Patterns of single segment non-physeal extremity fractures in children

Aktaş, Şeref; Sarıdoğan, Kenan; Moralar, U.; Türe, Mevlüt

doi:10.1007/s002640050388

Cited by 7 publications

(6 citation statements)

References 8 publications

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“…This is linked to increased sports activity in school-aged children. In our study, falls remain the most common mechanism of fractures, which is similar to data reported in children's trauma [1,17] and children's fractures specifically [6,7,9,18,19]. This may be linked to increased sports activity and poor motor coordination.…”

Section: Discussionsupporting

confidence: 88%

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Fractures of limbs specific to children: the experience of a Senegalese tertiary hospital

Zeng

Fall

Mbaye

et al. 2022

Egypt Pediatric Association Gaz

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Introduction Fractures specific to the pediatric age group represent a particular injury due to their pattern, diagnosis, management, and outcomes. In sub-Saharan Africa, studies on this particular injury are scarce. This study reports sociodemographic, diagnostic, and therapeutic aspects and outcomes of these fractures. Methods We conducted a descriptive cross sectional study at the pediatric surgery department of Aristide Le Dantec University Teaching Hospital in Dakar, Senegal, from January 2012 to December 2015. Results A fracture specific to children was diagnosed in 180, of whom 47.7% were school-aged, with 59.4% of males. The mean time from injury to the attendance of our department was 48.2 h. Domestic accidents occurred in 51.1%. A total of 243 fractures occurred, mainly on the upper limbs (75.3%), as the most affected bones were the radius (47.3%), ulna (22.6%), and tibia (13.6%). Greenstick fractures represented 46.9%, buckle fractures, 42.8%, plastic deformations 9%, and subperiosteal fractures 0.7%. In all patients, management was orthopedic, with associated analgesic treatment. No sequel nor other complication was registered. Conclusion Fractures proper to the child are a particular entity in children’s trauma, frequently happening in boys, with greenstick and buckle fractures being the most common. Their treatment is exclusively orthopedic, with excellent outcomes.

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Section: Discussionsupporting

confidence: 88%

“…Children's fractures are subdivided into physeal and non-physeal [6]. While the first injuries the growth plate, the latter does not.…”

Section: Introductionmentioning

confidence: 99%

Fractures of limbs specific to children: the experience of a Senegalese tertiary hospital

Zeng

Fall

Mbaye

et al. 2022

Egypt Pediatric Association Gaz

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“…Evidentemente, a primeira delas é o acometimento dos meninos em relação às meninas, como vemos nas Tabelas 1 e 2. Neste trabalho, esta proporção foi de, aproximadamente, três meninos para cada menina (72,5% para 27,4%), o que, de certa forma, está de acordo com a bibliografia consultada (1,4,(5)(6)(7)(8)(9)(10) . Na avaliação dos nossos resultados, em relação à idade dos pacientes, verificamos que aproximadamente 65% das fraturas têm prevalência entre as idades de um e 11 anos, com os restantes 35% ocorrendo nos pacientes com 12 anos e maiores.…”

Section: Discussionunclassified

Estudo observacional comparativo de fraturas em crianças e adolescentes

Guarniero¹,

Godoy²,

Ambrosini³

et al. 2011

Rev. bras. ortop.

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RESUMOObjetivos: 1) Analisar comparativamente a incidência de fraturas na criança e no adolescente em três centros universitários de atendimento. 2) Estudar o acometimento segundo a faixa etária, o sexo, o tipo de acidente, a localização anatômica, a localização no osso, o tipo de fratura, a associação com outras lesões e o tratamento. 3) Em relação ao tipo de fratura e seu tratamento, avaliar se os programas de ensino e treinamento desenvolvidos atualmente, tanto na graduação como na pós-graduação Lato sensu (residência médica e especialização) estão condizentes com as necessidades do médico para o atendimento diário nos diferentes serviços de emergência de nosso País. Métodos: Estudo prospectivo transversal e observacional. Estudados os prontuários de 543 pacientes, no grupo etário de um dia de vida a 19 anos, atendidos em um período de três meses em três hospitais universitários, com uma ficha especialmente idealizada para determinar as características gerais das fraturas nesta série de pacientes. Resultados: Observamos a incidência de 531 fraturas (isoladas) e 12 luxações nos 543 pacientes, sendo, em relação ao sexo, 394 meninos (72,5%) e 149 meninas (27,4%). Segundo a etiologia dos traumatismos, o episódio "queda da própria altura" foi o que apresentou a maior incidência, seguido pela "queda de altura", caracterizando um traumatismo mais grave. Observamos o maior acometimento dos membros superiores em relação aos membros inferiores, sendo 404 fraturas nos superiores (com 11 luxações), representando 76,08% das fraturas e 127 nos inferiores, que representam 23,91%. Conclusões: 1) Em função da casuística estudada, podemos concluir que campanhas educativas devem ser realizadas com conteúdo que enfatize as causas e a prevenção da "queda da própria altura". 2) Os programas de treinamento do especialista devem enfatizar a maior ocorrência dos traumatismos e lesões dos membros superiores, bem como as suas causas. Descritores -

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“…Due to sparse vehicle in our area as compared to urban cities, rate of injury in road traffic accidents might have remained low. In a study by Akatas et al, [16] 80% of patients sustained injury during fall while playing and 20% met with road traffic accident.…”

Section: Discussionmentioning

confidence: 99%

Functional Outcome of Intramedullary Nailing with Rush Pin for Pediatric Both Bone Fractures of Forearm in Western Hilly Nepal

Shrestha¹,

Byanjankar

Dwivedi³

et al. 2017

J Lumbini Med Coll

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Introduction: Both bone diaphysis fracture of forearm is common in children of hilly area in Nepal because the children climbs tree and cliff for playing and cutting grass. Close reduction and casting is the preferred method of treatment these fractures but the chances of re-displacement is very high. Intramedullary nailing with titanium elastic nails or rush pins is widely accepted these days with good outcome. Titanium nails are popular in western world but is costly whereas rush pins are cheap and are preferred in developing world. The aim of this study was to evaluate the functional outcome of intramedullary rush pin for pediatric both bone fracture of forearm. Methods: In this retrospective, observational study done from 1st of February 2017 to 31st of March 2017, a total of sixty patients with both bone fractures of forearm were treated with intramedullary rush pin and followed up for six months for evaluation of functional outcome. T-test and Chi-square tests were done. Results: Closed reduction and internal fixation was done in 48 (80%) patients. Mean age of the patients was 9.23 year (SD=2.77). Fifty-six (93.3%) patients were male with a significant difference (p<0.001). With price et al. grading system, 49 (81.7%) patients had excellent results, nine (15%) had good and two (3.3%) patients had fair results. There was no major complication. Mean time to implant removal was 24.16 weeks (SD=1.62) from the time of surgery with range of 20 to 28 weeks. Among transverse and oblique fractures, patients with transverse fracture were likely to have better outcome (p=0.04). Conclusion: Intramedullary nailing with rush pin gives excellent to good functional outcome in majority of the cases without major complications at low cost for management of both bone fractures of forearm in children.

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Patterns of single segment non-physeal extremity fractures in children

Cited by 7 publications

References 8 publications

Fractures of limbs specific to children: the experience of a Senegalese tertiary hospital

Fractures of limbs specific to children: the experience of a Senegalese tertiary hospital

Estudo observacional comparativo de fraturas em crianças e adolescentes

Functional Outcome of Intramedullary Nailing with Rush Pin for Pediatric Both Bone Fractures of Forearm in Western Hilly Nepal

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