Epidemiologic Features of Traumatic Fractures in Children and Adolescents: A 9-Year Retrospective Study
Table 2
The epidemiology of traumatic fractures according to different year and age range groups.
Groups
Year of admission
Age range group
Total
2002-2004
2005-2007
2008-2010
≤6
6-12
12-18
Total
393
893
1164
556
787
1107
2450
Incidence per 100000 HA
186.1
309.7
266.6
59.5
84.1
118.2
261.8
M/F
299/94
660/233
849/315
356/200
577/210 #
875/232 #&
1808/642
Mean age
11.1 ± 4.9
11.0 ± 5.1
11.2 ± 4.9
4.1 ± 1.5
9.4 ± 1.7 #
15.8 ± 1.7#&
11.1 ± 5.0
Aetiologies
Low fall
155 (39.4)
376 (42.1)
511 (43.9)
219 (39.4)
396 (50.3) #
427 (38.6) &
1042 (42.5)
MVCs
141 (35.9)
266 (29.8) #
321 (27.6) #
203 (36.5)
207 (26.3) #
318 (28.7) #
728 (29.7)
High fall
50 (12.7)
119 (13.3)
181 (15.5)
94 (16.9)
101 (12.8) #
155 (14.0)
350 (14.3)
Struck by object
16 (4.1)
33 (3.7)
52 (4.5)
18 (3.2)
40 (5.1)
43 (3.9)
101 (4.1)
Hit by others
8 (2.0)
40 (4.5) #
26 (2.2) &
1 (0.2)
11 (1.4) #
62 (5.6) #&
74 (3.0)
Sprain
7 (1.8)
14 (1.6)
28 (2.4)
1 (0.2)
15 (1.9) #
33 (3.0) #
49 (2.0)
Mechanical injury
9 (2.3)
28 (3.1)
11 (0.9) #&
10 (1.8)
4 (0.5) #
34 (3.1) &
48 (2.0)
Others
7 (1.8)
17 (1.9)
34 (2.9)
10 (1.8)
13 (1.7)
35 (3.2) &
58 (2.4)
Age range
≤6/2002-2004
84 (21.4)
213 (23.9)
259 (22.3)
84 (15.1)
141 (17.9)
168 (15.2)
556 (22.7)
6-12/2005-2007
141 (35.9)
285 (31.9)
361 (31.0)
213 (38.3)
285 (36.2)
395 (35.7)
787 (32.1)
12-18/2008-2010
168 (42.7)
395 (44.2)
544 (46.7)
259 (46.6)
361 (45.9)
544 (49.1)
1107 (45.2)
Fracture sites
ULF
166 (42.2)
401 (44.9)
501 (43.0)
209 (37.6)
403 (51.2) #
456 (41.2) &
1068 (43.6)
LLF
163 (41.5)
307 (34.4) #
455 (39.1) &
198 (35.6)
255 (32.4)
472 (42.6) #&
925 (37.8)
CFF
67 (17.0)
212 (23.7) #
259 (22.3) #
177 (31.8)
167 (21.2) #
194 (17.5) #&
538 (22.0)
SF
25 (6.4)
41 (4.6)
64 (5.5)
5 (0.9)
17 (2.2)
108 (9.8) #&
130 (5.3)
RSF
2 (0.5)
7 (0.8)
21 (1.8)
2 (0.4)
7 (0.9)
21 (1.9) #
30 (1.2)
ND
71 (18.1)
157 (17.6)
235 (20.2)
93 (16.7)
140 (17.8)
230 (20.8) #
463 (18.9)
ULF: upper limb fracture; LLF: lower limb fracture; CFF: craniofacial fracture; SF: spinal fracture; RSF: fracture of rib and sternum; ND: neurological deficit. #: significant difference compared to 2002-2004 year of admission group or ≤6 years old range group; &: significant difference compared to 2005-2007 year of admission group or 6-12 years old range group.
