examination: medical documents, including X-ray data, case materials, taking into account the age-specific morphology of the bone tissue of the child, it was possible to determine the exact mechanism of the occurrence of fractures.

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The difficulties of radiological diagnosis phenomen of dysregeneration long bones fractures based on clinical cases

Пекшева

Ранков

Петрова

2021

Medicinskaâ vizualizaciâ

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Research objectives data analysis of the radiological methods different types of dysregenerations, based on the clinical cases.Material and methods. Literature review about radiation semiotics regeneration and dysregeneration phenomena, applicability of different types of radiological methods has been done. A review of 2 cases of delayed union and 5 cases of fracture nonunion is presented.Conclusion. Despite the improvement and technical simplicity of visualizing the phenomena of dysregeneration, it is difficult to differentiate delayed union from nonunion using only by radiological methods, respectively, a consensus of an orthopedic surgeon and a radiologist is required in each individual case. The clinician chooses the treatment tactics based on the complex data set, including radiological methods.

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Indicators and dynamics of injuries of the musculoskeletal system in children of st petersburg in the current conditions

Cited by 3 publications

References 0 publications

Injury rate in the pediatric population of Saint Petersburg

Injury rate in the pediatric population of Saint Petersburg

A rare case of diaphyseal fractures of the shin bones in a child when jumping on a trampoline. Ways to prevent expert errors using complex analysis of radiography data and case materials: A case report

The difficulties of radiological diagnosis phenomen of dysregeneration long bones fractures based on clinical cases

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