Evidence map›Paper›PMID 20175744›Full record

ArticleActa orthopaedica2010

Epidemiology of fractures in children and adolescents.

Erik M Hedström, Olle Svensson, Ulrica Bergström, Piotr Michno

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Acta orthopaedica, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 241 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
241citing papers in PubMed, 6 pooled it
10.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05521464 nacompletednot on this mapstarted 2021, after this paper: background citation

Robert Jones Bandage Versus Cast in the Treatment of Distal Radius Fracture in Children: a Randomized Controlled Trial

TypeinterventionalSponsorUniversity of DuhokRan2021 to 2022Enrolled148ConditionsFracture Distal Radius, Children, OnlyArmscast, Robert Jones Bandage
NCT05736068 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Is Casting of Displaced Pediatric Distal Forearm Fractures Non-inferior to Reduction in General Anesthesia? A Pragmatic, Randomized, Controlled Non-inferiority Multicenter Trial

TypeinterventionalSponsorZealand University HospitalRan2023 to 2026Enrolled40ConditionsDistal Forearm Fracture, Distal Radius FractureArmsNon-surgical treatment, Surgical treatment
3 · Its place in the literature

Who cites it

241 citing papers in PubMed, 6 syntheses or guidelines pooled it, 557 citations in OpenAlex.

  1. Pooled it
  2. Diagnostic accuracy of ultrasound versus X-ray for distal forearm fractures in children and adolescents: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
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  5. Interventions for treating wrist fractures in children.The Cochrane database of systematic reviews · 2018
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  6. Bone mineral density at femoral neck and lumbar spine in adults with type 1 diabetes: a meta-analysis and review of the literature.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Pooled it
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  19. Temporal trend of pediatric fracture epidemiology in Thailand: a nationwide study 2018-2024.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
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181 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Erik M HedströmDivision of Surgery and Perioperative Science, Umeå University Hospital, Umeå, Sweden. erik.hedstrom@orthop.umu.se
Olle Svensson
Ulrica Bergström
Piotr Michno
Umeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeFractures are most common in youth and in the elderly, with differences in incidence over time and between regions. We present the fracture pattern in a population of youths <or= 19 years of age, who were seen at Umeå University Hospital, Sweden. MATERIAL AND

methodsAll injuries seen at the hospital have been recorded in a database since 1993. The data include variables such as age, sex, date, type of injury, mechanism of injury, and treatment. For the period 1993-2007, there were 10,203 injury events that had resulted in at least 1 fracture.

resultsThe incidence for the whole period was 201/10(4) person years. The incidence increased by 13% during the period 1998-2007, when we were able to control for registration errors. The most common fracture site was the distal forearm. The most common type of injury mechanism was falling. The peak incidence occurred at 11-12 years in girls and at 13-14 years in boys, with a male-to-female incidence ratio of 1.5. We found variations in mechanisms and activities at injury with age, and over time.

interpretationFractures are caused by a combination of intrinsic and extrinsic factors that vary with age. We believe the increase in incidence is partly explained by changes in children's activity patterns over time. Further research may help to identify preventive measures to reduce the number of fractures, in particular those involving hospital care, surgical treatment, and-most importantly-long-term impairment.

Indexed as

Accidental FallsAccidents, TrafficAdolescentAthletic InjuriesChildChild, PreschoolFemaleFractures, BoneHumansIncidenceInfantMaleRegistriesSweden

Identifiers

PMID20175744
PMCPMC2856220
OpenAlexW2065234141

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.