Husum Hans-Christen, Kold Søren, Rahbek Ole
Department of Radiology, Randers Regional Hospital, 8930 Randers, Denmark.
Interdisciplinary Orthopaedics, Aalborg University Hospital, 9000 Aalborg, Denmark.
Children (Basel). 2025 May 30;12(6):711. doi: 10.3390/children12060711.
Forearm fractures are the most common fractures in children, accounting for 41% of all paediatric fractures. Most research focuses on distal forearm fractures, but studies encompassing the entire forearm are limited.
This retrospective study describes the distribution and patterns of paediatric forearm fractures over a five-year period.
We conducted a retrospective cohort study of children aged 0-15 years who received a radiograph of the forearm, wrist or elbow between March 2019 and December 2023 in the study region. Fractures were manually identified and registered from radiological reports. Fracture location, type (complete/incomplete), and epiphyseal involvement were analyzed across different age groups. Statistical analysis was performed using chi-square tests and descriptive statistics.
We identified 4547 forearm fractures from 4291 children. The median age was 10 years, and 57% of the patients were male. Fracture patterns varied significantly across age groups ( < 0.001), with older children experiencing more distal, complete, radial, and epiphyseal fractures. Younger children had a higher proportion of incomplete fractures and fewer distal or epiphyseal fractures. No significant differences in Salter-Harris classifications were found between age groups ( = 0.69).
Fracture patterns in paediatric forearm fractures vary with age, with older children showing a higher incidence of complete, distal, and epiphyseal fractures. This study provides a detailed characterization of paediatric forearm fractures, which may inform clinical management and preventive strategies, particularly in tailoring age-specific care. Further research should explore the long-term outcomes of these fracture patterns.
前臂骨折是儿童最常见的骨折类型，占所有儿童骨折的41%。大多数研究集中在前臂远端骨折，但涵盖整个前臂的研究有限。
这项回顾性研究描述了五年内儿童前臂骨折的分布和模式。
我们对2019年3月至2023年12月在研究区域接受前臂、腕部或肘部X光检查的0至15岁儿童进行了回顾性队列研究。通过放射学报告人工识别并记录骨折情况。分析不同年龄组的骨折部位、类型（完全性/不完全性）和骨骺受累情况。使用卡方检验和描述性统计进行统计分析。
我们从4291名儿童中识别出4547例前臂骨折。中位年龄为10岁，57%的患者为男性。骨折模式在不同年龄组之间有显著差异（<0.001），年龄较大的儿童发生更多的远端、完全性、桡骨和骨骺骨折。年龄较小的儿童不完全骨折比例较高，远端或骨骺骨折较少。各年龄组之间在Salter-Harris分类上没有显著差异（=0.69）。
儿童前臂骨折的模式随年龄而异，年龄较大的儿童完全性、远端和骨骺骨折的发生率较高。本研究提供了儿童前臂骨折的详细特征，可为临床管理和预防策略提供参考，特别是在制定针对特定年龄的护理方案时。进一步的研究应探索这些骨折模式的长期后果。
