Al-Jasser Fahd S, Mandil Ahmed M, Al-Nafissi Amal M, Al-Ghamdi Hani A, Al-Qattan Mohammad M
Department of Family & Community Medicine, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2015 May;36(5):587-92. doi: 10.15537/smj.2015.5.10527.
To investigate the epidemiology of pediatric hand fractures and to provide recommendations regarding prevention.
Medical records and x-rays were retrospectively reviewed for age at the time of injury, gender, fracture pattern, place where the injury occurred, and mechanism of injury. The study was conducted at King Khalid University Hospital, Riyadh, Saudi Arabia between January 2005 and December 2011.
Of 361 cases reviewed, there were 291 (80.6%) male and 70 (19.4%) female patients. Most (46.2%) were in the age group of 13-18 years. For age group 1-4 years, the most common place of occurrence was at home (81.3%) and for the group 13-18 years, outdoors was the place of occurrence (64.7%). Females were mostly injured at home while males had similar distribution of indoor and outdoor injuries. The most common causes of fractures were: door slams in the 1-8 years age group; falls at home, in the 9-12 years age group; and both falls at home and sports in the oldest age group (13-18 years). The little finger ray are the most frequently injured part of the hand followed by the middle finger.
Our series showed that most hand fractures in children occurred at home, which requires reevaluation of home settings. Implementation of safety measures during sports activities are relevant in the oldest age group.
调查小儿手部骨折的流行病学情况并提供预防建议。
回顾性分析病历及X光片，记录受伤时的年龄、性别、骨折类型、受伤地点及受伤机制。该研究于2005年1月至2011年12月在沙特阿拉伯利雅得的哈立德国王大学医院开展。
在361例被回顾的病例中，男性患者291例（80.6%），女性患者70例（19.4%）。大多数（46.2%）患者年龄在13 - 18岁。1 - 4岁年龄组最常见的受伤地点是家中（81.3%），而13 - 18岁年龄组则是户外（64.7%）。女性大多在家中受伤，而男性在室内和室外受伤的分布相似。骨折最常见的原因是：1 - 8岁年龄组为门突然关上；9 - 12岁年龄组为在家中摔倒；最年长年龄组（13 - 18岁）为在家中摔倒和运动时受伤。手部最常受伤的部位是小指列，其次是中指。
我们的系列研究表明，儿童手部骨折大多发生在家中，这需要对家庭环境进行重新评估。在体育活动中实施安全措施对最年长年龄组是有必要的。
