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

Lempesis, Vasileios LU ; Rosengren, Björn E. LU ; Landin, Lennart LU ; Tiderius, Carl Johan LU and Karlsson, Magnus K. LU (2019) In Journal of Orthopaedic Surgery and Research 14(1).
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 < 16 years) hand fractures in city residents, treated during 2005-2006. We compared these data to previously collected data in in the same city during 12 evaluated periods from 1950/1955 to 1993-1994. We present period-specific crude and age- and gender-adjusted fracture incidence rates and group differences as incidence rate ratios (RR) with 95% confidence intervals... (More)

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 < 16 years) hand fractures in city residents, treated during 2005-2006. We compared these data to previously collected data in in the same city during 12 evaluated periods from 1950/1955 to 1993-1994. We present period-specific crude and age- and gender-adjusted fracture incidence rates and group differences as incidence rate ratios (RR) with 95% confidence intervals (95% CI). Results: In 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.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Boy, Epidemiology, Fractures, Girl, Time trends
in
Journal of Orthopaedic Surgery and Research
volume
14
issue
1
publisher
BioMed Central
external identifiers
  • scopus:85068891376
ISSN
1749-799X
DOI
10.1186/s13018-019-1248-0
language
English
LU publication?
yes
id
80d64798-d7c1-4f80-b25a-4bb7c87aac66
date added to LUP
2019-07-23 10:59:30
date last changed
2019-08-28 04:57:12
@article{80d64798-d7c1-4f80-b25a-4bb7c87aac66,
  abstract     = {<p>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 &lt; 16 years) hand fractures in city residents, treated during 2005-2006. We compared these data to previously collected data in in the same city during 12 evaluated periods from 1950/1955 to 1993-1994. We present period-specific crude and age- and gender-adjusted fracture incidence rates and group differences as incidence rate ratios (RR) with 95% confidence intervals (95% CI). Results: In 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.</p>},
  articleno    = {213},
  author       = {Lempesis, Vasileios and Rosengren, Björn E. and Landin, Lennart and Tiderius, Carl Johan and Karlsson, Magnus K.},
  issn         = {1749-799X},
  keyword      = {Boy,Epidemiology,Fractures,Girl,Time trends},
  language     = {eng},
  month        = {07},
  number       = {1},
  publisher    = {BioMed Central},
  series       = {Journal of Orthopaedic Surgery and Research},
  title        = {Hand fracture epidemiology and etiology in children - Time trends in Malmö, Sweden, during six decades},
  url          = {http://dx.doi.org/10.1186/s13018-019-1248-0},
  volume       = {14},
  year         = {2019},
}