Observational studyBMC musculoskeletal disorders2022
Epidemiology of proximal and diaphyseal humeral fractures in children: an observational study from the Swedish Fracture Register.
Observational study in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 17 citations in OpenAlex.
- Clinical and radiographic findings that impact treatment: a study of 418 proximal humerus fractures.Emergency radiology · 2026Article
- Global, regional, and national burden of self-harm among adolescents aged 10-24 years from 1990 to 2021, temporal trends, health inequities and projection to 2041.Frontiers in psychiatry · 2025Article
- Open plate fixation in displaced pediatric proximal humerus fractures is safe and leads to very good functional outcomes.Archives of orthopaedic and trauma surgery · 2024Article
- Global burden of self-harm and interpersonal violence and influencing factors study 1990-2019: analysis of the global burden of disease study.BMC public health · 2024Article
- A Rare Combined Injury in Children during Side Impact: The Possible Mechanism and Treatment Results.Orthopaedic surgery · 2024Article
- Kirschner wire versus external fixation in the treatment of proximal humeral fractures in older children and adolescents: a comparative study.BMC musculoskeletal disorders · 2023Article
- Artificial intelligence for radiological paediatric fracture assessment: a systematic review.Insights into imaging · 2022Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMost fractures in children are fractures of the upper extremity. Proximal and diaphyseal humeral fractures account for a minority of these fractures. To our knowledge, few previous reports address these fractures. This study aimed to describe the epidemiology and current treatment of proximal and diaphyseal humeral fractures by using the Swedish Fracture Register (SFR).
methodsIn this nationwide observational study from the SFR we analysed data on patient characteristics, injury mechanism, fracture classification and treatment. We included patients aged < 16 years at time of injury with proximal or diaphyseal humeral fracture registered in 2015-2019.
results1996 (1696 proximal and 300 diaphyseal) fractures were registered. Proximal fractures were more frequent in girls whereas diaphyseal fractures were more frequent in boys. The median age at fracture was 10 years in both fracture types but patient's age was more widespread in diaphyseal fracture (IQR 5-13 compared to IQR 7-12 in proximal). In both sexes, the most registered injury mechanism was fall. Horse-riding was a common mechanism of injury in girls, whereas ice-skating and skiing were common mechanisms in boys. Most proximal fractures were metaphyseal fractures. Most diaphyseal fractures were simple transverse or oblique/spiral fractures. The majority of fractures were treated non-surgically (92% of proximal and 80% of diaphyseal fractures). The treatment method was not associated with the patient's sex. Surgery was more often performed in adolescents. The most common surgical methods were K-wire and cerclage fixation in proximal fracture and intramedullary nailing in diaphyseal fracture.
conclusionFollowing falls, we found sex-specific sport activities to cause most proximal and diaphyseal paediatric fractures. Further studies on prophylactic efforts in these activities are needed to investigate whether these fractures are preventable. The majority of the fractures were treated non-surgically, although surgical treatment increased with increasing age in both sexes.
trial registrationNot applicable. The present study is a register-based cohort study. No health care intervention had been undertaken.
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