Dataset Information

Hand fracture epidemiology and etiology in children-time trends in Malmo, Sweden, during six decades.

ABSTRACT:

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 ResultsIn 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.

SUBMITTER: Lempesis V

PROVIDER: S-EPMC6626361 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

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

Lempesis Vasileios V Rosengren Björn E BE Landin Lennart L Tiderius Carl Johan CJ Karlsson Magnus K MK

Journal of orthopaedic surgery and research 20190712 1

<h4>Background</h4>The aim of this study was to describe hand fracture epidemiology/etiology in city children and describe time trend during six decades.<h4>Patients and methods</h4>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 collect ...[more]

PMID: 31299998

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