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Traumatic fractures resulting from collisions in children and adolescents: A retrospective observational study
Wang HW(王洪伟)1,2,3,4; Liu, Huan5; Zhang, Song7; Li ZQ(李长青)6; Zhou Y(周跃)6; Liu J(刘军)1; Ou L(欧兰)8; Xiang LB(项良碧)1
Department机器人学研究室
Source PublicationMEDICINE
ISSN0025-7974
2018
Volume97Issue:21Pages:1-6
Indexed BySCI
WOS IDWOS:000434307900046
Contribution Rank1
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
KeywordAdolescent Child Collisions Fracture Nerve Injury
Abstract

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.

Language英语
WOS SubjectMedicine, General & Internal
WOS KeywordCHILDHOOD FRACTURES ; INJURIES ; EPIDEMIOLOGY ; BURDEN ; SWEDEN
WOS Research AreaGeneral & Internal Medicine
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]
Citation statistics
Document Type期刊论文
Identifierhttp://ir.sia.cn/handle/173321/22103
Collection机器人学研究室
Corresponding AuthorWang HW(王洪伟)
Affiliation1.Department of Orthopedics, General Hospital of Shenyang Military Area Command of Chinese PLA;
2.State Key Laboratory of Robotics, Shenyang Institute of Automation, Chinese Academy of Science, Shenyang, Liaoning;
3.State Key Laboratory of Materials Processing and Die and Mould Technology, Huazhong University of Science and Technology, Wuhan, Hubei;
4.State Key Laboratory of Trauma, Burn and Combined Injury, Third Military Medical University, Chongqing;
5.Department of Orthopedics, Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou;
6.Department of Orthopedics, Xinqiao Hospital;
7.Department of Radiology, Xinqiao Hospital;
8.Department of Radiology, Southwest Hospital, The Third Military Medical University, Chongqing, China
Recommended Citation
GB/T 7714
Wang HW,Liu, Huan,Zhang, Song,et al. Traumatic fractures resulting from collisions in children and adolescents: A retrospective observational study[J]. MEDICINE,2018,97(21):1-6.
APA Wang HW.,Liu, Huan.,Zhang, Song.,Li ZQ.,Zhou Y.,...&Xiang LB.(2018).Traumatic fractures resulting from collisions in children and adolescents: A retrospective observational study.MEDICINE,97(21),1-6.
MLA Wang HW,et al."Traumatic fractures resulting from collisions in children and adolescents: A retrospective observational study".MEDICINE 97.21(2018):1-6.
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