A total of 6,493 fractures was studied from 6,389 children younger than 16 years admitted as inpatients to one center in a 10-year period.
The boy-to-girl ratio increased from 1.4 : 1 in the infants to 4.9 : 1 in the adolescents.
The most common fractures were the distal radius (20.2%), supracondylar fracture of the humerus (17.9%), forearm shaft (14.9%), and the tibial shaft (11.9%). A distinct age-specific fracture pattern also was found, with supracondylar fracture of the humerus being the most common fracture in the age 0-to 3-year (26.7%) and the 4-to 7-year (31.6%) groups and distal radius in the 8-to 11-year and the 12-to 16-year groups (24.3 and 25.7%, respectively).
Although the overall pattern of the major fractures had not changed over the 10-year period, significant changes in the treatment pattern were observed.
The closed-reduction and percutaneous pinning rates increased from 9.5 to 38.7% in fracture of the distal radius, 4.3 to 40% in the supracondylar humerus, and 1.8 to 22% in the forearm shaft.
The changes in treatment pattern were also accompanied by a corresponding decrease in the open-reduction rate and hospital stay periods from<10% to 38% of patients being discharged within 1 day of admission in the 10-year period.
Mots-clés Pascal : Fracture, Os, Enfant, Homme, Epidémiologie, Incidence, Symptomatologie, Traitement, Système ostéoarticulaire pathologie, Traumatisme
Mots-clés Pascal anglais : Fracture, Bone, Child, Human, Epidemiology, Incidence, Symptomatology, Treatment, Diseases of the osteoarticular system, Trauma
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0294229
Code Inist : 002B16H. Création : 16/11/1999.