Popa Ștefan, Ciongradi Carmen Iulia, Sârbu Ioan, Bîcă Ovidiu, Popa Irene Paula, Bulgaru-Iliescu Diana
2nd Department of Surgery-Pediatric Surgery and Orthopedics, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iași, Romania.
Department of Physiology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iași, Romania.
Children (Basel). 2023 Aug 24;10(9):1446. doi: 10.3390/children10091446.
Traffic accidents involving children and adolescents present complex challenges from both the medico-legal and orthopedic standpoints. Despite the implementation of road traffic safety laws, pediatric road traffic injuries continue to be a significant contributor to mortality rates, physical harm, and hospitalization on a global scale. For children and young people, automobile accidents are considered to be the primary culprit of mortality in developed nations. Even in highly developed nations, trauma is a significant factor in infant mortality. Each age category, from childhood to young adulthood, has its fracture patterns, as their skeletons are considerably different from those of adults. The consequences of traffic accidents extend beyond the immediate physical trauma. The medico-legal aspects surrounding these incidents add another layer of complexity, as legal repercussions may affect the responsible adult or parent, particularly in cases involving child fatalities. To effectively address traffic accidents in children and adolescents, a comprehensive approach is necessary. This approach should involve not only medical professionals but also legal experts and policymakers. Collaboration between orthopedic specialists, medico-legal professionals, law enforcement agencies, and relevant government bodies can facilitate the development and implementation of strategies aimed at prevention, education, the enforcement of traffic laws, and improved infrastructure. By addressing both the medical and legal aspects, it is possible to enhance road safety for children and adolescents, reducing the incidence of injuries and their associated long-term consequences. In this review, we aimed to summarize traffic accidents in children and adolescents from a complex orthopedic and medico-legal approach.
涉及儿童和青少年的交通事故，从法医学和矫形外科的角度来看都带来了复杂的挑战。尽管实施了道路交通安全法律，但儿童道路交通伤害在全球范围内仍是死亡率、身体伤害和住院率的重要促成因素。对于儿童和年轻人来说，在发达国家，汽车事故被认为是死亡率的主要罪魁祸首。即使在高度发达的国家，创伤也是婴儿死亡的一个重要因素。从儿童期到青年期的每个年龄段都有其骨折模式，因为他们的骨骼与成年人有很大不同。交通事故的后果不仅限于直接的身体创伤。这些事件的法医学方面又增加了一层复杂性，因为法律后果可能会影响有责任的成年人或父母，特别是在涉及儿童死亡的案件中。为了有效应对儿童和青少年的交通事故，需要采取综合方法。这种方法不仅应涉及医学专业人员，还应包括法律专家和政策制定者。矫形外科专家、法医学专业人员、执法机构和相关政府机构之间的合作可以促进旨在预防、教育、交通法规执行和改善基础设施的战略的制定和实施。通过处理医学和法律两方面的问题，可以提高儿童和青少年的道路安全，减少伤害发生率及其相关的长期后果。在本综述中，我们旨在从复杂的矫形外科和法医学角度总结儿童和青少年的交通事故。
