$long bone fracture$

$long bone fracture$

With fractures having a considerable impact on the daily living and activity of affected children, they represent an important topic of public health. Fractures are associated with 10% to 25% of these injuries, where the lifetime fracture risk is up to 40% for girls and as high as up to 64% for boys. The AO PCCF proved to be useful in epidemiological reporting and analysis of pediatric long bone fractures.Ĭhildren are at a high risk of injury with up to one of every four children sustaining an injury annually. Our data give valuable input into future development of prevention strategies. Overweight and obese patients seemed to be at increased risk of sustaining fractures. Overall, differences in the fracture distribution were sex and age related. Twenty-six percent of patients were classed as overweight or obese - higher than data published by the WHO for the corresponding ages - with a higher proportion of overweight and obese boys than in the Swiss population (p < 0.0001). The distribution of accident types differed according to age classes (p < 0.001). There was boy predominance for all accident types except for playground and at home accidents. The leading cause of fractures was falls (27%), followed by accidents occurring during leisure activities (25%), at home (14%), on playgrounds (11%), and traffic (11%) and school accidents (8%). Adolescent boys sustained more fractures than girls (p < 0.001). Children’s mean age (SD) was 8.2 (4.0) years (6% infants 26% preschool children 40% school children 28% adolescents). Resultsįor a total of 2716 patients (60% boys), 2807 accidents with 2840 long bone fractures (59% radius/ulna 21% humerus 15% tibia/fibula 5% femur) were documented. The Children’s BMI was compared to WHO reference data and Swiss population data. The relationship of categorical variables was tested using the chi-square test. Study parameters were tabulated using standard descriptive statistics. Seven major accident categories were established. Children were classified into four age classes and five BMI classes were applied. Fractures were classified according to the AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF).Īge, sex, BMI, injury and treatment data were recorded. Methodsĭata from children and adolescents with long bone fractures sustained between 20, treated at either of two tertiary pediatric surgery hospitals in Switzerland, were retrospectively collected. The AO Comprehensive Injury Automatic Classifier (AO COIAC) was used to evaluate epidemiological data of pediatric long bone fractures in a large cohort.

$long bone fracture$ $long bone fracture$

Therefore, epidemiological assessment is crucial for fracture prevention. Children and adolescents are at high risk of sustaining fractures during growth.

$long bone fracture$

Long bone fracture