ArticleJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2010
Decreasing incidence and changing pattern of childhood fractures: A population-based study.
Article in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 105 papers, 1 of them a synthesis that pooled it.
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Who cites it
105 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The National Osteoporosis Foundation's position statement on peak bone mass development and lifestyle factors: a systematic review and implementation recommendations.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016Pooled it
- Epidemiologic Features of Traumatic Fractures in Children and Adolescents: A 9-Year Retrospective Study.BioMed research international · 2019Trial
- Insulin Resistance and the IGF-I-Cortical Bone Relationship in Children Ages 9 to 13 Years.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2017Trial
- Complications of treatment in paediatric forearm fractures: A 30-year review of compensation claims.Journal of children's orthopaedics · 2026Article
- Treatment and outcomes of fractures in children: a registry-based cohort study of 10,144 fractures.Acta orthopaedica · 2026Article
- Remodeling of Pediatric Tibial Shaft Fractures: What Should We Expect?Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- National rates of pediatric extremity fractures over a 20-year timespan in Denmark: a population-based descriptive cohort study.Acta orthopaedica · 2026Article
- Pediatric metacarpal and metatarsal fracture in pediatric emergency department.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Global burden of pediatric orthopaedic fractures: an epidemiological analysis from 1990 to 2021.Archives of orthopaedic and trauma surgery · 2025Article
- Consumer product-related fractures among children younger than 18 years old treated in United States emergency departments, 1990-2023.Injury epidemiology · 2025Article
- Population-based incidence and demographic patterns of traumatic joint dislocations in children and adolescents.Acta orthopaedica · 2025Article
- Sex-Based Anatomical Variations and Complication Risks in Pediatric Both-Bone Forearm Fractures: A Level of Evidence IV Retrospective Analysis.Children (Basel, Switzerland) · 2025Article
- Faster healing of radial neck fractures in children treated with the Metaizeau technique compared with percutaneous Kirschner wire fixation: a population-based study.BMC musculoskeletal disorders · 2025Article
- Avoidable injuries in pediatric hand fractures: a 30-year review of compensation claims in Finland.Acta orthopaedica · 2025Article
- Article
- [Greenstick fractures of the forearm shaft-Is it obligatory or facultative to break the cortex?]Unfallchirurgie (Heidelberg, Germany) · 2024Article
- Paediatric maxillofacial fractures have increased in incidence and their nature and aetiology have changed during three decades.Scientific reports · 2024Article
- Epidemiology and Management of Pediatric Fractures in Malawi.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- The construct validity and internal consistency of QuickDASH in pediatric patients with upper extremity fractures.Acta orthopaedica · 2024Article
- Clinical analysis of 1301 children with hand and foot fractures and growth plate injuries.BMC musculoskeletal disorders · 2024Article
45 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Fractures are common in children, and some studies suggest an increasing incidence. Data on population-based long-term trends are scarce. In order to establish fracture incidence and epidemiologic patterns, we carried out a population-based study in Helsinki, Finland. All fractures in children aged 0 to 15 years were recorded from public health care institutions during a 12-month period in 2005. Details regarding patient demographics, fracture site, and trauma mechanism were collected. All fractures were confirmed from radiographs. Similar data from 1967, 1978, and 1983 were used for comparison. In 2005, altogether 1396 fractures were recorded, 63% in boys. The overall fracture incidence was 163 per 10,000. Causative injuries consisted of mainly falls when running or walking or from heights less than 1.5 m. Fracture incidence peaked at 10 years in girls and 14 years in boys. An increase in fracture incidence was seen from 1967 to 1983 (24%, p < .0001), but a significant decrease (18%, p < .0001) was seen from 1983 to 2005. This reduction was largest in children between the ages of 10 and 13 years. Despite the overall decrease and marked decrease in hand (-39%, p < .0001) and foot (-48%, p < .0001) fractures, the incidence of forearm and upper arm fractures increased significantly by 31% (p < .0001) and 39% (p = .021), respectively. Based on these findings, the overall incidence of childhood fractures has decreased significantly during the last two decades. Concurrently, the incidence of forearm and upper arm fractures has increased by one-third. The reasons for these epidemiologic changes remain to be elucidated in future studies.
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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.