ArticleFrontiers in public health2025
Epidemiological features and injury patterns of multiple fractures in children: a cross-sectional study.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Observational
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Objective: This study aims to evaluate the epidemiological features of multiple pediatric fractures and identify specific injury patterns. Methods: This cross-sectional study retrospectively analyzed medical records for children with multiple fractures who presented to Children's Hospital of Nanjing Medical University between 2016 and 2024. Fractures were categorized into six anatomical regions: Craniofacial, Trunk/Pelvis, Upper Limb, Lower Limb, Hand, and Foot. Patients were divided into single-region and multi-region groups based on the number of affected regions. Hierarchical clustering on principal components (HCPC) was applied to explore potential injury patterns. Results: Among the 1950 children with multiple fractures, 65.0% were boys, with a median age of 8.7 years (4.8-12.3 years). The primary mechanisms of injury included ground-level falls (36.3%), traffic accidents (13.8%), and play/sports activities (10.8%). Single-region fractures accounted for 77.2%, while multi-region fractures accounted for 22.8%. There were statistically significant differences in age and injury mechanism distributions between the two groups ( Conclusion: Most pediatric multiple fractures involve a single anatomical region; however, the burden of cross-regional fractures should not be overlooked. Identifying potential injury patterns is crucial for developing targeted preventive strategies.
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