J Korean Fract Soc.  2014 Oct;27(4):308-314. 10.12671/jkfs.2014.27.4.308.

The Pattern of Occurrence of Fractures in Children and Adolescents and Its Managements Based on the Database of the Health Insurance Review and Assessment Service

• Kwon YW
• Lee SH
• Kim HW
• Hwang JH

• KMID: 2015487
• DOI: http://doi.org/10.12671/jkfs.2014.27.4.308

Abstract

PURPOSE
The purpose of this article is to report on the pattern of medical process and relative frequencies of fractures in children and adolescents.
MATERIALS AND METHODS
The authors retrospectively analyzed the database of the health insurance review and assessment service regarding children and adolescents under 20 years old treated from 2008 to 2010. Newly registered numbers of fractures in children and adolescents according to sex, month, institution, and anatomical location were also reviewed.
RESULTS
A total of 1,893,416 fractures occurred during three years; approximately 630,000 cases were treated during one year (approximately 562 cases among 10,000 people during one year). During one year, the most fractures occurred in June and the least in February. Senior general hospital consisted of 5.72%, 12.30% in general hospital, 19.28% in hospital, and 62.70% in clinics. Among the fracture sites, 0.05% were cervical fractures, 0.91% in sternum and thoracic vertebra, 1.35% in lumbar vertebra and pelvis, 12.79% in shoulder and upper extremities, 26.87% in lower extremities, 38.10% in wrist and hand, 1.01% in femur, 10.40% in lower extremities including ankle, and 8.52% in foot excluding ankle. The maximal incidence was age 14 years in male and 12 years in female.
CONCLUSION
The authors reviewed the pattern of medical process and relative frequencies of fractures in children and adolescents.

Keyword

Children; Adolescent; Pediatric fracture; Epidemiology; Health insurance

MeSH Terms

Adolescent*
Ankle
Child*
Epidemiology
Female
Femur
Foot
Hand
Hospitals, General
Humans
Incidence
Insurance, Health*
Lower Extremity
Male
Pelvis
Retrospective Studies
Shoulder
Spine
Sternum
Upper Extremity
Wrist

Figure

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  Fig. 1 Monthly occurrence pattern of children and adolescents fracture.

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  Fig. 2 Fracture incidence by hospital size.

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  Fig. 3 Fracture incidence by age.

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