儿童和青少年踝关节骨折的回顾性流行病学队列研究。

IF 1.3 4区 医学 Q3 ORTHOPEDICS Journal of Childrens Orthopaedics Pub Date : 2023-08-01 DOI:10.1177/18632521231182424
Christina Steiger, Giacomo De Marco, Céline Cuérel, Anne Tabard-Fougère, Moez Chargui, Romain Dayer, Dimitri Ceroni
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引用次数: 0

摘要

背景:踝关节骨折是最常见的儿童下肢骨折之一,可导致严重的并发症。目的:本研究旨在确定16岁以下儿童踝关节骨折的流行病学,确定骨折类型、治疗方法和并发症。方法:回顾性分析我院2004-2020年收治的所有踝关节骨折患者的病历。收集年龄、性别、损伤机制、骨折类型、治疗方式和并发症等数据。结果:我们检查了328名儿童331例踝关节骨折的记录,男女比例为1:2。年平均患病率为每10万名儿童24.3例。患者平均年龄11.2±4.2岁,10岁以上占75.3%。体育活动占骨折的最大比例(162例;49.4%),其次是下跌(67;20.4%)和道路交通事故(37%;11.3%)。骨骺骨折是最常见的病变类型(223例)。大多数踝关节骨折(60%)采用闭合复位和铸造治疗;对于其余40%的病例,在闭合或开放复位后进行骨折固定,以纠正关节脱节并确保身体的解剖恢复。踝关节骨折的主要并发症是过早生长停止(占所有骨骺骨折的12.1%)。结论:儿童踝关节骨折主要发生在10岁以上的儿童。这些骨折大多是由运动损伤或低能量创伤引起的。这些骨折大多数是骨骺骨折,胫骨远端骨骺骨折的发生率是腓骨远端骨骺骨折的10倍。证据等级:三级。
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A retrospective epidemiological cohort study of ankle fractures in children and teenagers.

Background: Ankle fracture is one of the most frequent pediatric lower-limb fractures and may result in serious complications.

Objective: This study aimed to determine the epidemiology of ankle fractures, defining fracture types, treatments, and complications in a pediatric population below 16 years old.

Methods: Medical records of all the ankle fracture patients treated in our hospital during 2004-2020 were retrospectively reviewed. Data regarding age, sex, mechanism of injury, fracture type, treatment modalities, and complications were collected.

Results: We examined records involving 328 children with 331 ankle fractures, with a ratio of 1:2 male per female. Mean annual prevalence was 24.3 per 100,000 children. Mean patient age was 11.2 ± 4.2 years, with 75.3% of them aged over 10 years. Sports activities accounted for the largest percentage of fractures (162 cases; 49.4%), followed by falls (67; 20.4%) and road traffic accidents (37; 11.3%). Physeal fractures were the most frequent type of lesion (223 cases). Most ankle fractures (60%) were managed using closed reduction and casting; for the remaining 40% of cases, fracture fixation was performed after closed or open reduction to correct the articular step-off and ensure the anatomical restoration of the physis. The main ankle fracture complication was premature growth arrest (12.1% of all physeal fractures).

Conclusion: Pediatric ankle fractures primarily affect children older than 10 years. Most of these fractures were caused by sports injuries or low-energy trauma. The majority of these fractures are physeal, and the distal tibial physis is affected 10 times more frequently than the distal fibular physis.

Level of evidence: Level III.

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来源期刊
Journal of Childrens Orthopaedics
Journal of Childrens Orthopaedics Medicine-Orthopedics and Sports Medicine
CiteScore
2.70
自引率
14.30%
发文量
61
审稿时长
23 weeks
期刊介绍: Aims & Scope The Journal of Children’s Orthopaedics is the official journal of the European Paediatric Orthopaedic Society (EPOS) and is published by The British Editorial Society of Bone & Joint Surgery. It provides a forum for the advancement of the knowledge and education in paediatric orthopaedics and traumatology across geographical borders. It advocates an increased worldwide involvement in preventing and treating musculoskeletal diseases in children and adolescents. The journal publishes high quality, peer-reviewed articles that focus on clinical practice, diagnosis and treatment of disorders unique to paediatric orthopaedics, as well as on basic and applied research. It aims to help physicians stay abreast of the latest and ever-changing developments in the field of paediatric orthopaedics and traumatology. The journal welcomes original contributions submitted exclusively for review to the journal. This continuously published online journal is fully open access and will publish one print issue each year to coincide with the EPOS Annual Congress, featuring the meeting’s abstracts.
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