Department of Radiodiagnostics and Invasive Radiology, School of Medicine in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
Department of Diagnostic Imaging, School of Medicine in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
Medicina (Kaunas). 2020 Oct 20;56(10):550. doi: 10.3390/medicina56100550.
In the paediatric population, hand injuries are one of the most frequent injuries and the second most frequent area of fracture. It is estimated that hand injuries account for up to 23% of the trauma-related causes of emergency department visits. Not only are they a significant factor in health care costs, but they may also lead to detrimental and long-term consequences for the patient. The discrepancy observed between the published studies suggests a geographical variation in their epidemiology. The aim of this study is to determine the localisation of injuries and fractures involving the hand in the paediatric population of the Polish Silesia region. This exploratory cross-sectional study involved 1441 post-traumatic hand X-ray examinations performed at the Department of Diagnostic Imaging of the John Paul II Upper Silesian Child Health Centre in Katowice between January and December 2014. The study group consisted of 656 girls and 785 boys who were 11.65 ± 3.50 and 11.51 ± 3.98 years old, respectively (range: 1-18 years). All examinations were evaluated for the location of the injury and presence of fracture(s). Finger injuries were dominant ( = 1346), with the fifth finger being the most frequently injured ( = 381). The majority of injuries were observed among children who were 11 years old ( = 176), with a visible peak in the 11- to 13-year-old group. A total of 625 bone fractures were detected. Fractures of the proximal phalanges ( = 213) and middle phalanges ( = 159) were most common, and fifth finger ( = 189) predominance was again observed. A gender-independent positive correlation was found between patients' age and finger injuries ( < 0.01) as well as metacarpal injuries ( < 0.01). There was no correlation between patients' age and fractures in these locations ( > 0.05). Metacarpal injuries ( < 0.01), finger injuries ( < 0.01), fractures ( = 0.01), and fractures with displacement ( = 0.03) were more common among males regardless of age. The results indicate that 11-year-old boys are at an increased risk of hand injuries and fractures. The distal and middle phalanges of the right hand, especially of the fifth digit, were the most susceptible to fracture localisation. Thus, injuries in these areas should be perceived as most likely to cause fractures and therefore demand careful examination.
在儿科人群中，手部损伤是最常见的损伤之一，也是第二常见的骨折部位。据估计，手部损伤占急诊科因创伤相关原因就诊的比例高达 23%。它们不仅是医疗保健费用的重要因素，还可能对患者造成长期的不利影响。发表的研究之间存在差异，表明其流行病学存在地域差异。本研究旨在确定波兰西里西亚地区儿科人群手部损伤和骨折的部位。这是一项探索性的横断面研究，共纳入了 2014 年 1 月至 12 月期间在卡托维兹的约翰·保罗二世上西里西亚儿童保健中心放射科进行的 1441 例手部创伤后 X 射线检查。研究组包括 656 名女孩和 785 名男孩，他们的年龄分别为 11.65 ± 3.50 岁和 11.51 ± 3.98 岁（年龄范围：1-18 岁）。所有检查均评估了损伤部位和骨折情况。手指损伤占主导地位（= 1346），第五指受伤最常见（= 381）。大多数损伤发生在 11 岁的儿童中（= 176），11-13 岁年龄组的损伤发生率最高。共发现 625 例骨骨折。掌骨（= 213）和中节指骨（= 159）骨折最常见，再次观察到第五指（= 189）优势。患者年龄与手指损伤（<0.01）和掌骨损伤（<0.01）之间存在独立的正相关关系。患者年龄与这些部位的骨折之间无相关性（>0.05）。无论年龄大小，男性的掌骨损伤（<0.01）、手指损伤（<0.01）、骨折（= 0.01）和有移位的骨折（= 0.03）更为常见。结果表明，11 岁男孩手部受伤和骨折的风险增加。右手的远节和中节指骨，尤其是第五指，最容易发生骨折。因此，这些部位的损伤应被视为最有可能导致骨折，因此需要仔细检查。
