ArticleBMC pediatrics2019
Early Pediatric Fractures in a Universally Insured Population within the United States.
Article in BMC pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Does osteogenesis imperfecta predispose infants to metaphyseal fractures? A systematic review.BMJ paediatrics open · 2026Pooled it
- 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 · 2024Pooled it
- A systematic review of Clinical Practice Guidelines for the management of fractures in children to develop the WHO's Package of Interventions for Rehabilitation.European journal of physical and rehabilitation medicine · 2022Pooled it
- The gSOS polygenic score is associated with bone density and fracture risk in childhood.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025Article
- 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
- Incidence and patterns of pediatric fractures at selected hospitals in Addis Ababa, Ethiopia, 2024: a multi-center cross-sectional study.Frontiers in pediatrics · 2025Article
- Incidence and risk factors of kinesiophobia in children following fracture surgery: a prospective cohort study.Frontiers in pediatrics · 2025Article
- Artificial intelligence awareness and perceptions among pediatric orthopedic surgeons: A cross-sectional observational study.World journal of orthopedics · 2024Article
- Article
- The initial analysis of pediatric fractures according to the AO/OTA fracture classification and mechanisms of injuries.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022Article
- Article
- Epidemiological characteristics of traumatic musculoskeletal injuries during the COVID-19 pandemic at a single tertiary hospital.Journal of family medicine and primary care · 2021Article
- Incidence, pattern and mechanisms of injuries and fractures in children under two years of age.BMC musculoskeletal disorders · 2021Article
- Phenotypic Profiling in Subjects Heterozygous for 1 of 2 Rare Variants in the Hypophosphatasia Gene (Journal of the Endocrine Society · 2020Article
- Upper Extremity Fractures in Children-Comparison between Worldwide, Romanian and Western Romanian Region Incidence.Children (Basel, Switzerland) · 2020Article
Corrections and comments
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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
backgroundMusculoskeletal injury, including fracture, is one of the most common causes of morbidity in pediatric patients. The purpose of this epidemiologic study is to determine the prevalence and risk factors for fracture in a large cohort of pediatric patients under the age of 5.
resultsOf the 233,869 patients included in the study, 13,698 fractures were identified in 10,889 patients. The highest annual incidence was in the 4 year old age group with a rate of 24.2 fractures per 1000 children. The annual incidence within all age groups was 11.7 fractures per 1000 children. The two most common fractures were forearm and humerus fractures. Fracture incidence was increased in male children, patients who live outside the US, and in Caucasian patients. An increase in rate of fracture was also identified in children of officers when compared with children of enlisted service members. There were 35 abuse related fractures in our cohort, with 19 of them occurring in children less than 1 year old. Only three children in our cohort had Osteogenesis Imperfecta.
conclusionFractures are common injuries in young children with an incidence over the first 5 years of life of 5.86%. Multiple risk factors were also identified including age, race, geographic location and socioeconomic status. The results of this study are an important contribution to epidemiologic and public health literature and serve to characterize the incidence of and risk factors for sustaining an early childhood fracture.
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