Forearm fractures in children from Zadar region

Prijelomi podlaktice najčešći su prijelomi dječje dobi. Najčešći uzrok prijeloma u ovoj dobi je pad na ispruženu ruku gdje dolazi do izbijanja osovine donjeg dijela podlaktičnih kostiju. Cilj istraživanja je utvrditi načine i mjesto prijeloma u populaciji djece Zadarske županije. Provedena je retrospektivna analiza 1603-je djece liječene tijekom vremenskog razdoblja 2014. do 2018. u Općoj bolnici Zadar. Od 1476-ero ambulantno liječene djece, 940 dječaka (63,7%) i 536 djevojčica (36,3%). Od djece liječene bolnički bilo je 87 (68,5%) dječaka i 40 (31,5%) djevojčica. Prosječna dob u trenutku ozljeđivanja je 9,6 godina (dječaci 9,7, a djevojčice 9,5 godina). Od liječene djece njih 173-je (10,8%) bilo je u dobi od 0-4 godine, 633-je (39,5 %) u dobi od 5-9 godina, 656-ero (40,9 %) u dobi od 10-14 godina i 141-no (8,8%) u dobi od 15-18 godina. Na prometnicama je ozlijeđeno 18-ero (1,1%), kod kuće 49-ero (3,1%), u školi 65-ero (4,1%), a na prostorima za izvannastavne aktivnosti i slobodno vrijeme 1369-ero (86,5%) djece. Pad je uzrokovao prijelome u 468-ero (29,2%) naše djece. Ozljede u športu i rekreaciji (padovi, udarci, posrtanja, sudar sa suigračem, loptom) uzrok su prijelomima u 956-ero djece (59,6%). Ostali uzroci su odgovorni za prijelome u 92-je djece (5,7%). U športovima s loptom najveći broj ozlijeđene djece je u nogometu 411-ero (25,6%), rukometu 143-je (8,9%) i košarci njih 115-ero (7,2%). Djeca u Zadarskoj županiji rijetko zadobiju prijelom kostiju podlaktice u prometu, školi i kod kuće, a dominantan način ozljeđivanja je pad na igralištima i u parkovima. Pretežita aktivnost su šport i rekreacija.Forearm fractures are the most common fractures in children. The main mechanism of injury is falling onto an outstretched hand, when the axis of the distal forearm is axially overloaded. The aim of this study was to evaluate the circumstances in which forearm fractures occurred in Zadar region. We performed retrospective analysis of 1603 children treated for forearm fractures between 2014 and 2018 in Zadar General Hospital. Overall, 1476 children were treated as outpatients, including 940 (63.7%) boys and 536 (36.3%) girls, whereas 127 children were hospitalized (87 boys and 40 girls). The mean patient age was 9.6 (boys 9.7 and girls 9.5) years. According to age distribution, there were 173 (10.8%) patients in the 0-4-year group, 633 (39.5%) in the 5-9-year group, 656 (40.9%) in the 10-14-year group and 141 (8.8%) in the 15-18-year group. Eighteen (1.1%) children were injured in traffic, 49 (3.1%) at home, 65 (4.1%) at school, and 1369 (86.5%) in sports, playgrounds and other leisure facilities. Fractures were mostly caused by falls (n=468, 29.2%), sports injuries (n=956, 59.6%) and other mechanisms (n=92, 5.7%). Regarding injuries sustained during sports activities, 411 (25.6%) children were injured while playing football, 143 (8.9%) during handball and 115 (7.2%) while playing basketball. In Zadar region, most forearm fractures in children occurred during sports and play, and only sporadically at home, school and in traffic

Prijelomi podlaktice u zagrebačke djece [Forearm fractures in Zagreb children]

Forearm fractures are the most common fractures of childhood. Fall on the extended arm is the main mechanism of injury. High incidence and possible poor outcomes of treatment justify the questioning of preventative measures in the occurrence of these injuries. The aim of this paper is to investigate the sites and ways of forearm fracture of in a group of Zagreb children. This retrospective study included 395 children from the city of Zagreb who were hospitalized in the UHC Zagreb from January 1, 2014 to October 19, 2017. The examined group included 265 boys (67.1%) and 130 girls (32.9%). The average life expectancy was 9.1 years. Girls were on average 16 months younger than boys . The highest number of children was 175 (44.3%) in the age group 5-9 years. One hundred and four (26%) children had fractures of only the distal part of the radius, 104 (26%) of the distal part of both forearm bones, and 94 (23.6%) diaphyseal fracture of both bones. The leading cause of fractures in our children group was fall (248 - 62.8%). Transport caused 61 (15.4%), and blow 86 (21.8%) fractures in the group of our children. There were eight (2%) fractures on the roads, 25 (6.3%) at home, 37 (9.3%) at school, and 271 (68.7%) in extracurricular activities and leisure time. Out of these, there were 69 fractures on the playground or in the park (26.2%), 54 (13.7%) in bike ride , and 46 (11.7%) during football. Of the 69 children who had forearm fracture on the playground or in the park, 39 (56.5%) suffered a break on a swing, toboggan and trampoline. Boys often fall, almost three times more on same level, and twice more from low hight than girls. Girls are more often injured by falling from the bike. In conclusion, boys are more often at risk, and the dominant mode of injury is falling. Mostly, they are children of pre-school and early school age. Special community engagement should focus on these children during their recreational and sporting activities (cycling and football). In Zagreb, children’s play areas and parks are the most common places of forearm fracture occurrence