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Traumatic fractures resulting from collisions in children and adolescents: A retrospective observational study
Wang, Hongwei1,2,3,4; Liu, Huan5; Zhang, Song7; Li, Changqing6; Zhou, Yue6; Liu, Jun1; Ou, Lan8; Xiang, Liangbi1
Corresponding AuthorWang, Hongwei(cplawhw@163.com) ; Xiang, Liangbi(xiangliangbi1963@163.com)
2018-05-01
Source PublicationMEDICINE
ISSN0025-7974
Volume97Issue:21Pages:6
AbstractTo 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.
Keywordadolescent child collisions fracture nerve injury
Funding OrganizationFoundation 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
DOI10.1097/MD.0000000000010821
Indexed BySCI
Language英语
Funding ProjectFoundation 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 Research AreaGeneral & Internal Medicine
WOS SubjectMedicine, General & Internal
WOS IDWOS:000434307900046
PublisherLIPPINCOTT WILLIAMS & WILKINS
Citation statistics
Document Type期刊论文
Identifierhttp://ir.imr.ac.cn/handle/321006/128433
Collection中国科学院金属研究所
Corresponding AuthorWang, Hongwei; Xiang, Liangbi
Affiliation1.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
Recommended Citation
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.
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