Aldhbiban Lamia, Alhoshan Fai, Alomari Raghad, Almatrafi Shahad A, Alanazi Yousef, Alsayegh Samir, Alfaraidi Haifa Y, Jawadi Ayman H, Aljuraibah Fahad N
Department of Pediatrics, King Abdullah Specialist Children's Hospital, King Abdulaziz Medical City, Ministry of National Guard, Riyadh, SAU.
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, SAU.
Cureus. 2024 Mar 20;16(3):e56568. doi: 10.7759/cureus.56568. eCollection 2024 Mar.
Children's bones are at high risk of fracture as they grow. The clinical characteristics of fractures in children differ from those in adults. Studying fractures in healthy children is critical for identifying cases of fragility fractures. The aim of this study was to assess the clinical characteristics of limb fractures as well as clinical indicators of fracture healing outcomes in healthy Saudi children seen in an emergency room.
A retrospective review of the treatment course of all pediatric fractures and related factors treated at King Abdullah Specialist Children's Hospital (KASCH) in Riyadh between 2016 and 2018 was conducted. Children with a primary bone disorder or chronic comorbidities known to affect bone health were excluded.
The study included 143 patients (mean age ± SD = 8.23 + 3.76 years), and 71% (n = 102) were males. Motor vehicle accidents (MVAs) were the most common mechanism of injury, accounting for 50 (35%) cases, followed by fall injuries, sports injuries, and pedestrian accidents at 45 (31.4%), 16 (11.2%), and 13 (9.1%), respectively. A total of 178 fractures were reported, with the femur (n = 75, 42.1%) being the most common of the reported fracture sites, followed by the forearm (n = 44, 24.7%). The most common type of fracture was transverse fracture (n = 96, 54% of patients). Vitamin D levels were measured in 53/143 cases. Of these, vitamin D deficiency was found in 38 (71.7%) patients. The average time for fracture healing was 32.9 ± 30.2 weeks. The mechanisms of injury, including MVAs and sports injuries, as well as femur and forearm fractures, were clinical factors that were independently associated with a longer duration of fracture healing time (p < 0.001), but age, gender, and vitamin D status were not associated with that outcome.
MVAs and fall injuries were the most common causes of fracture in our patients. MVAs and sports injuries were associated with prolonged healing time. Large prospective, multicenter, or field studies may be required to further explore clinical characteristics, outcomes, and environmental factors.
儿童骨骼在生长过程中骨折风险较高。儿童骨折的临床特征与成人不同。研究健康儿童的骨折情况对于识别脆性骨折病例至关重要。本研究的目的是评估在急诊室就诊的沙特健康儿童肢体骨折的临床特征以及骨折愈合结果的临床指标。
对2016年至2018年期间在利雅得阿卜杜拉国王专科医院（KASCH）接受治疗的所有儿科骨折及其相关因素的治疗过程进行回顾性研究。排除患有已知影响骨骼健康的原发性骨病或慢性合并症的儿童。
该研究纳入了143例患者（平均年龄±标准差=8.23 + 3.76岁），其中71%（n = 102）为男性。机动车事故（MVA）是最常见的受伤机制，占50例（35%），其次是跌倒伤、运动伤和行人事故，分别为45例（31.4%）、16例（11.2%）和13例（9.1%）。共报告了178处骨折，其中股骨（n = 75，42.1%）是报告的最常见骨折部位，其次是前臂（n = 44，24.7%）。最常见的骨折类型是横形骨折（n = 96，占患者的54%）。在143例病例中的53例测量了维生素D水平。其中，38例（71.7%）患者存在维生素D缺乏。骨折愈合的平均时间为32.9±30.2周。包括机动车事故和运动伤在内的受伤机制以及股骨和前臂骨折是与骨折愈合时间延长独立相关的临床因素（p < 0.001），但年龄、性别和维生素D状态与该结果无关。
机动车事故和跌倒伤是我们患者骨折的最常见原因。机动车事故和运动伤与愈合时间延长有关。可能需要进行大规模的前瞻性、多中心或现场研究，以进一步探索临床特征、结果和环境因素。
