Frequency of Paediatric Orthopaedic Injuries and Related Factors in One Year A Hospital in Northern Iran

Ghaffari, Salman; Nejadi Kelarijani, Vanoushe; Shayesteh Azar, Masoud; Mohebi, Mehdi; Taheri, Sadegh

doi:10.22034/ijos.2020.121362

Frequency of Paediatric Orthopaedic Injuries and Related Factors in One Year A Hospital in Northern Iran

Authors

Salman ghaffari

Vanoushe nejadi kelarijani

Masoud Shayesteh Azar

Mehdi Mohebi

Sadegh Taheri

https://doi.org/10.22034/ijos.2020.121362

Abstract

Background & Aim: Orthopedic trauma is a common injury in children and may cause deep and permanent psychological and physical damages for the patients and their families. Recognition of the incidence rate of these injuries can help design effective treatment plans. This study aimed to identify various dimensions of orthopedic trauma in children in Abu Ali Sina Hospital of Sari, Northern Iran.
Materials and Methods: In this prospective descriptive study, patients under the age of 16 years with orthopedic injuries, hospitalized in Bu Ali Sina Hospital during 2015-2016 were entered into the research. Information related to the age, gender, and mechanism trauma was collected. Data analysis was performed in SPSS using Chi-square, as well as paired and one-sample t-tests.
Results: In total, 525 patients below the age of 16 years were assessed, (65.3%) with a mean age of 9.7±4.4 were male years and the rest were female (34.7%) with the mean age of 7.7±6.4 years. While most injuries in male subjects were in the age range of 14-16 years, for female participants two poaks in the age ranges of 2-4 and 14-16 years was seen. Moreover, 81.7% of the fractures were related to the upper limbs while 18.3% of the traumas were observed in the lower limbs. Furthermore, the most common location of incidents was home, and most frequent mechanism in both genders was falling (42.3%). In addition, the most common time of injuries was the fall season (44.6%). According to the results, most orthopedic trauma (56.7%) were observed in children and adolescents with normal body mass indexes, and only 8.29% of fracture cases were related to obese or overweight patients aged 2-16 years.
Conclusion: Children are at risk of severe orthopedic trauma, which is due to lack of information, awareness, and education. Examining the safety of children and keeping them away from such injuries is essential and must be stadied in other large cities in other the developing countries.

Keywords

Keywords: Orthopedics

Fractures

Bone

Child

1.Nakaniida A, Sakuraba K, Hurwitz EL. Pediatric orthopaedic
injuries requiring hospitalization: epidemiology and
economics. J Orthop Trauma. 2014;28(3):167-72.
2.Jiang X, Zhang Y, Wang Y, Wang B, Xu Y, Shang L. An analysis
of 6215 hospitalized unintentional injuries among children
aged 0-14 in northwest China. Accid Anal Prev.
2010;42(1):320-6.
3.Galano GJ, Vitale MA, Kessler MW, Hyman JE, Vitale MG. The
most frequent traumatic orthopaedic injuries from a national
pediatric inpatient population. J Pediatr Orthop.
2005;25(1):39-44.
4.Krug SE, Tuggle DW. Management of pediatric trauma.
Pediatrics. 2008;121(4):849-54.
5.Scheidt PC, Harel Y, Trumble AC, Jones DH, Overpeck MD,
Bijur PE. The epidemiology of nonfatal injuries among US
children and youth. Am J Public Health. 1995;85(7):932-8.
6.Abdullah F, Gabre-Kidan A, Zhang Y, Sharpe L, Chang DC.
Report of 2,087,915 surgical admissions in U.S. children:
inpatient mortality rates by procedure and specialty. World J
Surg. 2009;33(12):2714-21.
7.Aghakhani K, Ameri E, Ameri M, Mohtarami S A.
Epidemiology of orthopedic trauma in children and adolescent
in a referral center in Tehran: a prospective study. Tehran Univ
Med J. 2015;73(1):40-8.
8.Cooper C, Dennison EM, Leufkens HG, Bishop N, van Staa TP.
Epidemiology of childhood fractures in Britain: a study using
the general practice research database. J Bone Miner Res.
2004;19(12):1976-81.
9.Schalamon J, Dampf S, Singer G, Ainoedhofer H, Petnehazy T,
Hoellwarth ME, et al. Evaluation of fractures in children and
adolescents in a Level I Trauma Center in Austria. J Trauma.
2011;71(2):E19-25.
10.Landin LA. Epidemiology of children's fractures. J Pediatr
Orthop B. 1997;6(2):79-83.
11.Lyons RA, Delahunty AM, Kraus D, Heaven M, McCabe M,
Allen H, et al. Children's fractures: a population based study.
Inj Prev. 1999;5(2):129-32.
12.Hedstrom EM, Svensson O, Bergstrom U, Michno P.
Epidemiology of fractures in children and adolescents. Acta
Orthop. 2010;81(1):148-53.
13.Rennie L, Court-Brown CM, Mok JY, Beattie TF. The
epidemiology of fractures in children. Injury. 2007;38(8):913-
22.
14.Pomerantz WJ, Gittelman MA, Hornung R, Husseinzadeh H.
Falls in children birth to 5 years: different mechanisms lead to
different injuries. J Trauma Acute Care Surg. 2012;73(4 Suppl
3):S254-7.
15.Fridman L, Fraser-Thomas JL, McFaull SR, Macpherson AK.
Epidemiology of sports-related injuries in children and youth
presenting to Canadian emergency departments from 2007-
2010. BMC Sports Sci Med Rehabil. 2013;5(1):30.
16.Javid M, Shahcheraghi GH, Abdollahzadeh Lahiji F, Ahmadi
A, Farhadi A, Akasheh GA. Road Traffic Injuries in Children.
IJOS. 2006;4(3):1-6.
17.Mayranpaa MK, Makitie O, Kallio PE. Decreasing incidence
and changing pattern of childhood fractures: A population-
based study. J Bone Miner Res. 2010;25(12):2752-9.
18.Park MS, Chung CY, Choi IH, Kim TW, Sung KH, Lee SY, et al.
Incidence patterns of pediatric and adolescent orthopaedic
fractures according to age groups and seasons in South Korea:
a population-based study. Clin Orthop Surg. 2013;5(3):161-6.