The Distribution of Paediatric Forearm Fractures: A Five-Year Retrospective Cohort Study of 4546 Forearm Fractures in Children
Background: Forearm fractures are the most common fractures in children, accounting for 41% of all paediatric fractures. Most research focuses on distal forearm fractures, but studies encompassing the entire forearm are limited. Objective: This retrospective study describes the distribution and patt...
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2025-05-01
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| author | Hans-Christen Husum Søren Kold Ole Rahbek |
| author_facet | Hans-Christen Husum Søren Kold Ole Rahbek |
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| description | Background: Forearm fractures are the most common fractures in children, accounting for 41% of all paediatric fractures. Most research focuses on distal forearm fractures, but studies encompassing the entire forearm are limited. Objective: This retrospective study describes the distribution and patterns of paediatric forearm fractures over a five-year period. Methods: We conducted a retrospective cohort study of children aged 0–15 years who received a radiograph of the forearm, wrist or elbow between March 2019 and December 2023 in the study region. Fractures were manually identified and registered from radiological reports. Fracture location, type (complete/incomplete), and epiphyseal involvement were analyzed across different age groups. Statistical analysis was performed using chi-square tests and descriptive statistics. Results: We identified 4547 forearm fractures from 4291 children. The median age was 10 years, and 57% of the patients were male. Fracture patterns varied significantly across age groups (<i>p</i> < 0.001), with older children experiencing more distal, complete, radial, and epiphyseal fractures. Younger children had a higher proportion of incomplete fractures and fewer distal or epiphyseal fractures. No significant differences in Salter–Harris classifications were found between age groups (<i>p</i> = 0.69). Conclusions: Fracture patterns in paediatric forearm fractures vary with age, with older children showing a higher incidence of complete, distal, and epiphyseal fractures. This study provides a detailed characterization of paediatric forearm fractures, which may inform clinical management and preventive strategies, particularly in tailoring age-specific care. Further research should explore the long-term outcomes of these fracture patterns. |
| format | Article |
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| institution | OA Journals |
| issn | 2227-9067 |
| language | English |
| publishDate | 2025-05-01 |
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| spelling | doaj-art-03cd457448de47a08d0dca4515d468ff2025-08-20T02:24:37ZengMDPI AGChildren2227-90672025-05-0112671110.3390/children12060711The Distribution of Paediatric Forearm Fractures: A Five-Year Retrospective Cohort Study of 4546 Forearm Fractures in ChildrenHans-Christen Husum0Søren Kold1Ole Rahbek2Department of Radiology, Randers Regional Hospital, 8930 Randers, DenmarkInterdisciplinary Orthopaedics, Aalborg University Hospital, 9000 Aalborg, DenmarkInterdisciplinary Orthopaedics, Aalborg University Hospital, 9000 Aalborg, DenmarkBackground: Forearm fractures are the most common fractures in children, accounting for 41% of all paediatric fractures. Most research focuses on distal forearm fractures, but studies encompassing the entire forearm are limited. Objective: This retrospective study describes the distribution and patterns of paediatric forearm fractures over a five-year period. Methods: We conducted a retrospective cohort study of children aged 0–15 years who received a radiograph of the forearm, wrist or elbow between March 2019 and December 2023 in the study region. Fractures were manually identified and registered from radiological reports. Fracture location, type (complete/incomplete), and epiphyseal involvement were analyzed across different age groups. Statistical analysis was performed using chi-square tests and descriptive statistics. Results: We identified 4547 forearm fractures from 4291 children. The median age was 10 years, and 57% of the patients were male. Fracture patterns varied significantly across age groups (<i>p</i> < 0.001), with older children experiencing more distal, complete, radial, and epiphyseal fractures. Younger children had a higher proportion of incomplete fractures and fewer distal or epiphyseal fractures. No significant differences in Salter–Harris classifications were found between age groups (<i>p</i> = 0.69). Conclusions: Fracture patterns in paediatric forearm fractures vary with age, with older children showing a higher incidence of complete, distal, and epiphyseal fractures. This study provides a detailed characterization of paediatric forearm fractures, which may inform clinical management and preventive strategies, particularly in tailoring age-specific care. Further research should explore the long-term outcomes of these fracture patterns.https://www.mdpi.com/2227-9067/12/6/711paediatric fracturesepidemiologyantebrachium |
| spellingShingle | Hans-Christen Husum Søren Kold Ole Rahbek The Distribution of Paediatric Forearm Fractures: A Five-Year Retrospective Cohort Study of 4546 Forearm Fractures in Children Children paediatric fractures epidemiology antebrachium |
| title | The Distribution of Paediatric Forearm Fractures: A Five-Year Retrospective Cohort Study of 4546 Forearm Fractures in Children |
| title_full | The Distribution of Paediatric Forearm Fractures: A Five-Year Retrospective Cohort Study of 4546 Forearm Fractures in Children |
| title_fullStr | The Distribution of Paediatric Forearm Fractures: A Five-Year Retrospective Cohort Study of 4546 Forearm Fractures in Children |
| title_full_unstemmed | The Distribution of Paediatric Forearm Fractures: A Five-Year Retrospective Cohort Study of 4546 Forearm Fractures in Children |
| title_short | The Distribution of Paediatric Forearm Fractures: A Five-Year Retrospective Cohort Study of 4546 Forearm Fractures in Children |
| title_sort | distribution of paediatric forearm fractures a five year retrospective cohort study of 4546 forearm fractures in children |
| topic | paediatric fractures epidemiology antebrachium |
| url | https://www.mdpi.com/2227-9067/12/6/711 |
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