ArticleJournal of the Pediatric Orthopaedic Society of North America2026
Determination of At-Risk Pediatric Population in Orthopaedic Fracture Clinic Using Pediatric Adverse Childhood Experiences and Related Life Events Screener.
Article in Journal of the Pediatric Orthopaedic Society of North America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Adverse Childhood Experiences (ACEs) have been linked to many health issues, including musculoskeletal conditions. Limited data exist on the association between ACEs and fractures in adolescents. This study investigated the prevalence of ACEs in a pediatric fracture clinic and examined whether ACEs were associated with baseline characteristics. By understanding the relationship between ACEs and fractures, we can identify potential risk factors and develop targeted interventions to improve the health and well-being of adolescents. Methods: The questionnaire was administered to new patients upon initial visit to the clinic between September 2022 and September 2023 ( Results: Demographic distributions were 65.7% male and 34.3% female and 49.5% African American, 41.5% White, 0.5% Asian, 7.6% "other," and 0.9% did not report race. In total, 64.5% of patients had no ACEs, while 35.5% had at least one ACE, and 7.6% of those experienced at least five types of childhood adversity. Only 4.6% of patients living with a single parent had no ACEs. In Conclusions: A significant portion of patients had experienced ACE(s) and had one or more comorbidities that increased their ACE scores. This suggested a need for routine screening and implementation of established referral programs to address the negative impact of ACEs on well-being. Future research should investigate prevalence in other pediatric specialty clinics as well as longitudinal outcomes of patients with early identification of ACEs who pursued interventions versus those who did not. Key Concepts: (1)Adverse Childhood Experiences (ACEs) have been linked to various health conditions, so the authors tried to determine prevalence of ACEs in a pediatric outpatient fracture clinic and find out if more ACE events were related to baseline characteristics and/or location of fracture.(2)In Level of Evidence: Level III, retrospective comparative study.
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