ArticleBMC pediatrics2014
An epidemiological evaluation of pediatric long bone fractures - a retrospective cohort study of 2716 patients from two Swiss tertiary pediatric hospitals.
Article in BMC pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 4 of them syntheses that pooled it.
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Who cites it
61 citing papers in PubMed, 4 syntheses or guidelines pooled it, 138 citations in OpenAlex.
- What to do with K-wires in displaced upper extremity fractures in children - where to bury or not.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Pooled it
- Vitamin D level and fractures in children and adolescents: a systematic review and meta-analysis.Journal of bone and mineral metabolism · 2021Pooled it
- Risk factors for developing acute compartment syndrome in the pediatric population: a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Pooled it
- Don't take down the monkey bars: Rapid systematic review of playground-related injuries.Canadian family physician Medecin de famille canadien · 2019Pooled it
- Soft tissues, areal bone mineral density and hip geometry estimates in active young boys: the PRO-BONE study.European journal of applied physiology · 2017Trial
- Multivendor comparison study of artificial intelligence software for automated fracture detection in paediatric patients.Pediatric radiology · 2026Article
- Pathological fractures in pediatric extremities: a comparative analysis of patient characteristics, trauma mechanisms, and lesion types.European journal of pediatrics · 2026Article
- The Impact of COVID-19-Related Restrictions on the Incidence of Diaphyseal and Distal Forearm Fractures: A Retrospective Analysis.Medicina (Kaunas, Lithuania) · 2026Observational
- Clinical and Radiographic Outcomes of ESIN, Plate, and K-Wire Fixation in Pediatric Tibial DDMJ Fractures: A Retrospective Comparative Study.Children (Basel, Switzerland) · 2025Article
- Fracture of Children's Both-Bone Casting study (#CBBC)-A regional experience.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Characteristics of severe injuries among children and adolescents in a sub-national trauma registry in Saudi Arabia.Frontiers in public health · 2025Article
- The Impact of COVID-19 on Patterns of Fractures Presenting to Pediatric Emergency Departments.Pediatric emergency care · 2025Article
- PEDIATRIC FRACTURES IN A TERTIARY PUBLIC HOSPITAL: WHAT ARE WE DEALING WITH?Acta ortopedica brasileira · 2025Article
- Incidence, treatment techniques, and results of distal humeral coronal shear fractures in children and adolescents-a multicenter study of the German Section of Pediatric Traumatology (SKT).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Multicenter epidemiological analysis of related factors in 10,808 hospitalized children with lower limb and pelvic fractures in China.Scientific reports · 2024Article
- [Greenstick fractures of the forearm shaft-Is it obligatory or facultative to break the cortex?]Unfallchirurgie (Heidelberg, Germany) · 2024Article
- Epidemiology and Prevalence of Musculoskeletal Disabilities Following Motor Vehicle Accidents in Aljouf Region, Saudi Arabia.Medicina (Kaunas, Lithuania) · 2024Article
- Comparison of Titanium versus Resorbable Intramedullary Nailing in Pediatric Forearm Fractures.Children (Basel, Switzerland) · 2024Article
- Epidemiology and Management of Pediatric Fractures in Malawi.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- Evaluation of Risk Factors for the Occurrence of Limb Fractures in Children Due to Unintentional Injury in Podgorica, Montenegro, Mediterranean.Medicina (Kaunas, Lithuania) · 2024Article
1 more citing papers are in PubMed but not listed here.
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChildren and adolescents are at high risk of sustaining fractures during growth. Therefore, epidemiological assessment is crucial for fracture prevention. The AO Comprehensive Injury Automatic Classifier (AO COIAC) was used to evaluate epidemiological data of pediatric long bone fractures in a large cohort.
methodsData from children and adolescents with long bone fractures sustained between 2009 and 2011, treated at either of two tertiary pediatric surgery hospitals in Switzerland, were retrospectively collected. Fractures were classified according to the AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF).
resultsFor a total of 2716 patients (60% boys), 2807 accidents with 2840 long bone fractures (59% radius/ulna; 21% humerus; 15% tibia/fibula; 5% femur) were documented. Children's mean age (SD) was 8.2 (4.0) years (6% infants; 26% preschool children; 40% school children; 28% adolescents). Adolescent boys sustained more fractures than girls (p < 0.001). The leading cause of fractures was falls (27%), followed by accidents occurring during leisure activities (25%), at home (14%), on playgrounds (11%), and traffic (11%) and school accidents (8%). There was boy predominance for all accident types except for playground and at home accidents. The distribution of accident types differed according to age classes (p < 0.001). Twenty-six percent of patients were classed as overweight or obese - higher than data published by the WHO for the corresponding ages - with a higher proportion of overweight and obese boys than in the Swiss population (p < 0.0001).
conclusionOverall, differences in the fracture distribution were sex and age related. Overweight and obese patients seemed to be at increased risk of sustaining fractures. Our data give valuable input into future development of prevention strategies. The AO PCCF proved to be useful in epidemiological reporting and analysis of pediatric long bone fractures.
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