Department of Pediatric Orthopedics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou, China.
J Pediatr Orthop B. 2022 Sep 1;31(5):479-485. doi: 10.1097/BPB.0000000000000931. Epub 2021 Oct 29.
The aim of this study was to evaluate the characteristics of paediatric hand fractures (PHF) at a tertiary hospital in South China based on sex, age, mechanism of injury and anatomical region. A retrospective observational study was performed on children aged 15 years and younger who were referred for actual or suspected hand fractures between January 2016 and December 2020. Medical records and radiographs were reviewed for age at the time of injury, sex, site and fracture pattern and mechanism of injury. A total of 436 consecutive children with 478 hand fractures were reviewed. Hand fractures was more common in boys (281/436; 64.4%) than in girls (155/436; 35.6%), although most fractures occurred in children aged 0-3 years (198/436; 45.4%). Distal phalanges were the most commonly injured bones (184/478; 38.5%), and the base fractures were most common (151/476; 31.7%); the fifth digit was most commonly injured (150/478; 31.3%). Crush injuries were the leading cause of fracture in children younger than 6 years of age (207/325; 63.7%), whereas punch injuries were the major cause of injury in older age groups (55/153; 35.9%); 60.1% of the fractures were managed nonsurgically. This study showed patterns of PHF in a tertiary hospital in South China. It illustrates the local variability across sex, age group, injury type and injury mechanism. Such demographic data will be valuable for optimally resourcing healthcare systems locally and help guide prevention policies.
本研究旨在根据性别、年龄、损伤机制和解剖部位评估华南地区一家三级医院小儿手部骨折（PHF）的特征。对 2016 年 1 月至 2020 年 12 月期间因实际或疑似手部骨折而转诊的 15 岁及以下儿童进行回顾性观察研究。回顾分析了受伤时的年龄、性别、部位和骨折类型以及损伤机制的病历和 X 线片。共回顾了 436 例连续的 478 例手部骨折患儿。男孩（281/436；64.4%）手部骨折多于女孩（155/436；35.6%），但大多数骨折发生在 0-3 岁儿童（198/436；45.4%）。远节指骨是最常见的骨折部位（184/478；38.5%），基底骨折最常见（151/476；31.7%），第五指最易受伤（150/478；31.3%）。6 岁以下儿童手部骨折的主要原因为压砸伤（207/325；63.7%），而年龄较大的儿童的主要损伤原因为戳刺伤（55/153；35.9%）；60.1%的骨折采用非手术治疗。本研究显示了华南地区一家三级医院小儿手部骨折的类型。它说明了性别、年龄组、损伤类型和损伤机制方面的局部差异。这些人口统计学数据对于优化当地医疗保健系统的资源配置将具有重要价值，并有助于指导预防政策的制定。
