RESEARCH PAPER
Retrospective epidemiological study of supracondylar fractures of the humeral bone in children from urban and rural areas of the Lublin region in eastern Poland
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Paediatric Orthopaedic and Rehabilitation Clinic, Medical University, Lublin, Poland
Ann Agric Environ Med. 2013;20(2):401-404
KEYWORDS
ABSTRACT
Introduction. Supracondylar fractures of the humeral bone are frequent injuries in children. It has been affirmed that supracondylar fractures have an excellent prognosis when proper treatment is applied.
Objective. Present of the statistical relationships between fractures occurring and patient’s development period; the relation between development period and site of the fracture and statistical relationship between development period and gender of the patients. Also indicated are the place of residence of the hospitalized patients and time of admission to the Clinic after injury.
Materials and method. Research was based on the data of paediatric patients treated in the Clinic for Paediatric Surgery, Traumatology and Paaediatric Orthopaedics, and Rehabilitation Clinic of the Medical University in Lublin, Poland, between 1986- 2010. An independent Chi-square Test was used for statistical analysis (χ²).
Results. The majority of patients were admitted to the Clinic on the day of injury. Of these patients, 71% lived in the urban area of the Lublin region where all the children received medical care in hospital directly after trauma; 29% of children came from the rural areas of the Lublin region, and 10% of them were admitted to hospital 24 or more hours after the injury.
Conclusion. 71% of patients lived in the urban areas of the Lublin region and the main cause of injury was a fall from a higher level onto an outstretched upper left limb. Most supracondylar fractures of the humeral bone concerned children at school and adolescent age. Despite the fact that some of the hospitalised children lived in the rural areas of the Lublin region, the majority were admitted to the Clinic directly after trauma and received timely treatment.
REFERENCES (23)
1.
de Beaux AC, Beattie T. Gilbert F. Elbow fat pad sign: implications for clinical management. J R Coll Surg. 1992; 37: 205–207.
2.
Blount WP. Fractures in children, Baltimore, MD: Williams and Wilkins. 1955: 211.
3.
Chapchal G. Fractures in children. New York, NY: Thieme Stratton Inc. 1981: 202.
4.
Cheng JC, Lam TP, Shen WY. Closed reduction and percutaneous pinning for type III displaced supracondylar fractures of the humerus in children. J Orthop Trauma. 1995; 6: 511–515.
5.
Griffin KJ, Walsh SR, Markar S, et al. The pink pulseless hand: a review of the literature regarding management of vascular complications of supracondylar humeral fractures in children. Eur J Vasc Endovasc Surg. 2008; 36: 697.
6.
Draenert K, Willenegger H, Műller J, Draenert Y. Distal Humerus Fractures in Children – Results of Clinical Follow-up After Termination of Growth in: Fractures in children. 1981. New York, Thieme Stratton Inc. 202.
7.
Fick DS, Lyons TA. Interpreting elbow radiographs in children. Am Fam Physician. 1997; 55: 1278–1281.
8.
Gehling H, Gotzen L, Giannadakis K, Hessmann M. Behandlung und Ergebnisse bei suprakondylaren Humerusfrakturen im Kindesalter. Unfallchirurg. 1995; (98) 2: 93–97.
9.
Hasler C. Supracondylar fractures in children. J Bone Joint Surg – British Vol. 2002; 84-B: 361–364.
10.
Judet J, Judet H. Fractures et orthopedie de l’enfant: indications, techniques, voies d’abord. 1974. Paris. Maloine. 3042.
11.
Kisson N, Galpin R, Gayle M, Chacon D, Brown T. Evaluation of the role of comparison radiographs views of the diagnosis of the traumatic elbow injuries. J Pediatr Orthop. 1995; 15: 449.
12.
Szajner – Milart I, Papierkowski A. Medicine of developmental age. Warsaw. 1997. PZWL. 134.
13.
Koszla M. Fractures and dislocations in children. Warsaw. PZWL.1986. 188.
14.
Siwek R, Osemlak J, Obel W, Wypyski A. Elbow’s injuries in children. Elbow’s injuries,. Material from XIV Meeting of Pediatric Trauma Surgery Section Polish Pediatric Surgery Associations. 1988. Warsaw: 59.
15.
Townsed DJ, Basett GS. Common elbow fractures in children. Am Fam Physician. 1996; 53: 2031–2033.
16.
Okłot K. Traumatology in children and youth. Warsaw. 2006. PZWL. 743.
17.
von Laer L. Frakturen und Luxationen im Wachstumsalter, Stuttgart. Thieme Verl. 2001: 243.
18.
von Laer L, Pirwitz A, Vocke AK. Post-traumatic problem cases involving the elbow in children. Orthopade. 1997; 26: 1030–1033.
19.
Michael A, Matsuzaki K. Treatemnt of supracondylar fractures in children by skeletal traction and brace. J Bone Joint Surg – British Vol. 2005; 87-B: 434–437.
20.
Peters CL, Scott SM, Stevens PM. Closed reduction and percutaneous pinning of displaced supracodylar humerus fractures in children: description of a new closed reduction technique for fractures with brachialis muscle entrapment. J Orthop Trauma. 1995; 9: 430–434.
21.
Sadiq M, Syed, Travlos J. Management of grade III supracondylar fracture of the humerus by straight-arm lateral traction. Int Orthop. 2007; 31: 155–158.
22.
Skaggs D, Cluck M, Mostofi A, Flynn JM, Kay R. Lateral-Entry Pin Fixation in the Management of Supracondylar Fractures in Children. J Bone Joint Surg. (American). 2004; 86: 702–707.
23.
Wilkins K. Operative management of children’s fractures: is it a sign of impetuousness or do the children really benefit? J Pediatr Orthop. 1998; 18: 1–3.