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

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	Traumatic fractures resulting from collisions in children and adolescents: A retrospective observational study
	Zhang, Song ; Zhou Y(周跃); Liu J(刘军); Ou L(欧兰); Xiang LB(项良碧); Wang HW(王洪伟); Liu, Huan ; Li ZQ(李长青); Lu Y(陆莹); Qiao HC(乔红超)
刊名	MEDICINE
	2018
卷号	97 期号:21 页码:1-6
关键词	adolescent child collisions fracture nerve injury
ISSN号	0025-7974
通讯作者	Wang HW(王洪伟)
产权排序	1
中文摘要	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.
WOS标题词	Science & Technology ; Life Sciences & Biomedicine
类目[WOS]	Medicine, General & Internal
研究领域[WOS]	General & Internal Medicine
关键词[WOS]	CHILDHOOD FRACTURES ; INJURIES ; EPIDEMIOLOGY ; BURDEN ; SWEDEN
收录类别	SCI
语种	英语
WOS记录号	WOS:000434307900046
内容类型	期刊论文
源URL	[http://ir.sia.cn/handle/173321/22082]
专题	沈阳自动化研究所_装备制造技术研究室
作者单位	1.State Key Laboratory of Materials Processing and Die and Mould Technology, Huazhong University of Science and Technology, Wuhan, Hubei 2.State Key Laboratory of Robotics, Shenyang Institute of Automation, Chinese Academy of Science, Shenyang, Liaoning 3.Department of Orthopedics, General Hospital of Shenyang Military Area Command of Chinese PLA 4.Department of Radiology, Southwest Hospital, The Third Military Medical University, Chongqing, China 5.Department of Radiology, Xinqiao Hospital 6.Department of Orthopedics, Xinqiao Hospital 7.Department of Orthopedics, Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou 8.State Key Laboratory of Trauma, Burn and Combined Injury, Third Military Medical University, Chongqing
推荐引用方式 GB/T 7714	Zhang, Song,Zhou Y,Liu J,et al. Traumatic fractures resulting from collisions in children and adolescents: A retrospective observational study[J]. MEDICINE,2018,97(21):1-6.
APA	Zhang, Song.,Zhou Y.,Liu J.,Ou L.,Xiang LB.,...&赵吉宾.(2018).Traumatic fractures resulting from collisions in children and adolescents: A retrospective observational study.MEDICINE,97(21),1-6.
MLA	Zhang, Song,et al."Traumatic fractures resulting from collisions in children and adolescents: A retrospective observational study".MEDICINE 97.21(2018):1-6.