Zhang Chen,Fu Guibing,Gu Zhenkun,et al.Clinical characteristics of playground slide-related fractures in children: a report of 120 cases[J].Journal of Clinical Pediatric Surgery,2024,(09):878-882.[doi:10.3760/cma.j.cn101785-202305029-014]
儿童滑梯相关骨折120例临床分析
- Title:
- Clinical characteristics of playground slide-related fractures in children: a report of 120 cases
- Keywords:
- Fractures; External Injury; Play and Playthings; Accident Prevention; Therapy
- 摘要:
- 目的 分析并总结儿童滑梯相关骨折的临床特点。方法 回顾性分析2021年9月至2022年10月因玩滑梯造成骨折,就诊于深圳市儿童医院的120例患儿临床资料。其中男86例(71.7%),女34例(28.3%);平均年龄6.6岁(1.6~13.5岁)。收集并统计分析患儿年龄、性别、骨折部位、穿戴护具情况以及治疗方案。结果 120例患儿共发生168处骨折,其中上肢骨折156处(156/168,92.9%),下肢骨折12处(12/168,7.1%)。常见骨折部位为尺骨(50/168,29.8%)和桡骨(47/168,28.0%)。120例患儿受伤时均未佩戴头盔、护腕、护肘或护膝等护具。152处(152/168,90.5%)骨折采用手术治疗,其中123处(123/168,73.2%)骨折采用闭合复位内固定治疗。结论 儿童滑梯相关骨折常见于4~6岁男性,好发于上肢,骨折类型多为小儿骨科常见类型,受伤时患儿很少佩戴护具,建议日常生活中采取针对性措施,预防此类骨折的发生。
- Abstract:
- Objective To explore the clinical characteristics of fracture associated with slide in children and discuss the corresponding preventive strategies. Methods From September 2021 to October 2022,a retrospective descriptive study was conducted for demographic profiles,fracture locations and treatments of 120 children of fracture associated with sliding.There were 86 boys (71.7%) and 34 girls (28.3%) with a mean age of 6.6 (1.6-13.5) year. Results A total of 168 fractures in upper extremities (92.9%,156/168) and lower extremities (7.1%,12/168).The most common locations were ulna (29.8%,50/168) and radius (28.0%,47/168).None of them wore helmets,wrist guards,elbow pads or knee pads during injury.Among 152(90.5%) fractures operated,123(73.2%) underwent closed reduction and internal fixation. Conclusions Fractures associated with slides in children predominantly affect 4 to 6-year-old boys with a predilection for upper extremities.The types of fractures are typically common in pediatric orthopedics.Children seldom wear protective gear during injury.It is advisable to implement targeted preventive measures in daily life to reduce the occurrence of such fractures.
参考文献/References:
[1] Mitchao DP,Lewis M,Jakob D,et al.Skateboard head injuries: Are we making progress?[J].Injury,2022,53(5):1658-1661.DOI:10.1016/j.injury.2021.12.023.
[2] 陈巍,王晓曼,刘婷婷,等.儿童消化道异物21例手术治疗分析[J].临床小儿外科杂志,2021,20(8):778-784.DOI:10.12260/lcxewkzz.2021.08.014. Chen W,Wang XM,Liu TT,et al.Operations for ingested intraabdominal foreign bodies in children: a report of 21 cases[J].J Clin Ped Sur,2021,20(8):778-784.DOI:10.12260/lcxewkzz.2021.08.014.
[3] Choi ES,Hong JH,Sim JA.Distinct features of trampoline-related orthopedic injuries in children aged under 6 years[J].Injury,2018,49(2):443-446.DOI:10.1016/j.injury.2017.12.017.
[4] 宋逸,闫晓晋,张京舒,等.1985-2014年中国汉族18岁青少年身高长期趋势的性别差异变化[J].中华流行病学杂志,2021,42(5):801-806.DOI:10.3760/cma.j.cn112338-20200804-01014. Song Y,Yan XJ,Zhang JS,et al.Gender difference in secular trends of body height in Chinese Han adolescents aged 18 years during 1985-2014[J].Chin J Epidemiol,2021,42(5):801-806.DOI:10.3760/cma.j.cn112338-20200804-01014.
[5] Hosseinzadeh P,Devries C,Saldana RE,et al.Hoverboard injuries in children and adolescents: results of a multicenter study[J].J Pediatr Orthop B,2019,28(6): 555-558.DOI:10.1097/BPB.0000000000000653.
[6] Weingart GS,Glueckert L,Cachaper GA,et al.Injuries associated with hoverboard use: a case series of emergency department patients[J].West J Emerg Med,2017,18(6):993-999.DOI:10.5811/westjem.2017.6.34264.
[7] Burkhart TA,Andrews DM.The effectiveness of wrist guards for reducing wrist and elbow accelerations resulting from simulated forward falls[J].J Appl Biomech,2010,26(3):281-289.DOI:10.1123/jab.26.3.281.
[8] Kubiak R,Slongo T.Unpowered scooter injuries in children[J].Acta Paediatr,2003,92(1):50-54.DOI:10.1111/j.1651-2227.2003.tb00468.x.
[9] Sherker S,Cassell E.Preventing in-line skating injuries: how effective are the countermeasures?[J].Sports Med,1999,28(5):325-335.DOI:10.2165/00007256-199928050-00004.
[10] Committee on Injury and Poison Prevention.Skateboard and scooter injuries[J].Pediatrics,2002,109(3):542-543.DOI:10.1542/peds.109.3.542.
[11] Cassell E,Ashby K,Gunatilaka A,et al.Do wrist guards have the potential to protect against wrist injuries in bicycling,micro scooter riding,and monkey bar play?[J].Inj Prev,2005,11(4):200-203.DOI:10.1136/ip.2004.006411.
[12] Goldhaber NH,Goldin AN,Pennock AT,et al.Orthopedic injuries associated with hoverboard use in children: a multi-center analysis[J].HSS J,2020,16(Suppl 2):221-225.DOI:10.1007/s11420-019-09682-2.
[13] Hadley-Miller N,Carry PM,Brazell CJ,et al.Trends in trampoline fractures: 2008-2017[J].Pediatrics,2020,145(1):e20190889.DOI:10.1542/peds.2019-0889.
[14] Halperin SJ,Prenner S,Moore HG,et al.Characterization of more than a third of a million toy-related fractures[J].J Am Acad Orthop Surg Glob Res Rev,2022,6(3):e22.00013.DOI:10.5435/JAAOSGlobal-D-22-00013.
[15] 倪宏强,楼跃.儿童肱骨髁上骨折的治疗进展[J].临床小儿外科杂志,2020,19(4):364-369,376.DOI:10.3969/j.issn.1671-6353.2020.04.016. Ni HQ,Lou Y.Therapeutic advances of supracondylar humeral fractures in children[J].J Clin Ped Sur,2020,19(4):364-369,376.DOI:10.3969/j.issn.1671-6353.2020.04.016.
[16] Smith J,Chhina H,Sidhu P,et al.Paediatric elbow fractures and public play spaces: adherence to standards for children’s playground equipment and surfacing[J].BMJ Paediatr Open,2021,5(1):e001125.DOI:10.1136/bmjpo-2021-001125.
[17] 王付曼,姚屹,杨琦.中国七个城市学龄前儿童消瘦、超重和肥胖状况的队列研究[J].中华疾病控制杂志,2019,23(5):522-526.DOI:10.16462/j.cnki.zhjbkz.2019.05.05.006. Wang FM,Yao Y,Yang Q.Cohort study of thin,overweight and obesity of preschool children among 7 cities in China[J].Chin J Dis Control Prev,2019,23(5):522-526.DOI:10.16462/j.cnki.zhjbkz.2019.05.05.006.
[18] 于冬梅,琚腊红,赵丽云,等.中国0~5岁儿童超重肥胖分布特征[J].中华流行病学杂志,2018,39(6):710-714.DOI:10.3760/cma.j.issn.0254-6450.2018.06.003. Yu DM,Ju LH,Zhao LY,et al.Prevalence and characteristics of overweight and obesity in Chinese children aged 0-5 years[J].Chin J Epidemiol,2018,39(6): 710-714.DOI:10.3760/cma.j.issn.0254-6450.2018.06.003.
[19] 中华人民共和国国家卫生健康委员会.7岁以下儿童生长标准:WS/T 423-2022[S].北京:中国标准出版社,2022. National Health Commission of People’s Republic of China: Growth Standard for Children Aged under 7 Years (WS/T 423-2022)[S].Beijing: Standards Press of China,2022.
[20] 中华人民共和国国家卫生健康委员会.7岁~18岁儿童青少年身高发育等级评价:WS/T 612-2018[S].北京:中国标准出版社,2018. National Health Commission of People’s Republic of China Standard: Height Level Classification among Children and Adolescents Aged 7~18 Years (WS/T 612-2018)[S].Beijing: Standards Press of China,2018.
[21] Deng HS,Qiu X,Su QR,et al.Epidemiology of skeletal trauma and skull fractures in children younger than 1 year in Shenzhen: a retrospective study of 664 patients[J].BMC Musculoskelet Disord,2021,22(1):593.DOI:10.1186/s12891-021-04438-8.
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备注/Memo
收稿日期:2023-5-16。
基金项目:深圳市医疗卫生三名工程(SZSM202011012)
通讯作者:付桂兵,Email:fgbmd@163.com