Salanne S, Zelmat B, Rekhroukh H, Claudet I
TSA 70034, urgences pédiatriques, hôpital des Enfants, 31059 Toulouse cedex 9, France.
Arch Pediatr. 2010 Mar;17(3):211-8. doi: 10.1016/j.arcped.2009.10.017. Epub 2009 Nov 27.
Analyze the epidemiology and the distribution of judo injuries in a pediatric population.
A retrospective study was conducted from May 2006 to May 2008, including all patients aged less than 15 years admitted to a tertiary-level pediatric emergency unit. The data collected were age, sex, geographic origin, time and day of admission, duration in the pediatric emergency department, body weight, type and location of injuries, and progression. For statistical analysis, data were entered in Microsoft Excel tables. In the descriptive analysis, data are presented as mean values with SD. To compare qualitative variables, a chi(2) test was used and the two-tailed Fisher exact test if the expected value was lesser or equal to 5. Statistical significance was considered at P<0.05.
During the study period, 173 patients were included, with a male:female ratio of 2.46. The mean age was 10.6+/-2.4 years. Most children were admitted during the weekend (59 %). The distribution of lesions was contusions (44 %), fractures (31 %), sprains (19 %), dislocations (3 %), and wounds (3 %). The upper extremities were more frequently affected than the lower extremities (46 % vs. 25 %), with a significant male prevalence (78 %) (P<0.0001), dominated by fractures (54 %), especially clavicle fractures (72 %). Compared to the other injuries, the male population had a significantly higher risk of fractures (P=0.04). Thirteen children required hospitalization for surgical repair of fractures.
Frequent and often benign, judo accidents in children are different from adult injuries in their mechanisms and injury distribution. There is also an additional risk of growth plate damage. Risk factors have been attributed to an increased injury incidence: body weight loss over 5 % or overweight, age and judo experience, and male gender. During competition and training sessions, the evaluation and prevention of these factors could decrease the occurrence of such injuries.
分析儿童柔道损伤的流行病学情况及损伤分布。
对2006年5月至2008年5月期间收治于三级儿科急诊病房的所有15岁以下患者进行回顾性研究。收集的数据包括年龄、性别、地理来源、入院时间和日期、在儿科急诊部的停留时间、体重、损伤类型和部位以及病情进展。为进行统计分析，数据录入Microsoft Excel表格。在描述性分析中，数据以均值±标准差表示。为比较定性变量，使用卡方检验，若期望值小于或等于5则使用双侧Fisher精确检验。P<0.05被视为具有统计学意义。
在研究期间，共纳入173例患者，男女比例为2.46。平均年龄为10.6±2.4岁。大多数儿童在周末入院（59%）。损伤分布情况为：挫伤（44%）、骨折（31%）、扭伤（19%）、脱位（3%）和伤口（3%）。上肢比下肢更易受累（46%对25%），男性患病率显著更高（78%）（P<0.0001），以骨折为主（54%），尤其是锁骨骨折（72%）。与其他损伤相比，男性发生骨折的风险显著更高（P=0.04）。13名儿童因骨折手术修复需要住院治疗。
儿童柔道事故频发且多为良性，其损伤机制和损伤分布与成人不同。还存在生长板损伤的额外风险。损伤发生率增加的风险因素包括体重减轻超过5%或超重、年龄和柔道经验以及男性性别。在比赛和训练期间，对这些因素进行评估和预防可减少此类损伤的发生。
