Mahadev A, Soon M Y H, Lam K S
Department of Orthopaedic Surgery, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899.
Singapore Med J. 2004 Jan;45(1):9-13.
Studies in Caucasian populations have shown that a significant percentage of childhood extremity fractures occur at the playground. There are no comparable studies in Asian populations. Thus this study sets out to determine the pattern of playground related extremity fractures in Asian populations and to suggest modifications to prevent or reduce these injuries. This study involved a retrospective review of 390 patients with these fractures who visited our Department from May 1997 to December 1998. This accounted for 19.5% of all fractures seen in the same period. The largest age group affected were the five through 12-year-old patients with a male to female ratio of 2:1. Monkey bars or upper body devices were the most common cause (66%). The most common fracture was supracondylar fractures (43%). Further studies to determine the actual dimensions of playground equipment will be carried to ascertain with greater certainty the safety of these equipment in our playgrounds.
针对高加索人群的研究表明,相当比例的儿童四肢骨折发生在游乐场。目前尚无针对亚洲人群的类似研究。因此,本研究旨在确定亚洲人群中与游乐场相关的四肢骨折模式,并提出预防或减少此类损伤的改进建议。本研究对1997年5月至1998年12月期间到我院就诊的390例此类骨折患者进行了回顾性分析。这占同期所有骨折病例的19.5%。受影响最大的年龄组是5至12岁的患者,男女比例为2:1。攀爬架或上身设备是最常见的致伤原因(66%)。最常见的骨折是髁上骨折(43%)。将开展进一步研究以确定游乐场设备的实际尺寸,从而更确切地确定这些设备在我们游乐场中的安全性。