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Hand fracture epidemiology and etiology in children—time trends in Malmö, Sweden, during six decades

BACKGROUND: The aim of this study was to describe hand fracture epidemiology/etiology in city children and describe time trend during six decades. PATIENTS AND METHODS: A single hospital serves the entire city population of 271,271 (year 2005). Through the hospital medical and radiological archives,...

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Autores principales: Lempesis, Vasileios, Rosengren, Björn E., Landin, Lennart, Tiderius, Carl Johan, Karlsson, Magnus K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6626361/
https://www.ncbi.nlm.nih.gov/pubmed/31299998
http://dx.doi.org/10.1186/s13018-019-1248-0
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author Lempesis, Vasileios
Rosengren, Björn E.
Landin, Lennart
Tiderius, Carl Johan
Karlsson, Magnus K.
author_facet Lempesis, Vasileios
Rosengren, Björn E.
Landin, Lennart
Tiderius, Carl Johan
Karlsson, Magnus K.
author_sort Lempesis, Vasileios
collection PubMed
description BACKGROUND: The aim of this study was to describe hand fracture epidemiology/etiology in city children and describe time trend during six decades. PATIENTS AND METHODS: A single hospital serves the entire city population of 271,271 (year 2005). Through the hospital medical and radiological archives, we collected epidemiology and etiology data concerning pediatric (age < 16 years) hand fractures in city residents, treated during 2005–2006. We compared these data to previously collected data in in the same city during 12 evaluated periods from 1950/1955 to 1993–1994. We present period-specific crude and age- and gender-adjusted fracture incidence rates and group differences as incidence rate ratios (RR) with 95% confidence intervals (95% CI). RESULTS: In 2005–2006, we identified 414 hand fractures (303 in boys and 111 in girls), 247 phalangeal fractures (60% of all hand fractures), 140 metacarpal/carpal fractures (except the scaphoid bone) (34%), and 27 scaphoid fractures (6%). The crude hand fracture rate in children was 448/100,000 person years (639/100,000 in boys and 247/100,000 in girls), with a 2.5 times higher age-adjusted incidence in boys than in girls. Compared to 1950/1955, the age and gender-adjusted hand fracture incidence was twice as high in 2005–2006 and more than twice as high in 1976–1979. Compared to 1976–1979, we found no significant difference in the age and gender-adjusted hand fracture incidence in 2005–2006. In 2005–2006, sports injuries explained 42%, fights 20%, and traffic accidents 13% of the hand fractures. In 1950/1955, sports injuries explained 27% of fractures, fights 10%, and traffic accidents 21%. CONCLUSIONS: The incidence of hand fractures in children was more than twice as high in the end of the 1970s compared to the 1950s, where after no significant change could be found. Also, fracture etiology has changed. New studies are needed, to adequately allocate health care resources and identify new fracture prone activities suitable for preventive measures. LEVEL OF EVIDENCE: III ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13018-019-1248-0) contains supplementary material, which is available to authorized users.
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spelling pubmed-66263612019-07-23 Hand fracture epidemiology and etiology in children—time trends in Malmö, Sweden, during six decades Lempesis, Vasileios Rosengren, Björn E. Landin, Lennart Tiderius, Carl Johan Karlsson, Magnus K. J Orthop Surg Res Research Article BACKGROUND: The aim of this study was to describe hand fracture epidemiology/etiology in city children and describe time trend during six decades. PATIENTS AND METHODS: A single hospital serves the entire city population of 271,271 (year 2005). Through the hospital medical and radiological archives, we collected epidemiology and etiology data concerning pediatric (age < 16 years) hand fractures in city residents, treated during 2005–2006. We compared these data to previously collected data in in the same city during 12 evaluated periods from 1950/1955 to 1993–1994. We present period-specific crude and age- and gender-adjusted fracture incidence rates and group differences as incidence rate ratios (RR) with 95% confidence intervals (95% CI). RESULTS: In 2005–2006, we identified 414 hand fractures (303 in boys and 111 in girls), 247 phalangeal fractures (60% of all hand fractures), 140 metacarpal/carpal fractures (except the scaphoid bone) (34%), and 27 scaphoid fractures (6%). The crude hand fracture rate in children was 448/100,000 person years (639/100,000 in boys and 247/100,000 in girls), with a 2.5 times higher age-adjusted incidence in boys than in girls. Compared to 1950/1955, the age and gender-adjusted hand fracture incidence was twice as high in 2005–2006 and more than twice as high in 1976–1979. Compared to 1976–1979, we found no significant difference in the age and gender-adjusted hand fracture incidence in 2005–2006. In 2005–2006, sports injuries explained 42%, fights 20%, and traffic accidents 13% of the hand fractures. In 1950/1955, sports injuries explained 27% of fractures, fights 10%, and traffic accidents 21%. CONCLUSIONS: The incidence of hand fractures in children was more than twice as high in the end of the 1970s compared to the 1950s, where after no significant change could be found. Also, fracture etiology has changed. New studies are needed, to adequately allocate health care resources and identify new fracture prone activities suitable for preventive measures. LEVEL OF EVIDENCE: III ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13018-019-1248-0) contains supplementary material, which is available to authorized users. BioMed Central 2019-07-12 /pmc/articles/PMC6626361/ /pubmed/31299998 http://dx.doi.org/10.1186/s13018-019-1248-0 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Lempesis, Vasileios
Rosengren, Björn E.
Landin, Lennart
Tiderius, Carl Johan
Karlsson, Magnus K.
Hand fracture epidemiology and etiology in children—time trends in Malmö, Sweden, during six decades
title Hand fracture epidemiology and etiology in children—time trends in Malmö, Sweden, during six decades
title_full Hand fracture epidemiology and etiology in children—time trends in Malmö, Sweden, during six decades
title_fullStr Hand fracture epidemiology and etiology in children—time trends in Malmö, Sweden, during six decades
title_full_unstemmed Hand fracture epidemiology and etiology in children—time trends in Malmö, Sweden, during six decades
title_short Hand fracture epidemiology and etiology in children—time trends in Malmö, Sweden, during six decades
title_sort hand fracture epidemiology and etiology in children—time trends in malmö, sweden, during six decades
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6626361/
https://www.ncbi.nlm.nih.gov/pubmed/31299998
http://dx.doi.org/10.1186/s13018-019-1248-0
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