Jones I E, Cannan R, Goulding A
Department of Medical and Surgical Sciences, University of Otago, Dunedin.
N Z Med J. 2000 Oct 27;113(1120):443-5.
To estimate the annual incidence of distal forearm fractures in New Zealand children and to describe circumstances associated with this fracture.
The ages and dates of fracture of all girls and boys aged three to fifteen years with distal forearm fractures treated at Fracture Clinic, Dunedin Public Hospital in one calendar year were recorded.
The age-standardised annual incidence rates for Dunedin girls and boys aged three to fifteen years were 10.4 per 1000 (95% CI 8.3-12.4 per 1000), and 10.4 per 1000 (95% CI 8.3-12.6 per 1000), respectively. The peak incidence in girls was observed at ten years of age (23.5 fractures per 1000) and for boys at thirteen years of age (25.3 fractures per 1000). Extrapolation of these rates to all New Zealand suggest that in children aged three to fifteen years, 3659 (95% CI 2906-4413) distal forearm fractures occur per year in girls, and 3845 (95% CI 3087-4603) per year in boys, representing about 20 fractures per day. Many of the fractures for the girls and boys resulted from apparently slight trauma (62.2% and 61.6%, respectively).
Distal forearm fractures are very common events in New Zealand children and adolescents, and are usually caused by apparently slight trauma.
估算新西兰儿童前臂远端骨折的年发病率,并描述与该骨折相关的情况。
记录了在一个日历年度内于达尼丁公立医院骨折诊所接受治疗的所有3至15岁前臂远端骨折儿童的年龄和骨折日期。
达尼丁3至15岁女孩和男孩的年龄标准化年发病率分别为每1000人中有10.4例(95%置信区间为每1000人8.3 - 12.4例)和每1000人中有10.4例(95%置信区间为每1000人8.3 - 12.6例)。女孩的发病率高峰出现在10岁(每1000人中有23.5例骨折),男孩的发病率高峰出现在13岁(每1000人中有25.3例骨折)。将这些发病率推算至所有新西兰儿童,结果表明3至15岁的女孩每年发生3659例(95%置信区间为2906 - 4413例)前臂远端骨折,男孩每年发生3845例(95%置信区间为3087 - 4603例),相当于每天约20例骨折。许多女孩和男孩的骨折显然是由轻微创伤导致的(分别为62.2%和61.6%)。
前臂远端骨折在新西兰儿童和青少年中非常常见,通常由明显轻微的创伤引起。