PURPOSE The aim of study was to analyze the patterns of musculo-skeletal trauma of the children. MATERIALS AND METHODS From 1997 to 1999, the included for the study were 108 children, who had been admitted for the orthopedic treatment and followed-up. The analysis were done as for 1) children s biological characteristics, 2) the situations of trauma, 3) causes of trauma, 4) types of trauma and 5) locations of fractures. RESULTS The average age was 8.5 years at the time of trauma. Sixty cases (56%) were between 5 and 9 years old. Boys were 3 times more common than girls. Second children (61cases, 57%) were more prone to trauma. Half of trauma took place between July and October, and one third of trauma (36 cases, 33%) happened on the street. Ninety eight children (91%) were admitted due to fracture, and supracondyle fracture of humerus was the most common cause(48 cases). CONCLUSION Many of accidents could be attributed to children's mischievous play resulted from curiosity and freedom of thought. For the prevention of these accidents, therefore, environment should be restructured from the point of child's view, and not only the design of facility itself but also proper management and education on the facilities should be taken.
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The Pattern of Occurrence of Fractures in Children and Adolescents and Its Managements Based on the Database of the Health Insurance Review and Assessment Service Yong-Wook Kwon, Soon-Hyuck Lee, Hyun-Woo Kim, Jin-Ho Hwang Journal of the Korean Fracture Society.2014; 27(4): 308. CrossRef
Closed reduction and percutaneous pinning of displaced supracondylar fractures of the humerus in children yielded simple fracture management, less neurological and vascular complications, reduced hospitalization day and increased satisfactory out-comes. We treated twenty-seven cases of these fractures(extension type : twenty-five cases) by such a method.
The accurate closed reduction of a supracondylar fracture could be obtained and confirmed by image intensifier. The maintanence of a reduction was stabilized by application of K-wires.
Our study showed that the limitation of range of motion of the elbow joint was not signifiint(three cases, below ten degrees extension block and changes of carrying angle was also minimal three cases, below ten degrees).
In twenty-seven cases, excellent results were recorded in 93% on at least on year follow-up.
Traumatic Posterior hip fracture-dislocation is uncommon injury, which induces the traumatic arthritis, joint contracture and avascular necrosis of the femoral head as a late complication.
Among 23 patients with traumatic fracture-dislocation of the hips, 13 patients who underwent operative intervention were reviewed retrospectively: all patients were men ranging from 24 to 59 years old. A dash-board injury of car accident was leading cause of the traumatic dislocation in this series(9 cases, 64%). Associated injuries were found in 11 cases(84%). In follow-up ranging from 12 months to 36 months(averge, 18 months). Ten were treated by closed reduction; 6, by closed reduction followed by subsequent open reduction and internal fixation for unstable fracture of the acetabulum; 3, by primary open reduction; and 4, delayed open reduction. The results according to the Epstein and Thompson clinical criteria for evaluating results were good at 5 of 6 patients treated by closed reduction followed by open reduction for acetabular fracture. It was concluded that early closed reduction followed by open anatomic reduction with removal of all loose fragments of bone and cartilage and restoration of stability by internal fixation of the fracture of the acetaulum offers the best prognosis.