Abstract
Introduction: The aim of this study is to analyze the pattern of orthopedic fractures among pediatric patients presenting to the emergency department of GMC Jammu.
Methods: In this prospective study details of 962 pediatric patients in age group of 0 to 16 years with male female ratio of 626:336 presenting to the emergency department of Govt. Medical College Jammu, were recorded for a period of 2 years from June 2016 to May 2018. A total of 1005 fractures were diagnosed among all these patients and placed in a proper tabular form and final inference was drawn from these tables.
Results: In our study a total of 962 pediatric patients reported to our emergency with orthopedic fractures. Maximum no. of these patients belonged to 6-11 years of age and males (626) predominated the females (336) in terms of number. This age group [6-11years] also contributed to the maximum no. of fractures that we encountered. Upper limb fractures (77.9%) were far more common among these patients than lower limb fractures (22.1%).
Conclusion: A significant relation of fractures with male gender and 6-11 year age group was noticed as males sustained more fractures in comparison to the females both overall as well as in their respective age groups. Lower limb fractures in these pediatric patients are nearly 1/3rd of fractures of upper limb.
Keywords: Pediatric Fractures, GMC Jammu, Orthopedic Fracture Pattern.
References
- Brinker MR, O’Connor DP: The incidence of fractures and dislocations referred for orthopaedic services in a capitated population. J Bone Joint Surg Am 2004, 86:290-297.
- Clark EM, Ness AR, Tobias JH: Bone fragility contributes to the risk of fracture in children, even after moderate and severe trauma. J Bone Miner Res 2008, 23:173-179.
- 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, 19:1976-1981.
- Goulding A, Jones IE, Williams SM, Grant AM, Taylor RW, Manning PJ, Langley J: First fracture is associated with increased risk of new fractures during growth. J Pediatr 2005, 146:286-288. 13.
- Johnson JG, Cohen P, Smailes EM, Kasen S, Brook JS: Television viewing and aggressive behavior during adolescence and adulthood. Science 2002, 295:2468-2471.
- Jones IE, Williams SM, Dow N, Goulding A: How many children remain fracture-free during growth? a longitudinal study of children and adolescents participating in the Dunedin Multidisciplinary Health and Development Study. Osteoporos Int 2002, 13:990-995.
- Landin LA: Fracture patterns in children. Analysis of 8,682 fractures with special reference to incidence, etiology and secular changes in a Swedish urban population 1950-1979. Acta Orthop Scand Suppl 1983, 202:1-109.
- Ma D, Jones G: Soft drink and milk consumption, physical activity, bone mass, and upper limb fractures in children: a population-based case control study. Calcif Tissue Int 2004, 75:286-291.
- Rockwood CA, Wilkins KE: Fractures in children. Philadelphia: Lippincott Williams and Wilkins; 2006.
- Williams JM, Currie CE, Wright P, Elton RA, Beattie TF: Socioeconomic status and adolescent injuries. Soc Sci Med 1997, 44:1881-1891.
- Yeh FJ, Grant AM, Williams SM, Goulding A: Children who experience their first fracture at a young age have high rates of fracture. Osteoporos Int 2006, 17:267-272.
Corresponding Author
Dr Sakib Arfee
Resident Orthopedics GMC Jammu
Govt. Medical College and Hospital Jammu, Jammu and Kashmir, India
DOI: https://dx.doi.org/10.18535/jmscr/v7i1.46
