赛义夫·安瓦尔综合医院儿童肘部骨折：九年经验

Elbow Fracture in Children at Saiful Anwar General Hospital, Nine Years Experiences.

作者信息

Sananta Panji, Sintong Langga, Prasetio Budhi, Putera Marvin Anthony, Andarini Sri, Kalsum Umi, Dradjat Respati Suryanto

机构信息

Faculty of Medicine, Universitas Brawijaya and Orthopaedic and Traumatology Department, Faculty of Medicine, Universitas Brawijaya, Jalan Jaksa Agung Suprapto No. 2, Klojen, Kota Malang, Jawa Timur 65112, Indonesia.

Orthopaedic and Traumatology Department, Faculty of Medicine, Universitas Brawijaya, Jalan Jaksa Agung Suprapto No. 2, Klojen, Kota Malang, Jawa Timur 65112, Indonesia.

出版信息

Open Access Maced J Med Sci. 2019 Dec 12;7(23):4069-4071. doi: 10.3889/oamjms.2019.814. eCollection 2019 Dec 15.

DOI:10.3889/oamjms.2019.814

PMID:32165954

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7061368/

Abstract

AIM

The frequency, incidence, and types of fracture of the elbow are different between children and adult. The epidemiology of elbow fracture in children has been the subject of a limited number of studies. This study aims to observe the pattern of elbow fractures in children 18 years of age and younger, during a nine years period.

METHODS

This is a retrospective study about elbow fracture cases in children 18 years old and younger treated in Saiful Anwar General Hospital Malang in the period of June 2009 until December 2018. The data obtained from the medical record include the age at the time of accidents, fracture site, type of lesion and ipsilateral injuries, time of accidents, and the mechanism of injury.

RESULTS

There is a total of 99 elbow fracture, and there are 62 male (63%) and 37 female patients (37%). The mean age for the entire group is 7.3 years (8.1 years for male and 7.1 years for female). Most cases are supracondylar fracture (n = 77, 78%). The supracondylar fracture is composed of 17 fracture classified to type II, and 60 fracture to type III as classified by Gartland. The most common etiology of fracture is associated with sports, recreational activities, and fall from height of less than two meters. Nerve injury involving the median, radial, and ulnar nerve is seen in eight patients with type III supracondylar fracture. Associated brachial artery injury is seen in four patients with type III supracondylar fractures. A group of 78 patients (79%) were treated surgically and 21 patients (21%) were treated conservatively.

CONCLUSION

The incidence of elbow fracture in children treated in Saiful Anwar General Hospital during a nine years period is 99 patients, with supracondylar fracture Gartland type III being the leading type of this group. Male patients are more common than female patients. Nerve injury was seen in 13.33% of cases and brachial artery injury was seen 6.67% with type III supracondylar fracture. Most of the elbow fracture in our institution were treated operatively.

摘要

目的

儿童与成人肘部骨折的频率、发生率及类型有所不同。儿童肘部骨折的流行病学仅在少数研究中有所涉及。本研究旨在观察18岁及以下儿童在9年期间肘部骨折的模式。

方法

这是一项关于2009年6月至2018年12月期间在玛琅赛富安瓦尔综合医院接受治疗的18岁及以下儿童肘部骨折病例的回顾性研究。从病历中获取的数据包括事故发生时的年龄、骨折部位、损伤类型及同侧损伤情况、事故发生时间和损伤机制。

结果

共有99例肘部骨折，其中男性62例（63%），女性37例（37%）。整个组的平均年龄为7.3岁（男性8.1岁，女性7.1岁）。大多数病例为髁上骨折（n = 77，78%）。按照加特兰分类法，髁上骨折中17例为II型骨折，60例为III型骨折。骨折最常见的病因与运动、娱乐活动以及从不到两米的高处跌落有关。在8例III型髁上骨折患者中可见涉及正中神经、桡神经和尺神经的神经损伤。在4例III型髁上骨折患者中可见肱动脉损伤。78例患者（79%）接受了手术治疗，21例患者（21%）接受了保守治疗。