Department of Orthopaedic Surgery, Zhuhai Center for Maternal and Child Health Care, Zhuhai 519000, China.
Second Clinical School, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430074, China.
Medicina (Kaunas). 2023 Apr 18;59(4):788. doi: 10.3390/medicina59040788.
: Fractures are common in pediatric trauma, and they are caused by a broad spectrum of factors. Only a few studies have discussed the mechanisms of injury and their relationships to different types of fractures. The most frequent type of fractures in different age groups remains unclear. Therefore, we aim to summarize the epidemiological characteristics of pediatric fractures in a medical center in Zhuhai, China from 2006 to 2021 and analyze the causes of fractures with the highest frequency in different age groups. : We extracted the information from the Zhuhai Center for Maternal and Child Health Care of those under 14 years old who had fractures from 2006 to 2021. : We reviewed the information of 1145 children. The number of patients increased during the 15 years ( < 0.0001). The number of patients was significantly different between genders after Y2 ( = 0.014). In addition, more than two-thirds of patients (71.3%) had upper limb fractures, and all types of falls were the most common cause of fractures (83.6%). The incidence demonstrated an insignificant difference in age groups except for the fractures of humerus and radius. Moreover, we discovered that the prevalence of fall-related injuries decreased with age, while that of sports-related injuries increased with age. : Our study demonstrates that the prevalence of fall-related injuries decreases with age, and that of sports-related injuries increases with age. Most patients have upper limb fractures, and all types of falls are the most common cause of fractures. Fracture types with the highest frequency differ in each age group. These findings might supplement current epidemiological knowledge of childhood fracture and provide references for decision-making in children's health policies.
: 骨折在儿童创伤中很常见，其由广泛的因素引起。仅有少数研究讨论了损伤机制及其与不同类型骨折的关系。不同年龄组中最常见的骨折类型仍不清楚。因此，我们旨在总结 2006 年至 2021 年期间中国珠海一家医疗中心的儿科骨折的流行病学特征，并分析不同年龄组中频率最高的骨折的原因。 : 我们从珠海市妇幼保健院提取了 2006 年至 2021 年期间年龄在 14 岁以下发生骨折的儿童信息。 : 我们回顾了 1145 名儿童的信息。15 年来，患者人数增加（<0.0001）。Y2 后，患者人数在性别之间存在显著差异（=0.014）。此外，超过三分之二的患者（71.3%）上肢骨折，所有类型的跌倒都是骨折最常见的原因（83.6%）。除了肱骨和桡骨骨折外，各年龄组的发病率无明显差异。此外，我们发现与跌倒相关的损伤发生率随年龄增长而降低，而与运动相关的损伤发生率随年龄增长而升高。 : 我们的研究表明，与跌倒相关的损伤发生率随年龄增长而降低，与运动相关的损伤发生率随年龄增长而升高。大多数患者上肢骨折，所有类型的跌倒都是骨折最常见的原因。各年龄组中频率最高的骨折类型不同。这些发现可能补充了儿童骨折的现有流行病学知识，并为儿童健康政策的决策提供参考。
