Peterson H A, Madhok R, Benson J T, Ilstrup D M, Melton L J
Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota 55905.
J Pediatr Orthop. 1994 Jul-Aug;14(4):423-30. doi: 10.1097/01241398-199407000-00002.
All children in Olmsted County, Minnesota, who had a physeal fracture in the 10-year period 1979 through 1988 were identified in this population based study. Children with acute fractures from surrounding areas of Olmsted County and children with subacute, chronic fractures or complications of fractures among referral patients were not included. Eight-hundred fifty children sustained 951 physeal fractures; 561 boys (66%) sustained 637 fractures, and 289 girls (34%) experienced 314 fractures. The male:female ratio was 2:1 and incidence rates were greatest among 11-12 year-old girls and 14-year-old boys. The overall age- and sex-adjusted incidence of physeal fractures was 279.2 per 100,000 person-years (95% confidence interval, 261.4-296.9). The most common site was the phalanges of fingers, which accounted for 37% of all physeal fractures. Salter-Harris type II was the most common type of fracture (54%), but 149 fractures (16%) did not fit into this classification. Therefore, two new, previously unclassified fracture types were added and are reported in detail (see Physeal Fractures: Part 2. Two Previously Unclassified Types, pp. 431-38). This led to a review of existing classifications and creation of a new one (see Physeal Fractures: Part 3. Classification, pp. 439-48).
在这项基于人群的研究中，确定了明尼苏达州奥尔姆斯特德县在1979年至1988年这10年间发生骨骺骨折的所有儿童。奥尔姆斯特德县周边地区急性骨折的儿童以及转诊患者中患有亚急性、慢性骨折或骨折并发症的儿童未被纳入。850名儿童发生了951例骨骺骨折；561名男孩（66%）发生了637例骨折，289名女孩（34%）发生了314例骨折。男女比例为2:1，发病率在11至12岁女孩和14岁男孩中最高。经年龄和性别调整后的骨骺骨折总体发病率为每10万人年279.2例（95%置信区间，261.4 - 296.9）。最常见的部位是手指指骨，占所有骨骺骨折的37%。Salter - Harris II型是最常见的骨折类型（54%），但有149例骨折（16%）不符合该分类。因此，增加了两种新的、以前未分类的骨折类型并进行了详细报告（见《骨骺骨折：第2部分。两种以前未分类的类型》，第431 - 438页）。这导致对现有分类进行了审查并创建了一个新的分类（见《骨骺骨折：第3部分。分类》，第439 - 448页）。
