Traumatic fractures resulting from collisions in children and adolescents: A retrospective observational study

doi:10.1097/MD.0000000000010821

IMR OpenIR

	Traumatic fractures resulting from collisions in children and adolescents: A retrospective observational study
	Wang, Hongwei 1,2,3,4; Liu, Huan 5; Zhang, Song 7; Li, Changqing 6; Zhou, Yue 6; Liu, Jun 1; Ou, Lan 8; Xiang, Liangbi 1
通讯作者	Wang, Hongwei(cplawhw@163.com) ; Xiang, Liangbi(xiangliangbi1963@163.com)
	2018-05-01
发表期刊	MEDICINE
ISSN	0025-7974
卷号	97 期号:21 页码:6
摘要	To investigate the incidence and pattern of child and adolescent (18 years old) traumatic fractures (TFs) as a result of collisions.We retrospectively reviewed 270 child and adolescent patients (228 males and 42 females aged 12.85.1 years old) with TFs as a result of collisions admitted to our university-affiliated hospitals from 2001 to 2010. The incidence and patterns were summarized with respect to different age groups, sex, etiology, and whether the patient presented with nerve injury.The most common etiologies were struck by object (105, 38.9%) and wounded by person (74, 27.4%). The most common fracture sites were upper limb fractures (126, 46.7%) and craniofacial fractures (82, 30.4%). A total of 65 (24.1%) patients suffered a nerve injury. The frequency of early and late complications/associated injuries was 35.6% (n=96) and 8.5% (n=23), respectively. The mean age (P=.001) and frequency of wounded by person (P=.038) was significantly larger in male than in female patients. The frequency of earthquake injury (P<.001) and lower limb fractures (P=.002) was significantly larger in females than in male patients. The frequency of upper limb fracture was significantly higher in the wounded by machine group (83.3%) than in the other groups (all P<.05). The frequency of lower limb fractures was significantly higher in the earthquake injury group (64.7%) than in the other groups (all P<.05). The frequency of craniofacial fracture was significantly higher in the wounded by person group (54.1%) than in the other groups (all P<.05). The emergency admission rate (P=.047), frequency of wounded by person (P<.001), craniofacial fracture (P<.001), and early complications/associated injuries (P<.001) were significantly larger in patients with nerve injury than in other patients.Struck by object and upper limb fractures were the most common etiology and site, respectively. Wounded by person and craniofacial fractures were risk factors for nerve injury. Therefore, we should pay more attention to patients wounded by person, presenting with craniofacial fracture, to find whether there is nerve injury.
关键词	adolescent child collisions fracture nerve injury
资助者	Foundation of the Liaoning Province Doctor Startup Fund ; State Key Laboratory of Robotics ; Open Project Program of the State Key Lab of CADCG ; Open Project Program of the State Key Laboratory of Trauma, Burn and Combined Injury ; State Key Laboratory of Materials Processing and Die and Mould Technology
DOI	10.1097/MD.0000000000010821
收录类别	SCI
语种	英语
资助项目	Foundation of the Liaoning Province Doctor Startup Fund[201601389] ; State Key Laboratory of Robotics[2017-001] ; Open Project Program of the State Key Lab of CADCG[A1718] ; Open Project Program of the State Key Laboratory of Trauma, Burn and Combined Injury[SKLKF201705] ; State Key Laboratory of Materials Processing and Die and Mould Technology[P2018-011]
WOS研究方向	General & Internal Medicine
WOS类目	Medicine, General & Internal
WOS记录号	WOS:000434307900046
出版者	LIPPINCOTT WILLIAMS & WILKINS
引用统计	被引频次：2[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	http://ir.imr.ac.cn/handle/321006/128433
专题	中国科学院金属研究所
通讯作者	Wang, Hongwei; Xiang, Liangbi
作者单位	1.Chinese Acad Sci, Shenyang Mil Area Command Chinese PLA, Gen Hosp, Dept Orthoped, Shenyang, Liaoning, Peoples R China 2.Chinese Acad Sci, Shenyang Inst Automat, State Key Lab Robot, Shenyang, Liaoning, Peoples R China 3.Huazhong Univ Sci & Technol, State Key Lab Mat Proc & Die & Mould Technol, Wuhan, Hubei, Peoples R China 4.Third Mil Med Univ, State Key Lab Trauma Burn & Combined Injury, Chongqing, Peoples R China 5.Southwest Med Univ, Affiliated Tradit Chinese Med Hosp, Dept Orthoped, Luzhou, Peoples R China 6.Third Mil Med Univ, Dept Orthoped, Chongqing, Peoples R China 7.Third Mil Med Univ, Xinqiao Hosp, Dept Radiol, Chongqing, Peoples R China 8.Third Mil Med Univ, Southwest Hosp, Dept Radiol, Chongqing, Peoples R China
推荐引用方式 GB/T 7714	Wang, Hongwei,Liu, Huan,Zhang, Song,et al. Traumatic fractures resulting from collisions in children and adolescents: A retrospective observational study[J]. MEDICINE,2018,97(21):6.
APA	Wang, Hongwei.,Liu, Huan.,Zhang, Song.,Li, Changqing.,Zhou, Yue.,...&Xiang, Liangbi.(2018).Traumatic fractures resulting from collisions in children and adolescents: A retrospective observational study.MEDICINE,97(21),6.
MLA	Wang, Hongwei,et al."Traumatic fractures resulting from collisions in children and adolescents: A retrospective observational study".MEDICINE 97.21(2018):6.