儿童肱骨髁上骨折和肘外侧髁骨折:体重、临床症状和骨折严重程度之间的关系。

IF 2.6 4区 医学 Q2 Medicine Minerva pediatrica Pub Date : 2023-10-01 Epub Date: 2020-05-15 DOI:10.23736/S0026-4946.20.05585-1
Victor Peña-Martínez, Yadira Tamez-Mata, Mariel García-Limón, Mario Simental-Mendía, J Fernando De La Garza-Salazar, Alberto Moreno-González, Carlos Acosta-Olivo
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引用次数: 2

摘要

背景:我们研究的目的是调查体重、临床症状和手术时间与儿童仅因地面坠落而导致的肘部骨折严重程度之间的关系。方法:纳入2-11岁的单纯由地面坠落引起的肘部骨折患者。将BMI绘制在性别特异性BMI的年龄百分位数增长图上,以获得BMI百分位数。根据Gartland分类法对髁上骨折进行分类,Song分类法对肱骨外髁骨折进行分类。我们的主要结果测量是根据Gartland或Song分类的体重指数和骨折严重程度。结果:本研究共纳入175例肘关节骨折患者。总人群的平均年龄为5.4岁(±2.4)。我们的患者大多数是男性(61.7%),近48%是超重或肥胖患者。瘀斑和皱纹是更严重骨折中更常见的临床症状。结论:在地面跌倒的儿童人群中,我们提供的数据没有观察到肥胖与肘肱骨折严重程度之间的直接关系。
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Supracondylar humeral fractures and lateral elbow condyle fractures in children: association between body weight, clinical signs, and fracture severity.

Background: The objective of our study was to investigate the association between body weight, clinical signs and surgical time, and the severity of elbow fractures sustained exclusively by a ground-level fall in children.

Methods: Patients aged 2-11 years with elbow fracture caused exclusively by a ground-level fall were included. BMI was plotted on the sex-specific BMI-for-age percentile growth chart to obtain the BMI percentile. The elbow fractures were classified according to Gartland Classification for supracondylar fractures and the Song Classification for lateral humeral condyle fracture. Our main outcome measurement was Body Mass Index and fracture severity according Gartland or Song classifications.

Results: A total of 175 patients with elbow fractures were included in this study. The mean age of total population was 5.4 years (±2.4). The majority of our patients were male (61.7%), nearly of 48% were overweight or obese patients. The ecchymosis and puckering were the clinical sign more frequent in more severe fractures.

Conclusions: Our data presented did not observe a direct relation between obesity and the severity of elbow humeral fractures in the pediatric population with a ground-level fall.

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来源期刊
Minerva pediatrica
Minerva pediatrica PEDIATRICS-
CiteScore
2.70
自引率
3.80%
发文量
1
审稿时长
>12 weeks
期刊介绍: Minerva Pediatrica publishes scientific papers on pediatrics, neonatology, adolescent medicine, child and adolescent psychiatry and pediatric surgery. Manuscripts may be submitted in the form of editorials, original articles, review articles, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work.
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