Clinical characteristics of 1124 children with epiphyseal fractures

作者：Hansheng Deng, Zhenhui Zhao, Zhu Xiong, Futang Gao, Shengping Tang, Yuanheng Li, Weiqing Li, Jihuang Huang, Shuting Cui, Xiaodi Chen, Shuaidan Zeng, Gen Tang, Leonardo A. Sechi, Gianfilippo Caggiari, Carlo Doria, Xin Qiu · 发表于：BMC Musculoskeletal Disorders · 年份：2023 · DOI：10.1186/s12891-023-06728-9 · 被引用次数：18 · 研究领域：Bone fractures and treatments、Orthopedic Surgery and Rehabilitation、Elbow and Forearm Trauma Treatment

BACKGROUND: In this study, to provide a theoretical basis for understanding the clinical characteristics of epiphyseal fractures in children and improving their management, we explored and analyzed the proportions of different types of epiphyseal fractures in children and evaluated the causes of injury and epidemiological characteristics. METHODS: We retrospectively analyzed children younger than 18 years with fresh epiphyseal fractures who were admitted to our hospital from July 2015 to February 2020. Demographic information, injury mechanisms, fracture characteristics, fracture classification and surgical information were collected. RESULTS: A total of 1124 pediatric patients (1147 epiphyseal fractures), including 789 boys and 335 girls, were included in this study. Epiphyseal fractures were classified as Salter-Harris type II (1002 cases), type IV (105 cases), type III (25 cases), Salter-Harris type I (14 cases), and Salter-Harris type V (1 case). The number of fracture sites peaked in the adolescent group (440 cases). The most three common sites of epiphyseal fractures were the distal radius (460 cases) in which Salter-Harris type II fractures were the most common (454 cases) and Salter-Harris type I (3 cases), Salter-Harris type IV (2 cases), Salter-Harris type III was the least common (1 case). Followed by phalanges of fingers (233 cases) in which Salter-Harris type II fractures were the most common (224 cases) and Salter-Harris type IV (4 cases), Salter-Harris type I (...