Epidemiological investigation of traumatic upper extremity fractures in children who applied to emergency department

Year 2018, Volume: 8 Issue: 3, 211 - 217, 30.09.2018

Mehmet Esen , Hilal Irmak Sapmaz

https://doi.org/10.16899/gopctd.454562

Abstract

A
B S T R A C T

Introduction:
Serious and potentially fatal multi-trauma in childhood can rarely
be seen. However,
each one of 5 children is exposed to
minor trauma. Our aim is to reveal upper extremity
traumas, trauma mechanisms and seasonal relationship in children under 18 years
of age.

Patients
and methods: In this retrospective
study, the files and graphs of 500 patients under 18 years old who applied to
Tokat Gaziosmanpaşa University Medical Faculty Emergency Service after trauma
were examined through Enlil and PACS system. 328 patients with upper extremity
pathology were included in the study. These patients were analyzed according to
different age groups (0-4,5-8,9-12,13-17).

Results:
500 patients were screened and 328 patients (65.6%) with upper
extremity trauma were included. 109 (33.23%) patients were female and 209
(66.77%) patients were male. The most frequent 0-4 year upper extremity traumas
(n = 39) in girls were found to decrease with age. In boys, it was found that
the upper extremity traumas increased with age, the most common age was 13-17
(n = 79). The distal radius fracture (n = 64) and distal humerus fracture (n =
61) were the most common in upper extremity traumas. The highest falling down
in the etiology of 328 patients with upper extremity pathology
(n = 149, 45.43%) was detected. It was determined
that traumatic upper extremity pathologies were followed most in summer
(36.58%) followed by autumn, spring and winter respectively.

Conclusion:
Two
- thirds of children under 18 years old who applied for trauma were admitted
due to upper extremity trauma. It was found that fracture of the distal radius
(n = 87) was the most (33.85%) when the isolated radius fractures, bilateral
forearm fractures, and upper extremity multiple fractures were evaluated
together in children.

Keywords

Trauma, upper extremity, child

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