Epidemiology and management of proximal tibia fractures in children and adolescents: a population-based study based on the Kids’ Fracture Tool
| Autor: | Sini-Tuuli Koivisto, Topi Laaksonen, Juho-Antti Ahola, Ilkka Helenius, Antti Stenroos |
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| Přispěvatelé: | University of Helsinki, Faculty of Medicine, HUS Children and Adolescents, Children's Hospital, Department of Surgery, HUS Musculoskeletal and Plastic Surgery, I kirurgian klinikka (Töölö) |
| Rok vydání: | 2022 |
| Předmět: |
Adolescent
Intra-Articular Fractures Tibia Tuberosity fractures General Medicine 3126 Surgery anesthesiology intensive care radiology Compartment Syndromes Tibial Fractures Fracture Fixation Internal Eminence Treatment Outcome Child Preschool Humans Orthopedics and Sports Medicine Surgery Child Physeal fractures Retrospective Studies |
| Zdroj: | Acta Orthopaedica. 93:826-830 |
| ISSN: | 1745-3682 1745-3674 |
| DOI: | 10.2340/17453674.2022.4879 |
| Popis: | Background and purpose - Proximal tibial fractures are infrequent injuries in children, and the literature on epi-demiology, associated injuries, and management is limited. We calculated a population-based incidence and described the characteristics of proximal tibial fractures in children in terms of complications and management.Patients and methods - This is a retrospective study over a 6-year-period during including 241 children with proximal tibial fractures who presented to our university hospital. Demographic and fracture-related data was col-lected from the Kids' Fracture Tool. The number of children during the study period was collected from statistical year-books of the City of Helsinki to estimate annual incidence.Results - Extra-articular fractures (129/241) peaked at the age of 3 and tibial tubercle (42/241) and intra-articular fractures (70/241) peaked at the age of 15. Annual incidences were estimated to be 3.4/100,000 children and 22/100,000 children in the age group of 13-16 years for ACL avulsions, and 3.8/100,000 children and 21/100,000 children in the age group of 13-16 years for tibial tubercle fractures. The inci-dence of vascular compromise (0%) and compartment syn-drome was low (0.4 %, 1/241).Conclusion - Proximal tibial fractures present with a bimodal distribution, with extra-articular fractures peaking at the age of 3 years and fractures of the tibial tuberosity and intra-articular fractures peaking at the age of 15 years. Additionally, associated compartment syndrome and vascu-lar compromise was not as common as previously reported. |
| Databáze: | OpenAIRE |
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