1997~2009年间儿童与青少年腕部骨折的趋势

Purpose:Distal radius and carpal fractures in children and adolescents represent approximately 25% of all pediatric fractures. Incidence rates and causes of these fractures change over time owing to changes in activities and risk factors. The purpose of this study was to examine recent population-based trends in incidence and causes of wrist fractures in children and adolescents.  Methods:We obtained data from the Dutch Injury Surveillance System of emergency department visits of 15 geographically distributed hospitals, and from the National Hospital Discharge Registry. This included a representative sample of outpatients and inpatients, respectively. We calculated incidence rates of wrist fractures per 100,000 person-years for each year between 1997 and 2009. Using Poisson's regression, we analyzed trends for children and adolescents 5 to 9, 10 to 14, and 15 to 19years of age separately for boys and girls.  Results:During the study period, incidence rates increased significantly in boys and girls 5 to 9 and 10 to 14years of age, with the strongest increase in the age group 10 to 14years. The observed increases were mainly due to increased incidence rates during soccer and gymnastics at school.  Conclusions:This population-based study revealed a substantial sports-related increase in the incidence rate of wrist fractures in boys and girls aged 5 to 9 and 10 to 14years in the period 1997 to 2009 (Figs 1 and 2).  Figure 1: Incidence rate (per 100,000 person-years) of wrist fractures in the period 1997 to 2009, for boys aged 5 to 9, 10 to 14 and 15 to 19years; error bars indicate 95% confidence intervals. (Reprinted from de Putter CE, van Beeck EF, Looman CWN, et al. Trends in wrist fractures in children and adolescents, 1997–2009. J Hand Surg. 2011;36A:1810-1815, with permission from the American Society for Surgery of the Hand.)   Figure 2: Incidence rate (per 100,000 person-years) of wrist fractures in the period 1997 to 2009, for girls aged 5 to 9, 10 to 14, and 15 to 19years; error bars indicate 95% confidence intervals. (Reprinted from de Putter CE, van Beeck EF, Looman CWN, et al. Trends in wrist fractures in children and adolescents, 1997–2009. J Hand Surg. 2011;36A:1810-1815, Copyright 2011, with permission from the American Society for Surgery of the Hand.)